HomeMy WebLinkAboutAUTH-08-2023-202031.TIF t '
4e CATAWBA COUNTY
4. Public Health Department Subdivision WOODLAND OAKS
�, Environmental Health Division PIN# 376004936294
PO Box 389,25 Government Drive,Newton,NC 28658 L.OT# 36
Site Address: 3964 HOKE ST, CLAREMONT NC 28610
Name on Permit: *JW ROOFING&CONSTRUCTION INC
Property Size: Acres 0.74
Directions: Balls Creek RD Turn onto Hoke ST, lot is down the road near end on theright
(
f Owner/Authorized Representative Acknowledgement of Permit Receipt
` 'L:w I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
/ the property described above,
As the property owner or authorized representative, I have received the above referenced
permit(s)as
requested in the application for service RBPR-07-2023-44842, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
at 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
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: 08/07/2023
Owner/Authorized Representative Signature 0 /
Date Ph '/
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name afperson sending permit)
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
We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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,,,„,,,nit 08/07/2023 11:25
• CATAWBA COUNTY Case# AUTH-08-2023-202031
• -i, Public Health Department Subdivision WOODLAND OAKS
• .IR • is Environmental Health Division PINS 376004936294
>� PO Box 389,25 Government Drive,Newton,NC 28658 LOTS 36
all Site Address: 3964 HOKE ST, CLAREMONT NC 28610
Name on Permit: 'JW ROOFING &CONSTRUCTION INC
Property Size: Acres 0.74
Directions: Balls Creek RD Turn onto Hoke ST, lot is down the road near end on theright
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: Community Well Maximum Occupants: 6
Soil LTAR: .3 g.p.d.lft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50% REDUCTION HORIZONTAL
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: 200 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 20 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center
Number of Drain Lines: 6 Trench Width: 3 ft
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
`INSTALL AS DRAWN
`SUPPLY LINES ALONG WITH ANY PART OF SYSTEM IS 10FT FROM PROPERTY LINE
'15FT SETBACK TO FOUNDATION DRAINS
`FINAL PLUMBING ELEVATION MUST COME OUT IN FRONT OF HOME
'NOTE PROPOSED WATER LINE LOCATION
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: .3 g.p.d.lft2
Proposed System: 50%REDUCTION HORIZONTAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
cI I).I,nh l 08/07/2023 11:26
e4‘71,11r e CATAR'BA COUNT]' Case iJ AIJTFI 0$ 2023 20203)
t. Public Health Department Subdivision WOODLAND OAKS
Environmental Health Division I'INk 376004936294
PO Box 389,25 Government Drive,Newton,NC 28658 Loris 36
Site Address: 3964 HOKE ST, CLAREMONT NC 28610
Name on Permit 'JW ROOFING&CONSTRUCTION INC
Property Size: Acres 0.74
Directions: Balls Creek RD Turn onto Hoke ST, lot is down the road near end on theright
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 18A.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.
Deg,' Elo4.+s
08/07/2023
Authorized State Agent Permit Issuance Date
8/7/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chprinilt 08/072023 11:26
Catawba County Environmental Health
RBPRo7ao3
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