HomeMy WebLinkAboutAUTH-08-2016-075533.TIF ,�A \ CATAWBA COUNTY Case# AUTH-08-2016-075533
.T Ll 12, Public Health Department Subdivision CLEAR SPRINGS
2 --_v o In k$1 F,.miomnental Health Division PINK 374519526107
'''4 / PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# TR 1
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NAME Ori PERMIT: JACK & TERESA WALTER, 3000 PEACHTREE ST EXT, CLAREMONT NC 28610
Site Address: 5907 FLAMINGO DR, CONOVER NC 28613
Property Size: Square Feet: 106,722.00 Acres:2.45
Directions: Hwy 16 North, to Springs Rd about 1.2 miles, Right onto Flamingo Dr, go about 400 ft, Left onto the gravel
drive to the home.
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J Owner/Authorized Representative Acknowledgement of Permit Receipt
r I certify that 1 am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
—,( As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-07-2016-24346 by the following method(s):
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Received in Person
Facsimile Transmittal (Return form with signature required)
/ Electronic Image Transmittal/E-mail (Return receipt required)
—1-- As the property owner or authorized representative I have reviewed and understand the specific conditions
fof 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: 08/10/2016 A
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Owner/Authorized Representative Signature l&
Date el ♦ /
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
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:
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ehperm it 08/10/2016 09:12
1v3A CATAWBACOUNTY li .dpe Case# AUTH-08-2016-075533
.
Public Health Department T+�; - ee Subdivision CLEAR SPRINGS
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< i„(; Environmental Health Division r 11: , PIN# 374519526107
-4152 PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 O O O +C LOT# TR 1
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NAME ON PERMIT: JACK & TERESA WALTER, 3000 PEACHTREE ST EXT, CLAREMONT NC 28610
Site Address: 5907 FLAMINGO DR, CONOVER NC 28613
Property Size: Square Feet: 106,722.00 Acres:2.45
Directions: Hwy 16 North, to Springs Rd about 1.2 miles, Right onto Flamingo Dr, go about 400 ft, Left onto the gravel
drive to the home.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and manlier of additional attachments ( ).
Proposed Wastewater System: Wastewater Flow 240 g.p.d
Type: IIA- CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
Soil LIAR: g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence -
Basement? Yes Basement Plumbing?No Bedrooms: 2
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: sq ft Total Length: ft Maximum Trench Depth in
Aggregate Depth in Trench Width ft
Minimum Soil Cover in Minimum Trench Separation ft on center
Number of Drain Lines 2
Distribution: Drop Box
Pre Treatment: NONE
Additional Specifications: Tank only replacement. using existing drainfield
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: Proposed System:
Distribution Type:: Soil LIAR: g.p.d./ft2
ehpenuit 08/10/2016 09:12
sqA \ CATAWBA COUNTY Casc# AUTH-08-20L6-075533
s-Ani�� Public Health Department Subdivision CLEAR SPRINGS
<
0.4 ;� Environmental Health Division PIN# 374519526107
K\18 4%"ova j PO Eos 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# TR 1
NAME ON PERMIT: JACK & TERESA WALTER, 3000 PEACHTREE ST EXT, CLAREMONT NC 28610
Site Address: 5907 FLAMINGO DR, CONOVER NC 28613
Property Size: Square Feet: 106,722.00 Acres:2.45
Directions: Hwy 16 North, to Springs Rd about 1.2 miles, Right onto Flamingo Dr, go about 400 ft, Left onto the gravel
drive to the home.
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 Rudex for Sewage Treatment and Disposal Systems' (ISA NCAC 18A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to
function satisfactorily for any niven neriod of time
Steven Price 08/10/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 08/10/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpei mit 08/10/2016 09:12
EHPR 07-2016-24346
5907 Flamingo Dr, Conover
• Permit for new 1,000 gallon septic lank only
• Old septic tank was found to have crack during septic inspection for sale of home and
should be pumped out, crushed in place, and filled in.
• Septic tank must be 5 ft from building foundations and appurtenances; out of driveway
and parking areas; and out of right-of-ways and easements.
• Do not cut, drive, fill, or grade oven,septic or repair areas.
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