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HomeMy WebLinkAboutAUTH-09-2022-180882.TIF .s84`� CATAWBA COUNTY Case# AUTH-09-2022-180882 1,U,t, Public Health Department Subdivision d11, , Environmental Health Division PIN# 375117102814 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# !„ :w Site Address: 2003 TRAVIS RD SE, CONOVER NC 28613 Name on Permit: NHIA YANG Property Size: Acres 4.15 Directions: NC-16/Thornburg Dr SE, left onto Burris Rd, left onto Travis Rd, property on the left Owner/Authorized Representative Acknowledgement of Permit Receipt AI 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-09-2022-42282, 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 I8A.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: 09/22/2022 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) (ye:SignatureDate/Time 36h) Method: Fax f 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 yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService ,401 so,'e5 roS;r,1 Op .t€,i r-,`,12_elpeimh 09/22/2022 08.I8 �$ \ CATAWBA COUNTY Case It AUTI1-09-2022-180882 I.� ,z Public I lath Department Subdivision _, Environmental Ilcalth Division P]NN 375117102814 PO Box 389,25 Government Drive,Newton,NC 28658 1 MLCl'CN Site Address: 2003 TRAVIS RD SE, CONOVER NC 28613 Name on Permit: NHIA YANG Property Size: Acres 4.15 Directions: NC-16/Thornburg Dr SE, left onto Burris Rd, left onto Travis Rd, property on the left Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence-SFD Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Public Water Maximum Occupants: 6 Soil LIAR: g.p.d./ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY 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: sq ft Total Trench Length: ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in Minimum Soil Cover: in Minimum Trench Separation: ft on center Number of Drain Lines: Trench Width: ft Distribution: Serial Pre Treatment: NONE Additional Specifications: *PUMP CRUSH AND FILL EXISTING SEPTIC TANK *NEW 1000GAL SEPTIC TANK *OPERATIONS PERMIT SHOWS A BULL RUN VALVE* *BULL RUN VALVE SHOULD BE TURNED TO PUT WASTEWATER TO SYSTEM AS SHOWN ON SITE PLAN *IF NOT ALREADY PRESENT, INSTALL VALVE BOX FOR BULLRUN VALVE. 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? Soil LTAR: g.p.d.lft2 Proposed System: System Classification: ;Lnriisiii 09/27/2022 11:55 • CATAWBA COUNTY Case# AUTH-09-2022-180882 Public Health Department USubdivision Q I Environmental Health Division PINK 375117102814 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# IRg2 w Site Address: 2003 TRAVIS RD SE,CONOVER NC 28613 Name on Permit: NHIA YANG Property Size: Acres 4.15 Directions: NC-16/Thornburg Dr SE, left onto Burris Rd,left onto Travis Rd, property on the left 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 Sewaxe 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. ' 04,.? C✓4H1 !!! 09/22/2022 Authorized State Agent Permit Issuance Date 9/22/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemdi 09/27/2022 I1:55 Catawba County Environmental Health EN pz. 09..,90;? -1-aaC . Attrg • oci 90 1 r,Je- IIII ma's 10Q � O►k : sy.. c0 1. xX ,- eri A N �•2003 a 11° ai ��a rfi i tr d rot`" Z 3 t= .12.74 liti -fil I i eu�'S P $ to w a Parcel: 375117102814,2003 TRAVIS RD SE 1 in=50ft CONOVER,28613 was prepared from the Catawba County, Val Information Services. Catawba County has made substantial efforts toThl .*nail's, the t product accuracyof location and labeling jnfortnation contained on°"map or data on this report.Catawba County promotes and recommends ensure end ratvar data contained on this ma report product by the user.The County of Catawba,ds employees,agents,and the personnel, dent im,and of any damages.loss or Witty,whether direct,indirect or consequential which arises or may arse from hiscWm,rond t proshal u t or the us.thot be hold liableereof or by�any personnd ai or entity. erase fiom this maP P�P� Copyright 2021 Catawba County NC 09/22/2022