HomeMy WebLinkAboutAUTH-09-2016-076495.TIF CATAWBA COUNTY
T_^ 6 Public Health Department Subdivision
r9� 2 365605189139
Q , Environmental Health Division PIN#
'��i
�°^4' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 A
g42 s.
NAME ON PERMIT: ROCKY HILTON, 847 OAK ST, NEWTON NC 28658
Site Address: 2237 E MAIDEN RD, MAIDEN NC 28677
Property Size: Square Feet:435,600.00 Acres:10.00
Directions: E Main St toward E Maiden Rd, Property across from Withers Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
'"7As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service RBPR-07-2016-24344 by the following method(s):
\/ Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
1,7 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: 09/06/2016
Owner/Authorized Representative Signature ( ��—
Date ?— ? - / <
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
ehpermit 09/07/2016 16:07
p A d,, CATAWBA COUNTY ti o�., Q Case# AUTH-09-2016-076495
L Public Health Department S' : `I, Subdivision
v ,) Environmental Health Division It titi,.^ 1 :I PIN# 365605189139
o Ig2 SM PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 �, � LOT# 2 A
4
' °al o r
NAME ON PERMIT: ROCKY HILTON, 847 OAK ST, NEWTON NC 28658
Site Address: 2237 E MAIDEN RD, MAIDEN NC 28677
Property Size: Square Feet:435,600.00 Acres:10.00
Directions: E Main St toward E Maiden Rd, Property across from Withers Rd
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 480 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: .275 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence - house
Basement? No Basement Plumbing?No Bedrooms: 4
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: 1,308 sq ft Total Length: 436 ft Maximum Trench Depth 24 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 4
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: Do not grade, drive or fill over any septic area.
Pipe all gutter discharge away from septic system.
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: IIIG Proposed System: 25% REDUCTION
Distribution Type:: Serial Soil LTAR: .275 g.p.d./ft2
ehpermit 09/07/2016 16:07
�' • CATAWBA COUNTY Case# AUTH 09 2016 076495
,,Q (L Public Health Department Subdivision
v � a Environmental Health Division PIN# 365605189139
" �c PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 A
\842 sM
NAME ON PERMIT: ROCKY HILTON, 847 OAK ST, NEWTON NC 28658
Site Address: 2237 E MAIDEN RD, MAIDEN NC 28677
Property Size: Square Feet:435,600.00 Acres:10.00
Directions: E Main St toward E Maiden Rd, Property across from Withers Rd
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' (15A
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 09/06/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 09/03/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 09/07/2016 16:07
Av-N- - o7 6 49-5-
Catawba County Environmental Health 0-76/40r/-
99,00
139,30
•
4/17.� Q vl .:.
(178)
3q ,So_
O,
Li
/ /\\/fl
" AV)
ti
XY‘tv4))t-
o1S
Parcel: 365605189139, 2237 E MAIDEN RD 1in=80ft
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
09/06/2016
% '.,. .; :rtka-w'`' Tgt',NV:*r UI . P tK ..{,m Sat 'k °.-5.- h �°a'`^` ,z�d'k. ` ?.? :a rt`z'� . .'IV4:`i'..t ,. d °,. 5 NR t M
i
/ ; f fCatawba County
ty Environmental Health
a
o f / / /
f`� ti /.. . o ,
;:r /r
y a, / • /• f :' / aro r
9 �i r � � % % // / �f ;' ,/
f'"i �'-'' /i`l.Ji// / ' / // / // / /, // •
/ /•
-' i l l l�fi • / / /
9
__-. %. - :'111. //
/ ./i /
//i
/
.f
i .
