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subdivision
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1 • ill PINa 376220900384
1 PO Box 389vs ,25 Government Drive,Newton,NC 28658 Loin
Site'Address: 3610 OLD CATAWBA RD,CLAREMONT NC 28610
I Name on Permit: MICHAEL LEE WHITE
Property Size: Acres 9.3
I Directions: EMain St R turn onto South Depot Stover UT onto Catawba St turns into Old Catawba Rd
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Owner/Authorized Representative Acknowlcdgeinent ofYerinit Receipt
I CWeertify that I am the owner or authorized agent(owner's authorirvtioorequired)representing the owner of
t
the pmpeny described above.
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1 ((EJA5 the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service R11PR-04-2022-40600,by the following mcthod(s):
f
Received in Person ,
'I'ransmittal (Return form with signature required)
i 7 Facsimile Illeetroiiic Image Transmittalhli-mail (Return receipt:required)
j .2Q As the property owner or authorized representative 1 have,reviewed and understand the specific'conditiens
? of the'permit issued, and further understand that all applicable regulatory requirements specified under the
North Carolina Laws and Rules l'or Sewage Trcatment'and Disposal Systems(ISA NCAC„ISA.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.
I Permit Issue Date:07/112022 • '/ /� ,1x
Owner/Authorized Representative Signature L �{ ^ � /'/• Ye e y C.�Nf �I G (�
Date
Documentation of Permits)77vnsmittal
• (permlttransmitted,by electronic or other means)
Permit transmitted.by (name of person sending permit)
Signature Date/Time -"iirM12z
Method: _Fax .v mail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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i`� CATAWBA COUNTY Case# AUT11-07-2022-175367
.r.iii Public Health Department Subdivision
d ''I Environmental Health Division PIN# 376220900384
N.
/ / PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 3610 OLD CATAWBA RD, CLAREMONT NC 28610
Name on Permit: MICHAEL LEE WHITE
Property Size: Acres 9.3
Directions: E Main St R turn onto South Depot Stover LIT onto Catawba St turns into Old Catawba Rd
Authorization to Construct Permit
Permit Category: New Septic 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: 0.3 g.p.dift2
WASTEWATER SYSTEM REQUIREMENTS
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
Drainfield: Total Area: 900 sq ft Total Trench Length: 300 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 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:
*Do not cut,drive,fill, or grade over septic or repair areas.
*Septic system must be 10 ft from property lines, 50 feet from wells, 5 ft from building foundations and
appurtenances, and out of right-of-ways and easements.
'Install a 1,000 gallon septic tank(risers required if top of tank is greater than 6 inches below land surface).
*Existing septic tank should be pumped out, crushed, and filled in place.
*Install 300 linear feet of 25%reduction system, proposed 3 lines total at 100 ft each on contour.
*Final grade of septic area must shed surface water off and away from system.
*All gutter drains must be routed away from the septic system.
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: 0.3 g.p.d.ft2
Proposed System: 25%REDUCTION
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
cI p iuiit 07/13/2022 09:09
•
CATAWBA COUNTY Case# AUTH-07-2022-175367
,Tt(4..I ,Z Public Health Department Subdivision
d "{ Environmental Health Division PIN# 376220900384
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
/8.2 v.
Site Address: 3610 OLD CATAWBA RD, CLAREMONT NC 28610
Name on Permit: MICHAEL LEE WHITE
Property Size: Acres 9.3
Directions: E Main St R turn onto South Depot Stover UT onto Catawba St turns into Old Catawba 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' (15A NCAC IBA.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.
ii
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07/11/2022
Authorized State Agent Permit Issuance Date
7/11/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 07/13/2022 09:09
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Parcel: 376220900384, 3610 OLD CATAWBA RD 1 in=60ft
CLAREMONT, 28610
This map/report product was prepared from the Catawba County,NC Geospatlal Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends.
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2021.Catawba County NC •
07/11/2022