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Home My WebLink AboutAUTH-08-2016-076275.TIF V^yA \ CATAWBA COUNTY Case# __ 41111 111 L Public Health Department Subdivision NELLIE S HAYNES PROPE iiiiigEnvironmental Health Division PIM 363708985048 PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 t.OT# 15 PT 14 &1842 sw NAME ON PERMIT: MEADOW RIDGE CHURCH TRUSTEES OF, PO BOX 597, MAIDEN NC 28650 Site Address: 1173 ZEB HAYNES RD, MAIDEN NC 28650 Property Size: Square Feet: 295,772.40 Acres:6.79 Directions: Business 321 south to Zeb Haynes road church is 3/10 mile on zeb haynes road ��p Owner/Authorized Representative Acknowledgement of Permit Receipt P7Iv I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the property described above. 0 As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service CBPR-07-2016-24265 by the following method(s): \_ Received in Person Facsimile Transmittal (Return form with signature required) pitElectronic 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: 08/30/2016 Owner/Authorized Representative Signature Ali t' SAW Date 9//Z /� 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: http://www.surveymonkey.com/s/EHCustomerservice nut 09/01/2016 09:21 A • CATAWBA COUNTY Q• r� r. - - e0 Case# AUTH-08-2016-076275 .QG. �L Public Health Department iTt' *..? Subdivision NELLIE S HAYNES PROPE 6triH Environmental Health Division r- ' ,ri PIN# 363708985048 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 G i � f. LO'I"# 15 & PT 14 IH.2 , - - Eilrl-lirr, NAME ON PERMIT: MEADOW RIDGE CHURCH TRUSTEES OF, PO BOX 597, MAIDEN NC 28650 Site Address: 1173 ZEB HAYNES RD, MAIDEN NC 28650 Property Size: Square Feet:295,772.40 Acres:6.79 Directions: Business 321 south to Zeb Haynes road church is 3/10 mile on zeb haynes road Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit2 * See site plan and number of additional attachments ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 800 g.p.d Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP Soil LIAR: 0.275 g.p.d./ft2 Permit Category: Expansion Type of Facility: Primary Residence - Church with No Food Service or Daycare Basement? No Basement Plumbing? Bedrooms: 0 Wastewater System Requirements Tank Size: Existing Tank 1,500 gal Pump Tank 1,500 gal Grease Trap gal Dosing Volume 378 gal Pump Specs: 55.5 GPM @ 23.06 TDH Pressure Head 2.5 ft Draw Down 15.1 in Drainfield: Total Area: 822 sq ft Total Length: 274 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 3 Distribution: Pressure Manifold Pre Treatment: NONE PUMP REQUIRED Additional Specifications: *Septic installer needs to call EHS (828-320-3077) and meet on the job site at least 3 days before starting the installation. *Pump run time is 6.8 minutes. *Use 7 schedule 40 half inch taps in the pressure manifold. *Converge four of the taps into one 3 inch pipe to a 5 hole equal distribution box to feed the existing drain field. *Do not drive, grade, or fill over any septic system 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: IIIB Proposed System: 25% REDUCTION Distribution Type:: Pressure Manifold Soil LTAR: 0.275 g.p.d./ft2 elipenuit 09/01/2016 0922 ) A CATAWBA COUNTY Case# AUTH-08-2016-076275 �611c%14Public Health Department Subdivision NELLIE S HAYNES PROPE 4 AIR c Environmental Health Division PIN# 363708985048 �'4 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 15 & PT 14 ig.2 ,u NAME ON PERMIT: MEADOW RIDGE CHURCH TRUSTEES OF, PO BOX 597, MAIDEN NC 28650 Site Address: 1173 ZEB HAYNES RD, MAIDEN NC 28650 Property Size: Square Feet:295,772.40 Acres:6.79 Directions: Business 321 south to Zeb Haynes road church is 3/10 mile on zeb haynes road PUMP REQUIRED 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 Ru/es for Sewage Treatment and Disposal Systems' (15A NCAC ISA .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any elven neriod of time. Robbie Phelps 08/30/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/30/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 09/01/2016 09:22 Catawba County Environmental Health Acfb- (;-70/x- o762:7S i v-zkl I CA , r(/ ht '7 0;tt.r, •, a 4% r " 6," 16 IP7' vfrl L. st' r. �o i 6,F I-a • il Ira,_ I'a T i3 re -, J I - o 4 t. • l. '..