HomeMy WebLinkAboutAUTH-03-2023-190684.tif I
0011 CATAWBA COUNTY Case It
Al t tit Public Health Department Sulxlivision NORTHVIEW HARBOUR PH E
Z .,„.„1 js Environmental Health Division PlNf 462801190328
'�\ f, PO Box 389,25 Government Drive,Newton,NC 2865a LOTII 163
&zitSite Address: 2353 CROFTE DR,SHERRILLS FORD NC 28673
Name on Permit: JOHN&JENNIFER KEIGHTLEY
Property Size: Acres 0.86
1
Directions: 150W,R Sherrills Ford,R Island Point,L on Northvlew Harbour,R Garrison,t.Crofte,Propety on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
e property described above.
As the property owner or authorized representative,I have received the above referenced
pennit(s)as requested in the application for service RBPR-03-2021-37132,by the following method(s):
Received in Person
_ Facsimile Transmittal(Return form with signature required)
1 ,/ Electronic Image Transmittal/E-mail (Return receipt required)
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: 03/07/2023 �]
Owner/Authorized Representative Signature I' , bLinC/c.,--\._ IT
Date 'S 1% 2:2
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by {name ofperson sending permit)
Signaturee_ Date/Tim3h I—)3
Method: Fax i Entail US Mail Other
Owner's request to send by the above indicated method of transmittal in lien of signature j
We wantt tto hear from yatzPlease ttake a few momentts tto complette our custtomer service survey att
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1Q' • , CATAWBA COUNTY ('asc b AU'1 H-03-2023-190684
F. t ., Public health Department Subdivision NORTHVIEW HARBOUR PH€
Q ,��, Environmental Health Division PINIl 462801190328
PO Box 389,25 Government Drive.Newton,NC 28658 LO•fl? 163
I; 9,
Site Address: 2353 CROFTE DR, SHERRILLS FORD NC 28673
Name on Permit: JOHN &JENNIFER KEIGHTLEY
Property Size: Acres 0.86
Directions: 150W, R Sherrills Ford, R Island Point, L on Northview Harbour, R Garrison,L Crofte, Propety on Left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-New House
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
Soil LTAR: 0.25 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50% REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Septic Tank: New Tank: 1.500 gal
Pump Tank 1,500 gal Grease Trap_gal
Dosing Volume 267 gal Pump Specs: 45.66 GPM @ 9.38 TDH
Pressure Head 2 ft Draw Down 9'5 in
Drainfield: Total Area: 960 sq ft Total Trench Length: 320 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: 4 Trench Width: 2 ft
Distribution: LPP
Pre Treatment: NONE
Pump Required ***** Operator Required
Additional Specifications:
*Fill in the ditch between the initial and repair.
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 LTAR: 0.3 g.p.d./ft2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
ci,pa nu, uaro7/1023 12:56
•
CATAWBA COUNTY Case# AUTH-03-2023-190684
Public Health Department Subdivision NORTHVIEW HARBOUR PH f
(......
i: . Environmental Health Division PIN# 462801190328
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 163
Y
Site Address: 2353 CROFTE DR, SHERRILLS FORD NC 28673
Name on Permit: JOHN&JENNIFER KEIGHTLEY
Property Size: Acres 0.86
Directions: 150W, R Sherrills Ford, R Island Point, Lon Northview Harbour, R Garrison,L Crofte, Propety on Left
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'Lairs and Rules for Sewaxe Treatment and Disposal Systems' (I SA NCAC I 8A.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.
flu,(,„
03/07/2023
Authorized State Agent Permit Issuance Date
3/7/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair tvitltout approval of the Health Department.
