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it: Environmental Health Division
� PtNa 361601089405
•i. PO Box 389,25 Government Drive.Newton,NC 28658 l o r t Z
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Ski Address: 4485 PAINT SHOP RD, LINCOLNTON NC 28092
Name on Permit: KIMBER COLEMAN
Property Size: Acres 1.78
Directions: Left off of Reepsville Rd onto Paint Shop Rd. Lot on left,across rd from 4486 Paint Shop Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
Kti‘\)I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
r'!7 As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-10-2022-42506,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
1 Electronic Image Transmittal/E-mail (Return receipt required)
t. W 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 I8A.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.
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Representative Signature ,
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Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ojperson sending permit)
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Method: Fax 'I Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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.403: CATAWBACOUN'I.Y Case AUTIl-Ol-2023-I87076
Public Iiealth Deparunent Subdivision
Environmental Health Division PIN/1 361601089405
PO Box 389,25 Government Drive.Newton.NC 28658
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Site Address: 4485 PAINT SHOP RD, LINCOLNTON NC 28092
Name on Permit: KIMBER COLEMAN
Property Size: Acres 1.78
Directions: Left off of Reepsville Rd onto Paint Shop Rd. Lot on left, across rd from 4486 Paint Shop Rd.
Authorization to Construct Permit
Permit Category: Expansion Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Expansion
Basement? No Basement Plumbing? NO Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: 0.3 g.p.d.lft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Septic Tank: Existing 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: 300 sq ft Total Trench Length: 100 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 34 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 1 Trench Width: 3 ft
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
'Do not drive,grade, cut or fill over any part the initial or repair septic areas.
*Install 100 feet of 25%reduction product according to manufacture specifications.
'Install new distribution box with speed levelers to equally feed all trenches.
*Septic area must remain 10 feet from property lines, 5 feet from building structure, and 50 feet from existing
well.
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: 0.3 d.lft2
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Proposed System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
O 1 20 2023 12:03