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e CATAWIA COUNTY'
t‘P Public Health Department Subdivision
'1l J Environmental Health Division PIN" 376304626837
t tit�za PO Box 389,25 Government Drive,Newton,NC 28658 LOT"
Site Address: 3999 DEAL RD,CLAREMONT NC 28610
Name on Permit: GUILLERMOURIOSTEGUI MELCHOR
Property.Size: Acres 28.61
Directions: Bunkerhill School RD the property will be located on the left after passing noy field. Coming from Oxford
School RD located on Right. Land is cleared.
// Owner/Authorized Representative Acknowledgement of Permit Receipt
�T t�/nil'y that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
Ur19olhe property owner or authorized representative, I have received the above referenced
permits)as requested in the application for service RDPR-05-2022-41201,by the following method(s):
_ Received in Person
Facsimile Transmittal (Return form with signature required),
�/ '7 Electronic Image Transmittal/E-mail (Return receipt required)
U1 /As the property owner oc 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:07/08/2022
Owner/Authorized Representative Signature G enmo Un+'Mao,
Date 7/14/2022
'Documentation of PermIt(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by lei
(name ofperson sen'di/ng permit)
Signature Date/Time 7/j7)r))
Method: Fax Email US'Mail . Other
Owner's request to send by the above Indicated method of transmittal in lieu of signature
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e CATAWBA COUNTY Case AUTH-07-2022-175267
• -r.11 Public Health Department Subdivision
Environmental Health Division PIN# 376304626837
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
. w
Site Address: 3999 DEAL RD, CLAREMONT NC 28610
Name on Permit: GUILLERMO URIOSTEGUI MELCHOR
Property Size: Acres 28.61
Directions: Bunkerhill School RD the property will be located on the left after passing soy field. Coming from Oxford
School RD located on Right. Land is cleared.
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p•d,
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: .3 g.p,dJft2
WASTEWATER SYSTEM REOUIREMENTS
Proposed Wastewater System: 25%REDUCTION
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
Dralnfield: Total Area: 900 sq ft Total Trench Length: 300 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 30 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 3 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*INSTALL ON CONTOUR
'PLACE THE SEPTIC TANK AT LEAST 10 FEET FROM THE HOUSE
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? Required Soil LTAR: .3 g•P•d.lft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
07/14/2022 12:47