HomeMy WebLinkAboutAUTH-11-2023-208546.TIF g: CATAWBA COUNTY ..... . .. _„_.. -.,,,_ ._
F.T .j.IR ,� Public Health Department Subdivision ANNIE TRACE PH 2
4 .� '� Environmental Health Division PIN# 377108994143
PO Box 389,25 Government Drive,Newton,NC 28658 i o r# 19
. SM
Site Address: 2677 1ST AVE NW,CATAWBA NC 28609
Name on Permit: STEFAN KULCSAR
Property Size: Acres 0.35
Directions: NC 10 left onto 5th St SW, Left onto Old Catawba, Right onto Davis St, Right to stay on Davis St
Owner/Authorized Representative Acknowledgement of Permit Receipt
X I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-07-2023-44935, by the following method(s):
Received in Person
/ Facsimile Transmittal(Return form with signature required)
I. Electronic Image Transmittal/E-mail (Return receipt required)
_ 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: 11/15/2023
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)
Signature E Date/Time n`l vh3
Method: Fax 4 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 youPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
5kkvt Xtt loar@ 0 hots. &rf
rLpemiit 11/22/2023 05:03
--3"ts � ''/J\13
/� e CATAWBA COUNTY Case# AUTH-11-2023-208546
.t. 2 Public Health Department Subdivision ANNIE TRACE PH 2
(....ot� 'j Environmental Health Division PIN# 377108994143
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 19
Site Address: 2677 1ST AVE NW, CATAWBA NC 28609
Name on Permit: STEFAN KULCSAR
Property Size: Acres 0.35
Directions: NC 10 left onto 5th St SW, Left onto Old Catawba, Right onto Davis St, Right to stay on Davis St
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? NO Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LIAR: .3 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50% REDUCTION VERTICAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
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
Drainfieid: Total Area: sq ft Total Trench Length: 200 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 6 ft on center
Number of Drain Lines: 5 Trench Width: 2 ft
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
*VERTICAL PANEL BLOCK
*6 FOOT CENTERS
*45 TOTAL PANELS
*NO FILLING OR GRADING OVER SEPTIC AREAS
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: .3 9•P•d.lft2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
clip:mut 11/30/2023 10:16
� \- CATAWBA COUNTY Case# A11T11-11-2023-208546
•
3,- .f.� ,y\ Public Health Department Subdivision ANNIE TRACE PH 2
'4 . i `�, Environmental Health Division PIN# 377108994143
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 19
SM
Site Address: 2677 1 ST AVE NW, CATAWBA NC 28609
Name on Permit: STEFAN KULCSAR
Property Size: Acres 0.35
Directions: NC 10 left onto 5th St SW, Left onto Old Catawba, Right onto Davis St, Right to stay on Davis St
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 arc 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 I lealth of this change prior to system installation.
ifi..................... ... q G✓4MS
11/15/2023
Authorized State Agent Permit Issuance Date
11/15/2028
Pennit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpcnmit II/22/2023 05:04
Catawba County Environmental Health
Rs % R--:-0.! a3 Nqt3
llfl '' - , \ 1 -Roa3 - a sqg
oa - dO 'leAir ..„.4
_,. a 3
55.24
^0
126.11
las' Iasi 95' p
0
cr • le
a�8r %Li `4
at CI• 1`r 6
,1 S ` 50
a a o, •2077 .
/0' • Hpm. ep k. �'
Srpltc. yo' ® _ _ sof) H
Re ;r Sr 1
Drive.
} 149.74
V2. r}-; I
Pgne( flak P r„ -)
O 8 nt S .a
— g '� .S-�.inCS •2667 g g
gpntis ego-1
* S
F`,__.,_.P c-1- r i .:•.t.— 1,1\ •^. 14 PI,r^
et Ay (0--r-4- w.r Sys M
Parcel:377108994143,2677 1 ST AVE NW 1 in=40ft
CATAWBA,28609
Mk mapksport product wee proparad tom the Colgate Cony.NC C,eoepil hdormeton Services. Catawba County has made substantial efforts
to anise h aootaaq of Wien oral Imbuing iima..bn m alned en this map or data on Via report Catawba County promotes and recommends
h Yalape dent vodka/on of any data aniallrod on els neepitepot induct by h user.The County of Catawba.its employees,agents,and
peraanneL dbdiiiM and atoll not be held IAA for maul ul dopes, ois at isbily,w tel er died,Indirect or consequential wt>tch arises or may
sibs from 1* flaporl product or louse hraaf by any parson enemy,
Coat&2023 Casaba Candy NC
11/15/2023
el)CamScanner