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HomeMy WebLinkAboutAUTH-09-2016-076892.TIF vqt;' CATAWBA COUNTY Case# AUTH-09-2016-076892 • `7 2 Public Health Department Subdivision 4Environmental Health Division PIN# 367803225237 ignm PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 LOT# w 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 We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService 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 ❑ • 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# /E3T42 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 13A "---1‘\'(.., 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 0 pV„ / 7842 w (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Authorization to Construct P IS5 s- Co . ra_pc :r arL-°N, 69. 06 �, � �� � � a - Ma-. Ltic- s A,("d 4.) unc).._ r 3 - 16 - o69s ,,, 6y e. 65 ,g.. 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