HomeMy WebLinkAboutAUTH-09-2022-179763.TIF 3
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iG_r HealthPublicHealthDepartment Subdivmszurt MAPLE GLEN LLC
4 i" Envtronmentai Hearth Division MA 372320709226
PO lox 389,25 Government Drive,Newton,NC 28658 Loin 3
Slte Address 975 TRACY LN, CONOVER NC 28613
Name on Perrttit: VYACHESLAV PERJAR
Property Size: Acres 0 64
Directions: McDonald Pkwy,right on Spencer Rd,Maple Glen Subdivision on right,3rd tot on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
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I certit that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
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I. As th+?property owner or authorized representative, I have received the above referenced
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permits)ai requested in the application for service RBPR-02-2020-33928.by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
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As th property owner or authorized representative I have reviewed and understand the specific conditions
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of the pe 'it issued, and further understand that all applicable regulatory requirements specified under the
North Ca tine Laws and Rules for Sewage Treatment and Disposal Systems(I5A NCAC 18A.1900),
• and/or We I Construction Standards(l5A NCAC 2C.0100), shall apply to the issuance of this permit and
the const tion of the wastewater system and/or water supply well permitted.
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Permit lss Date:09/09/2022
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Owner/Authorized Representative Signature !(jam,
Date
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i Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means) #
Permit transmitted by (name of person sending permit) I
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Signature Date/Time
Method: Fax Email US Mail Other l
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yod'tease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.comisiEHCusttomerService
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y13: '� CAI'AWI3A COI iN'I'1' Cased Milll 09 2U22-179763
ET(........t. .2 Public I lealth Department Subdivision MAPLE GLEN LLC
d i\�. ` I.nvinmmental Ilcalth Division PIN# 372320709226
PO Box 389,25 Government Drive.Newton,NC 28658 tom 3
CM
Site Address: 975 TRACY LN, CONOVER NC 28613
Name on Permit: VYACHESLAV PERJAR
Property Size: Acres 0.64
Directions: McDonald Pkwy, right on Spencer Rd, Maple Glen Subdivision on right, 3rd lot on right
Authorization to-Construct Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
Soil LTAR: .3 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENT'S
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: 1,200sq ft Total Trench Length: 400 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 24 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 5 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
'INSTALL ON CONTOUR
*Either the portion of the septic system for 965 Tracy Ln across the property line must be relocated and
approved by CCEH or a septic easement created before a building final can be scheduled for 975 Tracy Ln.
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 VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
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