HomeMy WebLinkAboutAUTH-11-2022-183663.TIF .e,Illri% CATAWBA COUNTY
.i..ri' Public Health Department Subdivision COLD WATER CREEK PH 2
;' Uvironmentai Health Division PIN# 375118217777
`� 40 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
tritSite Address: 2309 BURRIS RD,CONOVER NC 28613
Name on Permit: FLORIN ADAM
Property Size: Acres 0.5
Directions: 2309 Bums Rd,Conover
Owner/Authorized Representative Acknowledgement of Permit Receipt
y74 I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
,r-A-As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR 10-2022-42593,by the following method(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
17 Electronic Image Transmittal/E-mail (Return receipt required)
M.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(1SA 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: 11/07J2022 G f� " - /���Fee___::._
v
Owner/Authorized Representative Signature
Date /(—(J-Z2
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time
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 yoaFlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
avennit 11/07/2022 15:48
41 �+� CATAWBA COUNTY Case# AUTH 11-2022-183663
•
Public Health Department Subdivision COLD WATER CREEK PH 2
d ' Environmental Health Division PIN# 375118217777
PO Box 389,25 Government Drive,Newton,NC 28658 A"'" Case
1
78'41'
Site Address: 2309 BURRIS RD, CONOVER NC 28613
Name on Permit: FLORIN ADAM
Property Size: Acres 0.5
Directions: 2309 Burris Rd, Conover
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LTAR: .3 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: 900 sq ft Total Trench Length: 300 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
*DIRECT ALL GUTTER DRAINS AWAY FROM SEPTIC AREA
*BED ALL CHAMBERS BEFORE COVERING
*15FT SETBACK ANY FOUNDATION DRAINS
*DESIGNED FOR CRAWL SPACE FOUNDATION
*10FT SETBACK TO WATER LINE
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 LIAR: .3 g.p.d./ft2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
ehpennit 11/11/2022 11:25
Alp1b.. eCATAWBA COUNTY Case# AUTH-11-2022-183663
Public Health Department Subdivision COLD WATER CREEK PH 2
H t
Environmental Health Division PIN# 375118217777'U PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
18 2 SM
Site Address: 2309 BURRIS RD, CONOVER NC 28613
Name on Permit: FLORIN ADAM
Property Size: Acres 0.5 ,
Directions: 2309 Burris Rd, Conover
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 fdr 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.
/ ^ Eu4N1
11/07/2022
Authorized State Agent Permit Issuance Date
11/07/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
/
ehpennit .11/11/2022 11:25
Catawba County Environmental Health
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Parcel: 375118217777, 2309 BURRIS RD 1in=40ft
CONOVER, 28613
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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
11/04/2022