HomeMy WebLinkAboutAUTH-12-2022-186586.TIF x,c+ o. CATAWBA COUNTY Case# AUTH-12-2022-I 86586
ry' .,.1 Public Health Department Subdivision FAIRWAY ACRES
tici,,,,i) Environmental Health Division 1 PEW372017121243
PO Box 389,25 Govcmment Drive,Newtr JC 28658 LOT# 3
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Sits Address: 2898 ROSEWOOD LN, NEWTON NC 28658
Name on Permit: KELLEY KOCH
Property Size: Acres 0.9
Directions: NC 10,right onto Startown Rd,left onto Sandy Ford Rd,left onto Chestnut Dr, right onto Rosewood Ln
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
t to 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-I1-2022-42840,by the following method(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
71 Electronic Image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
f.
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(ISA 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: 12/21/2022 n
Owner/Authorized Representative Signature I ���.
Date 1— I gr2023
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature C/ Date/Time 1 i 1 0 i-)3
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 youPlease ttake a few momentts tto complette our custtomer service survey att
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,g)' CATANBA COINTI• case# AUTI-I-12-2022-I86586
i� .t.lik 7 Public I lealth Department Subdivision FAIRWAY ACRES
iirEnvironmental Health Division PIN# 121243
PO Box 3R9,27 Government Drive.Newton,NC 28658 LOT# 3
is, ,,,
Site Address: 2898 ROSEWOOD LN, NEWTON NC 28658
Name on Permit: KELLEY KOCH
Property Size: Acres 0.9
Directions: NC 10, right onto Startown Rd, left onto Sandy Ford Rd. left onto Chestnut Dr, right onto Rosewood Ln
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-Repair
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
Soil LTAR: g.p.dift2
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:
*Permit to replace septic tank only.
*Existing septic tank MUST be properly abandoned (pumped,crushed and filled).
*New septic tank must remain 5 feet from building structure.
*Risers required if more than 6in of cover on septic tank.
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? Not Required, has space Soil LTAR: g.p.d./ft2
Proposed System:
System Classification:
01 132023 09 00