ehixnnit 03/07/2023 12:56
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Parcel:462801190328, 2353 CROFTE DR 1 in=50ft
SHERRILLS FORD, 28673
This map/report product was prepared from the Catawba County,NC Geospatlal 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 2023 Catawba County NC
03/0712023
a, CamScanner
T)1'! II ( (1\TR1( 1 1\I) 1(,R1:1:'111. \ 1
STATI' OF NORTH( AR(II I\\
COUNTY OF CAT\\i•It:\
(•O\1'FIA( 1 FOR In PI. I1 I\%PF('I 10\ 1\I) \I•1I\I I.\ 1\LIE
(:R( I'\D 1RSO11[11(1\ \F11 1(:1 I R1 1 f\1F NI' 1ti1) I)IsI'tlS 11 SYSTF\1
LOT \I \1RF:Ft __/ . PH 1%1 10 l'i hIF 1 01') \OR1111 11.A% 11 1RRO1'k
(1).1N I-I.as the owner trl i t•ll'I\Ilrnhel 163, I'ha•t , `I !hi •uhdi%1.1..It k'u.0 n.i Vorth%it'sc Ilal'hour. ha%t
certain duties and IY'piiii ibtill ie• I1.11 tht n1.u111i I%alit% of .11 l% OI..Ilrld .it' ..i ill loll.t'q.i_t Uc.lt nit Ill anti di,pil,al.‘51011;1,
regulated and.el out in \t (t % \flit I, II I halite' I .11\ I I• 1 a( 1, ',I s 1 It)h I •\Ln111lll.lnce or Sewage Systems'''. and
under the"Declilrellttn ct! ( o%etl.1111• ( •••i,liti..il•.111.( Rcsii it tIu h '. \t•I rt..itU I Iarhou1 .the 'I)eckiralnln"I aN recorded in
the Rci istet Ill Deed,id( atimha( oi.111% \ l and undo 111. It%Loa-.•f \only%it t I1.rt'ht0111 I h%11ef, As'lclatl(111. Ili
The\urlht'lett I labour I.ht iici \•..h.i.ill.'n hit in Dick! io pill%itle '••1 i,,t 1111In rinipcolon. maintenance.and repair and
operation or sewage treatment arid dl.11o.JI ,%,tent, o iihni \.•rlht It%% II,rthour. ha,enle,ed into a \la.tet Agreement dated
the I ' day of January. 201-
The undersigned lutist other..$hetei% alpet,and t.•rll.itis ‘1.I'll i't \1 \l.l.te%%atct \1,mlagentent, Inc mkt with Nol'Ih\io,
FlarbourOw'ners Association. Inc a, lout',%,
I. The hlastet ( onlraei released io alio%t• ht, hCICh% .1,kWICd. JL'•,..I and Is h111,11m12 till.III Ilse undersigned with I rt•
county\Vaste%talel tilanat emend. In, and It..utte,,.•r.and .t,St_r1, I ht untlei.Igned lot owner(.). then
successors.and.r•lgned agree to he hound ht this m.p.h.., t inn!act and am rinthcl .•1 lulure contract,in
substitution lhereot
Z. The undersigned for ott nen.1 till ihtl ail.n.•tt twie• and abet liar \oral%le%% I Lit h.•ti• (heeler. •\.coo:moil. lilt
acting by and mule! 11,1)t'tl.trallt•II of ( .•\tn.ltll• t ••rplition. and Re,tri,iii ll.-\oath%iett' Harbour. has and is
hereby granted the lull 14/t1e1 and.nithorii% h..is.e,-111e and,i,i,intd for lie- t pcll.cr,anti tools a,,uclaled%►lilt
the inspection. Illalllt'nanee. .lrld or repair .•I .elltlt tll.th..al .%•retn.o11 the lot
I his agreement Is binding .ip)11 the tlndersielled. th%it heir, .i.Iitiin1.irai•.t, per.itn;ll reple•enl.IIives.MICCCtSU1,,and
.I,.Itl11,. ails the trau,ICt and.I..re'Itnietit 411 the%lilt% and re,p..n.Ih1IiI% to%.•ntr.tci t%1111,1 tlllalllied maintenance contractor
lolleratort is a cttsenlult runtime with Ili: land i'I he I of-I I In..12reimlt;It %%ill terminate i I 1 when The Association is
ili,,ol%Cd or liquidated. or 1_1 Nhel1 Ilse Illtder•Ig11et( ILI, no ILC.tl till%% to maintain a .e'\ait dl.iltisdl sValelll on"The he l..nt'•.
of I;1%% hen the Master('onU:iel relcrred h,•rhtt%c hot. been,.nit tiled in ':i rlunaled
Witness our hands and legal Neal.. lilt. =_da, of 40eis q
1 MARK US BOWLING
'1
Notary Public-North Carolina
Uedef County
en.rlt r. My Cornirikslon Expires Mar 27, 2027
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. MAAKUS BOWLING
�nn•u,t•
�, �lA NWary Public•North Carolina 1
�rft r� .t- h'A.) I lredell County I
res Mar 27, 2027 1
()"oss. I'Ilrnrtl Vanlr