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
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'"'t�- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 26-37
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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
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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.
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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
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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
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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)
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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
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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