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HomeMy WebLinkAboutAUTH-01-2023-187639.TIF 448' e CATAWBA COUNTY Case# AUTH-01-2023-187639 ti I. ,y Public Health Department Subdivision STARMONT VILLAGE d(.... � Environmental Health Division PIN# 363909151623 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 Xt. sm Site Address: 1735 SHADY LN, NEWTON NC 28658 Name on Permit: SHELIA GORE Property Size: Acres 0.46 Directions: NC 10, right onto Sigmon Dairy Rd, left onto Shady Lane,4th house on the right Owner/Authorized Representative Acknowledgement of Permit Receipt vicertify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. As the property owner or authorized representative,I have received the above referenced 4 permit(s)as requested in the application for service EHPR-12-2022-43091, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) JElectronic Image Transmittal/E-mail (Return receipt required) ' 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:01/17/2023 Ir Owner/Authorized Representative Signatur j _ Date ` IV ' - Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature of 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 yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService t P ehpcnnif 01/18/2023 07:55 riCATAWBACOUNTY Case# AU'hH-01 3023-IR7639 • Public Health Department Subdivision STARMONT VILLAGE Environmental Health Division PIN# 363909151623 Po Box 389.25 Government Drive.Newton.NC 28658 LOT# 1 Site Address: 1735 SHADY LN. NEWTON NC 28658 Name on Permit: SHELIA GORE Property Size: Acres 0.46 Directions: NC 10. right onto Sigmon Dairy Rd, left onto Shady Lane. 4th house on the right Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Community Well Maximum Occupants: 6 Soil LTAR: 0.275 g.p.d.Jft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Septic Tank: Existing Tank 1.000 gal Second Septic 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: 984 sq ft Total Trench Length: 328 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 22 in Minimum Soil Cover b in Minimum Trench Separation' 5 ft on center Number of Drain Lines: 6 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Additional Specifications: `Existing septic tank will be left as a settling tank due to pump in basement. 'Move the storage before installing the septic system. 'New 1000 gal septic tank installed after existing septic tank. 'Install 328 feet of 25%reduction product according to manufacturer specifications 'Stay a minimum of 5 feet from existing gravel bed with new system product. 'All septic areas MUST remain 5 feet from property lines, 15 feet from house structure and 5 feet from building structure 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 Soil LTAR: 9-P- d.lft2 Proposed System: System Classification: 0l/20/2023 12:07 `CATAWBACOUNTY Case# AUTH-01-2023-187639 fr t.ii Public Health Department Subdivision STARMONT VILLAGE Environmental Health Division PIN# 363909151623 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1 air sm Site Address: 1735 SHADY LN, NEWTON NC 28658 Name on Permit: SHELIA GORE Property Size: Acres 0.46 Directions: NC 10, right onto Sigmon Dairy Rd, left onto Shady Lane, 4th house on the right 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' (I5A 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. • 3#711Vt ()14744 01/17/2023 Authorired State Agent Permit Issuance Date 1/17/2028 - Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemtit 01/18/2023 07:55 Catawba County Environmental Health ?sot) -Ewpg. IZ -�22 -Wog/■ ALAN - al -Zo13 - l77e39 •18 4 783 21623 v<<� oif z$'a Iti, r� •1891 •PI 18 �p L •00 t s ti �p�' ^ L Gs h 85' '�' 4 = w •1735 r, • 0 . .e°'•ro 4brive co _ v / S Ri ■ •1745 ■N co k- & 8 Parcel: 363909151623, 1735 SHADY LN 1 in=40ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC GeospeUal Information Services. Catawba County has made substantial efforts 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 amployses,agents,end personnel.disclaim.and shall not be held liable for any and al 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 p ► 2021entity. Copyrighta County NC 01/12/2023