HomeMy WebLinkAboutAUTH-10-2023-206322.TIF I
..i Y, C.ATAW BA COUNTY Case# AU I'M I-10-2023-206322
,5,'a- Public Health Depanment Subdivision LAZY S DEVELOPMENT
R ., _ )s Environmental Health Division PIN# 376116821846
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PO Box 389,25 Government Drive,Newton.NC 28658 LOISM71-73
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Ma 3842 RICHARD ST,CLAREMONT NC 28610
Name on Permit: *CAROLINA POOL BUILDERS, INC.
Property Size: Acres 1.3
Directions: Off Boggs Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
SRAS I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
RAS As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-09-2023-45560,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
RAS._ 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: 10/10/2023
Owner/Authorized Representative Signature_ R+cl►arcL+4ian.SL moV1.
le'iDate 10/24(2023
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ (name of person sending permit)
Signature 4 E.-
_ Date/Time /b/73 f 73
Method: Fax v Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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HArlir CATAWBA COUNTY Case# AUTH-I0-2023-206322
Public Health Department Subdivision LAZY S DEVELOPMENT
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, � Environmental Health Division PIN# 376116821846
PO Box 389.25 Government Drive,Ne�4ton.NC 28658 LOT# 71-73
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Site Address: 3842 RICHARD ST,CLAREMONT NC 28610
Name on Permit: *CAROLINA POOL BUILDERS, INC.
Property Size: Acres 1.3
Directions: Off Boggs Rd
Authorization to Construct Permit
Permit Category: Relocation Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-Existing House
Basement? Yes Basement Plumbing? No Bedrooms: 2
Water Supply: Community Well Maximum Occupants: 4
Soil LIAR: g.p.d.lft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: Relocate supply line
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Septic Tank: Existing 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: 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: Serial
Pre Treatment: NONE
Additional Specifications:
*This permit is issued to relocate the 3 inch PVC septic supply line due to the addition of a swimming pool.
*Move supply line a minimum of 10'from the pools water edge.
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 LIAR: _ g.p.d.lft2
Proposed System:
System Classification:
chpcnnu 10120i2023 16:32
.1%�� CATAWBA COUNTY Case# AUTF1-I0-2023-206322
T3(.....t Public Health Department Subdivision LAZY S DEVELOPMENT
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''1 Environmental Health Division PIN# 376116821846
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 71-73
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Site Address: 3842 RICHARD ST,CLAREMONT NC 28610
Name on Permit: *CAROLINA POOL BUILDERS, INC.
Property Size: Acres 1.3
Directions: Off Boggs Rd
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 ot'the
North Carolina'Laws and Rules for Sewage Treatment and Disposal Systems' (I5A 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.
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bry4--% F.,,`` 10/10/2023
Authorized State Agent Pennit Issuance Date
10/10/28
Pennit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the/lealr/r Department.
dipennit 10/20/2023 16:32