HomeMy WebLinkAboutAUTH-08-2016-076233.TIF . • N CATAWBA COUNTY Case# AUTH-08-2016-076233
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f' ,\ Public Health Department Subdivision
vie y Environmental Health Division PINfl 375118404900
1842 sM PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT#
NAME ON PERMIT: RONALD & BRANDY MERCER, 2451 EMMANUEL CHURCH RD, CONOVER NC
28613
Site Address: 2451 EMMANUEL CHURCH RD, CONOVER NC 28613
Property Size: Square Feet:22,215.60 Acres:0.51
Directions: Left from Hwy 10 East, Left onto Emmanuel Church Rd, 2nd house on the Left past the Pure Gas Station.
Owner/Authorized Representative Acknowledgement of Permit Receipt
i �I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
1i 1'As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-08-2016-24471 by the following method(s):
V Received in Person
7
Facsimile Transmittal (Return form with signature required)
S Electronic Image Transmittal/ E-mail (Return receipt required)
Q '
JAs 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: 08/29/2016
Owner/Authorized Representative Signature ASU 1�Ci- i �C---
Date , 29 . 1 ( p
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
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ehperwit 08/29/2016 13:57
SBACATAWBA COUNTY Q; • o'� ..�e Case# AUTFI-08-2016-076233
�G Public Health Department3 ' r `r • .t Subdivision
<
H Environmental Health Division PINfI 375118404900
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 1:1174::•
,__• • LOT#
18.2 w }1 - A
NAME ON PERMIT: RONALD & BRANDY MERCER, 2451 EMMANUEL CHURCH RD, CONOVER NC
28613
Site Address: 2451 EMMANUEL CHURCH RD, CONOVER NC 28613
Property Size: Square Feet:22,215.60 Acres:0.51
Directions: Left from Hwy 10 East, Left onto Emmanuel Church Rd, 2nd house on the Left past the Pure Gas Station.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments ( ).
Proposed Wastewater System: 50% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIE- PPBPS GRAVITY DOSED SYSTEM
Soil LIAR: 0.3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence -
Basement? No Basement Plumbing?No 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: sq ft Total Length: 200 ft Maximum Trench Depth 34 in
Aggregate Depth in Trench Width 2 ft
Minimum Soil Cover 12 in Minimum Trench Separation 8 ft on center
Number of Drain Lines 4
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
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 existinq permits.
»»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««<
Proposed Repair
Repair System Required? Not Required System Class: IIIB Proposed System: 50% REDUCTION
Distribution Type:: Soil LTAR: g.p.d./ft2
chper91it 08/29/2016 13 57
.A1, Clue# AUTH-08-2016-076233
.Q kir, Public Health Department Subdivision
C �, ,'4 Environmental Health Division PIN# 375118404900
� PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT#
tg. ,.
NAME ON PERMIT: RONALD & BRANDY MERCER, 2451 EMMANUEL CHURCH RD, CONOVER NC
28613
Site Address: 2451 EMMANUEL CHURCH RD, CONOVER NC 28613
Property Size: Square Feet:22,215.60 Acres:0.51
Directions: Left from Hwy 10 East, Left onto Emmanuel Church Rd, 2nd house on the Left past the Pure Gas Station.
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 Sewa.e Treatment and Disposal Systems' (ISA
NCAC ISA.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will
continue to function satisfactorily for any given period of time.
Steven Price 08/29/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 08/27/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
cltpennit 08/29/2016 13:57
EHPR 08-2016-24471
2451 Emmanuel Church Rd, Conover
• Do not cut,drive, fill, or grade over septic or repair areas.
• Septic system must be 10 ft from property lines; 50 ft from wells; 5 ft from building
foundations and appurtenances; and out of right-of-ways and easements.
• Install a new 1,000 gallon septic tank. Old septic tank will need to be pumped out then
crushed and filled in place.
• Install 200 linear feet of 50%reduction system(PPBPS)with maximum trench depth of
34 inches;proposed 4 lines total at 50 ft each on contour.
• Final grade of septic area must shed surface water off and away from system.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet t of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION e9R/� Og- z. ((r - 74 Lf-7( PROPERTY ID Ii:
ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: 4�-U M¢rce-e-
_ APPLICATION DATE
ADDRESS: DATE EVALUATED: 8/2-9
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: .SI
LOCATION OF SITE: 2Y5-I .,/6 u,......-.k (-C----,a-- 14 PROPERTY RECORDED:
,S
WATER SUPPLY: 0 Private Public g-Well 0 Spring 0 Other
EVALUATION METHOD: 0 Auter Boring Nfit 0 Cut TYPE OF WASTEWATER: GKSewage 0 Industrial Process 0 Mixed
P
R
SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
1 .1940
E LANDSCAPE HORIZON
POSITION/ DEPTH PROFILE
ii SLOPE% (IN.) .1942
.1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURFJ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
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n SITE CLASSIFICATION(.1948): PS
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the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
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