HomeMy WebLinkAboutAUTH-12-2022-186248.tif 4
spire CATAWBA COUNTY
, �. Public Health Department Subdivision HOWARD J WILSON EST
q�"R , it Environmental Health Division PINK 379104546553
. " PO Box 389,25 Government Drive,Newton,NC 28658 I,OTI 4
Site Address: 2256 BOLTON RD, CATAWBA NC 28609
Name on Permit: *KEY BUILDERS, INC.
Property Size: Acres 4.42
Directions: Left on Gov Dr, Right on Radiostation RD, Right on SW Blvd, Left W C ST, Left on Hwy 10 E, Right on
Hudson Chapel RD, Right Bolton RD lot on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
A MH I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
A MH As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-03-2022-40339,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
A MH 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: 12/15/2022
,__uj, Owner/Authorized Representative Signature 21 Y r8. .
Date 1/3/2023
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
1
Permit transmitted by' Tr f PAK (name of person sending permit)
Signature Date/Time I /342 •5 y s r Ai
Method: Fax X Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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12/IS/2022 13.44
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3-: CATAWBA COUNTY Case# AUTFI-12-2022 186248
1..., Public Health Department Subdivision HOWARD J WILSON EST
< Environmental Health Division PIN# 379104546553
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4
Site Address: 2256 BOLTON RD, CATAWBA NC 28609
Name on Permit: 'KEY BUILDERS, INC.
Property Size: Acres 4.42
Directions: Left on Gov Dr, Right on Radiostation RD, Right on SW Blvd, Left W C ST, Left on Hwy 10 E, Right on
Hudson Chapel RD, Right Bolton RD lot on left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
Soil LTAR: .3 g.p.d.1ft2
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: 1,200sq ft Total Trench Length: 400 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 30 in
Minimum Soil Cover: 12 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 5 Trench Width: ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
Permits re-issued to allow for change from 3 to 4 BR Home. Lot originally evaluated on 5/11/22.
Keep all parts of septic system and any future repair system minimum: 50'from any individual well, 10'from
property lines, 10'from any water or utility lines, 10'from home on crawl space with foundation drain,5'from any
deck or porch.
Lines to be installed on contour.
Do not grade drive or fill over system or repair 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? Required Soil LTAR: .3 g.p.d./ft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
cl iiriniil 12/15/2022 13:44
•
CATAWBA COUNTY Case# AUTH-I 2-2022-1 86248
Public Health Department Subdivision HOWARD J WILSON EST
< - Environmental Health Division PIN# 379104546553
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4
Ig.
Site Address: 2256 BOLTON RD, CATAWBA NC 28609
Name on Permit: 'KEY BUILDERS, INC.
Property Size: Acres 4.42
Directions: Left on Gov Dr, Right on Radiostation RD, Right on SW Blvd, Left W C ST, Left on Hwy 10 E, Right on
Hudson Chapel RD, Right Bolton RD lot on 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 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.
12/15/2022
Authorized State Agent Permit Issuance Date
12/15/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpemtit 12/152022 13:44
Catawba County Environmental Health
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