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
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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
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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
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