• ♦ y- \ �\ �\ \ G 5 \\ 7 2j Parcel: 363708985048, 1173 ZEB HAYNES RD lin=60ft MAIDEN, 28650 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 poison el,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 08/26/2016 a?f- - 4:41(f43.�C;it,- f, t;Nz),.. ,1t 441,.f44fi; °."`, `...)-ns,.: yF.'; ,ft c7, DEPARTMENT OF ENV1tONMENt AND NATURAL RESOURCES - Shed I of_2 DIVISION OF ENVIRONMENTAL HEALTH PROPERTY IDN: ON-SITE WASIEWATERSECTION COUNTY: SOIL/SUE EVALUATION // for ON-SITE WASTEWATER SYSTEM OWNER: ��Q'i D C 4 4 PLICATION DATE ADDRESS: )t 17', 7 1. N DATE EVALUATED: .(- —/ PROPOSED FACILITY: G Z yr c it PROPOSED DESIGN FLOW(.1949): 600 PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: R'Private 0 Public R'weI 0 Spring 0 Other EVALUATIONMEIHOD: 0 Auger Baring B'Pit 0 Cut TYPE OF WASTEWATER EVStwage O Inde tial Process 0 Mixed _g_ --.::r.:::::_a i-_.eiF.::::a ::::::::c_:::r::::::r:::op:__C?iiiEE:::?1"'_.:::c-:::::-::::::_::_ _ .._...::..-C S::::::___-::mc::::::::_ E. oT➢xI}eeea:i-st:att __ :::::::::__: _;'€rnorw TxAcT0125::_:::::::-:::_-... .. ',I.,_. i ii:FS :i:..._........:::: ................................_................_._..__...._........._..... iiuiiii:.: "iE3''_i iu:c_:::__i Fi:i - _ - . :::_-._........_.._...._ ----:;:-::.::— :._.,.,._:_.:_.--:e :[-_:;.'14 TL.:: :::......__..-__ ss '`k_t =___ _ :_ ';=-.-:___-::_' ;J ::' .._i':_ : caN .14x1 4# &I?IF._ r litT.G--a N , �f xoszucaxt DEPta. tICTI GONSLsrE#�C3 �ESSf ? Stiritt 9+• _' :... ' CLASS..: spas%= _ .a ::: :':::::7C R:::: ::_Tigilbct tS _`i[_ :_#wIse . _:::_:: r'. .::; _ : :::„;t�:out, 6-2-ir,: d -4 7.31 CL Ak . - r- Jr.ryJ 27 . . • G-l6 C JLin77 . Ir3jM 2 / ‘-')-/- C-Fry .1S < rf rt Jo 11i i rh- - - .L.j ").0 Cl /fpp N.rt11 11' Sr re D S L 9 5-Z( C :rb h rr p-Ty? • 3 21-1./S C- tri dr F/ Lf4 -2`15- 0-2 L `6' '20 C L. Sdk Fr Jr IeIf .1.1 4 20-N( C rY+k : F. _errs DESCRIPTION DITITAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):- Available Space(.1443) / - �'- SITE CLASSIFICATION(.1945): f,T1 S3's TYPXs) 2j Dir 2S % EVALUATED BY: �r� S;J Pi OTHER(S)PRESENT: • . Site LIAR 121 S `'1.-7 tr COMMENTS: DEPARTMDNI OF ENVIRONMENT AND NATURAL RESOURCES Skeet 2 of i" DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID N: ON-SITE WASTEWATER SECTION COUNTY: SOI7JSITr,EVALUATION '7� // Ifor ON-SITE WASTEWATER SYSTEM OWNER: kPiF►N' $ %4vrC.1' APPLICATION DATE ADDRESS' 117' 7,4 cy4kr SA DATE EVALUATED: (-11-11 PROPOSED FACILITY: Cl+yr,.4 PROPOSED DESIGN FLOW(.1949): PROPERTY STS: LOCATION OF PROPERTY RECORDED: WATER SUPPLY: U Ptivate E Public B'weit 0 Siring 0 Other EVALUATION11EREOD 0 Auger Boring Pit 0 Cut TYPE OF WAST WATER: Et-Sewage O Industrial Press 0 Kurd .. _ . te - : ._ a � . - . .... ..... __. �:: , .=�- -_�::�.._ __—..__-`—,. : : : ,:n, _ - a,:m;-: mt; =:�.—_-- ...T ;::--: � : � aiii __::_�,_ " . . : »_ :- _�. _ss:� ,:5 sGKCmRPLy�CY_ ::_ s=::ati:[a: ;;0� Ea.r '-:k.__c:�::::::ase: s::.. .:::. ._::[:_ :::_ :_........)... e=__ —....._iir :_- :11;74m==:::::: ::=----- -_•_ - :: a1tf _= ::::::i_ _:__ =: _ :PROF '*al,:1i` c - -&::::.,,:.,:: :_r1'-=.= LLAT::I4f::,: 1[EPIc:H�Q]Rli , .c, _rr:" G1TU__ �__;::=::';(-_RAG5? f�_= C�t_ t4-�: $ft= 11:11!:q5:04:-.7=;.z;Ca'S�, �=__��xE<-��1rMTs::I: � MII . . t7-31 Fr 1( S 'ii-53 C Jlh . l"r .1'1 I , ` U • . a -9. . Fiat •_ .. .. :. I. 6 g-Z, t Ji \ . Frits V1'517 ti_ -kW w k • rt if 7 ' i DESOP.WPTIMI D.T TAL SYSTEM tEPA@ SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.194S):_ I'.S Available Space(.1945) T r . syrm- a) 24,(t �.'/ EVALUATED BY: 12-1)1,4- I OTHER(S)PRESENT: • . Site LTAR . 77r ,1.7 r COMMENTS: S}/✓a„ f'r}ci iv Ka a l' 4„l P it s- Catawba County Environmental Health a ,r_ -._ — .- i 4. , }, 1 . • __ _ . ., .. AI1 ,11144141.- b 1--,„— _ 's , ' i 1 I { a . J . er 41.a ,k 1H- - ' . 0 r ; 1 f t r __ _ . I 7.,...._ in& a .. „. . . _ ___,... ,. _ . .: _ , . __ _• ._ . _ _ _, . ..... . . .. _ , . , ..... .. . • .. .. :2 . __. . _ ., _ , . ..__ . . . k_ _... ___ ..„ - . e daiiiiiii AO, -411111.1t "at - .. Parcel: 363708985048, 1173 ZEB HAYNES RD 1in=60ft MAIDEN, 28650 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 08126/2016