HomeMy WebLinkAboutAUTH-5-11-18041.TIF � CATAWBA COUNTY Case # AUTH-5-11-18041
e . , G Public Health Department Subdivision
ti 2 HICKORY SPINNERS 3710
,� Environmental Health Division
v °� ''�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 5
1$ sM PIN# 371019626205
Applicant/owner DAVID M HESS
Site Address: 1095 COLTNTRY CLUB RD, Newton, NC
Property Size: SF 0.55 ACRES
Directions: SOUTH ON 321 BUS/ RT HWY 10/ 3S MU RT ROBINSON RD/ 1.8 MIL/ LF ON SANDY FORD RD/ 2 MU LF ONTO
COUNTRY CLUB RD/ ON RT
Authorization to Construct Permit
Authorization to Construct 1A/astewater System (Reauired for Building Permitl
* See site plan and number of additional attachments (_).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 480 g.p.d
Type: IIIG - O THER N TRENCH SYSTEMS
Soil LTAR: • g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 4
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: 180 sq ft Total Length: 60 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 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 SVSTE UNDER 1MET CONDITIONS ««<
Proposed Reaair
System Class: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP
Soil LTAR: •3 g.p.d./ft2
P�JIVIP REOUIRED ***** OPERA'I'OR REOUI�D
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 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 Rules for Sewage Treatment and Disposal Systems' (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 OS/17/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: OS/15/2016
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
OS/17/11 10:07
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�4 .��j Environmental Hcalth Division Subdi�'icion H]CKpRY 5P[I�I�ERS 3710
PCl $ox 389, 10�1A Southwest Blvd, NewTOn, NC 2Rt�5R Lot d 5
'" �'�# 371O19626205
ApplicarrtlOwner DAVID M HESS
51te Addt�ess: 1095 COUNl`AY Ci,tiB RD, �iewton, NC
Property Size: SF Q,� ACRES
Direcdons: 5UL1Tti QN 32l BUS� RT HV1�Y IQ! 3.5 Mi,' R'I' ROt31NSC)N R1)� 1.8 MILJ I.F ON SANDY FURD RD! 2 14111: F' nN'I'U
COIJNTRY' CLUB fZD' ON R'I'
Ow��r/Aaathmr�ed �t�pres�nt�tive Ac�o�vledgeane�t af Permit Receipt
_ I certify that I am the owner or authori2ed agent (owner's authorization required) representing the awrer of the
property described ab�ve,
_ As the property owner or authorized representative, I have recei�c�ed the above referenced permit(s) as
requested in the application for service EHPR-3-11-99�5 , by the following method(s):
Received in Person
� Facsimile Transmiital (Retum form with signature required)
_ Electranic Image TransmittaL' E-tnail (Return reccipt required}
As the pr�perty owner or authorized representative I have reviewed and understand the specific
conditions of the permit issued, and further understand that all a�plicable regulatory requirements specified
under the North Csralieia Laws and Rules for Se�vag� 'Treatment a�ad Dasposal Syste�s (15A NCAC
l�A .1900), and/or Well Construction Sta�dards (ISA NCAC 2C .U100}, shall apply to the issuance of
this permit and the construction of the wastewater system and/or water supply wcll permitted.
Permit Issue Date: 05/17/2011
Owner!Authorized Representative 5ignature _5�.: � .- �-�� / �-'� -�� � ` ; -`}L�-'"��� �`-�i- �-} r �;, -
Date �!!'%�j°
Docaarnen�ation a4' ��erareeg�s.l �`r��s�it��i
(Permit srans�a�fied �ry el��krowec oz� �t�re�- �eans)
Permit transmitted b}' _ (namz of person sercding permitj
Signature r t ( �- ___ __ DatelTime� 1��! ( f Q: C/ �
P19ethod: Faa �Eenaal US M��i ()thea
Owner's request to send by the above indica�ed �et�hod of tra�smnittal an lieu of sig�ature
acknawledges the co�ditaox�s �nd s��e�emts above.
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