HomeMy WebLinkAboutAUTH-01-2023-188070.TIF i'A CATAW BA COUNTY Cuse It AIM I-01.2023.188070
• .r, v Public health Department Subdivision
• „I(,) th Environmental Health Division PIN!? 372019606847
sePO Box 389,25 Government Drive,Newton,NC 28658
, LOTu A1-7& 17-23
Sae Address: 3531 STARTOWN RD, NEWTON NC 28t358
Nome on Permit: ANA GONZALEZ HARO
Property Size: Acres 1.14
Directions: right on NC-10,Ieft onto Startown rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
A40 I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
f fi(?WAs the property owner or authorized representative, I have received the above referenced
perntit(s)as requested in the application for service DII'R-12-2022-43020,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
Electronic linage Transmittal/E-mail (Return receipt required)
fly/ 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: 01/25/2023
Owner/Authorized Representative Signature__ft CL,_ \-4-° o
Date a 3 9-0 0—3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
eiESignature Date/Time t I3J)3
Method: Fax V Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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44a CATAWBA COUNTY Case# AUTI 1-0 1-2023-188070
ti .t. ,y Public Health Department(....,
Subdivision
-4 Environmental Health Division PIN# 372019606847
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1-7& 17-23
8 w
Site Address: 3531 STARTOWN RD, NEWTON NC 28658
Name on Permit: ANA GONZALEZ HARO
Property Size: Acres 1.14
Directions: right on NC-10,left onto Startown rd
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Repair
Basement? Yes Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LTAR: 0.275 g.p.d.lft2
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
Drainfieid: Total Area: 984 sq ft Total Trench Length: 328 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 30 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center
Number of Drain Lines: 5 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*Do not drive, grade, cut or fill over any part of the initial or repair septic areas.
*AII septic areas MUST remain 10 feet from property lines, and 15 feet from house structure(due to basement).
*Existing septic tank MUST be properly abandoned (pumped, crushed and filled).
*Install new 1000 gal septic tank and 328 feet of 25% reduction product according to manufacturer
specifications.
*Large tree will need to be removed from septic area, straight pipe through stump hole.
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.1ft2
Proposed System:
System Classification:
c14)r m.t 02/03/2023 10:44
4'„a CATAWBA COUNTY Case# AUTH-01-2023-188070
(......,
.t,iik Public Health Department Subdivision
'4 Environmental Health Division PIN# 372019606847
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1-7& 17-23
/g.2 w
Site Address: 3531 STARTOWN RD, NEWTON NC 28658
Name on Permit: ANA GONZALEZ HARO
Property Size: Acres 1.14
Directions: right on NC-10,Ieft onto Startown rd
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,
alhrift 11/WPN
01/25/2023
Authorized State Agent Permit Issuance Date
1/25/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpernit 02/03/2023 10:44
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Parcel: 372019606847, 3531 STARTOWN RD 1 in=50ft
NEWTON, 28658
This map/report product was prepared from the Catawba County,NC Geospatial 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 containod on this map/report product by the user.Tho County of Catawba,its employees,agents,and
personnel,discialm,and shall not be hold Ilablo for any and all 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 porson or entity.
Copyright 2021 Catawba County NC
01/25/2023
r
CATAWBA COUNTY Case# AUTH-01-2023-188070
N .I. ,y4 Public Health Department Subdivision
d Environmental Health Division PIN# 372019606847
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1-7& 17-23
Site Address: 3531 STARTOWN RD, NEWTON NC 28658
Name on Permit: ANA GONSALEZ HARO
Property Size: Acres 1.14
Directions: right on NC-10,ieft onto Startown rd
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
the 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-12-2022-43020, by the following method(s):
Received in Person
_l Facsimile Transmittal (Return form with signature required)
V Electronic 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: 01/25/2023
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time c2)?/)3
Method: Fax N 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 yoaPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
Onag5iI4a50Qg . ram,
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chpennit 01/25/2023 14.45