HomeMy WebLinkAboutAUTH-6-11-18764.TIF � CATAWBA COUNTY Case #
� G Public Health Department AUTH-6-11-18764
�, `:� , 2 Subdivision PEBBLE BAY PH 3 REVISI(
, �� .; Environmental Health Division
J �o� `<' PO Box 389, ] 00-A Southwest Blvd, Newton, NC 28658 Lot # 93
l8 2 s° PlN# 460601170330
ApplicantlOwner $LAKE W CARTER III )
Site Address: 4617 GOLD FINCH DR, Denver, NC ��� �- �`-� J I+, �� ���
Property Size: SF 1.69 ACRES
Directions: 16 S TURN LEFT ON CAMPGROUND RD LEFT ON CATAWBA BURRIS, RIGHT ON BANKHEAD, LEFT ON GOLD
FINCH DR. AT GATE USE A-Z BUTTONS TO CALL CARTER.
Authorization to Construct Permit
Authorization to Construct Wastewater System Lequired for Building Permit
* See site plan and number of additional attachments (__).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 720 g.p.d
Type: II - OTHER NO T SY
Soil LTAR: 0 •3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence 4 bedroom house + Garage / Accessory dwelling
Basement? No Basement Pfumbing? Bedrooms: 5
Wastewater System Requirements
Tank Size: Existing Tank 1,500 gal Pump Tank gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfield: Total Area: 84 sq ft Total Length: 2g ft Maximum Trench Depth in
Aggregate Depth in Trench Width 3 � 0 ft
Minimum Soil Cover 6 • 0 in Minimum Trench Separation 9 • 0 ft on center
Number of Drain Lines 2
Distribution: Serial
Additional Specifications: This permit is only for the replacement of the damaged section of the existing drainfield. Replace
the exact amount of material that was damaged.
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
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06/09/ 1 I 10:06
�qA CATAWBA COUNTY Case # AUTH-6-I 1-18764
Public Health Department
¢ `' � 2 Subdivision PEBBLE BAY PH 3 REVISI(
.; Environmental Health Division
'�`�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 93
�g 2 °� PIN# 460601170330
Applicant/Owner BLAKE W CARTER III
Site Address: 4617 GOLD FINCH DR, Denver, NC
Property Size: SF 1.69 ACRES
Directions: 16 S TURN LEFT ON CAMPGROUND RD LEFT ON CATAWBA BURRIS, RIGHT ON BANKHEAD, LEFT ON GOLD
FINCH DR. AT GATE USE A-Z BUTTONS TO CALL CARTER.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicanUproperty o�vner 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 Ru/esjorSewnge Treatment anrl Disposnl S st�ems (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.
Robbie Phelps 06/09/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 06/0712016
No grading or construction activity is allowed zn areas designated for system and repair without approval of the Health Department.
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06/09/ 1 I 10:06 I
,�1 Permit # Auth-6-11-18764
CATAWBA COUNTY
� � G '� Public Health Department Name Blake W Carter I11
�. � s�D` `� Environmental Health Division Address 4617 Gold Finch Dr
v ' °aso � PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
1g 42 sM � 46�-8270 Fax (828) 46�-8276 TDD (828) 465-8200
SITE PLAN
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��° CATAWBA COUNTY Case �t AUTFI-G-11-1876A
Q . Public Health Dcpanment PEBBLE BAY P�-1 3 REVISI(
�' � � Gnvironmental Heahh Divisia� Subdivision
¢ ,,, ,�
� PO Box 389, 100-A South�vest Blvd, Newton, NC 28658 Lot # 93
2 '" - P�N� 460601170330
Appticantl0wner BLAKE W CARTER III
Site Address: 4617 GOLD F1NCli DR, Denver, NC
Property Size: SF 1.69 ACRES
Directions: 16 S 1'URN LEFT ON CAtvIPGROUND IiD LEFT OiV CATAWBA LiURRIS, RIGI-IT ON BANKt-IEAD, LEPT ON GOI.D
rINCH DR. AT GATE USE A-Z BUTTONS TO CALL CARTER.
Owner/Authorized Representative Acknowledgement of Permit Receipt
'_� 1 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 alithorized representative, I have received the above referenced permit(s) as
requested in the application for service EHPR-6-11-11205 , by the following method(s):
Received in Person
! Facsimile Transmittal (Return forn� witl� signature required)
� Electronic Image Transmittal/ E-maiI (Return receipt required)
�. As the property owner or authorized representative T 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 Se�vage Treatment and Disposal Systems (15A
NCAC 18A .1900), and/or Wcll Construction Standards (15A NCAC 2C .4100), shall apply to the
issuance oFthis permit and the construction of the waste�vater system and/or water supply well permitted.
Permit Issue Date: ' \'
06/09/2011
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Owner/Authorized Representative Signah�re _ ,`� ��`���`'�,1 ''°�--.�
. ��
Date � f � f L� l� _ _ _ _ _ _ _ __ _
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Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted b }__ (name of person sending permit)
Signature � {�-� �� � Date/Time ���� �����
Method: Fax d Emnil US Mail Other
Ofvner's request to send by the above indicated method of trxnsmittal in lieu of signature
acknowledges the conditions and statements above.
�j(lL6e I �{-er'�� LL�K � iC lC Sw� . C'G�
I OG/09/I I 10:06 I