HomeMy WebLinkAboutAUTH-09-2016-076892.TIF vqt;' CATAWBA COUNTY Case# AUTH-09-2016-076892
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`7 2 Public Health Department Subdivision
4Environmental Health Division PIN# 367803225237
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PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 LOT#
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NAME ON PERMIT: LARRY DRUM, 2852 BUFFALO SHOALS RD, NEWTON NC 28658
Site Address: 3109 WINFIELD DR, MAIDEN NC 28650
Property Size: Square Feet: 80,150.40 Acres:1.84
Directions: Hwy 16 towards Denver, 1st Left after Buffalo Shoals Rd., Straight down the road to the end.
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.
As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-09-2016-24702 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: 09/16/2016
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
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chpenn it 09/16/2016 09:10
4Si • CATAWBA COUNTY ❑e '+ "oS-F• 0Case# AUTI-1-09-2016-076892
Public Health Department .•Yjr' Subdivision
, •�. ,111'�; Environmental Health DivisionPIN# 367803225237
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 ••P -t. 1,0114
/842 9 . — O O
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NAME ON PERMIT: LARRY DRUM, 2852 BUFFALO SHOALS RD, NEWTON NC 28658
Site Address: 3109 WINFIELD DR, MAIDEN NC 28650
Property Size: Square Feet: 80,150.40 Acres:1.84
Directions: Hwy 16 towards Denver, 1st Left after Buffalo Shoals Rd., Straight down the road to the end.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments( ).
Proposed Wastewater System: `REPLACEMENT OF SEPTIC TANK ONLY* Wastewater Flow 240 g.p.d
Type: 11A-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
Soil LIAR: g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence-
Basement? No Basement Plumbing?No Bedrooms: 2
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: ft Maximum Trench Depth in
Aggregate Depth in Trench Width ft
Minimum Soil Cover in Minimum Trench Separation ft on center
Number of Drain Lines
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications: Permit issued to replace collapsed tank. Pump, crush, and backfill existing tank with soil. Install
new 1000 tank with tee and filter. Install new tank adjacent to existing tank and feed into existing
bed. Lot was previously evaluated for an Improvement Permit when house was changed by Robbie
Phelps under IP 3-16-069929.
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? System Class: Proposed System:
Distribution Type:: Soil LIAR: g.p.d./ft2
elipermit 09/16/2016 09:10
cos• •• CATAWBA COUNTY Case# AUTH-09-2016-076892
.T An 1 Public Health Department Subdivision
<yXia
ij�' Environmental Health Division PIN# 367803225237
�• PO Box 389. 100-A Southwest Blvd,Newton. NC 28658 LO'f#
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NAME ON PERMIT: LARRY DRUM, 2852 BUFFALO SHOALS RD, NEWTON NC 28658
Site Address: 3109 WINFIELD DR, MAIDEN NC 28650
Property Size: Square Feet: 80,150.40 Acres:1.84
Directions: Hwy 16 towards Denver, 1st Left after Buffalo Shoals Rd., Straight down the road to the end.
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' (ISA NCAC I8A
.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.
Jason Boyd 09/16/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 09/16/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
eliperinit 09/16/2016 09:10
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Permit# EHPR 9-16-24702
_ \` CATAWBA COUNTY
G Name LarryDrum
1 '2 Public Health Department Address 3109 Winfield Dr Maiden NC
4 initit:v:'� `I Environmental Health Division
7 ' PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 367803225237
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Site Plan Authorization to Construct
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