HomeMy WebLinkAboutAUTH-04-2016-070961.TIF OM :COOL PARK PUMP ING, INC. FAX NO. :828 256 2926 Apr. 12 2016 09:46RM P1
CATA\\'BA COUNTY Cab`N
r Public Health Dcpamm�t Subdivision BRADIE WHITE AND OTHt
4' i • 1°tNb 372416934269
,�(E>;: Enrironmrntal licnhh Division
PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT* 5
NAME ON PERMIT: ERIC WHITE, 3121 44TH AVE DR NE, HICKORY NC 28601 •
Site Address: 3203 SULPHUR SPRINGS RD NE, HICKORY NC 28601
Property Size: Square het:17,424.00 Aeres0.4
Directions: Springs Rd to Sulpher Springs Rd, House is on the Left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
E
I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the
property described above. .
piki As the property owner or authorized representative, I have received the above referenced permit(s)as
requested in the application for service EHPR-03-2016.23338 by the following method(s):
Received in Person
_ csimile.Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
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 (1SA NCAC 2C.0100), shall apply to the issuance of this permit and the
construction of the wastewater system and/or water supply well permitted.
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Permit Issue Date; 04/09/2016 t
Owner/Authorized Representative Signature _ 4... �- ' . .
'-i
Date j— i``"` ` 1 1(`
•
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by •a VI' & • m A ill (name of person •e idin permit II
Signature :%�.T.t. ' at 1l Date/Time �� 8
•
Method: Fax,\/ Email L'S Mail Other
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Owner's request to send by the above indicated method of transmittal in lieu of signature •
1\Sairlir L fmorraiSa1
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chpcmm 01/084016 08:36 • Page 4of4
,IgA CATAWBA COUNTY 0 :ly'� �f 0 Case Jr AUTH-04-2016-070961
®Py Public Health Department yTyT:.�, r .;c Subdivision BRADIE WHITE AND OTHE
< Y 4 Environmental Health Division F ,# �. ' '} PIN# 372416934269
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 OC ._O LOT# 5
/842 s,..
NAME ON PERMIT: ERIC WHITE, 3121 44TH AVE DR NE, HICKORY NC 28601
Site Address: 3203 SULPHUR SPRINGS RD NE, HICKORY NC 28601
Property Size: Square Feet: 17,424.00 Acres:0.4
Directions: Springs Rd to Sulpher Springs Rd, House is on the Left
Authorization to Construct Peimit
Authorization to Construct Wastewater System (Required for Building Permits
* See site plan and number of additional attachments( ).
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 240 g.p.d
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Soil LIAR: 0.3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence - house
Basement? No Basement Plumbing?No Bedrooms: 2
Wastewater System Requirements
Tank Size: New 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: 600 sq ft Total Length: 200 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 3
Distribution: Serial
Pre Treatment: NONE
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 existing permits.
»»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««<
Proposed Repair
System Class: Proposed System: Distribution Type::
Soil LIAR: g.p.d./ft2
chpermit 04/08/2016 08:36 Page 1 of
8A CATAWBA COUNTY Case# AUTH-04-20 1 6-07 096 1
T �G Public Health Department Subdivision BRADIE WHITE AND OTHE
'tom a 372416934269
' ", x,c; Environmental Health Division PIN#
PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 LOT# 5
1:42 :M
NAME ON PERMIT: ERIC WHITE, 3121 44TH AVE DR NE, HICKORY NC 28601
Site Address: 3203 SULPHUR SPRINGS RD NE, HICKORY NC 28601
Property Size: Square Peet: 17,424.00 Acres:0.4
Directions: Springs Rd to Sulpher Springs Rd, House is on the Left
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 Disnosa/Systems' (15A NCAC I8A
.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to
function satisfactorily for any given neriod of time.
Megen McBride 04/08/2016
AUTHORIZED STAFF AGENT APPROVAL DATE
Permit Expiration Date: 04/08/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennn 04/08/2016 08:36 Page 2 of 4
RC, Repair + WEU_ Abandonment
SNPR-D3-a-o16-13338
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DEPARTMENfOFENVIRONMENT AND NATURAL RESOURCES Shed al_
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#:
ON-SITE WASTEWATER SEC ION COUNTY:
SOIL/SUE EVALUATION
r for ON-SITE WASTEWATER SY AZ
OWNER: Wl,l-}� APPLICATION DATE 3 �e F.I'IP�Q3'�0)b-� 3g'
ADDRESS: DATE EVALUATED: 31231lb
PROPOSED FACILITY: ? &- DVS G Silt PO DESIGN FLOW(.1949):. 161 b PROPERTY SIZE 0.'ktsvc
LOCATION OF SITE; 3103'Sv t l . (: 5 P Ne, -N:(. PROPERTY RECORDED:
WATER SUPPLY: 0 hivate Public U Well 0 swag O ler
EVALUATION METHOD: Il A.uget Bating 0 Pit U Cut
1YPE OF WASIEWR1ER Sewage U Indusbial Pm�s 0 Mixed
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DESCRIPTION TIIAL SYSTEM RERAIR SYSTEM OTHER FACTORS(.1946):
Ata7nbla Space(.1945) PS SITE CLASSIFICATION(.1948): ,p
TYPXs) EVALUATED BY: Ph R.C6c;�
�5 OTBER(S)PRESENT:
Site LIAR 0.3
COMMENTS:
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Sulphur crin35 i2ck NE
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