HomeMy WebLinkAboutAUTH-4-11-17286.TIF �gp CATAWBA COUNTY Case # AUTH-4-1 I-17286
Public Health Department
a �y, Subdivision CROSSING CREEK
a Environmental Health Division
"�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # PT 15
w PM# 376304841391
ApplicantlOwner Julia Thornton
Site Address: 3804 CROSSING CREEK DR, Claremont, NC
Property Size: SF 0.49 ACRES
Directions: Hwy 70 to Rock Barn ERd / past CVS Pharmacy - stay on Rock Barn Rd - go to dead End turn Right - go to Deal Rd / Rt to
Crossing Geek Rd / Lot on Left.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Reauired for Buildina Permitl
* See site plan and number of additional attachments (�.
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p ,d
Type: IIIG - OTHE N TRENCH SYSTEMS
Soil LTAR: 0 • 4 g.p.d./ft2
Permit Category: Other
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 3
Wastewater System Requirements
Tank Size: 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: 225 sq ft Total Length: 75 ft Maximum Trench Depth 36 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 1
Distribution: Serial
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 W ET CONDITIO ««<
Proaosed Repair
System Class: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP
Soil LTAR: 0•3 g.p.d./ft2
PUMP REOUIRED * * * * * OPERATOR REOUIRED
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicanUproperty 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 of the North Carolina 'Laws and RulesforSewaPe Treatment and Dis op sal Svstems' (15A 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.
Megen McBride 04/25/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/23/2016
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
04/25/I l 10:17
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� CATAWBA COUNTY , � , ,
Public Health Department Subdivision
¢ � Environmental Health Division CROSSING CREEK
'�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # PT 15
I � p�1# 376304841391
ApplicantlOwner Julia Thornton
Site Address: 3804 CROSSING CREEK DR, Claremont, NC
Property Size: SF 0.49 ACRES
Directions: Hwy 70 to Rock Barn ERd / past CVS Pharmacy - stay on Rock Barn Rd - go to dead End turn Right - go to Deal Rd / Rt to
Crossing Creek Rd / Lot on Left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
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 EHPR-3-11-10036 , by the following method(s):
�
Received in Person
Facsimile Transmittal (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: 04/25/2011 �
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 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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