HomeMy WebLinkAboutAUTH-04-2018-098678.TIF v\g. . CATAWBA COUNTY Case
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< LIY® �; Environmental Health Division PINtl 365602553940
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NAME ON PERMIT: MICHELLE SHOOK, PO BOX 493, MAIDEN NC 28650
Site Address: 4692 RAINEY LN, MAIDEN NC 28650
Property Size: Square Feet:289,674.00 Acres:6.65
Directions: East Maiden, Right on Rainey Ln, Property on the Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
r• I certilj that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
j t- As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPl2-03-2018-28645,by the following method(s):
Received in Person
V
_ 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 (I 5A 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: 04/24/2018
Owner/Authorized Representative Signature /
Date 9- 24. — f(
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 yaPlease ttake a few momentts tto complette our custtomer service survey att
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chpemdt 01126/2018 09_25
/./XV, CATAWBA COUNTY � X10 Cases AUTH-04-2018-098678
[.} I y\ Public Health Department W:r7-cduvdJ Subdivision
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�4 ^yyy Environmental Health Division I��'� PIN# 365602553940
\ / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 •:
NAME
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NAME ON PERMIT: MICHELLE SHOOK, PO BOX 493, MAIDEN NC 28650
Site Address: 4692 RAINEY LN, MAIDEN NC 28650
Property Size: Square Feet:289,674.00 Acres:6.65
Directions: East Maiden, Right on Rainey Ln, Property on the Left
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-CONN TRENCH SYSTEMS
• Soil LTAR: 0.25 g.p.d.lft2
Permit Category: New Septic
Type of Facility: Primary Residence- House
Basement? No Basement Plumbing? Bedrooms: 4
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: 1,440 sq ft Total Length: 480 ft Maximum Trench Depth 18 in
Aggregate Depth in Trench Wdth 3 ft
Minimum Soil Cover 6 in Minimum Trench Separation g ft on center
Number of Drain Lines 4
Distribution: Serial
Pre Treatment: NONE
Additional Specifications: 'The applicant, owner, and/or builder is responsible for building and plumbing the
house to ensure that a gravity septic system can be installed. A pump will be
required if the depth of house plumbing depth causes the drain lines as flagged to
have a maximum trench depth greater than 18 inches on the down hill side.
'Place a temporary protective fence up and around the flagged septic drainfield area
before beginning the construction of the house. Do not remove the flags that are
currently marking the drainlines.
*Do NOT allow vehicular traffic on the drainfield area; Do NOT allow the unloading
and storage of building materials on the drainfield area; Do NOT place excavated dirt
on the drainfield area; and DO NOT REMOVE ANY SOIL FROM the SEPTIC
DRAINFIELD AREA.
'Septic Installer must meet Catawba County EHS on the job site one week before
installation. Call 828-320-3077 to schedule.
eapem,ii 01/2620 IA 09:23
CA • CATA\\'B,\COUNTY Case 0 AUTI-I-04-2018-098678
t $ Public Health Department Subdivision
*'art Y Environmental I Iealth Division PINK 365602553940
o.•
It PO Box 389. 100-A Southwest Bbd,Newton,NC 28658 LOT/I
NAME ON PERMIT: MICHELLE SHOOK, PO BOX 493, MAIDEN NC 28650
Site Address: 4692 RAINEY LN, MAIDEN NC 28650
Property Size: Square Feet:289,674.00 Acres:6.65
Directions: East Maiden, Right on Rainey Ln, Property on the Left
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 aoorove the initial system installation. or the suspension/revocation of existing permits.
>>>>> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««<
Proposed Repair
Repair System Required? Required System Class: IIIB Proposed System: 25%REDUCTION
Distribution Type:: Pressure Manifold Soil LIAR: 0.275 g.p.d.lft2
PUMP REOUIRED
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 I'ermit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The
Authorization to Construct I'ermit is not affected by a change in ownership of the property. This permit was issued in compliance
with the prn'isions of the North Carolina 'Lance and Rules for Sewage Treatment and Disposal Systems' (I5A NCAC ISA.19014
Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function
satisfactorily for any Piyen period of time.
/ 4
04/24/2018
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 4/24/2023
No grading or cnndructio)?activity is allotted in areas desiguared for system and repair without approval of the Health Department.
chpenuiI 04/26/2018 09:23
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Parcel: 365602553940, 4692 RAINEY LN lin=80ft
MAIDEN, 28650
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Copyright 2014 Catawba County NC
04/24/2018
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