HomeMy WebLinkAboutAUTH-09-2016-076677.TIF SpA + CATAWBA COUNTY Case#
.7!'.�.��� Public Health Department Subdivision
��e 41 Environmental Health Division PIN# 379002681654
�y PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 3
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NAME ON PERMIT: NICK & KAYLA PATTERSON, 6606 TRITON LN, CATAWBA NC 28609
Site Address: 6606 TRITON LN, CATAWBA NC 28609
Property Size: Square Feet:85,377.60 Acres:1.96
Directions: Hwy 10 W, turn right on Hudson Chapel Rd, turn right on Bolton Rd, turn right on Triton Ln, Lot on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above.
XAs the property owner or authorized representative, I have received the above referenced permit(s) as
/ requested in the application for service RBPR-06-2016-24096 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: 09/11/2016
i
Owner/Authorized Representative Signature -/ i
Date _i
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
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ehpemiit 09/12/2016 0832
3,A • CATAWBA COUNTY Case# AUTH-09-2016-076677
Public Health Department iS Subdivision
'
2 —r�1 ; Environmental Health Division � ��•• •• 17 . PIN# 379002681654
A1m PO Box 389, 100-A Southwest Blvd,Newton,NC 286581��� L0T# 3
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NAME ON PERMIT: NICK & KAYLA PATTERSON, 6606 TRITON LN, CATAWBA NC 28609
Site Address: 6606 TRITON LN, CATAWBA NC 28609
Property Size: Square Feet:85,377.60 Acres:1.96
Directions: Hwy 10 W, turn right on Hudson Chapel Rd, turn right on Bolton Rd, turn right on Triton Ln, Lot on right
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-CONN TRENCH SYSTEMS
Soil LIAR: 0.3 g.p.d./ft2
Permit Category: Expansion
Type of Facility: Primary Residence - House
Basement? No Basement Plumbing? Bedrooms: 4 •
Wastewater System Requirements
Tank Size: Existing 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: 600 sq ft Total Length: 200 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 2
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: *Change the entire distribution of the system to serial distribution.
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 LIAR: 0.3 g.p.d./ft2
ehpermit 09/12/2016 08:32
ipA • CATAWBA COUNTY Case# AUTH-09-2016-076677
al; Public Health Department Subdivision
C -- v ti Environmental Health Division PIN# 379002681654
-#i� PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# 3
tg.2 sM
NAME ON PERMIT: NICK & KAYLA PATTERSON, 6606 TRITON LN, CATAWBA NC 28609
Site Address: 6606 TRITON LN, CATAWBA NC 28609
Property Size: Square Feet: 85,377.60 Acres:1.96
Directions: Hwy 10 W, turn right on Hudson Chapel Rd, turn right on Bolton Rd, turn right on Triton Ln, Lot on right
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicant/properly 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[ar Sewape 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 period of time
Robbie Phelps 09/11/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 09/09/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpermit 09/12/2016 08:32
�9xi'A Permit# Auth-9-2016-076677
CATAWBA COUNTY
,L� nG Name Nick Patterson
2 Public Health Department
Q, 711740 H Environmental Health Division Address 6606 Triton Ln
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v,,, ip117' ^C PO Box 389, 100A Southwest Blvd, Newton NC 28658 Lot# 3
842 „., (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
SITE PLAN
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