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HomeMy WebLinkAboutAUTH-02-2023-189897.TIF �icMit CATAWBA COUNTY Case# AUf I 1-02-2023-189897 t. % Public Health Department Subdivision R, �si Environmental Health Division PIN# 461901487560 \ -rvA PO Box 389,25 Government Drive,Newton,NC 28658 I,OT# 10A Site Address: 1450 LANGDON RD,SHERRILLS FORD NC 28673 Name on Permit: DENNIS AND TAYLIER OBREGON Property Size: Acres 1.27 Directions: 150 Hwy to Sherrills Ford Rd to Mollys Backbone, right on Azelea, left on Dog Leg,left on Roundstone, stay to the left home on the right side 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. Xzo As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-I2-2022-43077, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required) 1 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 (I5A 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:02/23/2023 c)_Q_____.. -- L� Owner/Authorized Representative Signature Date 2-26-2023._ Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature-41----. Date/TimeJ�� -� Method: Fax v 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 denni 50 brc cn 130 grad'.erel I .•ivy,,.„,i 02/23/2023 14 25 _1/4103'\• CATAl1BA C01,1NTl Case# A1117I-02-2023-I89897 F. .`.IL ,z. Public Health Department Subdivision 4Environmental Health Division PIN# 461901487560 P0 Box 389,25 Government Drive,Newton,NC 28658 LOT# 10A :(...... 2 w Site Address: 1450 LANGDON RD, SHERRILLS FORD NC 28673 Name on Permit: DENNIS AND TAYLIER OBREGON Property Size: Acres 1.27 Directions: 150 Hwy to Sherrills Ford Rd to Mollys Backbone, right on Azelea, left on Dog Leg, left on Roundstone, stay to the left home on the right side Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 480 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 Soil LTAR: 0.3 g.p.d.fft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: New Tank: 1,000 gal Pump Tank 1.000 gal Grease Trap_gal Dosing Volume 182 gal Pump Specs: 25 GPM @ 27.96 TDH Pressure Head ft Draw Down 8.67 in Drainfield: Total Area: 1,200sq ft Total Trench Length: 400 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 33 in Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center Number of Drain Lines: 8 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Pump Required Additional Specifications: *400 LINEAR FEET OF DRAINFIELD REQUIRED.432 FEET OF DRAINFIELD IS SHOT IN. *MAY USE EXISTING TANK IF IN GOOD CONDITION. *INSTALLA BULL RUN VAVLE TO SWITCH BACK TO EXISTING DRAINFIELD. *USE 2"SCH 40 FOR SUPPLY LINE. *SLEEVE UNDER DRIVEWAY IF SUPPLY IS NOT AT LEAST 30 INCHES DEEP. *PUMP TO A 75 GALLON WASHER BOX WITH 90 DEGEE TURN DOWN. USE 4"SCH 40 PVC LEAVING THE WASHER BOX TO THE FIRST LINE. SERIAL FEED THE DRAINFIELD. *PRECONSTRUCTION MEETING REQUIRED. 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? Soil LIAR: g.p.d.1ft2 Proposed System: System Classification: a,;_,,,,i 02 24,2023 16:01 S1% e CATAWBA COUNTY Case# AUTI1-02-2023-189897 .f.IR(........ Public Health Department Subdivision d '-1 Environmental Health Division PIN# 461901487560 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 10A g. w Site Address: 1450 LANGDON RD, SHERRILLS FORD NC 28673 Name on Permit: DENNIS AND TAYLIER OBREGON Property Size: Acres 1.27 Directions: 150 Hwy to Sherrills Ford Rd to Mollys Backbone, right on Azelea, left on Dog Leg, left on Roundstone, stay to the left home on the right side 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 arc 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 I Icalth authorization or permit modification.Please notify Environmental Health of this change prior to system installation. Z-- Z5?:;e.....,____ 02/23/2023 Authorized State Agent Permit Issuance Date 02/23/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemut 02/23/2023 14:25 . EI-IPR-1,72-2WoR - 936 77- Catawba County Environmental Health 319.96 76.28 ( \ .., in �,�-- .. •1 Q ter" 293.E 1 4� y f , ebb i 7 i\... 6.25 f o �3g . . r oath. -ti . . /�,ram/ 3 .• �v\ 23.85 )‘..." 17 o / t C.,\//cks.\\,,,z/ 0 '`,61\ 4, f"--''''.-...r,-,...„.._ •S' , , L.4.. 6, (\ + f / •1460,> G.+i.- 3 11 .sn v V >NN,7:5:N. 41111 ,a liAv 7 NN\ • Parcel: 461901487560, 1450 LANGDON RD 1 in=60ft SHERRILLS FORD, 28673 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 contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable 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 person or entity. Copyright 2021 Catawba County NC 02/22/2023 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID N: ON-SITE WATER PROTECTION BRANCH COUNTY:`Catawba_ SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: .QenA►S G j 'it /!t", Ob Y1 APPLICATION DATE__ ADDRESS: DATE EVALUATED: 7. PROPOSED FACILITY: PR POSED SIG ' OW(.1949): � PROPERTY SIZE: `�� LOCATION OF SITE: ��y` �''�ri / �!'f f-,'1$ ,��i PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public ��, ell J Spring 'vC_ 1(hher �� � EVALUATION METHOD: ❑Au$er Boring U ❑Cut TYPE OF WASTEWATER: [1�Sewage U Industrial Process U Mixed Iv is '..is?, . � t...SOIL MORI�OI.iOGY ._, �y �Z r i..; ;_ t V OTHER .�,:, ` I s} ;.: 1 41) •PRO y FACTORS PE: H•Ol{YLt1N 1 r •. {�r�77yy'01'.•,I,t t t.i N/ DEPTR4• �.: F. _,;. ' ,.. 's r t PROFILE . .'l tr SLO?L% )" 1941 �t [1.42 pl 1, �t4: r '. 1911 .�• SOD., .� 1,�,, 1944. L'[,A.� 'i, ti,I -. :STRUC riuRa CONsI '1 , WETNESSI i SOIL''. SA I RO RESTR ` '� r * r. ,. a Qc I;TAA M.,c TEVitRE MIIVBRA Y; COLOR DEPTH- CLASS EO$# . a: 7- F-11 26, 1 3 Q --,,-2 _ <LLIx r .5f 2 rt ,,. 2i L �t/W� r �� , 35 - . C -12 )---- G -ter ,�E p jf-''' _5:2' , 3 3 j -glik cL-W✓!,'f�- j� - • DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): `_ Available Space(.1945) i5 SITE CLASSIFICATION(.1948); __� __ /--- System Typc(s) � EVALUATED BY: t O'I'HER(S)PRESF.N"I: QLtirl-e-_/ Site LTAR COMMENTS: Updated February 2014 — — — Catawba County Environmental Health 24.99 rgl f.bi ' • ='Y,; ti .? ,Sg,ras:23, ,�r,•� f ,, , �5 °�CA tea 4,,Y C� . 420 i 32.31 �, // � �, 18.0 ,.... a....) N. i�319•96 26.E 29.00 • �' •144� gl �93 LW i T�ri i'd/ - C , ..5,. kr \ c,..-7 4,'' ,26' , \ . 0)'.(.1 ^� • 5J lc iv. • „;"- „,:::,,..<,..,,,:i.,/ 8.13 ., Ori6 ‘\.1 �1 23.85 17 (/ / ' • 41. f" , ,. V.2'6' . .,.. , _A •1460 1 + , „ t,� /� .__ > 52.41 4. 443.7: 1.• i: t . - \\\„:\.:\_. ' --- ,_ . .. ,,,, ,,..,.4,..t, . i , . CEP S? 4'Y4/O 70(7 42 'B). .eo •1449 Parcel: 461901487560, 1450 LANGDON RD 1 in=80ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospatlal Information Services. Catawba County has made substantal 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 employees,agents,and personnel,disclaim,and shall not be held liable 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 person or entity, Copyright 2021 Catawba County NC 12/28/2022