HomeMy WebLinkAboutAUTH-6-11-18487.TIF �$A CATAWBA COUNTY Case #
�, G Public Health Department AUTf
r �, ,� � 2 Subdivision
.; Environmental Heal[h Division
J `"' o`�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
Ig4 �� P1N# 377005195922
ApplicanUOwner WALLY WALLACE 1
Site Address: 4177 BOGGS RD, Claremont, NC ���"' � ''t ''��
Property Size: SF 1.32 ACRES
D irections: HIGHWAY 10 E- TURN RIGHT ONTO BOGGS RD - HOUSE ON LEFT APPROXIMATELY 1/2 MILE
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit�
* See site plan and number of additional attachments (_�.
Proposed Wastewater System: 25% REDUCTION Wastewater F{ow 360 g.p.
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LTAR: 0 • 3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? No Bedrooms: 3
Wastewater System Requirements
Tank Size: Existing Tank Unknown Size 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: 900 sq ft Total Length: 308 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 �
Distribution: Pressure Manifold
PUMP REOUIRED
Additional Specifications: It is OK to use existing septic tank so long as it is in tact and structurally sound; if it is found to be
otherwise compromised a new 1000 gallon tank must be set.
Installer must schedule a pre-consYruction meeting prior to installation. Pump specifications to be
determined at that time.
Septic system (and all its components) must be at least 50 ft. from any well, 10 ft. from property
lines, 15 ft. from basement cuts, 5 ft. from structures, 10 ft. from water line.
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 ««<
Proaosed Repair
System Class: Proposed System: Distribution Type::
Soil LTAR: g.p.d./ft2
06/01 / I I 1 1:48
�gA CATAWBA COUNTY Case # AUTH-6-11-18487
� G Public Health Department
Q ; � � Subdivision
.. Environmental Health Division
�'•o `� PO Box 389, 100-A Southwest Bivd, Newton, NC 28658 Lot #
Ig 2 �� PIN#
37700519�922
Applicant/Owner �IALLY WALLACE
Site Address: 4177 BOGGS RD, Claremont, NC
Property Size: SF 1.32 ACRES
Directions: HIGHWAY 10 E- TURN RIGHT ONTO BOGGS RD - HOUSE ON LEFT APPROXIMATELY 1/2 MILE
The issuance of this permit by the HealCh Department does not guarantee lhe 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 Znws nnr/ Ru/es for Sewage Trentmenl nnrl Disposa! 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 06/O1/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: OS/30/2016
No grading or construction activity is allowed rn areas deszgnated for system and repair without approval of the Health Department.
O6/Ol/l 1 l I :48
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�qA CATAWBA COUNTY Case # AUTH-6-11-18487
Public Health Department
`" • � � Environmental Health Division Subdivision
Q �o� `�' PO Box 389, ]00-A Southwest Blvd, Newton, NC 28658 Lot #
�g 2 �� PIN#
37700�195922
ApplicantlOwner WALLY WALLACE
Site Address: 4177 BOGGS RD, Claremont, NC
Property Size: SF 1.32 ACRES
Directions: HIGHWAY 10 E- TURN RIGHT ONTO BOGGS RD - HOUSE ON LEFT APPROXIMATELY 1/2 MILE
I Owner/Authorized Representative Acknowledgement of Permit Receipt
� certify that I a�n the owner or authorized agent (owner's authorization required) representing the owner of the
property described above.
�f C- As the property owner or authorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-5-11-10909 , by the following method(s):
� f �- Received in Person
_ Facsimile Transmittal (Return form with signature required)
_ Electronic Image Transmittal/ E-mail (Return receipt required)
�f� 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 andlor water supply well permitted.
Permit Issue Date: 06/O 1/2011 ;
�.:_..
OwnerlAuthorized Representative Signature ,�,.�.�
Date � ,J l — l � y, .
-----------------------------------------------------------------------------------------------------------
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.
O6/O l/ I I I l:48
DEPARTMEM OF EbMRONMENT AI1D NA'IURAL RESOURCFS • �—°J—
DNiSION OF IIJVIRONM�NTAL FiEAi.T�i PRDPERTY ID #:
, OI�{-SITE WASTEWATERSECIION C4UNTY:
SoIUSITE EVALUATT�H
I, � � �I for ON SITE WASTEWATER SYSTEM �� �_5 - I- o 09 �
PLICATTON DA�
A AP
I ADDBESS• DATE EVAL ATED: _.
FRpPOSIDFACII.ITY 3 PROPOS DESIGNFLOW(.1949): bQ � PROPERTYSTLE: �.��-
LOCATiON OF SITE: �'►� PROPEgTY RECORDID:
WATIIt SUPPLY: 0 Private Public O Well � S' g 0 Othrr
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