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Home My WebLink AboutAUTH-07-2023-200575.TIF • CATAWBA COUNTY Case# AUTH-07-2023-200575 E ...fl Public Health Department Subdivision Environmental Health Division PIN# 364611669476 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1H. w Site Address: 611 ISLAND FORD RD, MAIDEN NC 28650 Name on Permit: JOHN STATON Property Size: Acres 0 6 Directions: E Maiden Rd, Island Ford Rd property on left (honer/Authorized Representative Acknowledgement of Permit Receipt X I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. N _ As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-06-2023-44521, by the following method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) ✓ Electronic Image Transmittal/E-mail (Return receipt required) i 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: 07/19/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by ofF_ (name of person sending permit) Signature _Date/Time 7 )3 Method: Fax J •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 aft http://www.surveymonkey.com/s/EHCusttomerService e,SMnittri (15/a @Chef kr, net !)iv)(A.55 ehperm t 07/20/2023 07:01 rw'.IV\ • 13 CATAWBA COUNTY Case ll AUTH-07-2023-200575 !~ t Public Health Department Subdivision Environmental Health Division PINfi 364611669476 4,...) Po Box 389,25 Government Drive,Newton,NC 28658 LOTN 18.2 w Site Address: 611 ISLAND FORD RD, MAIDEN NC 28650 Name on Permit: JOHN STATON Property Size: Acres 0.6 Directions: E Maiden Rd, Island Ford Rd, property on left Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 240 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 2 Water Supply: Public Water Maximum Occupants: 4 Soil LTAR: 0.255 g.p.d./ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 25%REDUCTION System Classification: DIG-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: 708 sq ft Total Trench Length: 236 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 18 in Minimum Soil Cover: 6 in Minimum Trench Separation: 6 ft on center Number of Drain Lines: 6 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Additional Specifications: 'DIVERT ALL SURFACE WATER AWAY FROM DRAINFIELD. *PUMP OUT, CRUSH AND ABANDON OLD SEPTIC TANK. INSTALL NEW 1000 GALLON SEPTIC TANK. *SEPTIC TANK,SUPPLY LINE TO DRAINFIELD,AND DRAINFIELD MUST ALL BE AT LEAST 50FT FROM EXISTING WELL. 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? Soil LTAR: g.p.d.lft2 Proposed System: System Classification: clvermii 07/20/2023 10:50 ;7 • CATAWBA COUNTY Case# AUTH-07-2023-200575 if AR .4 Public Health Department Subdivision "i Environmental Health Division PIN# 364611669476 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1$q2 w Site Address: 611 ISLAND FORD RD. MAIDEN NC 28650 Name on Permit: JOHN STATON Property Size: Acres 0.6 Directions: E Maiden Rd. Island Ford Rd. property on left 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' (I5A 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 Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. 07/19/2023 Authorized State Agent Permit Issuance Date 7/19/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 07/20/2023 07:01 Eh PR-O(_ 33- ` 5 -1 AUTH -o7 --36 3-9W575 Catawba County Environmental Health f i t LI '-----......,...„,,, 1 / '''''"•••,.„„j \—,1 , '',....„,......, �a v�ecC "g"'-'e,/ - ,.,1 1/ 28.p `-° , Horse �1 11 * A. — ..i 4-ef 9rs li ,4,...„, . ..., , .. t a .___ te^ 1 ri,nts,..0.3„.... t X1.46 ... ......,...„.„„ „„/......„.....„.„,,, , /12 / 062if / 4--,,,,,,..,,,,,,,,../ Parcel: 364611669476, 611 ISLAND FORD RD 1in=5Oft MAIDEN, 28650 This map/report product was prepared horn the Catawba County,NC Geospatiat tnfotrnation Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map!report product by the user.The County of Catawba;its employees,agents,and personnel,disclaim,arid shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copynght 2023 Catawba County NC 0 7119/2023 { DEPARTMENT OF HEALTH AND HUMAN SERVICES Skeet______of____ DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY II)#: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba SOILISI TE EVALUATION — for ON-SITE WASTEWATER SYSTEM (Complete all fields in fun) OWNER:_ 1C �1I ._._--------- _---._. _-...._-..---__.__...- APPLICATION DATE ADDRESS:- _ _ . _._-_ DATE EVALUATED _ -47/B7174?.-2_, PROPOSED FAC'i1,ITY:. _-P O SED E fiC { 19i9 � __/0 - - PROPERTY SIZE:__ LOCATION OP SITE:_• �T 4,„ .. ta�../W - -!'' 'u C�"s.,,._. PROPERTY RECORDED: WATER SUPPLY: D Private a lic -.)Well Li Spring t f Other ~— EVALUATION MEl tIr)(.). 0 Au,er Doting ic.Pit-"E.J Cut TYPE OF WASTEWATER: A1.SeCvage LI Industrial I'rncess 0 Mixed sus S(1H. M1) PIU)I f E, r` OTHPH f • • t.1940 F*12t)I Ifl^',I*A cToHS I ;, pE ' HORIZON. M.- _,-_ ___. 1 . Ni ... BE1I•II , . .1.941 P41 1 SOII 1.943 .I'l . 1 .E 44 f T-11; 1 STRUCTURE/URE/ CON .t 'ETti'Essi *UM. ' s<til°Itt3 1 RESTR ' Ss L'i`AIi ..: , 1141u1 L 1MKA t Y• t'UJf,lltk 1 t1F1 flf P'k.ASs 1 ldE3i;F/. i 696 _ ., .L Gr e (5t1 Civoin4 • tic I/ r 4sJ� I c 1 I • j ? i / r ' INA , i 1 11 - .-1 0 1 ? I 1 i _........_ _....... 1 3 i r----1...._.........71+.......____ _1 ? ! 1 ? ? ? 1 ? 1 I i I i 4 I k __ _ 4 I 1 DESCRIPTION INITIAL SYSTEM ? KEMLR SYSTEM OTHER FACTORS .i946 : _ P.5 SITE CLASSIFICATION .l948 Available Spam(.1945) _ . ...I - ' System T'ypc(s) EVALUATED BY: _ _ ,_____I________. _ _ - "�.:.✓ OTHER(S)PRESENT.':__ ._.._...._-..._-._.__.....:......._---_.-._.--.-..-_--•_.._.--......... Site LTAR J aS Updated February 2014 . Catawba County Environmental Health tfri ia a 1 co- .s�1 t (335) 4 k v hJ • SI ft. . 1::7- 13' 8 if:::), ctsY A ,, , i:.' V 13 /5..-1. O „(67 6)/ .w LcO ( 7t L-5.4:1 13 ''''. Li& C 141iii( ,,2 — 1714- 441-L-P/5_4( ,� - (14,4\ OZNAA‘A 0.2- e, 3 4/ Parcel: 364611669476, 611 ISLAND FORD RD ( ) re) t/;f , tin=50ft MAIDEN, 28650 13- —55 This map/report product was prepared from the Catawba County,NC Geospatfal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the Independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may ariso from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 06/05/2023