HomeMy WebLinkAboutRBPR-07-2014-19553.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2014-19553
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Accessory Structure
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6IMPROVEMENT
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Owner LILLY CABRERAACEVEDO, 4196 C & B FARM RD, CONOVER NC 28613
C:8289947749
NAME TO APPEAR ON PERMIT
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Lilly Cabrera Acevedo
SITE ADDRESS: 4196 C & B FARM RD, CONOVER NC 28613 PIN # 374316844723
NAME of SUBDIVISION: WINFIELD Lot # 33-39 Section/Block C
PROPERTY SIZE: Square Feet Acres 1.14
DIRECTIONS: 140/exit 132 to Hwy 16N/first light turn left/in front of Lyle Creek Elementary School
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: WATER SUPPLY: Public Water
DESCRIBE WOR /29/2014 owner revised garage to 40 x 30 with unfinished space on upper level, added a storage building 20 x
24 and attached carport 16 x 28
owner revised garage size o x
30 x 22 Detached Garage
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is "YES", then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? Yes
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR:
New Structure
STRUCTURE TYPE: ACCESSORY STRUCTURE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF single family dwelling
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 59 x 33
NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 29 x 22
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
E9 - chapplication 08/29/2014 13:30 Pace 1 of 4
�A CATAWBA COUNTY Case # RBPR-07-2014-19553
Public Health Department Subdivision WINFIELD
Environmental Health Division PIN#
374316844723
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
1842 s,
NAME ON PERMIT: ( LILLY CABRERAACEVEDO), 4196 C & B FARM RD, CONOVER NC 28613
( Lilly Cabrera Acevedo)
Site Address: 4196 C & B FARM RD, CONOVER NC 28613
Property Size: Square Feet Acres 1.14
Directions: 140/exit 132 to Hwy 16N/first light turn left/in front of Lyle Creek Elementary School
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An
Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well
Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the
proper identification qnd lab ling f all property lines and corners and making the site access le so that�a complete site a aluation can a performed.
Date: l Signature of Applicant or Agent �1y l CtI'�Y�tfZ1C E'�'P
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 828-466-7291
AREA2
MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 5 MAX HEIGHT:
FEENAME
Improvement Permit Fee
Improvement Permit Fee
TOTAL FEES
DATE FEE AMOUNT
07/21/2014 $150.00
08/29/2014 $150.00
$300.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
F9 - chapplication 08/29/2014 13:30 Page 2 of 4
SITE PLAN
Permit # IMPV-8-14-052524
Name Lilly Cabrera Acevedo
Address 4196 C&B Farm Rd
Lot# - 33-39
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CATAWBA COUNTY
Public Health Department
®avos
Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658
184 SM
(828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
SITE PLAN
Permit # IMPV-8-14-052524
Name Lilly Cabrera Acevedo
Address 4196 C&B Farm Rd
Lot# - 33-39
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PAYOR
Cabrera Acevedo, Lilly
CATAWBA COUNTY
100A SOUTHWEST BLVD
NEWTON, NORTH CAROLINA 28658
PHONE: 828.465.8399
www.catawbacountync.gov
PAYMENTS
TRANSACTION NUMBER: TRC -369251-29-08-2014
PAYMENT DATE: 08/29/2014
PAYMENT TYPE : Check 1025
NCDL 2888877 exp 8/3/19 dob 8/9/86
INVOICE NUMBER FEE NAME
07-14-308971 Improvement Permit Fee
08-14310120 Improvement Permit Fee_
TOTAL PAYMENTS:
RBPR-07-2014-19553
RECEIPT
Friday, August 29, 2014
FEE AMOUNT
$60.00
$90.00
5150.00
CASE TYPE: Residential Building Plan Review WORK CLASS: Accessory Structure
SITE ADDRESS: 4196 C & B FARM RD, CONOVER NC 28613
Owner LILLY CABRERA ACEVEDO, 4196 C & B FARM RD, CONOVER NC 28613
C:8289947749
**NO PEOPLESOFT ACCOUNT ASSIGNED **
E9 - receipt 08/29/2014 13:27 Page I of 1
C" A
�T'AWBAEnvironmental Health - Division of Public Health
_: ____..:::_...:.------- _
(`(� Ty PO Box 389 — 100-A South West Blvd. - Newton, North Carolina 28658
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(828) 465-8270 — Fax (828) 465-8276
North C�rolfna ���'' ''•CaialY��aCOUIItVIIC.< OV�tll1%il-onnientalhedllfl/
AUTHORIZATION OF REFUND
Date:
Case -4:
Applicant:
Refund Amount:
Refund Reason:
Authorizing Signature:
Received By Staff:
Date:
p1H CARP
n«rednea
�� `"Departmenty� m ft(
1009-10i 3
8/11/2014
RBPR-07-2014-19553
Lilly Cabera Acevedo
560.00
No additional soil work necessary to designate repair
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"Leading the Way to a Healthier Conan nnity "
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Vendor No.
