HomeMy WebLinkAboutAUTH-10-2023-207431.TIF - ,.,.,
85 a CATAWBA COUNTY Case# AUTH-10-2023-207431
/NibH t IR , Public Health Department Subdivision
logi;nvironmental Health Division PIN# 361803016084
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
1: 2 w
Site Address: 3931 GRACE CHURCH RD, NEWTON NC 28658
Name on Permit: NICHOLAS LINGO
Property Size: Acres 1.6
Directions: W NC 10 Hwy, right Hickory Lincolnton Hwy, right Grace Church Rd, on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
I _ _I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
4 _ As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service EHPR-10-2023-45708, by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
.J Electronic Image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
f" 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: 10/30/2023
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
f/ill
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 rnomentts tto complette our custtomer service survey att
http://www.s rveymonkey.com/s/EHCusttomerService
ehpermii 11/01/2023 10:25
CATAWBA COUNTY" Case# AUTI 1-10-2023-207431
.t. Public Health Department Subdivision
'WI '4 Environmental Health Division PIN# 361803016084
•
PO Box 389,25 Government Drive,Newton,NC 28658
I• /. cm
Site Address: 3931 GRACE CHURCH RD, NEWTON NC 28658
Name on Permit: NICHOLAS LINGO
Property Size: Acres 1.6
Directions: W NC 10 Hwy, right Hickory Lincolnton Hwy, right Grace Church Rd, on left
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water 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
Drainfleld: 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: Gravity
Pre Treatment: NONE
Additional Specifications:
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: 9•P•d./ft2
Proposed System:
System Classification:
11/29/2023 15.38
I