i
j' 1781
%/,/ ,,,,/ Ort
�'
r
o ^^x l/ /tel / —_____
I tr!l / I 1 / ` `i/ / � - e
/ r / / / ./ -._�
i s / /
1 II e
1. i 35p.7q / /� / / 'i
, : �' i ,
/ �
$It i \ - t
/ /
I
i` % / / , —
`� �, \
;' / { \
-- / / � ' \
,N. _ f ;
/ / ! /`,. \ \ \
� \\ `/ / di/
/ \
`\ ``1
\ \ �. 1`� ` / / \ 1 `l `1
N . \ �: \ \1
\ \ti. i ,-f / l `\ \
Parcel: 365605189139, 2237 E MAIDEN RD 1in=80ft
MAIDEN, 28650
this map/report product was prepared from the Catawba County,NC Geospatial Infomration 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
pal-SC/Filial,disclaim,and shall not be held liable for any and all damages,lass 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
09/06/2016
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shea_of--
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID el:
ON-SLTE WASTEWATER SECTION COUNTY:
SOIL/811k,EVALUATION
� for ON-SITE WASTEWATER SYSTEM
/,Ji
OWNER: l�0Q11-y l><t%aAPPLICATION DATE
ADDRESS: ?i/ A41 4. M DATE EVALUATED: .43-2/
PROPOSED FACILITY: 'S PROPOSED DESIGN FLOW(.1949):___5111___ PROPERTY STLE:
LOCATION OF SITE: PROPERTY PROPERTY RECORDED:
WATER SUPPLY: L7 Private 0 Public Et-Well 0 Spring 0 Other
EVALUATION METHOD: 0 Auger Boring a Pit 0 Cut •
1YPE OF WASTEWATER: g"Sewage 0 Induseoal Process 0 laxed _
_ ,.____.._.-.-__..._......_.._......_ . .,-- ---: ... .... ,,O. _ --
-�- .:. � -. ---'' .Rte;=ts : : a: :: '''°Q•4� : : . _ _......_.. ._.._.._.............
_'-_ - '_ r '''- `';_�ii5i)Tl%h1I)Ri80Y:aY0Y_"iii :: :: : ,c . t-_:L;:;;:-r. .z=_..........._._....--:. .._ .........-_ '."»»""
.3F_ ...:_ : i1941j_-
_
�4 :_ :: :::_.__:.:: ::: , :....
=:._:_ -_:-:-::: � :::..._.... : . ...-..................................... .........::-:::::__..[:[:�:at e_;t:;:'t:_fiit3941i=a== ::s-__e=_ei :!—-::__ .._. .--- : __ :_::_:��::
.. _ Lrry 1".a: ::_:::::::::::::_:::::::::: :-- isi:::'-,;::::;:::::s:; E::;:`; , - . :::::::-.-. -:_: ....-_t=- =_,_,-........:;;;;;;:c....:;;;;;
--:.,.:;_;?;iis _ :::::•
._._.... ...._ ......... 94L= - : :- ::iifu dicavS:Ssts..$1 _„kNyfiE: :a i—.2.. ;e.. :.:::IIuF?Lti;
”11. : ;: cse8aNLx Srkk
=t =x A-fpo i.E' ±iin-it b'DFt7 U bNS„„aw.,rl ' ccip C.. --
3i_i.::iSSAPi ' _: ?! ...a ::`' N............ ...:: i- {-`(3 # APS .CFA`S' .If4 + .tL`i'AR.::
0,--5 1-
5 -p, C ,ri k . f f d i,
1 L 2 -56 Cf q
. 2 �,J
Tv MyvKrltih r 77 -
•
(-28 C J1^ C"Y ,e Z�s
2 L �Y-UD sv n:�, Fr --21
•
0-6 L II'r
8-z( C rLh ,fd I�
3 zl—uo LC', rt ,, r�,5, �, . 'fo 27s
• 4
DESCRIPTION I INNIAL SYSTEM REPAIR sYSTEN OTHER FACTORS(.1946):
SITE CLASSIFICATTON(.1943): VT
AavDrblt Space(.1945) I .f ��4 rr
f/kt
Sy,..7YP'(s) 2sa�✓ Z r€E 0 EVALUATED BY: b OTHER(S)PRESENT:
Site LTA& : F,7 r t 27 C
-
COMMENTS: I
Z4=rr11
-
wifar a h117 4 le , 6/-fif, c fo;