HomeMy WebLinkAboutAUTH-05-2023-195170.TIF .. -
.4.1g. . CATAWBA COUNTY
ti 1 t. a , Public Health Department Subdivision BLACKBURN RIDGE
Q 0 '3 Environmental Health Division PIN# 361702561242
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 8
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Site Address: 3685 WOODGREEN DR, LINCOLNTON NC 28092
Name on Permit: DWAYNE MILLER
Property Size: Acres 0.45
Directions: Startown Rd to Blackburn Bridge Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
2,1(j certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
/4..`�I,v\As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-02-2023-43421,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
IElectronic Image Transmittal/E-mail (Return receipt required)
fAs 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: 05/08/2023
Owner/Authorized Representative Signature s 7W lue_ '7n
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Date .S-- ZS-a 0,2--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 ya.Please hake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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• CATAWBA COUNTY Case a AU'TN-05-2023-195 1 70
•iiPublic health DepartmentSubdivision BLACKBURN RIDGE
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� Environmental Health Division PING 361702561242
PO Box 389,25 Government Drive.Newton.NC 28658 I OTa 8
Site Address: 3685 WOODGREEN DR. LINCOLNTON NC 28092
Name on Permit: DWAYNE MILLER
Property Size: Acres 0.45
Directions: Startown Rd to Blackburn Bridge Rd
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g,p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LIAR: 0.3 g.p,d.lft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50% REDUCTION VERTICAL
System Classification: IIIE- PPBPS GRAVITY DOSED SYSTEM
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 600 sq ft Total Trench Length: 200 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 34 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center
Number of Drain Lines: 3 Trench Width: 2 ft
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
*Do not drive, grade, cut or fill over any part of the initial or repair septic areas.
"Install new 1000 gal septic tank and 200 feet of T&J panels(vertical).
'Each line will contain 15 panels.
*All parts of the septic system areas MUST remain 10 feet from property lines and water lines, 5 feet from
building structure, and 15 feet from any over head power line.
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.dJft2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IIIE-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
05/19/2023 09:23
...11. • CATAWBA COUNTY Case# AUTH-05-2023-195170
Public Health Department Subdivision BLACKBURN RIDGE
Q(119 '' Environmental Health Division PIN# 361702561242
PO Box 389,25 Government Drive,Newton,NC 28658 Lt)'f# 8
/g42 ,M
Site Address: 3685 WOODGREEN DR, LINCOLNTON NC 28092
Name on Permit: DWAYNE MILLER
Property Size: Acres 0.45
Directions: Startown Rd to Blackburn Bridge 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'(I 5A NCAC I8A.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.
31)1i(fit 11/17
05/08/2023
Authorized Stale Agent Permit Issuance Date
5/8/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
a qrnr it 05/08/2023 13:31
Catawba County Environmental Health
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Parcel: 361702561242, 3685 WOODGREEN DR tin=40ft
LINCOLNTON, 28092
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the Independent verfficaton of any data contained on the mapireport product by the user.The County of Catawba,Its employees,agents,end
personnel.diectaim,and shall not be held liable for any and all damages,loss or liability,whether direct.Indirect or conseduenbal which enses or may
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Copyright 2023 Catawba County NC
05/08/2023