HomeMy WebLinkAboutAUTH-06-2023-198083.tif N > t'ublic I Icnith Ihparlment Subdivision
linrironmeniad Ilcalih Division PINN 374419519273
Po Ilox 389.25 Government Drive.Netoon.NC 28(58 I_U'lA 3-A
Site Address: 4810 LEE CLINE RD,CONOVER NC 28613
Name on Permit: CLINE CUSTOM BUILDERS INC
Property Size: Acres 2.85
Directions: 16N/left C&B Farm Rd/right Lee Cline Rd/road right of way on right between 4820&4798 Lee Cline Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
ertitj that I am the os ncr or authorized agent(owner's uuthuriiation required)representing the owner of
the pmperty described above.
QI.As the property owner or authorized representative.I have received the above referenced
permit(s)as requested in the application for service RIII'R-06-2023-44545,by the following method(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
``1 Electronic Image'I'ransmittal/E-mail (Return receipt required)
WVAs 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(I5A NCAC I8A.1900),
and/or Well Construction Standards(15A NCAC 2(7.0100). shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date:06/14/2023
Owner/Authorized Representative Signature _ I • —.
Date rQ_ 3 V)' 2- z3
Y Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by . (nwne gf person sending permit)
Date/Time 41 LL?
3
Signature... .________
Method: Fax Ni F.mail .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 hake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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%mai.• CATAWBACOUNTY Casell AUTH-06-2023-I98083
f. ti Public Health Department Subdivision
"4 Environmental Health Division PIN!/ 374419519273
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3-A
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Site Address: 4810 LEE CLINE RD, CONOVER NC 28613
Name on Permit: CLINE CUSTOM BUILDERS INC
Property Size: Acres 2.85
Directions: 16N/left C&B Farm Rd/right Lee Cline Rd/road right of way on right between 4820&4798 Lee Cline Rd
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: Public Water Maximum Occupants: 6
Soil LTAR: 25 g.p.d./ft2
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: 1,080sq ft Total Trench Length: 360 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 AS DRAWN
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: _ .25 g.p.d.Ift2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
ehpenn❑ 06/15/2023 08:19
411 • CATAWBA COUNTY Case# AUTH-06-2023-198083
N .j..II L Public Health Department Subdivision
...,(,tJ ,� Environmental Health Division PIN# 374419519273
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3-A
Site Address: 4810 LEE CLINE RD, CONOVER NC 28613
Name on Permit: CLINE CUSTOM BUILDERS INC
Property Size: Acres 2.85
Directions: 16N/left C&B Farm Rd/right Lee Cline Rd/road right of way on right between 4820&4798 Lee Cline Rd
The issuance of this pennit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant
1property 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 I 8A.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 I lealth authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
/ 4,, C✓4AN
06/14/2023
Authorized Slate Agent Permit Issuance Date
6/14/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
clipenuit 06l15/2023 08:19
Catawba County Environmental Health
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Parcel: 374419519273, 4810 LEE CLINE RD 1in=40ft
CONOVER, 28613
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arise from This reap/report product or the use thereof by p hor aC gt 2023 Catawba County NC
06/14/2023