HomeMy WebLinkAboutAUTH-3-10-5602.TIF
~g CATAWBA COUNTY Case # AUTH-3-10-5602
Public Health Department Subdivision
d Environmental Health Division LARRY A KL INGER AND
r PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 1
Ig w PIN# 460703224728
Applicant/Owner MATT GIESE
Site Address: 7295 S GABRIEL ST, Sherrills Ford, NC
Property Size: SF 0.569 ACRES
Directions: HWY 16 S - TURN LEFT ONTO HWY 150 - TURN LEFT ONTO LITTLE MOUNTAIN RD - TURN RIGHT ONTO
GABRIEL ST - 3RD HOUSE 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: 35% REDUCTION Wastewater Flow 480 g.p.d
Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
Soil LTAR: g.p.d.M2
Permit Category: Repairs
Type of Facility: House
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
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: 60 ft Maximum Trench Depth 24 in
Aggregate Depth 12 in Trench Width 3 ft
Minimum Soil Cover in Minimum Trench Separation ft on center
Number of Drain Lines
Distribution: Serial
Additional Specifications:
Proposed Repair
System Class: Proposed System: Distribution Type::
Soil LTAR: g.p.d.M2
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 03/19/2010
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/19/2015
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
03/19/10 13:01
MATT GIESE
v 7295 GABRIEL ST, SHERRILLS FORD
1842 sM
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-3-10-4160, 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 3/19/2010
Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit tr tted by t, II' A- tA 0, I's (name of person ending permit)
Signature Date/Time 3 f ffg
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.
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Addendum to Permit # l
Page _ of
DETAIL FOR CURTAIN DRAIN INTERCEPTOR
To Nitrification Field Cut and remove plastic sheet at soil surface
after trench backfill
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Backfill with yellow Land surface
Sand or other suitable'
material
2-4 Mil. minimum
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Notes:
o Last 10 feet shall be of schedule 40 PVC
o Outlet shall be at least 6 inches above the bottom of drainage ditch and shall
be protected by an animal guard
® Ensure at least 0.3 % fall on the soc-tile trench
o When "split" curtain drain is specified on the plot plan or attachments, soc the
is to be placed on each side of plastic sheet
Trench Bottom shall be inches