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CATAWBA COUNTY Case# AUTH-09-2023-205129 ,y Public Health Department Subdivision d iont - ,� Environmental Health Division(..... PIN# 374410454305 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# /8 se Site Address: 5237 LEE CLINE RD, CONOVER NC 28613 Name on Permit: PAMELA MEDLIN Property Size: Acres 8.75 Directions: County Home RD onto Lee Cline RD,cross 2nd bridge, yellow brick house on left. Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence-SFD Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soil LTAR: g.p.d./ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY System Classification: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) 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 D►ainfield: Total Area: sq ft Total Trench Length: ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in Minimum Soil Cover: in Minimum Trench Separation: ft on center Number of Drain Lines: Trench Width: ft Distribution: Distribution Box Pre Treatment: NONE Additional Specifications: *PUMP CRUSH AND FILL EXISTING WASHER BOX *PLUMB WASHING MACHINE INTO SEPTIC TANK *PUMP CRUSH AND FILL EXISTING SEPTIC TANK *NEW 1000GAL SEPTIC TANK *15FT SETBACK TO CUT BANKS AND BASEMENT WALL *ALL COMPONENTS OF SEPTIC SYSTEM MUST BE 50FT FROM ANY 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./ft2 Proposed System: System Classification: ehper:nit 09/27/2023 13:06 r CATAWBA COUNTY Case# • AUTH-09-2023-205129 ,y Public Health Department Subdivision ,�\, Environmental Health Division PIN# 374410454305 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# JR42 SM Site Address: 5237 LEE CLINE RD, CONOVER NC 28613 Name on Permit: PAMELA MEDLIN Property Size: Acres 8.75 Directions: County Home RD onto Lee Cline RD,cross 2nd bridge, yellow brick house 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 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 Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. Deg,...) 5,41 S 09/20/2023 Authorized State Agent Permit Issuance Date 9/20/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the 1-lealth Department. ehpenuit 09/21/2023 05:30 • Catawba County Environmental Health EWR -611-aoa3. gsg9 AOT oQ ao_a3. oiq 0 /36 5237 /7n/G wJBST Sid G,b .o �e'\\ G,/ //' • ° wq•sher gox in ()sek c 'v er Sysirf✓1 must be. Akndoned Doe io bei49 Lass +kGKI SoP. Ve-I M -, \ gstAer Mud- bc- PLeAbecl in 1-0 SepIr c_Tc14. - Parcel: 374410454305, 5237 LEE CLINE RD 1 in=40ft CONOVER,28613 This map/report product was prepared from the Catawba County,NC GeospaUal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location end labeling Information contained on Ibis 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 al 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. Copyright 2023 Catawba County NC 09120/2023