HomeMy WebLinkAboutAUTH-4-11-17250.TIF �qA CATAWBA COUNTY Case # AUTH-�-11-17250
� ; Public Health DepaRment
`' � Environmental Health Division Subdivision LAKEPOINTE SOUTH
6 ": 3 `< PO Box 389, 100-A Southwest Blvd, Newton, NC 286�8 Lot # 34
I8 2 �w PIN# 462801363347
,4pp�icantlOwner FRANCIS D POPE III
Site Address: 2676 CAMDGN POINTE DR, Sherrills Ford. NC
Prope�ty Size: S�' 0_81 ACRES
D irections: HWY 16 S, LF HWY 150/LF SHERRILLS POD RD/RT ISLAND PO RD TO LA SOUTH L OT ON LF
Authorization to Construct Permit
Authorization to Construct Wastewater System lRequired for Building Permit�
* See site plan and number of adclitional attachments (_�.
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480_ g.p.d
_ _.
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LTAR: 0•3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Y es Bedrooms: 4
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head 2 ft Draw Down in
Drainfield: Total Area: 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 24 in
Aggregate Depth in Trench Width 3 • 0 ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 • 0 ft on center
Number of Drain Lines 6
Distribution: Pressure Manifold
PUMP REOUIRED
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 U W ET C ONDITIONS ««<
Proposed Repair
System Class: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP
Soil LTAR: 0•3 g.p.d./ft2
PUMP REOUIRED ***** OPERATOR REOUIRED
04/2 I/ 1 I I 2:49
�qA CATAWBA COUNTY Case # AUTH-4-11-17250
y � . G Public Health Depaztmei�t
Q 2 Subdivision LAKEPOINTE SOUTH
�; Environmental Health Division
"�' :� `�' PO Box 389, 100-A Southwest alvd, Newton, NC 28658 Lot # gq
Ig4 sw PIN#
462801363347
ApplicantlOwner FRANCIS D POPE III
Site Address: 2676 CAMDEN POINTE DR, Sherrills Ford, NC
Property Size: SF 0_81 ACRES
Directions: HWY 16 S, LF HWY 150/LF SI-IERRILLS FOD RD/RT ISLAND POINTE RD TO C,AKEPOINT� SOUTH/2ND LOT ON LF
The issnance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicandproperty owner to insure that afl Cata�vba County Planning/"Loning 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 Rcr[es for Sewnge Trentment and Disposrrl Svstems' (15A NCAC 18A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system wifl continue to
functio s a t i s f a ctorily f any gi period of time.
Robbie Phelps 04/21/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: O1/18/2015
No grading or constructron activiry is allowed in areas designatetl for system and repair without approval of the Health Department.
04/21 / l I I 2:49
�4�A Permit # Auth-4-11-17250
�, CATAWBA COUNTY
G Name Francis Po e III
(�, '2 Public Health Department Address 2676 Camden Pointe Dr
� � ,,�`, Environmental Health Division P � #
PO Box 389, 100A Southwest Blvd, Newton NC 28658
1g 2 sM � 465-8270 Fa� (828) 465-8276 TDD (828) 465-8200
SITE PLAN
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CATAWSA COUNTY Case � AUTH-4-11-17250
Public Health Department Subdivision LAKEPOINTE SOUTH
� Environmenlal Healih Division
PO Box 389, I OO�A Southwest Blvd, Newton, NC 28658 Lot fl 34
+� P�T1N 462801363347
AppllcanUOwner F�NCIS D POPE DT
Site Address: 2676 CAMDEN POINT'E DR Shenills Ford. NC
Property Size: SF 0.8� ACRES
Dirrectiona: HWY [6 S, LF HWY 150/LF SHERRILLS FOD RD/RT ISLAND POINTE RD TO LAKEPOfNTE SOUTH/2ND LOTON LF
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.
�As the property owner or authorized representative, I have received the above referenced permit(s} as
requested in the application for service WLS2006-00002 , by the following method(s):
Received in Person
_ Facsimile Transmittat (Return form with signature required}
�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: 04/21 /201 I
� � �
Owner/Authorized epresentative Signature /i�
Date � �//
Documentation of Permit(s) Transmitta!
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson sending permit)
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
acknowledges the conditions and statements above.
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