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HomeMy WebLinkAboutAUTH-04-2018-098568.TIF V,A N CATAWBA COUNT/' Case# AUTH-04-2018-098568 itti ,7 Public Health Department Subdivision BRIDGE MORR ACRES < Y Environmental Health Division PINT/PINT/ 377216748652 •. p't� '"'t�- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 26-37 i$3%Au NAME ON PERMIT: CAROLYN LEDFORD, 3147 JAMES ST, CATAWBA NC 28609-8143 Site Address: 3147 JAMES ST, CATAWBA NC 28609 Property Size: Square Feet:52,707.60 Acres:1.21 Directions: Hwy 70 between Claremont and Catawba, pas Wke Rd, turn left at James St, 2nd house on left Owner/Authorized Representative Acknowledgement of Permit Receipt Lfeertify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. XAs the property owner or authorized representative, I have received the above referenced permit(s)` as requested in the application for service EHPR-03-2018-28739, by the following method(s): V Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) C— Cs 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(I 5A 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: 04/23/2018P t it I Owner/Authorized Re. eseentative Signature (Thil)--C. Date L 2 3 ' O �„-- 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 wantt tto hear from youPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService el,pennh 04/232018 10:022 1 ■ s'r •.s a Case AUTH-04-2018-098568 IgA � CATAWBA COIIN'fy' ❑� r <wet2 Public Health Department ti N' r :crr Subdivision BRIDGE MORR ACRES ? 4. Environmental Health Division M1• ' .• } PI NB 377216748652 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 :err LO DI 26-37 1 h s r. r NAME ON PERMIT: CAROLYN LEDFORD, 3147 JAMES ST, CATAWBA NC 28609-8143 Site Address: 3147 JAMES ST, CATAWBA NC 28609 Property Size: Square Feet.52,707.60 Acres:1.21 Directions: Hwy 70 between Claremont and Catawba, pas Wke Rd,turn left at James St, 2nd house on left Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit' * See.site plan and number of additional attachments( 1. Proposed Wastewater System: 25%REDUCTION Wastewater Flow 360 g.p.d Type: 1110-OTHER NON-CONN TRENCH SYSTEMS Soil LTA R: 0.3 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence- Basement? Yes Basemen!Plumbing?Yes Bedrooms: 3 Wastewater System Requirements Septic Tank: 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: 1,000 sq ft Total Length: 300 ft Maximum Trench Depth 30 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center Number of Drain Lines 3 Distribution: Serial Pre Treatment: NONE Additional Specifications: 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 e1,Pnmh 04/232018 10:02 ai- * CATAWBA COUNTY Case# AUTH-04-2018-098568 .^s'(.ra ,iPublic Health Department Subdivision BRIDGE MORR ACRES < --M r.N ,�; Environmental Health Division PINN 377216748652 Liwy PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 26-37 /8. >w NAME ON PERMIT: CAROLYN LEDFORD, 3147 JAMES ST, CATAWBA NC 28609-8143 Site Address: 3147 JAMES ST, CATAWBA NC 28609 Property Size: Square Feel.52,707.60 Acres:1.21 Directions: Hwy 70 between Claremont and Catawba, pas Wike Rd,turn left at James St, 2nd house on left 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 it 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 'Lawn'and Rules for Sea'aee Treatment and Disposal Systems' (ISA NCAC IRA.