HomeMy WebLinkAboutAUTH-07-2023-200848.TIF Imo• CATAWBA COUNTY
t~ 11,, Public Health Department Subdivision L A CARPENTER
�� Environmental Health Division PIN# 364609052428
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 5
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Site Address: 233 GOLF COURSE RD, MAIDEN NC 28650
Name on Permit: TRAVIS LAWING
Property Size: Acres 0.57
Directions: Hwy 321 Turn Rt on South Main, Lot on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
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As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-04-2022-40614, by the following method(s):
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
of the permit issued, and further understand that all applicable regulatory requirements specified under the
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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: 07/25/2023
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
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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
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ehpennit 07/27/2023 07:27
�y,' CATAW BA COUNTY Case t; AUI'H-07-2023-200848
�7' tI ,� Public health Department Subdivision LA CARPENTER
„ l J Environmental Iicalth Division PINIt 364609052428
PO Box 389,25 Government Drive,Newton.NC 28658 1.0I fJ 5
1*4_ .,
Site Address: 233 GOLF COURSE RD, MAIDEN NC 28650
Name on Permit: TRAVIS LAWING
Property Size: Acres 0.57
Directions: Hwy 321 Turn Rt on South Main, Lot on Left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LTAR: 0.275 g.p.d.ift2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIE- 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: sq ft Total Trench Length: 220 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 34 in
Minimum Soil Cover: in Minimum Trench Separation: 6 ft on center
Number of Drain Lines: 4 Trench Width: 2 ft
Distribution: Drop Box
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 50% reduction product according to manufacturer
specifications.
*Each 44 foot line will contain 10 panels, and each 66 foot line will contain 15 panels.
*A drop box will be used in each line to achieve serial gravity dispersal of effluent.
*AII parts of the septic areas(including repair) MUST remain 10 feet from property lines, 15 feet from building
structures(due to basement), and 10 feet from water 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 LTAR: 0.275g.p.d./ft2
Proposed System: 50%REDUCTION VERTICAL
System Classification: 1118-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
c l i pc m l i I 08/03/2023 16:37
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CATAWBA COUNTY Case# AUTH-07-2023-200848
Public Health Department Subdivision L A CARPENTER
- Environmental Health Division PIN# 364609052428
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 5
Site Address: 233 GOLF COURSE RD, MAIDEN NC 28650
Name on Permit: TRAVIS LAWING
Property Size: Acres 0.57
Directions: Hwy 321 Turn Rt on South Main, Lot 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' (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 Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
31Art 111r
07/25/2023
Authorized State Agent Permit Issuance Date
7/25/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpem,it 07272023 07:27
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Catawba County Environmental Health
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Parcel: 364609052428, 233 GOLF COURSE RD 1 in=40R
MAIDEN, 28650
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