HomeMy WebLinkAboutAUTH-3-10-5450.TIF
$ CATAWBA COUNTY Case # AUTH-3-10-5450
Public Health Department Subdivision
Q a Environmental Health Division
0 ~ PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
18. PIN# 374310353430
Applicant/Owner RONALD BRAIM
Site Address: 4249 LEE CLINE RD, Conover, NC
Property Size: SF 1.21 ACRES
Directions: CORNER OF RIFLE RANGE & LEE CLINE 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 360 g.p.d
Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
Soil LTAR: 0.3 g.p.d./ft2
Permit Category: Expansion
Type of Facility: House
Basement? No Basement Plumbing? No Bedrooms: 3
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: 432 sq ft Total Length: 144 ft Maximum Trench Depth 30 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: Distribution Box
Additional Specifications: See conditions and setbacks on attached drawing.
Proposed Repair
System Class: IVA Proposed System: 50% REDUCTION PPBPS Distribution Type:: LPP
Soil LTAR: 0.3 g.p.d./ft2
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.
Megen McBride 03/15/2010
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/15/2015
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
03/16/10 13:59
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~A AUTH-3-10-5450
IMPV-3-10-5448
WELL-3-10-5451
RONALD BRAIM
1842 sm 4249 LEE CLINE RD, CONOVER
Owner/Authorized Representative Acknowledgement of Permit Receipt
lU ~I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of
the property described above.
//A-lAs the property owner or authorized representative, I have received the above referenced permit(s)
as requested in the application for service EHPR-2-10-4032 , 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 3115110
Owner/Authorized Representative Signature
Date ~ k--16
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
acknowledges the conditions and statements above.