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HomeMy WebLinkAboutAUTH-08-2016-075883.TIF ,p CATAWBA COUNTY FT L Public Health Department Subdivision SHERWOOD SHORES d . a Environmental Health Division PIN# 461902752332 � PO Box 389, 100-A Southwest Blvd,Newton,NC 28658LOT# 4 & 5 I�4su NAME ON PERMIT: GEORGE CRENSHAW, PO BOX 1421, MOORESVILLE NC 28115 Site Address: 8800 DOG LEG RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:41,817.60 Acres:.96 Directions: MOLLYS BACKBONE TO AZAELA LEFT ONTO HOME PLACE SIGN Owner/Authorized Representative Acknowledgement of Permit Receipt i/V I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. K As the property owner or authorized representative, I have received the above referenced permit(s) as lrequested in the application for service RBPR-07-2016-24242 by the following method(s): \I/Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 7( 4.As the property owner or authorized representative I have reviewed and understand the specific conditions f 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 Owner/Authorized Representative Signature f /, ,c_____________,_ "-) Date et-23 4 Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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: http://www.surveymonkey.com/s/EHCustomerService ehpennit 08/19/2016 09:34 CATAWBA COUNTY Ee ,. . i Case# AUTH-08-2016-075883 n Public Health Department `i �g Subdivision SHERWOOD SHORES < .._.�; s `' Environmental Health Division I `'l r3.' . PIN# 461902752332 �' �� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 G 1;1 LOT# 48, 5 • NAME ON PERMIT: GEORGE CRENSHAW, PO BOX 1421, MOORESVILLE NC 28115 Site Address: 8800 DOG LEG RD, SHERRILLS FORD NC 28673 Property Size: Square Feet.41,817.60 Acres:.96 Directions: MOLLYS BACKBONE TO AZAELA LEFT ONTO HOME PLACE SIGN 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 360 g.p.d Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - House Basement? No Basement Numbing? Bedrooms: 3 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 900 sq ft Total Length: 300 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: *Do not drive, grade, or fill over any septic area. 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: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP Soil LTAR: 0.3 g.p.d./ft2 PUMP REQUIRED ***** OPERATOR REQUIRED ehpennit 08/19/2016 09:34 sg• \ CATAWBA COUNTY Case# AUTH-08-2016-075883 A Public Health Department Subdivision SHERWOOD SHORES d wo Environmental Health Division PIN# 461902752332 �" PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOU/ 4 & 5 /842 w NAME ON PERMIT: GEORGE CRENSHAW, PO BOX 1421, MOORESVILLE NC 28115 Site Address: 8800 DOG LEG RD, SHERRILLS FORD NC 28673 Property Size: Square Feet:41,817.60 Acres:.96 Directions: MOLLYS BACKBONE TO AZAELA LEFT ONTO HOME PLACE SIGN 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 Systems' (15.4 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. Robbie Phelps 08/18/2016 AUTHORIZED STAFF AGENT APPROVAL DATE Permit Expiration Date: 08/18/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 08/19/2016 09:34 74t,I-1/— 6- 20(6 - 07r883 Catawba County 'Environments; Health y e i(- 8 201‘- 0 7S$1Lt • LI • l o 1 I -'0 120 5 11110101 . � o 1 t v� I,11P 1 so • IS, E; n) b� 8s t 6� Vlevsa So to 9i 2s YU 15 /� ...." i,- qo Ili. i 95 ----- ....-- ..../i r S4 S Ygk' fie O. 0-/W11 -- mayG0G L .G RO �� — ------ —\—. —\ . Parcel: 461902752332, 8800 DOG LEG RD lin=50ft SHERRILLS FORD, 28673 This maplreport product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 08119/2016 t,atawNba. County Environment<.,i Heath, • N v/ . i V�: ---. - .-.... _. ..... .. ., . .• ..... • . •_. , _ . . V ., __,.... ..,... , . .. .. . , ... ... __.• , . . ___... .__ . . . . .. .. • , . . • .y._.. . ._• , , .. ....._. ..,.. , . . . ...._..........__ . _ . . .. •. . . . .. . . _ ... .. ..•. . . . . • .• . . . ,. _.• ..... ..,. . . . . _ . . . . • ... ........._ . . . .. ._. , . . . • `J �'f �• J -...11"."'-1 ..----.... \\... -. - . 1 '' Parcel: 461902752332, 8800 DOG LEG RD lin=50ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 08(19(2016 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed- ef_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID X: ON-SLTE WASTEWATERSECIION COUNTY: SOIL/SITE EVALUATION $8ep a Cay for ON-SITE WASTEWATER� � ESYSTEM OWNER ADDRESS- Cameo_ Gran r1•‘,1,- DATE EVALUATED: K2-1 6 PROPOSED FACILITY: 'S bit PROPOSED DESIGN FLOW(.1949): 'S 6 0 PROPERTY SITE LOCATION OF SPIE/ PROPERTY RECORDED: WATER SUPPLY: H Private 0 Public ❑ Wy ell 0 S, ng 0 Other EVALUATIONMETHOD: 14I.ugerBo:mg [flit U Cut TYPE OF WASTEWATER: Sc-wage 0 Industrial Proxss 0 Mixed - • :c_....:. .:. . . : ::::::_::::_::-:::::: : : CiiF:rVii4ie :: .-ur:iji uii: 11: _ ::..:...: .::. _ :::: :: :;;: =`e_,1$41 :-;i;_;;i;;;;;-.=. ; ........:. _ -P_k R..:I._?...I CTEI- �:, :: 00uE:3- .. .::::_ :::. ::::::::::::::_:::::::_::cc:::::: :_:_::_ m :_:::::::::::::: m„,_:,.. ii._„ .... 44:' -iatti -'-teatime .:-::: 14L a _::::.. - r,-=d9A1 _ E i*A - 1A3a6 r9a nf.o........_._.C.......... ._.... Agi ton-c re `IEPr, iui ` iu _:. .Sr# ?ASCTURE7 0.64$1�LN { , N ` 1. SA.kR� , CLAS3MS- txrinrxrxnS5' '_s ni :tm7=:: -;. X ' w.:..:.: . .: .. : ui:. . - :.. - - _P*_ I:LU o--7 fi:I ( 3—(2 0. 1- 14,ci` F, 1 boI (L-"56 L/Ct 5-4.1,1I r Er fe If 5 LA `s6-4g CLI-ry rrLH r-r c., 70 I—IS ULL kj-bk rr 2 I— ,, (K—VY CL tL{C -Fr rr rp 4d 3 0-30 C Flit tzr tJ✓p 1.o-J7 ( G L,r1ti t'rJ 3 /✓ .c re, t(g c3 to - 6-10 r, /I L to-110 Li. )44 4 u 1 I I DESOt>PTIOW n.TTIALSYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): mailable spun(_T745) J SITE CLASSIFICATION(.1948): Ides SystemTypc(s) 2 ti�r ,SD°/ EVALUATED BY: S h ��1� - OTHER(S)PRESENT: Site LIAR r 17 r 3 COMMENTS: -.