HomeMy WebLinkAboutAUTH-07-2023-200906.TIF ���ir� CATAWBA COUNTY
a,/ a Public Health Deparunent Subdivision MOONLITE BAY
,%r Is Environmental Health Divwon PIN/ 480804847898
ice/� PO Box 3E9,25 Government Drive,Newton,NC 2865E LOTH 78
Site Address: 4899 MOONLITE BAY DR,SHERRILLS FORD NC 28673
Name on Permit RORY BOY
Property sip: Acres 0.46
Directions: Slanting Bridge Left Tradewinds Right Moonlight Bay
Owner/Authorized Representative Acknowledgement of Permit Receipt
X/ certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
r As the property owner or authorized representative,I have received the above referenced
permits)as requested in the application for service RBPR-06-2023-44603,by the following method(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
ILElectronic 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(I SA 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:07/25/2023
Owner/Aut on d Representative Signature __
Date //
Documentation of Permit( Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Or Date/Time t II 173
Method: Fax V Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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6' CATAWBA COUNTY Case# AUTH-07-2023-200906
.t. , Public Health Department Subdivision MOONLITE BAY
Q , '1 Environmental Health Division PIN 460604847698
J PO Box 389,25 Government Drive,Newton,NC 28658 Ln l 78
\48�2 sm
Site Address: 4899 MOONLITE BAY DR, SHERRILLS FORD NC 28673
Name on Permit: RORY BOY
Property Size: Acres 0.46
Directions: Slanting Bridge Left Tradewinds Right Moonlight Bay
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: 0.275 g.p.d.Ift2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IllE-PPBPS GRAVITY DOSED SYSTEM
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: 32 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center
Number of Drain Lines: 4 Trench Width: 2 ft
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
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: 0.275g.p.ddit2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
,I,,,,,,i 07/26/2023 11:18
rCaseCATAWBA COUNTY
# AUTFI 07-2023 200906
Public Health Department Subdivision MOONLITE BAY
, Environmental Health Division PIN# 460604847698
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 78
/H4
Site Address: 4899 MOONLITE BAY DR, SHERRILLS FORD NC 28673
Name on Permit: RORY BOY
Property Size: Acres 0.46
Directions: Slanting Bridge Left Tradewinds Right Moonlight Bay
The issuance of this permit by the I lealth 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 arc 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.
"444-8.-- /- /_ez,e__2___
07/25/2023
Authorized State Agent PCI1111t Issuance Ikite
07/25/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Deportment.
ehpermit 07/26/2023 11:18
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Catawba County Environmental Health
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Parcel: 460604847698, 4899 MOONLITE BAY 1 in=40ft
DR SHERRILLS FORD, 28673
This map/report product was prepared from the Catawba County,NC Geospaiial 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
apse from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
07/25/2023