HomeMy WebLinkAboutAUTH-12-2022-186613.TIF .-, ('A'I'AWItA(MINTY
Public health Department Sulkh+•Isnin LEELAND TERRACE
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Slte Address: 2393 SHADETREE RD, CONOVER NC 28613
Name on Permit: *ERIKAARTEAGA TISCARENO
Name on Permit: EDGAR ARTEAGA FEREGRINO
Property Size: Acres 0.49
Directions: Left on Keiser Rd SE, Left onto Lakeside Ln Rd(name change to
Owner/Authorized Representative Acknowledgement of Permit Receipt
XEAI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described ahoy e.
EA As the property owner or authorized representative. I have received the above referenced
permit(s)as requested in the application for service RBPR-I 1-2022-42713. by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
✓ l{Iectronic Image 'I•ransmittal/ -mail (Return receipt required)
f( EA As the property owner or authorized representative I have reviewed and understand the specific conditions
1" 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(I 5A NCAC I8A.1900),
and/or Well Construction Standards(I5A 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: 12/27/2022
Owner/Authorized Representative Signature 411
EArri
Date 1/11/2023
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name a/person,'eau/ir{L'permit)
Signature Date/Time , 11%12 3
Method: Fax J Email (IS 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
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.44%Ni. • CA7AWBA COI'NTY Case# AUI7I-I2-2022-186613
.�. 2 Public Health Department Subdivision LEELAND TERRACE
' Environmental Health Division PIN# 375110454295
- PO Box 389,25 Government Drive,Nekton,NC 28658 LO'1# 53-56
.
Site Address: 2393 SHADETREE RD, CONOVER NC 28613
Name on Permit: *ERIKAARTEAGA TISCARENO
Name on Permit: EDGAR ARTEAGA FEREGRINO
Property Size: Acres 0.49
Directions: Left on Keiser Rd SE, Left onto Lakeside Ln Rd(name change to
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 LIAR: .3 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
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: 200 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center
Number of Drain Lines: 5 Trench Width: 2 ft
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
*INSTALL ON CONTOUR
"15FT SETBACK FROM ANY FOUNDATION DRAIN
*The water line must be at least 10 feet from any part of the septic system.
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 LIAR: .3 g.p.d./ft2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
o l 05 2023 10.2 3
Catawba County Environmental Health
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CONOVER, 28613
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Copyright 2021 Catawba County NC
12/21/2022