Make Payment To:
Lilly Cabrera Acevedo
4196 C&B Farm Rd
Conover, NC 28613
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unfyIVorth;Caol;na` D;is`b.usee;ntVo;ucher'` '
Date 08/11/14
�l�A COQ Voucher No(s).
(Prepared by Julia English
Description
1Partial refund, no soil work necessary
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In 110: ; = . 580200', 663000
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ATTACHMENT
Sub -Total 1 $
Food Tax 1
Sales Tax 1
Total $
Amount
60.001
60.00
60.00
�Accou'ntin >-
.�t-or _g..f ur.:
Amount 1 Use0nl 3'
Total II - II
The undersigned hereby certifies that the goods or services specified above have been received
or performed. Payment has not been previously authorized and this expenditure is a proper
charge to the appropriation indicated. The above charge is certified to you for payment.
(SIGNATURE - APPROPRIATE OFFICIAL)
PAYOR:
Cabrera Acevedo, Lilly
CATAWBA COUNTY
100A SOUTHWEST BLVD
NEWTON, NORTH CAROLINA 28658
PHONE: 828.465.8399
www.catawbacountync.gov
PAYMENTS
TRANSACTION NUMBER: TRC -363833-11-08-2014
PAYMENT DATE: 08/11/2014
PAYMENT TYPE: DV
INVOICE NUMBER FEE NAME
07-14-308971 Improvement Permit Fee
TOTAL PAYMENTS:
RBPR-07-2014-19553
RECEIPT
Monday, August 11, 2014
FEE AMOUNT
($60.00)
($60.00)
CASE TYPE: Residential Building Plan Review WORK CLASS: Accessory Structure
SITE ADDRESS: 4196 C & B FARM RD, CONOVER NC 28613
Owner LILLY CABRERA ACEVEDO, 4196 C & B FARM RD, CONOVER NC 28613
C:8289947749
** NO PEOPLESOFT ACCOUNT ASSIGNED **
E9 - receipt 08/11/2014 09:07 Page 1 of I
THIS IS NOT A PERMIT Case # RBPR-07-2014-19553
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Accessory Structure
IMPROVEMENT
® J
if 0
Owner LILLY CABRERA ACEVEDO, 4196 C & B FARM RD, CONOVER NC 28613
C:8289947749
NAME TO APPEAR ON PERMIT
Lilly Cabrera Acevedo
SITE ADDRESS: 4196 C & B FARM RD, CONOVER NC 28613 PIN # 374316844723
NAME of SUBDIVISION: WINFIELD Lot # 33-39 Section/Block C
PROPERTY SIZE: Square Feet Acres 1.14
DIRECTIONS: 140/exit 132 to Hwy 16N/first light turn left/in front of Lyle Creek Elementary School
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Public Water
DESCRIBE WORK: 30 x 22 Detached Garage
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is "YES", then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? Yes
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: ACCESSORY STRUCTURE
FACILITY TYPE: Single Family Residence OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 59 x 33
NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS: 3
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 30 x 22
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE : ANY: YES
Other described:
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An
Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well
Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the
proper identification arld Ilabbgling of all property lines and corners and making the site accgssible so that a complete site evf�luation cars be performed.
