HomeMy WebLinkAboutAUTH-09-2023-205660.TIF �'� CATAWBA COUNTY Case k
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N it, Public Health Department Subdivision SPRINGHAVEN
R` ,tom Environmental Health Division PIN# 374413148007
*• PO Box 389,25 Government Drive.Nev.ton.NC 28658 1.01# 2
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Site Address: 5215 W PIEDMONT CIR, CONOVER NC 28613
Name on Permit: OLIVIA SMITH
Property Size: Acres 0.37
Directions: Take Radio Station Rd to US-321 BUS N/Northwest BIvd,Continue on US-321 BUS N/Northwest Blvd. Take
County Home Rd and Lee Cline Rd to Houston Mill Rd
Continue on Houston Mill Rd. Drive to W Piedmont Cir,5215 W Piedmont Cir
Conover, NC 28613
Owner/Authorized Representative Acknowledgement of Permit Receipt
l certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
s the property owner or authorized representative, I have received the above referenced
eflis.
permit(s)as requested in the application for service EHPR-09-2023-45579, by the following method(s):
Received in Person
_ Facsimile Transmittal (Return form with signature required)
J- Electronic Image Transmittal/E-mail (Return receipt required)
Sts 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:09/28/2023 Vs
Owner/Authorized Representative Signature_ *IPv ► w 4 _till__
-91 DateAllii_(343
_ .
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ _— (name of person sending permit)
Signature - _ Ce. Date/Time /O433
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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yyia CATAWBA COUNTY Case# AUTH-09-2023-205660
.1.IL Public Health Department Subdivision SPRINGHAVEN
.0C ,� 'i Environmental Health Division PIN# 374413148007
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
Site Address: 5215 W PIEDMONT CIR, CONOVER NC 28613
Name on Permit: OLIVIA SMITH
Property Size: Acres 0.37
Directions: Take Radio Station Rd to US-321 BUS N/Northwest Blvd,Continue on US-321 BUS N/Northwest Blvd. Take
County Home Rd and Lee Cline Rd to Houston Mill Rd
Continue on Houston Mill Rd. Drive to W Piedmont Cir,5215 W Piedmont Cir
Conover, NC 28613
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: Community Well Maximum Occupants: 6
Soil LIAR: .4 g.p.d.Nt2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25% REDUCTION
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Septic Tank: New Tank: 1,000 gal
Pump Tank 1,000 gal Grease Trap_gal
Dosing Volume 114 gal Pump Specs: 29.4 GPM @ 21.02 TDH
Pressure Head 2 ft Draw Down 5'4 in
Drainfield: Total Area: 750 sq ft Total Trench Length: 250 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 25 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 7 ft on center
Number of Drain Lines: 5 Trench Width: 3 ft
Distribution: Pressure Manifold
Pre Treatment: NONE
Pump Required
Additional Specifications:
*PRESSURE MANIFOLD:
-GATE VALVE REQUIRED
-5 SCH 80 1/2"TAPS
*INSTALL AS DRAWN
*PUMP, CRUSH,AND BACKFILL EXISTING TANK WITH SOIL
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:
thpermit 10/04/2023 13:37