HomeMy WebLinkAboutAUTH-04-2016-071511.TIF � . CATAWBA COUNTY Case h'
AUTH-04-2016-071511
L. n y Public Health Department Subdivision CLEARVIEW ACRES PL 14
< .4, '' Environmental Health Division PINk
\'1!q�o0� Y 279115544151
C—n PO Box 389. 100-A Southwest Blvd. Newton, NC 28658 LOT# 8
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NAME ON PERMIT: TERESA BURKE, 2459 PINOAK DR, HICKORY NC 28602-9445
Site Address: 2459 PINOAK DR, HICKORY NC 28602
Property Size: Square Feet: 32,670.00 Acres:0.75
Directions: Off 140, exit 123 to 321, Exit 42 onto 127 S-Mtn View, Right at Light w/Hardees onto Fry St, Left onto
Hawthorne, Right onto Pinoak, 3rd house on Left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
i! I 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 authorized representative. I have received the above referenced permit(s) as
requested in the application for service EHPR-03-2016-23365 by the following method(s):
1. Received in Person
Facsimile 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 (15A NCAC 2C .0100), shall apply to the issuance of this permit and the
construction of the wastewater system and/or water supply well permitted.
Permit Issue Date: 04/22/2016
Owner/Authorized Representative Signature
Date
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
We want to hear from you. Please take a few moments to complete our customer service survey at:
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chpennit 14,1 fvk ��PpL� 'j 04/22/2016 11:55 Page 4 of
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CATAWBA COUNTY a • ' .g13 Case# AUTH-04-2016-07151 I
EEl��L Public Health Department Tic • Subdivision CLEARVIEW ACRES PL 14
Q y,,,-�, Environmental Health Division PIN#
279115544151
0 0 13,5:PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 s LOT# 8
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NAME ON PERMIT: TERESA BURKE, 2459 PINOAK DR, HICKORY NC 28602-9445
Site Address: 2459 PINOAK DR, HICKORY NC 28602
Property Size: Square Feet: 32,670.00 Acres:0.75
Directions: Off 140, exit 123 to 321, Exit 42 onto 127 S-Mtn View, Right at Light w/ Hardees onto Fry St, Left onto
Hawthorne, Right onto Pinoak, 3rd house on Left.
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 Flow 360 g.p.d
Type: MB - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LTAR: 0.3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence -
Basement? No Basement Plumbing?No Bedrooms: 3
Wastewater System Requirements
Tank Size: New Tank 1,000 gal Pump Tank 1,000 gal Grease Trap -gal
Dosing Volume 137 gal Pump Specs: 21.3 GPM @ 20.59 TDH
Pressure Head 2 ft Draw Down 6 5 in
Drainfield: Total Area: 900 sq ft Total Length: 300 ft Maximum Trench Depth 30 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: Pressure Manifold
Pre Treatment: NONE
PUMP REQUIRED
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 LTAR: g.p.d./ft2
elipennit 04/2212016 11:55 Page 1 of4
/ti � P CATAWBA COUNTY Case# AUTH-04-20 1 6-07 1 5 1 1
Q Public Health Department Subdivision CLEARVIEW ACRES PL 14
2 � Environmental Health Division PIN# 279115544151
ta PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 LOT# 8
/8842 ,.
NAME ON PERMIT: TERESA BURKE, 2459 PINOAK DR, HICKORY NC 28602-9445
Site Address: 2459 PINOAK DR, HICKORY NC 28602
Property Size: Square Feet:32,670.00 Acres:0.75
Directions: Off 140, exit 123 to 321, Exit 42 onto 127 S-Mtn View, Right at Light w/ Hardees onto Fry St, Left onto
Hawthorne, Right onto Pinoak, 3rd house on 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 6n Sewage Treatment and Disposal 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 piven period of time
Steven Price 04/22/2016
AUTHORIZED SPATE AGENT APPROVAL DATE
Permit Expiration Date: 04/22/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 04/22/2016 11:55 Page 2 of 4
EHPR 03-2016-23365
2459 Pinoak Drive, Hickory
• Do not cut, drive, fill, or grade over septic or repair areas.
• Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 f from
building foundations and appurtenances; and out of right-of-ways and easements.
• Install a new 1,000 gallon septic tank and pump tank
• Install 300 linear feet of 25% reduction system; (3) 100 ft lines on contour at a depth of
30 inches.
•• //Final grade of septic area must shed surface water off and away from system.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES _ �J Sheet I of 1
DIVISION OF PUBLIC HEAL;I H,ENVIRONMENTAL HEALTH SECTION elf f 03— 20(6.- Z33G5-- PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH COUNTY: Cat..— .,
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in fill)
OWNER: Ten-CC' g.., � APPLICATION DATE
ADDRESS: Z`5-5 gi. oeic nr Ifji;lcor DATE EVALUATED:
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: ❑Private U Public 'P1 Well U Spring U Other
EVALUATION ME'T'HOD: U Auger Boring VPit U Cut TYPE OF WASTEWATER: %i Sewage U Industrial Process U Mixed
• _ • •
•
R SOIL MORPHOLOGY OTHER,
0
F (.1941) PROFILE:FACTORS
' .1940
L
F. LANDSCAPE HORIZON
.PROFILE
POSITION/ DEPTH .1942 � ' '
# SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 ' .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ ,SOIL ,:SAPRO..I ,.RESTR &'•LTAR,
TEXTURE ' MINERALOGY COLOR DEPTH' CLASS ', , HORIZ
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM i OTHER FACTORS (.1946):
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t4 ',5 SITE CLASSIFICATION(.1948): /s
Available Space(.1945) �� , ;s a
EVALUATED 13Y:
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System' ype(s) Z5�� I�J :iv
OTHER(S) PRESENT:
Site LTAR 0 3
COMMENTS:
Updated February 2014 •
Catawba County Environmental Health
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Parcel: 279115544151, 2459 PINOAK DR +v 1in=50ft
HICKORY, 28602 FI 31di,
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This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report 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/report product or the use thereof by any person or entity.
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