The URL can be used to link to this page

Home My WebLink AboutAUTH-10-2022-182507.TIF �Y)' . C:ATAWBA000NTY Case# AUTH-10-2022-182507 t ii ,y Public Health Department Subdivision Environmental v # PO Box 389,25 GovernmentHealthDiision Drive,Newton,NC 28658 LOT#PIN 372017220281 3 /g. SM Site Address: 2802 ROSEWOOD LN, NEWTON NC 28658 Name on Permit: MARK DOLPHENS SR Property Size: Acres 0.81 Directions: Startown Rd, Sandy Ford Rd, left Chestnut Dr, right Rosewood Ln, on right 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-08-2022-42091, 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: 10/18/2022 Owner/Authorized Representative Signature 1 Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signatureq.C.- i Date/Time 1 DI)11,) Method: Fax 4 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 rn d b 1 pleb s SIet Y4/100. Om ehprm h 10/19/2022 10.18 I V1 'Y \ �yw• CATAWBA COUNTY Case# AU1'I-1-10-2022-182507 h .f.i ., Public Health Department Subdivision mental h ealth v PIN# PO BoxEnviron 38),25 GovernDimentision[)rive,Newton,NC 28658 LOTH 3372017220281 I; . w Site Address: 2802 ROSEWOOD LN, NEWTON NC 28658 Name on Permit: MARK DOLPHENS SR Property Size: Acres 0.81 Directions: Startown Rd, Sandy Ford Rd, left Chestnut Dr, right Rosewood Ln, on right Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 480 g.p.d. Type of Facility: Primary Residence-existing house Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 Soil LIAR: g.p.d.lft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY System Classification: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) 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: Distribution Box Pre Treatment: NONE Additional Specifications: *Install new 1000 gal septic tank. *Risers required if more than 6 inches of cover. *Existing septic tank must be properly abandoned (pumped, crushed and filled). *Connect to existing distribution box or install new D-Box as needed. *New septic tank must be 5 feet from building structure, includes decks and porches, 50 feet from any well, 10 feet from property lines, and out of right-of-ways and easements. *Do not drive,grade, cut,or fill over septic area. 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 LIAR: g.p.d.lft2 Proposed System: System Classification: �f.gri ii I0/21/2022 10:26 • CATAWBA COUNTY Case# AUTH-10-2022-182507 iT ., Public Health Department Subdivision Environmental Health Division PIN# 372017220281 PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 3 ,u Site Address: 2802 ROSEWOOD LN, NEWTON NC 28658 Name on Permit: MARK DOLPHENS SR Property Size: Acres 0.81 Directions: Startown Rd. Sandy Ford Rd. left Chestnut Dr, right Rosewood Ln, on right 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 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. (1°W,XN 10/18/2022 Authorized State Agent Permit Issuance Date 10/18/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. eltpemit 10/192022 10:18 Catawba County Environ mental Health Q\ NPR-„.„.07?_.0,, ,v,,,,-,0_, z ' ►$2507- 316.50 190.OQ_ 4 f602 T - _ ` _Q'P V I ?DO I 5 ,") •2802 L �Q ) cn • Exisiih -keh kQ:, 190.00 ROSEWOOD IN Parcel: 372017220281, 2802 ROSEWOOD LN lin=40ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geoapntlal 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 Ibis map/roport product by the user.Tho County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,lose 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 10/18/2022