HomeMy WebLinkAboutRBPR-04-2012-15614.TIFCATAWBA COUNTY
Case#
WLS2008-00393
Public Health Departhient
W
Environuiental Health Division
Subdivision
S
dBUPh/L
#
FARMFIELD SUBDIV
1,
PO Box 389. 100-A Southwest Blvd, Newton. NC 28658
ec
ot
3&4
-1
qV, /
(828) 465-8270 FAX(828)465-8276 TDD (828) 465-8200
PIN#
376404614105
Applicant/Owner BRIAN HARDY
Site Address: 3615 FARMFIELD DR CLAREMONT NC
Property Size: SF .99 ACRES
Directions: ROCK BARN RD/ TO ROCK BARN EXT. / RT FARMFIELD DR/ LAST 2 EMPTY LOT ON RIGHT LOT 3 & 4 **will be
combining lot 3 & 4 into one deed of record
Permit Valid For: Five years
Facility (Residential): House
House X Mobile Home Multi-Family
Projected Daily Flow LrgD g.p.d Water Supply Private Well?
Basement: N Basement Plumbing: N HotTub/Spa: N
°l
Bedrooms 4 New?
Public? Semi-Public?
Special Fixtures (explain):
Proposed Wastewater System: 1-3 rQ~Lz~~d~ Type: Iw-
Proposed Repair: S D°lu rJ, f ;`ari
Permit Conditions:
{.,.:•''r^-~r ~ lZA^~;'/ d✓t I'~~ZZ " '~O r Y.elllt,r f'v~,r 3-~✓~.
Owner or Legal Representative Signature:
Authorized State Agent:
u \
_ O
v" Addition?
Date - `Z()
Date: S-- 7 0
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 Improvement Permit is subject to
revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Improvement 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 Taws and Rules for Sewage Treatment
and Disposal Systems' (15A NCAC 18A .1900). Neither Catawba County nor the Environmental I-Iealth Specialist warrants that the septic tank
system will continue to function satisfactorily for any given period of time.
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and additional attachments (
Proposed Wastewater System:
New Repair Expansion
Type of Facility:
Basement: N Basement Plumbing: N HotTub/Spa: N Special Fixtures (explain):
Tank Size: Septic Tank
Drainfield: Total Area:
Trench Width ft
Distribution: Distribution Box
Additional Specifications:
Authorized State Agent:
Permit Expiration Date:
I have read and accept the specifications and all conditions of this permit as indicated.
Owner or Legal Representative Signature:
Date:
Date:
Form B
Type:
Soil LTAR:
Wastewater Flow g.p.d
g.p.d./ft2
Improvement Permit
No Expiration
Wastewater System Requirements
gal Pump Tank gal Grease Trap gal
sq It Total Length: ft Maximum Trench Depth in
Minimum Soil Cover in Minimum Trench Seperation
Serial Distribution Pressure Manifold LPP Other
ft
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CATAWBA COUNTY
Case # WLS2008-00393
/ nl Public Heahh Department
Enviromnental Health Division Subdivision FARMFIELD SUBDIV
PO Box 389. 100-A Southwest Blvd, Newton, NC 28658 SecUBL/Ph/Lot # 3&4
~i (828) 465-8270 FAX (828) 465-8276 TDD (828) 465 8200 PIN# 376404614105
Applicant/Owner BRIAN HARDY
Site Address: 3615 FARMFIELD DR CLAREMONT NC
Property Si SF "99 ACRES
Directions: ROCK BARN RD/ TO ROCK BARN EXT. / RT FARMFIELD DR/ LAST 2 EMPTY LOT ON RIGHT LOT 3 & 4
-will be combining lot 3 & 4 into one deed of record
® Improvement Permit M Authorization To Construct 0 Well Permit
SITE PLAN
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fa.^M T i Z yJ p
Scale
System components represent approximate contours only. The contractor must flag the system prior to beginning the
installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of
revocation if the site plan or site conditions are altered.
Authorized State Agent Date Form C
, ATidenuirA\FFrrnsVWLSuw.rn1
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet _ of _
DMSION OF ENVIRONMENTAL HEALTH PROPERTY ID
ON-SITE WASTEWATER SECTION COUNTY:
SOIUSITE EVALUATION
6~,,W for ON-SITE WASTEWATER SYSTEM
OWNER: APPLICATION DATE
ADDRESS: DATE EVALUATED: -2-0
PROPOSED FACILITY: PROPOSED DESIGN FLOW (.1949): PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: 11 Private 0 Public . 0 Well 0 Spring 0 Other
EVALUATION METHOD: 0 Auger Boring wpit 0 Cut
TYPE OF WASTEWATER: Sewage 0 Industrial Process 0 Mixed
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DESCRIPTION
D' IMIAL SYSTEM
REPAIR SYSTEM
OTHER FACTORS (.1946):
Available Space (.1945)
If
SITE CLASSIFICATION (.1948): ✓
System Type(s)
EVALUATED BY:
OTHER(S) PRESENT:
Site LTAR
COMM EN1 J: