HomeMy WebLinkAboutAUTH-08-2016-075816.TIF `pA , CATAWBA COUNTY Case#
,.Q all: Public Health Department Subdivision WYNSWEPT PH 1
12 . �1 Environmental Health Division PIN# 367803414205
l _c PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 4
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NAME ON PERMIT: MODLIN CONSTRUCTION, INC., 2382 SHINY LEAF DR, DENVER NC 28037
Site Address: 3315 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feel:56,628.00 Acres:1.3
' Directions: Hwy 16 S, left on Cayton Dr, Lot on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
G,4 certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
roperty described above.
Lic, s the property owner or authorized representative. I have received the above referenced permit(s) as
req�in the application for service RBPR-07-2016-24250 by the following method(s):
•-/ Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/ E-mail (Return receipt required)
/. 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: 08/17/2016
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3Owner/Authorized Representative Signature awe I r, --
Date g17— Ico
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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ehperniit 08/17)2016 09:03
gip,• • CATAWBA COUNTY at .. 7.-1•10 Case# AUTH-08-2016-075816
T G Public Health Department T,•i r Subdivision WYNSWEPT PH 1
C1:3� , 1 •'�
, r Environmental Health Division 1x* Le ' • I'IN# 367803414205
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` ® PO Box 389. 100-A Southwest Blvd, Newton.NC 28658 J -14:116, LOT# 4
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NAME ON PERMIT: MODLIN CONSTRUCTION, INC., 2382 SHINY LEAF DR, DENVER NC 28037
Site Address: 3315 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 56,628.00 Acres:1.3
Directions: Hwy 16 S, left on Cayton Dr, Lot on left
Authorization to Construct Permit
Authorization to Construct Wastewater System JRequired for Building Permits
* See site plan and number of additional attachments(
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LTAR: .3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence -
Basement? No Basement Plumbing?No Bedrooms: 3
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal
Dosing Volume 146 gal Pump Specs: 28.44 GPM @ 28.248 TDH
Pressure Head 2 ft Draw Down 6 in
Drainfield: Total Area: 900 sq ft Total Length: 300 ft Maximum Trench Depth 30 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: Pressure Manifold
Pre Treatment: NONE
PUMP REQUIRED
Additional Specifications: Keep all parts of septic system and any future repair minimum: 50'from any wel1,l0' from property
lines, 25' from home ( up slope of foundation drain), 50' from creek. Tanks can be 10' from home.
Install lines on contour. Do not grade drive or fill over system or repair area. See permit WLS
2008-00816 attached with plan case for soil information.
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: IIIB Proposed System: 25% REDUCTION
Distribution Type:: Pressure Manifold Soil LTAR: .3 g.p.d./ft2
PUMP REQUIRED
ehpennh 08/17/2016 09:07
AWL CAT.AWBA COUNTY Case 4 AUTH-08-2016-075816
7 P.t.'! � Public Health Department Subdivision WYNSWEPT PH 1
G Aet l„,5,1-1. Environmental Health Division PINI! 367803414205
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LO'f# 4
4642 SM
NAME ON PERMIT: MODLIN CONSTRUCTION, INC., 2382 SHINY LEAF DR, DENVER NC 28037
Site Address: 3315 CAYTON DR, MAIDEN NC 28650
Property Size: Square Feet: 56,628.00 Acres:1.3
Directions: Hwy 16 S, left on Cayton Dr, Lot on left
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 arc 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 Systems' (15A NCAC I8A
.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 08/17/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 08/17/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpermit 08/17/2016 09:07
C,r. m • Permit# RBPR 7-16-25250
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CATAWBA COUNTY
j a 2 Public Health DepartmentName Modlin Construction LNC
AI►1►G9 '-; Environmental Health DivisionAddress 3315 Cayton Dr Maiden NC
g 7,- PO Box 389, IOOA Southwest BI d,Newton NC 28658PIN# 367803414205
8 42. sm (828)465-8270 Fax (828)465-8276 T D(828)465-8200
Site Plan thorization to Construct
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