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HomeMy WebLinkAboutAUTH-06-2022-173609.TIF 4.1% CATAWBA COUNTY Case# AUTH-06-2022-173609 t.. /f1i1, Public Health Department Subdivision PLEASANT LANES \ eEnvironmental Health Division PIN# 364908895476 di PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 8 sr+ Site Address: 1368 CALEB SETZER RD, NEWTON NC 28658 Name on Permit: MAI LOR Property Size: Acres 0.46 Directions: Hwy 16 S, left Eastway Dr, right Caleb Setzer house on left Owner/Authorized Representative Acknowledgement of Permit Receipt )( O V I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of r` the property described above. ( m, As the property owner or authorized representative, I have received the above referenced / permit(s)as requested in the application for service EHPR-04-2022-40792,by the following method(s): /Received in Person Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) ai If 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: 06/14/2022 Owner/Authorized Representative Signature \Ilit y) Date "1`2o''d— 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 ehpermit 08/29/2022 15:32 V,'`• CATAWBA COUNTY Case# AUTH-06-2022-173609 lira , , Public Health Department Subdivision PLEASANT LANES J '3 Environmental Health Division PIN# 364908895476 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 : s+ Site Address: 1368 CALEB SETZER RD, NEWTON NC 28658 Name on Permit: MAI LOR Property Size: Acres 0.46 Directions: Hwy 16 S, left Eastway Dr, right Caleb Setzer house on left Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soil LTAR: g.p.d./ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY System Classification: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) 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: sq ft Total Trench Length: ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in Minimum Soil Cover: in Minimum Trench Separation: ft on center Number of Drain Lines: Trench Width: ft Distribution: Distribution Box Pre Treatment: NONE Additional Specifications: -Replacement of septic tank only. -Existing septic tank must be properly abandoned (pumped, crushed and filled). -New septic tank(1000 gal)must be 10 feet from property lines and 5 feet from building structure. -Do not,drive,grade, cut or fill over septic areas. -County tax records indicate this house is a 3 bedroom. See also attached site plan. 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? Soil LIAR: g.p.d./ft2 Proposed System: System Classification: ehpennit 08/29/2022 15:32 V.4 CATAWBA COUNTY Case# AUTH-06-2022-173609 f, �in 1, Public Health Department Subdivision PLEASANT LANES Environmental Health Division PIN# 364908895476 IRO PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 8 w Site Address: 1368 CALEB SETZER RD, NEWTON NC 28658 Name on Permit: MAI LOR Property Size: Acres 0.46 Directions: Hwy 16 S, left Eastway Dr, right Caleb Setzer 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 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. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. °111/11t. 1117( 06/14/2022 Authorized State Agent Permit Issuance Date 6/14/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. el-permit 08/29/2022 15:32 Catawba County Environmental Health L../ Rea-oti-7,27-ft0747 4k441.06 T.n7t-1736a9 175.00 csi PLEASANT LANE DR qp , 175.pnj > b-L x 1 AAA ty a a 8.00: Exc s/!`1!Si 9'L. X 3Q �s .t368 R. u s. 15° g -VA" 0'1'1% - Wl1t _a 8 203:403 0 , gi 70.00 ra 1376 r. ei 8 w c r.00 Parcel:.364908895476, 1368 CALEB SETZER 1in=40R RD NEWTON,28658 This.map/report product was prepared from the Catawba County.NC Geossl.Information Services. Catawba has made substantial efforts - to ensure the accuracy of location and labeling information contained on this manor data on this report.Catawba promotes and recommends the Independent venftcation of any data contained on this mapheport product by the uaer.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages.loss or Rabidly,whether direct,indirect or consequential which arises or may raise from this maplr+eport product or the use thereof by any person or entity. Copyright 2021 Catawba County NC