HomeMy WebLinkAboutAUTH-06-2022-174319.TIF r0a CATAWBA COUNTY Case 8 AUTH-06-2022-174319
Public Health Department Subdivision
e:. , . Environmental Health Division PINK 375011752567
PO Box 389,25 Government Drive,Newton,NC 28658 LOTI,
Site Address: 2721 E NC 10 HWY.CONOVER NC 28613
Name on Permit: GRALYN BLALOCK
Property Size: Acres 0.99
Directions: NC 10,turn right onto Morehead, home on the left
Owner/Authorized Representative Acknowledgement of Permit Receipt
JI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
I As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service EHPR-03-2022-40312,by the following method(s):
Received in Person
_ 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(15A NCAC I8A.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:06/22/2022
.s�Owner/Authorized Representative Signature ,1j �,., .6
{ Date 6 -z3- 202.l__
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by �/ (name of person sendingpermrl)
v Signature Date/Time IQ ),3fl,D
III
Method: Fax i 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 yot,Please ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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.lr\4, CATAWBA COUNTY Case# AUTH-06-2022-174314
f:r -t.ft ,� Public Health Department Subdivision
d ) a Environmental Health Division PIN# 375011752567
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PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 2721 E NC 10 HWY, CONOVER NC 28613
Name on Permit: GRALYN BLALOCK
Property Size: Acres 0.99
Directions: NC 10,turn right onto Morehead, home on the left
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Repair
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LTAR: 0.25 g.p.d.lft2
/1 WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 2 Pi- wr�t G h U»•►b¢rs
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
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: 1'440sq ft Total Trench Length: 480 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 16 in
Minimum Soil Cover: 8 in Minimum Trench Separation: 6 ft on center
Number of Drain Lines: 7 Trench Width: 2 ft
Distribution: Serial
Pre Treatment: NONE
Pump *May Be* Required
Additional Specifications:
-Install new 1000 gal septic tank.
-Install 480 feet of 2 foot chamber product.
-Addition cover(4 in)will need to be brought in.
-Do not drive,grade, cut or fill over any part of the septic system area.
-Septic must remain 15 feet from french drain, 15 feet from building structure, 50 feet from existing well, and 10
feet from existing water line.
-Pump MAY BE required if proper gravity dispersal is not possible.
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? Not Required Soil LTAR: 9•p•d./ft2
Proposed System:
System Classification:
chpemnt 06/22/2022 15:27