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HomeMy WebLinkAboutAUTH-3-10-5244.TIF SBA CATAWBA COUNTY Case # AUTH-3-10-5244 Public Health Department Subdivision Q Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 2 w PIN# 470003025645 Applicant/Owner DAVID HATFIELD Site Address: 1028 GRAPEVINE DR. Catawba, NC Property Size: SF 11.739 ACRES Directions: SHERRILLS FORD RD/ EAST ON ISLAND DR/ 1/4 MILES TO GRAPEVINE DR 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-CONY TRENCH SYSTEMS Soil LTAR: .3 g.p.d.M2 Permit Category: Expansion Type of Facility: House Basement? No Basement Plumbing? No Wastewater System Requirements Tank Size: Existing Tank Unknown Size 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: 110 ft Maximum Trench Depth 24 in Aggregate Depth 12 in Trench Width 3 ft Minimum Soil Cover 6 in Minimum Trench Seperation 9 ft on center Number of Drain Lines I Distribution: Additional Specifications: 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 period of time. Luke Sears 03/09/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/09/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/10/10 15:49 1?~c,US .13 ~s & 0 0 o U 0 RtWOU ` 'I G tnM LIU oV t7S~,utc - Ndads `1C t 40 C~iom Q ~o 9e+ 4 Cizd~;rom Efo',;-kA E3 eld ox ~Pslo ~com ex;s~'~~y ~~+N~ dal mew Orp~ ; o",cd o~Dd 1 a'7 o ' X 3 ' p~ ~Sfo 'acc~vv4; o-J 'Csen'sc-V1 . Lice t ~A CATAWBA COUNTY Case # 14 - *97 Q ~ Public Health Department Subdivision Section/BUPh/Lot# v Environmental Health Division PO Box 389, I OOA Southwest Blvd., Newton NC 28658 PTN# 184 2 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 Applicant/Owner V~ e Site Address: in.? 6 a J,n r a cwbc~ -Property Size: Directions: Owner/Authorized Representative Acknowledgement of Permit Receipt s I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of t ► erty described above. As the property owner or authorized representative, I have received the above referenced permit(s) s requested in the application for service, 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 ~91j l► Received Date Catawba County Public Health "biro F Owner/Authorized Representative Signature Date 3 - to Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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 acknowledges the conditions and statements above.