HomeMy WebLinkAboutAUTH-08-2023-202114.tif 4, s CATAWBA COUNTY
�/.i-a Public Health Departmem Subdivision
Environmental Health Division PIN# 369702688080
-L�� PO Box 389,25 Government Dnve,Newton,NC 28658 I.OTN
Stte Address: 6711 INGLESIDE DR,SHERRILLS FORD NC 28673
Name on Permit: SHELLY'WRIGHT
Property Size: Acres 4.46
Directions: Hwy 150 to Little Mountain Rd to Ingleside Or
} Owner/Authorized Representative Acknowledgement of Permit Receipt
`X, fi certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above,
60 As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-03-2023-43745,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
.1 Electronic Image Transmittal/E-mail (Return receipt required)
}( ",As the property owner or authorized representative I have reviewed and understand the specific conditions
ff`` 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 ISA.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:08/08/2023
Owner/Authorized Representative Signature , "-- L'
Date S <7) a)t/s%` 3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by __ _ (name of person sending permit)
Signature __ Date/Time D 1)3 l r7 3
Method: _Fax J Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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c,,ra n m i na/oa 2023 11:46
334`� CATAWBA COUNTY Case# AUTH-08-2023-202114
E.:, t i ,y Public Health Department Subdivision
(...„• '.-1 Environmental Health Division PIN# 369702688080
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
!8. s.,
Site Address: 6711 INGLESIDE DR, SHERRILLS FORD NC 28673
Name on Permit: SHELLY*WRIGHT
Property Size: Acres 4.46
Directions: Hwy 150 to Little Mountain Rd to Ingleside Dr
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
Soil LTAR: 0.25 g.p.d.lft2
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
Drainfleld: Total Area: 720 sq ft Total Trench Length: 240 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 26 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 3 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*Do not cut,drive,fill,or grade over septic or repair areas.
*Septic system must be 10 ft from property lines, 50 feet from wells, 5 ft from building foundations and
appurtenances, and out of right-of-ways and easements.
*Install a 1,000 gallon septic tank(risers required if top of tank is greater than 6 inches below land surface).
*Install 240 linear feet of 25%reduction system, proposed 3 lines total at 80 ft each on contour.
*Final grade of septic area must shed surface water off and away from system.
*All gutter drains must be routed away from the septic system.
*Well should be 5 ft from property lines; 25 ft from structures; 50 ft from septic systems; and out of right-of-ways
and easements.
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: 0.25 g.p.d.lft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
el i pc rw.t 08/08/2023 11:46
.IV,t. CATAWBA COUNTY1...,( Case# AUTH-08-2023-202)14
.t. , Public Health Department Subdivision
d "�w Environmental Health Division PIN# 369702688080
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 6711 INGLESIDE DR, SHERRILLS FORD NC 28673
Name on Permit: SHELLY'WRIGHT
Property Size: Acres 4.46
Directions: Hwy 150 to Little Mountain Rd to Ingleside Dr
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.
08/08/2023
Authorized State Agent Permit Issuance Date
6/20/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 08/08/2023 II:46
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D3-2�23- tt371ir
Catawba County Environmental Health AL"*4 4'p-2.,23_ Zoe//y
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Parcel: 369702688080, 6711 INGLESIDE DR 1 in=100ft
SHERRILI_S FORD, 28673
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to ensure independent
at and labeling information oontafned on this map or data on this report Catawba County promotes and recommends
thendeppersonnel.dlen tiny,and on a an data
oonlei ed on INsmap/rqort product by the user.The County of Catawba,its employees,agents,and
p from this mephandruhal not product be the use thereof liable orany and al damages,loss or liabity,whether dirod,indirect or consequential which arises or may
by any person or entity.
Copyright 2023 Catawba County NC
08/08/2023