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HomeMy WebLinkAboutAUTH-08-2016-075425.TIF tp,A CATAWBA COUNTY Casef - .q G Public Health Department Subdivision CLIFTON S POPE REVISE � mi , < � Environmental Health Division PIM 375014426904 ".4® "c PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LOT# /g42 o NAME ON PERMIT: JEFFREY POPE, 1212 LITTLE RD, NEWTON NC 28658 Site Address: 2472 ALBERT DR, NEWTON NC 28658 Property Size: Square Feet:629,877.60 Acres:14.46 Directions: STRAIGHT ON MT OLIVE CHURCH RD UNTIL YOU PASS JIMS JUNK YARD, ABOUT 1/2 MILE TURN LEFT ON LITTLE RD IN 1/2 MILE TURN LEFT ON ALBERT DR, TAKE 1st RIGHT AWAY ON RIGHT OFF ALBERT DR(GRAVEL DRIVE WAY) Owner/Authorized Representative Acknowledgement of Permit Receipt iI certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the pro erty described above. J 1 As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the plication for service RBPR-07-2016-24292 by the following method(s): _ R'eceived in Person Facsimile Transmittal (Return form with signature required) _ Electronic Image Transmittal/ E-mail (Return receipt required) `-Sf As the property owner or authorized representative I have reviewed and understand the specific conditions of the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems (15A NCAC 18A .1900), and/or Well Construction Standards (15A NCAC 2C .0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 08/08/2016 / Owner/Authorized Representative Signature id).As . , . av// • Date e-9-1 10 / Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permU) Signature Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpennit 08/08/2016 10:07 A.,,A CATAWBA COUNTY ❑� : }�0 Case# AUTH-08-2016-075425 C' Public Health Department . � ��' Subdivision CLIFTON S POPE REVISE _ PIN# < Environmental Health Division i --.!f: 375014426904 4t� PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 i LO'I# 1842 'y �•�_ •+ • •. L .c o. • NAME ON PERMIT: JEFFREY POPE, 1212 LITTLE RD, NEWTON NC 28658 Site Address: 2472 ALBERT DR, NEWTON NC 28658 Property Size: Square Feet:629,877.60 Acres:14.46 Directions: STRAIGHT ON MT OLIVE CHURCH RD UNTIL YOU PASS JIMS JUNK YARD, ABOUT 1/2 MILE TURN LEFT ON LITTLE RD IN 1/2 MILE TURN LEFT ON ALBERT DR, TAKE 1st RIGHT AWAY ON RIGHT OFF ALBERT DR(GRAVEL DRIVE WAY) Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS Soil LIAR: .3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - Basement? No Basement Plumbing?No Bedrooms: 4 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 36 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center Number of Drain Lines 4 Distribution: Serial Pre Treatment: NONE Additional Specifications: Keep all parts of septic system and any future repair system minimum: 100' from any we11,10' from property lines, 15' from pool, 50' from any creek, 10' from home including decks. Lines to be installed on contour. Do not grade drive or fill over system or repair or permits will be revoked. Berms near system area in open field may be removed. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation, or the suspension/revocation of existing permits. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair Repair System Required? Required System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LIAR: .3 g.p.d./ft2 chpennil 08/08/2016 10:07 l ,y,•• CATAWBA COUNTY Case# AUTH-08-2016-075425 ,.H11 2, Public Health Department Subdivision CLIFTON S POPE REVISE 2 --•-•' . / Environmental Health Division PIN4 375014426904 �`'�®/ PO Box 389. 100-A Southwest 13Ivd, Newton.NC 28658 LOT# /842 NAME ON PERMIT: JEFFREY POPE, 1212 LITTLE RD, NEWTON NC 28658 Site Address: 2472 ALBERT DR, NEWTON NC 28658 Property Size: Square Feet:629,877.60 Acres:14.46 Directions: STRAIGHT ON MT OLIVE CHURCH RD UNTIL YOU PASS JIMS JUNK YARD, ABOUT 1/2 MILE TURN LEFT ON LITTLE RD IN 1/2 MILE TURN LEFT ON ALBERT DR, TAKE 1st RIGHT AWAY ON RIGHT OFF ALBERT DR(GRAVEL DRIVE WAY) The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewage Treatment and Disposal Systeme' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given neriod of time Jason Boyd 08/08/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/06/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. clipcmiit 08/08/2016 10:07 ?,A CATAWBA COUNTY Permit# RBPR 7-16-24292 7" G Name Jefferey Pope ;, Ma 2 Public Health Department Address 2472 Albert Dr Newton NC Q �'Fe HEnvironmental Health Division J ���' PO Box 389, IOOA Southwest Blvd, Newton NC 28658 PIN# 375014426904 /842 sm (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Inlco.rt Cr ' Site Plan Authorization to Construct KS y „\- of way n • is ot iN ,i): 7 0 I �° N P f r c 2 / n N • /C L /1y DGD o' la s k prep. L.�. 1D" TC E/ as :rt-v�� H , _ - - - _ — P _ �' _� Nra l ` W P" ' , Vt ILC.Qa%f fav ti,A --1—. 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