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for;uv riven'period of time 04/23/2018 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/23/2023 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. J elipcmdi 04/23/2018 10:02 ENPIZ-63-aoi%^ lak,-e--rAv i( Catawba County Environmental Health /Ueei,ea- �� 3� 6593 AUS IIJ iL 1 �YL�\ /5z9 -.arc 06146 .6 U 4 4111111/10P 30 Jail 4I �`Fc 1 :�I, _Ti go IW 1 \i I p l 1 CV r 7 Parcel: 377216748652, 3147 JAMES ST 1in=50ft CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and alltdamages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 04/23/2018 .-“g-i1iL'v }a +`.�G�' r6 - .. ..-;y:-;.14-e -.0;:. -•-•?- .7 z (-LE /2-'--L AI Catawba County Environmental Health / 4• r” c... •382 �, ` - ` - i Qi o__ h 1 ` - / _ V - _ - — — ` 52.9 ` ` — ...... . . Aill•3170 - --: - _ 411, n • P -- iffT .-. -_ .._. .... '8z,s •- ^ - ` co -- ` t t'7 - co _ - o' w - - f - - ` Cr •- .... ..‘......li.3148 ,� .V — i \ \ — 1. _ - ` 0 • _ - 189.08 _ ry - __ --- '.3]38 -.- - -- 4 ------3.-.7 1 - -- -- __ __ -- -- 200 --.. -- -- .7 -- ,-__ Parcel: 377216748652, 3147 JAMES ST lin=60ft CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on Ibis map or dale on this report.Catawba County promotes and recommends the Independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be hold liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use;hereof by any person or entity. Copyright 2014 Catawba County NC 03/23/2018 aga s�"SrosFku ksL`;.:.J. .—r‘-yv...o:'ry+ .. .:yY &' 1 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet_of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 0: ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba_ SOB/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM I / (' (Complete all fells in full) � OWNER: r0 C 1 LgcJ 4 4-) _ APPLICATION DATE ADDRESS: / r DATE EVALUATED:/1��g' PROPOSED FACILITY: PROPOSED D IGN FLO (A 9i9): J PROPERTY SIZE: 9 "`777—�/ / LOCATION OF SITE: - m.r 7 S- C-. �W Oa PROPERTY RECORD®: WATER SUPPLY: ❑Private ❑Public Befell 0 Spring 0 Other EVALUATION METHOD: ❑Ayr Boring Illfc 0 Cut TYPE OF WASTEWATER: Fa-Sewage 0 Industrial Process 0 Mixed vh 9£'* .Cq>• G.Na '� >w " " .rr •6;4„,—.1.,-,,,1/41 : =t a.vsv .k r a t '.IsJ �° xv I ]h. ▪ x 6` it, t ,a tilt, 'i.zra r i-: k eF 7 ,?!.;:-.1-1 ,7.14�� r .4;:ti 1a cti R t� �U.lk 4 1'i-1/4,`:(4`411,1-?;‘,Jr ,S .1,,: i ® 1��`rt .E �' 5 kA iers1; "'alis d '�'{il p hf y.»r 1 f, F f seir.�h `?w: �'IS.' •I 4fIS' VN cTSWIT, I y L, If .Mgit ;a 9 Y:�l �yfres '�� '`"v F�Y iK s'410: "z• �Ih '� 4..-V,‘,-slit• -4. L < '� '9't`igi :,fit i r4 w"< '•5`sv W t ' ;� s¢ {" , St}p.J hSar. ?.I.V.,.''"3 �IT;,: , y�r 1 ['�`4 3 !? . • i � ! 4'r,C pi'1,G k,, r—r(ts i y.. 1 F X. {L' aV }d J}. IN J 1 .`Ce'''''5-14 A` fY 4 } 7fi>? 6 Y • . hr. sk.t n, y T,44'� 3 .my ,e,t s t 5 ,y I a A. fft n - :s rh <.,,-1:103 ><3 i A • e Fig, A# aK1.,L � v r`.h` J a i e I I r ON Ary a 4-)::1 yer- ' .�•" { it e� 9w'rs�h F � ii 2"'t �^• 'i -.s„+,� T s xY'?��. �.-fi++<* al" a y��a.es+ s... ..+v. •tr 3 M`+.a n.: i r y , O— ti_�bg r r 5 ;c lel-LiY a/LwS.dk X ,4eL se {-'r �sf j • • S -' a5� 2 . 29-is Cws4lc � I J 2 • 3 j ., 4 DESCRIPTION IPIMAt.SYSTEM REPAIR sYSTIIN OTHER FACTORS(.1946): Available Space(.1945) SITE CLASSIFICATION(.1948): System Typc(s) EVALUATED BY: d OTT-IER(S)PRESENT: Site LTAR 1 COMMENTS: Updated Febnuty 2014