HomeMy WebLinkAboutAUTH-08-2022-178125.TIF 1; r (AIMS tiACOUNTY (asc a Al'I H-0X-2O22•I7R 125
�C/ j. ,j�, Public ilcalth tkp.rrtrncnt Suhii�ision MT CREEK TERRACE
I',:�aa� A -4) Lmvtronmcntai Ikalth ltiti:son PIM: 460719524089
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\� / / PO Box Ng,2i Go%enuncnt I)ri .Ncutun.NC 2Kh58 t(1Ta 3
Site Address: 4174 TODD ST, SHERRILLS FORD NC 28673
Name on Permit: JOHN BOUNDS
Property Size: Acres 0.53
Directions: 4174 Todd St, Sherrilis Ford
Owner/Authorized Representative Acknowledgement of Permit Receipt
• 'r1-zi certify that I ant 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 RBPR-07-2022-41639,by the filllowing method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
�' l.lcctrcntic Image Transmittal/li-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 !)ate: 08/19/2022
OunerAuthorired Representative Signature )' ry — \''
Date n',`k 1 .2. -z-___
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name u/pw•.son sendin P pe rini1)
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Signatre t Irate/Time r_. U.
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Method: Max 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 youPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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CATAWH 13A COIINI'Y Case AIJTH-OR-2022-17R 125
(:) Public Health Department Subdivision MT CREEK TERRACE
Environmental health Division PIN# 460719524089
PO Box 384,25 Government Drive.Newton.NC 28658 I OT# 3
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Site Address: 4174 TODD ST, SHERRILLS FORD NC 28673
Name on Permit: JOHN BOUNDS
Property Size: Acres 0.53
Directions: 4174 Todd St, Sherrills Ford
Authorization to Construct Permit
Permit Category: Relocation Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LTAR: 0 3 g.p.d.1ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25% REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Septic Tank: Existing 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 120 sq ft Total Trench Length: 40 ft
Aggregate Depth. in Maximum Trench Depth on Downhill Sidewall: 28 in
Minimum Soil Cover 12 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 2 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
This AC permit is issued from an {a2)/2022-11 session law Improvement Permit. IMPV-07-2022-176664
`Where the new garage is proposed, remove 10 feet from the orange line and 30 feet from the red line and
compact clean soil back in the trenches
'Call and talk to Catawba County EH before beginning the installation 828-320-3077.
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.lft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
08/19/2022 10:25
r� CATAWBA COUNTYCase# AUI'H-08-2022-178125
• Public Health Department Subdivision MT CREEK TERRACE Environmental Health Division PIN 460719524089
, PO Box 389,25 Government Drive,Newton,NC 28658 Lai# 3
Site Address: 4174 TODD ST, SHERRILLS FORD NC 28673
Name on Permit: JOHN BOUNDS
Property Size: Acres 0.53
Directions: 4174 Todd St, Shetrills Ford
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 Rulesjor Sewage Treatment a►dDisposal Systems' (15A 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.
/A/AA 19/24,-
08/19/2022
Authorized State Agent Permit Issuance Date
7/29/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
1.1...i im i 08l19/2022 10:28
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141 7 f Todd street
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340.00
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Cut existing line under proposed
\ garage (5') off foundation. Add
what is cut to system (40')
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\ Install chambers at 28"trench
arag, bottom on downslope
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'°• Add 20'to Red
s o 4 `� Add new 20'Yellow
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IScale: 1" = 40' I \.t m o, N. r�,I
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C 2022.Catawba County Government,North Carohna.All rights:craved.
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