HomeMy WebLinkAboutAUTH-05-2023-195157.TIF .21 CAPAWBA COUNTY
Public Health Department Subdivision
Environmental Health Division PIN# 373306298743
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
IH42
Site Address: 4846 COUNTY HOME RD. CONOVER NC 28613
Name on Permit: KRISTI TUCKER
Property Size: Acres 0.9
Directions: 321 N Bus, right onto W 20th St, left onto NC 16 Bus, left onto County Home Rd, at the roundabout take the 2
nd exit, property on the right
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-01-2023-43261, by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
TElectronic 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: 05/08/2023
Owner/Authorized Representative Signature
( Date
fi/1/c M
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time 51 10J)3
Method: Fax s 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
fib
ehpennil 05/10/2023 05:27
ice\ (':CI'AWBA('O1•\T1 Case All I[1-05-202 3-195[57
4 j. 7 Public Health Depai'tment Subdivision
Q ,� '' Gnviranmeniztl Health Uislsion PIN# 373306298743
� \ PO Has 389.25 Gu�cmment Dn�e.Ne�uun,NC 286 A LOr#
w
Site Address: 4846 COUNTY HOME RD. CONOVER NC 28613
Name on Permit: KRISTI TUCKER
Property Size: Acres 0.9
Directions: 321 N Bus, right onto W 20th St• left onto NC 16 Bus, left onto County Home Rd, at the roundabout take the 2
nd exit, property on the right
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
Soil LTAR: 0.25 g.p.d.lft2
WASTEWATER SYSTEM REOUIREMENTS
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 219 gal Pump Specs: 41.9 GPM @ 19.69 TDH
Pressure Head 2 ft Draw Down 10.4 in
Drainfield: Total Area: 1,440sq ft Total Trench Length: 480 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 34 in
Minimum Soil Cover: 21 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 8 Trench Width: 3 ft
Distribution: Pressure Manifold
Pre Treatment: NONE
Pump Required
Additional Specifications:
*Do not drive,grade, cut or fill over any part of the initial or repair septic areas.
*All septic areas MUST remain 10 feet from property lines, 5 feet from building structures, and 15 feet from
housing structure(due to basement)
*Existing septic tank MUST be properly abandoned (pumped, crushed, and filled).
*Install new 1000 gal septic and pump tanks with 480 feet of 25%reduction product.
*Pressure manifold sheet attached.
*Pressure manifold will contain two SCH 40 1/2in taps, two SCH 80 3/4in taps, and one SCH 80 1/2in tap.
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: 0.275 9•p•d.lft2
Proposed System: 50%REDUCTION HORIZONTAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
15 ID 2023 14 2')