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SaoAddrssa: 3170 SPRING GARDEN RD CLAREMONT NC 28610
Name on Permit: MARIE CHESLEY
Property Stu: Acres 0 54
Directions: US-70E/Conover 8M1 W,keep straight to stay on Robck Barn Rd NE.right onto Spring Garden Ro r
Owner/Authorized Representative Acknowledgement of Permit Receipt
certity that I am the owner or authorized agent(owner's authorii rtiun required)representing the inn ner of
the property described above.
fps the property owner or authorized representative.I have received the above referenced
permit(s)as requested in the application for service F11PR-05-2022-40928,by the following method(s):
Received in Person
/Facsimile Transmittal(Return form with signature required)
`r Electronic Image Transmittal/ii-mail (Return receipt required)
1#1,--Ks the property owner or authorized representative I have reviewed and understand the specific conditions
of the permit issued, and further understand that all applicable
andDisposal terns(15A NCAC Disulatory requirements specified C 18A�1r9D0).
he
North Carolina Laws and Rules for Sewage Treatment
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 j
Owner/Authorized Representative�n Signatur ' __ ._"_- '
Date__7 CG.f- d,tx,-...
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
(name of person sending permit)
Permit transmitted by .___._. _. _ - _ --_ /)7_1?
Date/"I'imc_ 3
signature
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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07,l?^.u12 As:
CATAWBA COUNTY' Case# AUTH-07-2022-175285
.t.11 Public Health Department Subdivision HOKELAND HEIGHTS SUBDI'
.� Environmental Health Division PIN 376301157662
PO Box 389,25 Government Drive,Newton,NC 28658 L0l•# 1-6
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Site Address: 3170 SPRING GARDEN RD. CLAREMONT NC 28610
Name on Permit: MARIE CHESLEY
Property Size: Acres 0.54
Directions: US-70E/Conover Blvd W, keep straight to stay on Robck Barn Rd NE, right onto Spring Garden Rd
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g,p,d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: .3 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50% REDUCTION VERTICAL
System Classification: IIIE -PPBPS GRAVITY DOSED SYSTEM
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: 900 sq ft Total Trench Length 200 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 in
Minimum Soil Cover. 6 in Minimum Trench Separation 8 ft on center
Number of Drain Lines: 3 Trench Width: 2 ft
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
*PUMP CRUSH AND FILL EXISTING SEPTIC TANK
'NEW 1000GAL SEPTIC TANK
'EQUAL DISTRIBUTION BOX MUST BE LEVEL AND WATER TIGHT
"Install Three 67FT LINES WITH 15 PANEL BLOCKS IN EACH LINE
`INSTALL ON CONTOUR
`STAY 10FT OFF ALL PROPERTY LINES
'PROPERTY LINES MAY NEED TO BE STRUNG TO ENSURE SETBACK IS MET
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 9•P•d./ft2
Proposed System: 50%REDUCTION HORIZONTAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
07/19/2022 I I:39
Catawba County Environmental Health
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Parcel: 376301157662, 3170 SPRING GARDEN 1in=50ft
RD CLAREMONT, 28610
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of bcalion and labeling information contained on this map or data on this report.Catawba County promotes and recornmen s
the independent verification of any data contained on this map/report product by the user_The County of Catawba,as employees.slants,and
personnel,disclaim,and shall not be held liable for any and all damages,lass or liability,whether direct.indirect or consequential which arises or may
arise from this map/report product or the use thereat by any person or entity.
Copyright 2021 Catawba County NC
07/08/2022
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egCamScanner
CATAWBA COUNTY Case# MITI I-07-2022-175285
.j. Public Health Department Subdivision HOKELAND HEIGHTS SUBDI'
d , Q —1 Environmental Health Division PIN# 376301157662
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1-6
w
Site Address: 3170 SPRING GARDEN RD, CLAREMONT NC 28610
Name on Permit: MARIE CHESLEY
Property Size: Acres 0.54
Directions: US-70E/Conover Blvd W, keep straight to stay on Robck Barn Rd NE, right onto Spring Garden Rd
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' (I5A 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,
fice„ E�s�s
07/08/2022
Authorized State Agent Permit Issuance Date
7/8/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
civet-nit 07/13/2022 08:52