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Home My WebLink AboutAUTH-08-2022-177797.TIF r • CATAWBA COUNTY Case# AUTH-08-2022-177797 C Public Health Department Subdivision ROCK BARN CLUB OF GOLF Environmental Health Division PIN# 375207683871 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 fM Site Address: 3925 ROCK BARN RD NE, CONOVER NC 28613 Name on Permit: SANDRA CARSON Property Size: Acres 0.78 Directions: Rockboarn Rd,go over 1-40 approx 1.3 miles on left, black and white split level Owner/Authorized Representative Acknowledgement of Permit Receipt _I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. _ As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service EHPR-04-2022-40751, 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 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: 08/15/2022 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature � j �Date/Time j Z Z 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 yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService ecicl ie ptop►es6 tech . irr a &Ill chpennit 08/16/2022 13:25 i� CATAWBA COUNTY Case# AUTH-08-2022-177797 0SubdPublic Health Department ivision ROCK BARN CLUB OF GOLF Environmental Health Division PIN# 375207683871 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 ;St SY Site Address: 3925 ROCK BARN RD NE, CONOVER NC 28613 Name on Permit: SANDRA CARSON Property Size: Acres 0.78 Directions: Rockboarn Rd, go over 1-40 approx 1.3 miles on left, black and white split level Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 480 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Public Water Maximum Occupants: 8 Soil LTAR: 0.275 g.p.d./ft2 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: 1,320sq ft Total Trench Length: 440 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 30 in Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center Number of Drain Lines: 4 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 440 linear feet of 25%reduction system,proposed 4 lines total at 110 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? Not Required Soil LTAR: d.ft2 9•P• Proposed System: System Classification: ellimmit 08/16/2022 13:25 w• CATAWBA COUNTY Case# AUTH-08-2022-177797 e .}.lak Public Health Department Subdivision ROCK BARN CLUB OF GOLF d Environmental Health Division PIN# 375207683871 U d PO Box 389,25 Government Drive,Newton,NC 28658 LOT 4 i•.2 5M Site Address: 3925 ROCK BARN RD NE, CONOVER NC 28613 Name on Permit: SANDRA CARSON Property Size: Acres 0.78 Directions: Rockboarn Rd,go over 1-40 approx 1.3 miles on left,black and white split level 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 I 8A.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. 08/15/2022 Authorized State Agent Permit Issuance Date 8/15/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 08/16/2022 13:25 AG f•e. a t1i . el- 2oZz,- 'ttta51 Catawba County Environmental Health ag_2oWL� /777 t 7 3 ip,/ !r P r' f fJ i t'' `� t � 11.\, ss� \ i 14j T " D-vc `°y °\ $ f y6� •3925 5 4; I� �4- 'F , fi,,' i� 158.87 19.# 73.00 etS \ • 'a- Parcel: 375207683871, 3925 ROCK BARN RD 1 in=50ft NE CONOVER, 28613 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 location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verkfeatlon of any data contained on this map/report product by the user.The County of Catawba,Its employees, personnel,disclaim,and shag not be held liable for any and all damages,loss or liability,whether d agents,and arise from this map/report product or the use thereof by any person or entity. .Indirect or consequential whicharises or may Copyright 2021 Catawba County NC 08/15/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet j of/ DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH 1(0731 COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: c,�c4p t`misan _ APPLICATION DATE ADDRESS: DATE EVALUATED: 7Lb/ZZ PROPOSED FACILITY: # er...`t{.', PROPOSED ADEISIGN FLOW(.1949): 4/$p PROPERTY SIZE: LOCATION OF SITE: 3/Z..f g.n. ll PROPERTY RECORDED: WATER SUPPLY: 0 Private B-Public 0 Well ❑Spring 0 Other EVALUATION METHOD: 0 Au:er Boring 18'fit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process ❑Mixed s t }a s ''cJ�`,,,�',Klt•e 13C�tr# �t • ItS cl { �°I2• I �_• I ` �� J a ( 1 t'� • % {� t� ' Z •f �c f Ge Sc IS? 1 L a. L,hst. c /�� / Se- 4 . z� • 7--ZG Ss/e c r- .Sc reAf S� /--4- �" 2.. •LS 2 -co `".Srk tV/— r7 -re 4 8. 27 - 5 / 3 • may..:LL Dki DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) SITE CLASSIFICATION(.1948): '^ // Q � System Type(s) Z36 l EVALUATED BY:OTHER(S)PRESENT: Site LTAR 6,2?.s CO1v MENTS: dUPdated Feb629419L4.-L r�T 9o (J / flu' Catawba County Environmental Health / 1 /,,,,./.( 431 /,‘ / / z / ./. A. Q \ 945 �' S \, ...461 \\ - iii, \ 95.00 • \ '1..1. 1. 90.#. 84.00 "of .�`'ti . 156,87 PP ligkilli°111111' \ I. d n i r' \ R Parcel: 375207683871, 3925 ROCK BARN RD 11n=50ft NE CONOVER, 28613 This mapheport 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 08/15/2022