HomeMy WebLinkAboutAUTH-06-2023-197779.TIF •
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.f, 1'ublic Health Department tiuhdn�sion
i EnvironmentalHealth DivisionI'INIi 377403106163
PO Box 3tt9,25 GovernmentDrive,Ne ttun,NC '_lir,SA I.t)I k
Site Address: 4150 CARPENTERS COVE RD, CLAREMONT NC 28610
Name on Permit: STACY SIGMON
Property Size: Acres 3.92
Directions: Oxford School Rd, left onto Bolick Rd, Right onto Carpenters Cove Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
VSS I certify that I am the owner or authorized agent(owner's authorization required)representing the owner or
the property described above.
A SS As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-05-2023-44360.by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)_
Electronic Image Transmittal/E-mail (Return receipt required)
iSS As the property owner or authorized representative I have reviewed and understand the specific conditions
r 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(I5A NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system andior water supply well permitted.
Permit Issue Date: 06/12/2023
Owner/Authorized Representative Signature 5' c5' ? fl4fl-
-J� Date 6-30-2023 ((//
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature C Date/Time
Method: Fax 1 Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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1. • CATAWBA COUNTY Case# AUTII-06-2023-197779
r- a .z Public Health Department Subdivision
,w ' Linvironmental Health Division PIN# 377403106163
Pt)13ox 389,25 Government Drive,Newton,NC 28658 I O"1'#
Ig. _ t�
Site Address: 4150 CARPENTERS COVE RD, CLAREMONT NC 28610
Name on Permit: STACY SIGMON
Property Size: Acres 3.92
Directions: Oxford School Rd, left onto Bolick Rd, Right onto Carpenters Cove Rd
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
Soil LTAR: .25 g.p.d.lft2
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: 1,440sq ft Total Trench Length: 480 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: 4 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*INSTALL ON CONTOUR
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 $oil LIAR: .25 d.lft2
9•P•
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
06.2 3/2023 14:10