Date:
J�� t / I/� Signature of Applicant or Agent Li I �_y r 67t.nY-/G1 I'V e V&jo
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 828-466-7291
AREA2
MINIMUM SETBACKS FRONT: 30 SIDE: 10 REAR: 5 MAX HEIGHT:
f O - chapplication 07/21/2014 13:53 Page 1 of
agA CATAWBA COUNTY Case #
G Public Health Department Subdivision
Environmental Health Division PIN#
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
1842 w
NAME ON PERMIT: ( LILLY CABRERAACEVEDO), 4196 C & B FARM RD, CONOVER NC 28613
( Lilly Cabrera Acevedo)
Site Address: 4196 C & B FARM RD, CONOVER NC 28613
Property Size: Square Feet Acres 1.14
Directions: 140/exit 132 to Hwy 16N/first light turn left/in front of Lyle Creek Elementary School
RBPR-07-2014-19553
WINFIELD
374316844723
FEENAME DATE FEE AMOUNT "
Improvement Permit Fee 07/21/2014 $150.00
TOTAL FEES $150.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
I:Q - ,hepplica xm 07/21/2014 13:53 Pace 2 of 4
A'WTBATHIS IS NOT A PERMIT
CATAA COUNTY HEALTH DEPARTMENT
2 =.•�.� - Application for Environmental Services Page 1
- Ffart�CnnaYna
Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑
Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑
Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑
Application is for New Construction ❑ Existing Facility ❑
Property Address �� �„ �, k,1" l KICV\ Subdivision
\ (' G C_ 'd,,(i,?\) to t Lot # Acres
f� �Section/Block/Phas ` r
Driving Directions to P erty
-e4p \W\-WVa,�J ��('Vy
NAME TO APPEAR ON PERMIT? 9LOwner ❑ Applicant ❑ Contractor
Applicant Contact Information
Name :;��\\ �CrV�YG ,��F�\e�C) _
Address �� �(a -N ,VW\ V -d
PhoneCell Phone
Owner Contact Information
i v
Name ( �� � t�
Address Z�, � (() C
Phone Cell Phone
Contractor Contact Information
Name
Address
Phone I Cell Phone
WHO WILL BE THE PRIMARY CONTACT? ®,Owner ❑ Applicant ❑ Contractor
Description of Existing Structures on SiteGv�" C .
# of Bedrooms *T Structure Dimensions # of Occupants
Basement ❑ Yes ❑ No Basement Fixtures 0 Yes 10 No
The Applicant shall notify the local health department upon submittal of this application if any of the following apply to
the property in question. If the answer to any question is "yes", applicant must attach supporting documentation.
13 Yes 1 Wo Does the site contain any jurisdictional wetlands?
1� Yes 0 No Does the site contain any existing wastewater systems?
a Yes ONO Is any wastewater going to be generated on the site other than domestic sewage?
AT'Ves 0 No Is the site subject to approval by any other public agency?
In Yes ONO Are there any easements or right of ways on this property? Describe
Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi -Public Well
County/City/Township Water Line Is a public water supply available? ** PYes ❑ No
If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s):
(systems can be ranked in order of your preference)
0 Accepted 0 Alternative ❑ Conventional ❑ Innovative ❑ Other P. Any
CATAWBA
THIS IS NOT A PERMIT
-COUNTY - _,_ CATAWBA COUNTY HEALTH DEPARTMENT
NT
r Ho2iCmo-` Application for Enviromnental Services Page 2
Proposed Facility Type
❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *t
Project Description
Structure Dimensions # of Occupants
Basement ❑ Yes ❑ No Basement Fixtures Yes (2 No
❑ AccessoryStructure(s)
