HomeMy WebLinkAboutAUTH-05-2023-196815.tif .44►1.a • CAIANBACOUNT)
Public Ilealth Department Subdivision
2 ,--. '' Environmental Health Division PIN# 367703417267
(...._
Pt)Box 389,25 Government Drive,Newton,NC 28658 LOP, 3
Site Address: 4145 FISHERMANS LN,MAIDEN NC 28650
Name on Permit: JAMIE&AMY LAITY
Property Size: Acres 3.36
Directions: 16 S, R on Buffalo Shoals, L Olivers Cross Rd, L on Burton, R on Fishermans property on Right
Owner/Authorized Representative Acknowledgement of Permit Receipt
ys,I
/fri_` I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
f, A
e. ' As the property owner or authorized representative, I have received the above referenced
tp4irtnit(s)as requested in the application for service RBPR-08 2022 41839,by the following method(s):
Y Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
" As the property owner or authorized representative I have reviewed and understand the specific conditions
I pfthe 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::::tivc
Signature // _
Date- '/J /2i-)
/
1
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 yoaPlease ttake a few momentts tto complette our custtomer service survey an
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05:30i2o23 09 12
�)3: • CATAWBA COUNTY Case# AUTI I-05-2023-1968 1 5
IT(.....
t 11 ,1 Public Health Department Subdivision
Qn Environmental Health Division PINK 367703417267
�\ - ` PO Box 389,25 Government Drive,Newton,NC 28658 I O•[k 3
Site Address: 4145 FISHERMANS LN, MAIDEN NC 28650
Name on Permit: JAMIE&AMY LAITY
Property Size: Acres 3.36
Directions: 16 S, R on Buffalo Shoals, L Olivers Cross Rd, L on Burton, R on Fishermans property on Right
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
Soil LTAR: 0.275 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25% REDUCTION
System Classification: IIIG-OTHER NON-CONV 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: 660 sq ft Total Trench Length: 220 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 30 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 2 Trench Width: 3 ft
Distribution: Serial
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 220 feet of 25%reduction product according to manufacturer
specifications.
*All septic areas MUST remain 15 feet from foundation drains, and 10 feet from property lines.
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 LIAR: 0.275 d.Ift2
9•p•
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
05/30/2023 09:12
CATAWBA COUNTY Case# AUTH-05-2023-196815
2 Public Health Department Subdivision
< '3 Environmental Health Division PIN# 367703417267
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3
9.
Site Address: 4145 FISHERMANS LN, MAIDEN NC 28650
Name on Permit: JAMIE&AMY LAITY
Property Size: Acres 3.36
Directions: 16 S, R on Buffalo Shoals, L Olivers Cross Rd, Lon Burton, R on Fishermans property on Right
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 flealth 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.
37"%t 1117(
05/26/2023
Authorized State Agent Permit Issuance Date
5/26/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
c6Pcrmi1 05/30/2023 09:12
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Catawba County Environmental Health
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This rnap'rec,"1 worked was prepared Iran the Catawba County.NC Geospattal Information Services. Catawba County has made substantial efforts
fri -:.!74 air.:a y;'Yiadi n are;labeling nl,rnata n umtarne.l on this map Of data on this report.Catawba County prorates and recommends
Tie rhYy. M. mire at-v.-,of any data uw.':lweed on tnh maw/avid product by the user.The County of Catawba.its employees.agents.and
t#Wed leitar argil stall rvA be held lutde to any and as damages,loss or Iuibbty,whether direct,indirect or consequential which apses or may
arise!corn the mar/repr.A pr&iai or the use thereof by any person r4 entity.
Copyright 2023 Catawba County NC
05/26/2023