HomeMy WebLinkAboutAUTH-5-11-17915.TIF ��A CATAWBA COUNTY Case # AUTH-5-11-17915
y . � 2 Public Health Department
d .
.; Environmental Health Division Subdivision OXFORD PARK
'>o� `�' PO Box 389, 100-A South�vest Blvd, Newton, NC 286�8 Lot # 7
Ig 2 5� PIN#
375419503269
Applicant/Owner WA HER XIONG l_
Site Address: 4679 DIAMOND ST, Claremont, NC �� �—� �' I'/ ��
Property Size: SF 0_61 ACRES
Directions: HIGHWAY 16 N- TURN RIGHT INTO OXFORD PARK - TURN RIGHT ONTO OPAL ST - TURN RIGHT ONTO
DIAMOND ST - 2ND HOUSE ON RIGHT
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit�
* See site plan an�l number of additional attachments (,).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d
Type: 111B - S W/ SIN G LE EFFLUENT PUMP
Soil LTAR: 0 • 3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Yes 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 ft Draw Down in
Drainfield: Total Area: >> sq ft Total Length: 400 ft Maximum Trench Depth 30 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 5
Distribution: Pressure Manifold
PUMP REOUIRED
Additional Specifications: Septic system must be 100 ft. from any well, 15 ft. from basement cuts, 5 ft. from structures, 10 ft.
from property lines, 10 ft. from water lines.
Recommend removing maple tree as to accommodate drainfield installation.
Installer is to schedule a pre-construction meeting prior to installation. Pump requirements to be
determined at that time.
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
System Class: Proposed System: Distribution Type::
Soil LTAR: g.p.d./ft2
05/12/11 1020
�qA CATAWBA COUNTY Case # AUTH-5-1 1-17915
y . . G Public Health Department
¢ � �; Subdivision OXFORD PARK
_ Environmental Health Division
° os `�' PO Box 389, 100-A Southwest Bivd, Newton, NC 28658 Lot # �
tg4 s� PIN#
375419�03269
ApplicantlOwner WA HER XIONG
� Site Address: 4679 DIAMOND ST, Claremont, NC
Property Size: SF 0_61 ACRES
Directions: HIGHWAY l6 N- TURN R]GHT INTO OXFORD PARK - TURN RIGHT ONTO OPAL ST - TURN RIGHT ONTO
DIAMOND ST - 2ND HOUSE ON R[GHT
The issuance of this permit by the Hea1Ch 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 of the North Carolina 'Lnws and Rules for Sewa�e Trealmenl nnr! Disposnl S stv ems (15A NCAC 18A
.1900). Neither Catawba County nor the Environmentaf Health Specialist warrants that the septic tank system will continue to
functio satisfactorily for any given period of time.
Megen McBride OS/11/2011
AUTHOR[ZED STATE AGENT APPROVAL DATE
Permit Expiration Date: OS/09/2016
No gradrng or construction actdvity rs allowed in areas designated for system and repair without approval of the Health Department.
OS/12/1 I 1020
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�qA CATAWBA COUNTY Case # AUTH-�-11-1791�
Q . G Public Health Department
Q ;� 2 Subdivision OXFORD PARK
.; Environmental Health Division
�� `�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # �
Ig 2 s� PIN#
375419�03269
ApplicantlOwner `7�IA HER XIONG
Site Address: 4679 DIAMOND ST, Claremont, NC
Property Size: SF 0_61 ACRES
Directions: HIGHWAY 16 N- TURN RIGHT INTO OXFORD PARK - TURN R[GHT ONTO OPAL ST - TURN RIGHT ONTO
DIAMOND ST - 2ND f-IOUSE ON RIGHT
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.
�1X ✓ As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-4-ll-10670 , by the following method(s):
�nl X � Received in Person
_ Facsimile Transmittal (Return farm with signature required)
_ Electronic Image Transmittal/ E-mail (Return receipt required)
WX ✓ 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 ancUor water supply well permitted.
Permit Issue Date: OS/11/2011
Owner/Authorized Representative Signature
�..
Date � � 1 � 1
-----------------------------------------------------------------------------------------------------------
Documentation of Permit(s) 'I'ransmittal
(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.
osi�ziil io:zo
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet _ of_
DIVISION OF ENVIRONMENTAL HF.ALTH PROPERTY ID #:
ON-SITE WASTEWATER SEC'I'ION ' COUNTY:
SOIL/SITE EVALUATION
\ �I \/ for ON-SITE WASTEWATER SYS
OWNER: `� `� ��er 1110 ►'��1 APPLICATION DATE y 27 I� U", '�""� " O
ADDRESS: DATE EVALUATED: 5 5
PROPOSED FACILITY: Q K Ou5 PROPOS D DESIGN FLOW (.1949): `6 PROPERTY SIZE: �� b I� � t f.5
LOCATIONOFSITE: H679 Dic�MOn S-� ��GtrL�npn PROPERTYRECORDED:
WAT'ER SUPPLY: � Private � Public � Well � Spring � Other
EVALUATION METHOD: � Auger Boring � Pit � Cut
TYPE OF WASTEWATER � Sewage � Industrial Process � Mixed
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DESCRIPTION L SYSTEM REPAIFt SYSTEM OTHER FACTORS (.1946):
SITE CLASSIFICATION (.1948):
Available Space (.1945) � �
EVALUATED BY: � �P � ��- � } .c �r, G
SystemType(s) � by OTI�R(S) PRESENT:
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Site LTAR C 3
COM�IENTS:
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