Describe
# of New Bedroom*f if applicable �-.,,
Structure Dimensions
# of Occupants .
Accessory Dwelling ❑ Yes ELNo
Plumbing ❑ Yes �9 No Describe Plumbing Needed
❑ Multi-Family Residence # Unitsi #Bedrooms per Unit*
Total # Bedrooms *t Structure Dimensions
❑... Food _.. ._.:,.. Spec i,fy .�..Typ..�.....:.,.......,...,.. ®..__,�..... _._,.. __ _..._..,_.,,__.,.,,,..�..-...�...,.....,..,�,.....:,�.....�.:,.__,._,,.�...�....�.._.�, ...,._.»:._.��..�
Service e
# Seats Floor Space -Entire Food Service Facility (Sq Ft)
# Employees per Shift # of Shifts Dining Area (Sq. Ft.)
..,._ '. , . . ,.,..,- ..._�,...�..�....� ... , ...,... ,.:....,_, ,..., _.-....�,.
F1BasinBusiness Specific Type of Business Retail Floor Space
# of Employees per Shift # of Shifts
❑ Other Facility Type Specify
If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy
Application for Well Construction/Abandonment/Repair _....� ....,_ __..._. _.._....._�..,,....,., _.,,.. L- ., .._ ..,..
Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well
Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown
Well Repair Requested ❑ Yes ❑ No Describe
Calculated Design Flow, Commercial t Additional information may be required to determine
design flow from certain facilities. This value will be determined during consultation with on-site staff.
*Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and
counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time
of building permit issuance. This may prevent the need for septic system size increase in the future.
t If structure is plumbed but no bedrooms, calculated design flow is required.
** If No, a well permit must be issued with the Authorization to Construct.
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE)
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified
conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not
transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,
site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state
officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I
understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site
accessible so that a complete site evaluation can be performed.
A
O�J U I
Signature of Owner or Agent U� 1 �S 1. 0. Date o �" I o�l� ` t
Printed Name of Owner or Agent `� (; �C . �c"
.
Catawba County, North Carolina
This map product was prepared from the Catawba County, NC, Geospatial Information System.
N
Catawba County has made substantial efforts to ensure the accuracy of location and labeling information
contained on this map. Catawba County promotes and recommends the independent verification of any
data contained on this map product by the user. The County of Catawba, its employees, agents and
personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect
or consequential which arises or may arise from this map product or the use thereof by any person or entity.
Selected Parcel Number: 3743-16-84-4723
1 inch = 50 feet
Prepared for:
2956
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4962
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/ THIS IS NOT A LEGAL DOCUMENT Date Saved: 6/11/2014 Time V1 23:01 PM `
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID:
3743-16-84-4723
Name:
ACEVEDO LILLY GEORGINA CABRERA
Name2:
Address:
4196 C & B FARM RD
Address2:
City:
CONOVER
State:
NC
Zip:
28613-8982
Account:
Calc Acreage:
1.14
Tax Map:
2314 03001
LRK:
66063
Deed Book:
3245
Deed Page:
0765
Subdivision Name:
WINFIELD
Subdivision Block:
C
Lots:
33-39
Plat Book:
12
Plat Page:
128
Building Number:
4196
Street Name:
C & B FARM RD
Site Zip:
28613
Township:
CLINES
Fire Dist:
CONOVER RURAL
City/ Tax:
State Road:
1487
Total Bldgs Value:
$110,900
Land Value:
$15,000
Total Value:
$125,900
Year Built:
1967
Year Remodeled:
2007
Last Sale Date:
7/1/1986
Last Sale Amount:
$44,000
Neighborhood:
67
Watershed:
Watershed Split:
NO
Voter Precinct:
P33
E911 District:
