HomeMy WebLinkAboutAUTH-03-2023-192250.TIF .4161 • CATAWBACOUNI'Y i
.7 t ,z, Public Health Department Subdivision WILDERNESS TRACE PH 5
Q ,R(.) Environmental Health Division PIN# 375504846417
PO Box 389,25 Government Drive,Newton,NC 28658 LOI'# 158
Site Address: 3118 MEDICINE BOW, CLAREMONT NC 28610
Name on Permit: *CMH HOMES, INC./DBA OAKWOOD HOMES#712(NEWTON)
Property Size: Acres 0.46
Directions: Head E on W 6th ST, Left NC 1+, Right Oxford School, Left onto Rest Home, Right Wilderness Terrace, Left
Great Divide, Right Medicina Bow
Owner/Authorized Representative Acknowledgement of Permit Receipt
�v 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 RBPR-09-2022-42226, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
X9 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: 03/27/2023
Owner/Authorized Representative Signature eda
/ Date s`/G• 2 3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by - - (name of person sending permit)
Signature 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 yo%Please ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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.j. Public CATAWBA COUNTYDepartment Case# AUTH-03-2023-192250
Health Subdivision WILDERNESS TRACE PH 5
d . '4 Environmental Health Division PIN# WILDERNESS
846417
PO Box 389,25 Government Drive,Newton,NC 28658 Lop, 158
8• w
Site Address: 3118 MEDICINE BOW, CLAREMONT NC 28610
Name on Permit: *CMH HOMES, INC. /DBA OAKWOOD HOMES#712(NEWTON)
Property Size: Acres 0.46
Directions: Head E on W 6th ST, Left NC 1+, Right Oxford School, Left onto Rest Home, Right Wilderness Terrace, Left
Great Divide, Right Medicina Bow
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: .3 g.p.d.1ft2
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
Drainfield: Total Area: 900 sq ft Total Trench Length: 300 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 in
Minimum Soil Cover: 12 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 4 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*INSTALL ON CONTOUR IN DESIGNATED AREA
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: .3 g.p.dift2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
,•1,prrmit 03/27/2023 15:30
CATAWBACOUNTY Case# AUTII-03-2023-192250
... 2 Public Health Department Subdivision WILDERNESS TRACE PH 5
d l Environmental Health Division PIN# 375504846417
• PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 158
Site Address: 3118 MEDICINE BOW, CLAREMONT NC 28610
Name on Permit: *CMH HOMES, INC./DBA OAKWOOD HOMES#712(NEWTON)
Property Size: Acres 0.46
Directions: Head E on W 6th ST, Left NC 1+, Right Oxford School, Left onto Rest Home, Right Wilderness Terrace, Left
Great Divide, Right Medicina Bow
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 I Iealth of this change prior to system installation.
E,4rt S
03/27/2023
Authorized State Agent Permit Issuance Date
3/27/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ch pc n n n 03/27/2023 15:30
..•••••'"" Catawba County Environmental Health
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Parcel:375504846417, 3119 MEDICINE BOW 1in=40ft
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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 end labeling Information contained on this map or data an 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
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Copyright 2021 Catawba County NC
10/1212022