COUNTY
Zoning:
R-20
Zoning2:
Zoning3:
Zoning Split:
N
Zoning Overlay:
Zoning District:
COUNTY
Split Zoning Dist:
N
Split Zoning Dist(1): 0
Split Zoning Dist(2): 0
School District:
COUNTY
Elementary School: LYLE CREEK
Middle School:
RIVER BEND
High School:
BUNKER HILL
School Split:
NO
P&Z Case Number: R-407
Census Tract 2010: 010201
Census Block 2010:
2022
Small Area Plan:
ST STEPHENS/OXFORD
Agricultural District: Proximity
Printed: Monday, July 21, 2014 01:23 PM
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s8 CATAWBA COUNTY
�4 v Public Health Department
Environmental Health Division
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
Case #
Subdivision
PIN#
LOT#
OP -04-2014-048711
WINFIELD
374316844723
33-39
�-
NAME ON PERMIT: FREDDIE MAC, 4100 INTERNATIONAL PKWY SUITE 1000, CARROLLTON TX
75007
Site Address: 4196 C & B FARM RD, CONOVER NC 28613
Property Size: Square Feet 49,658.40 Acres 1.14
Directions: ___BWY 16 N, LEFT ON C&B FARM RD HOUSE ON RIGHTACROSS FROM CLINE VILLAGE. CORNER LOT
Catawba County Health Department Operation Permit
System Type: IIIB - SYSTEM WISINGLE EFFLUENT PUMP
(In accordance with Table Val
Description: 25% REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration for permit renewal.
System Installation Comments:
PERMIT CONDITIONS:
1. All maintenance, monitoring, and performance requirements shall be in accordance with
15A NCAC 18.1900, Rule .1961
2. Operation & Maintenance Specifics:
Subsurface system operator required? Yes No_X
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage
Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization.
Kevin Bowles - #1697
SYSTEM INSTALLER
Robbie Phelps
AUTHORIZED STATE AGENT
04/11/2014
INSTALLATION DATE
04/11/2014
DATE OF OPERATION PERMIT
ISSUANCE
Form F
E9 - ehpennit 04/14/2014 14:39 Page 1 of 3
CATAWBA COUNTY Permit # OP -4-14-048711
Q Public Health Department Name Freddie Mac
.o. a Environmental Health Division Address 4196 C&B Farm Rd
V oi►• PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
(828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
SITE PLAN
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CATAWBA COUNTY7A1.
Case # AUTH-03-2014-047830
Public Health Department Subdivision WINFIELD
Environmental Health Division PIN# 374316844723
PO Box 389, 100-A Southwcst Blvd, Ne%vton, NC 28658LOT# 33-39
0
NAME ON PERMIT: FREDDIE MAC, 4100 INTERNATIONAL PKWY SUITE 1000, CARROLLTON TX
75007
Site Address: 4196 C & B FARM RD, CONOVER NC 28613
Property Size: Square Feet 49,658.40 Acres 1.14
Directions: HWY 16 N, LEFT ON C&B FARM RD HOUSE ON RIGHT ACROSS FROM CLINE VILLAGE. CORNER LOT
Authorization to Construct Permit
Authorization to Construct Wastewater Svstem (Required for Buildinq Permit]
* See site plan and number of additional attachments
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LTAR: 0.35 q,p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence - House
Basement? No Basement Plumbing? Bedrooms: 3
Wastewater Svstem Requirements
Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap gal
Dosing Volume 180 gal Pump Specs: 30 GPM @ 15 TDH
Pressure Head 2 ft Draw Down -9 in
Drainfield: Total Area: 780 sq ft Total Length: 260 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 4
Distribution: Pressure Manifold
Pre Treatment: NONE
PUMP REOUIRED
Additional Specifications:
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 existinq permits.
»»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««<
Proposed Repair
System Class: Proposed System: Distribution Type::
Soil LTAR: g.p.d./ft2
G9 - chpermit 03/17/2014 10:54 Page I of 4
SBA CATAWBA COUNTY Permit # Auth-3-14-047830
Name Freddie Mac
Public Health Department � Address 4196 C&B Farm Rd
.�►. Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
j842 SM (828) 465-8270 Fax (828) 465-8276 TDD(828)465-8200
SITE PLAN
Scale ( • 6
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