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HomeMy WebLinkAboutAUTH-05-2016-072234.TIF sap CATAWBA COUNTY Case# AUTH-05-2016-072234 min y Public Health Department Subdivision SPRINGWOOD TERRACE H Environmental Health Division PIN# 373409050029 t 'PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 LOT# 15-18 1842 s. NAMEON PERMIT: AGUSTIN IBARRA-LEMUS, 3635 34TH AV PL, HICKORY NC 28601 Site Address: 3635 34TH AV PL NE, HICKORY NC 28601 Property Size: Square Feet:22,215.60 Acres:0.51 Directions: Sulphur Springs Rd NE go past Cowboy Country Store, about 4 streets down on Right will be a sign "Springwood Terrace", Take a Right at the sign onto 34th Ave PL NE, 2nd House on the Left past the apartments. Owner/Authorized Representative Acknowledgement of Permit Receipt J'I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. 3I"` As the property owner or authorized representative, I have received the above referenced permit(s) as requested in he application for service EHPR-04-2016-23655 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) ,)V I 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: 05/11/2016 wner/Authorized Representative Signature n Iktit, 2\A,tr i «<<<< Date s" I (- ( la J J 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: http://www.surveymonkey.com/s/EHCustomerService elipennit 05/11/2016 09:54 Page 4of4 ASA • CATAWBA COUNTY o `' o Case# AUTI-1-05-2016-072234 _Q _ ©� Public Health Department 15:1/2,: •. .1]F Subdivision SPRINGWOOD TERRACE . --i• .., H Environmental Health Division t ' Le '3• PIN# 373409050029 ®r •• k�'IR� . � o ��o a.>�4h. PO Box 389, 100-A Southwest Blvd,Newton,NC 2865% LO"f# 15-18 \842 w F - r ri: 0" .0 D 1L. NAME ON PERMIT: AGUSTIN IBARRA-LEMUS, 3635 34TH AV PL, HICKORY NC 28601 Site Address: 3635 34TH AV PL NE, HICKORY NC 28601 Property Size: Square Feet: 22,215.60 Acres:0.51 Directions: Sulphur Springs Rd NE go past Cowboy Country Store, about 4 streets down on Right will be a sign "Springwood Terrace", Take a Right at the sign onto 34th Ave PL NE, 2nd House on the Left past the apartments. 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: IIIG - OTHER NON-CONY TRENCH SYSTEMS Soil LIAR: 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 gal Grease Trap _gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 900 sq ft Total Length: 300 ft Maximum Trench Depth 36 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation g ft on center Number of Drain Lines 4 Distribution: Serial Pre Treatment: NONE PUMP MAY BE* 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:: Repair System Required? Soil LIAR: g.p.d./ft2 chpcntut 05/1112016 09'54 Page I of • CATAWBA COUNTY Case f AUTH-05-2016-072234 �cy Public Health Department Subdivision SPRINGWOOD TERRACE < H Environmental Health Division PIN# 373409050029 sr*Ey® PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 LOT# 15-18 /g.2 w NAME ON PERMIT: AGUSTIN IBARRA-LEMUS, 3635 34TH AV PL, HICKORY NC 28601 Site Address: 3635 34TH AV PL NE, HICKORY NC 28601 Property Size: Square Feet:22,215.60 Acres:0.51 Directions: Sulphur Springs Rd NE go past Cowboy Country Store, about 4 streets down on Right will be a sign "Springwood Terrace", Take a Right at the sign onto 34th Ave PL NE, 2nd House on the Left past the apartments. 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 Disposal Systems' (15A NCAC ISA .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. Steven Price 05/11/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/11/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 05/11/2016 09:54 Page 2 of4 EHPR 04-2016-23655 3635 34th Ave PINE, 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 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank and 300 linear feet of 25%reduction system; (4)75 ft lines on contour. • If existing septic tank is proven to be large enough and of solid construction and in good working order it can be utilized with the addition of a sanitary T and filter. • Final grade of septic area must shed surface water off and away from system. • -� fi es) t1'41 zap q\ w f 3 ` =.5v t DEPARTMENT OF HEALTH AND HUMAN SERVICES f� Sheet of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION (—( V 1' OC{— 'Z/(,— Z3 PROPERTY ID k: ON-SITE WATER PROTECTION BRANCH '� COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) 7 OWNER: r.sd�, be„,, — Le_„ta _ APPLICATION DATE ADDRESS: DATE EVALUATED: `f/z5 PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public PcW.ell ❑Spring 0 Other EVALUATION METHOD: ❑Auer Boring .6('Pit ❑Cut TYPE OF WASTEWATER: Sewage ❑Industrial Process ❑Mixed e - , SOIL IYIOIIPIIOLOGY .- ,, `$F VC - '; c ""(1941) LPR�OtFILE FACTORS b� ''''`'L- 1940 nF I v , t irt' s'.4 ` et+: E. . LANDSCAPEM, HORIZON .. �zs- a °„- POSFFION/ DEPTHS :., ., 'fit,. 1t s. '" c_ PROFILE :; a Si�+SOPE% .,c (IN.) �r ,a. =1942 $y .r s '!. .. .,1941 r. 1941 •-%SOII. 1943 1956¢-_ .1944 'si CLASS 'd"" eu.r STRUCTURE/` CONSISTENCE/ WETNESS// n SOIL ,It,' `RESTR * &*LTAR "v .. ;..`.'',,may .. , TEXTURE MINERALOGY .`COLOR grDEPTH .'"C1.ASSe -`:HORI2 :' "">. . (,)-3z SSlc c- ft ff e0 A-- S—� I�( �1) ¢ �S 1 L 32 S� "ssl� Cc- F� sr 0c3 2 • 2 3 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) �f SITE CLASSIFICATION (.1948): OO t�s EVALUATED BY: System Typc(s) s (�Z Z,CG �a OTI-IER(S)PRESENT: Site LTAR 0. 3 a) 4 rce... COMMENTS: Updated February 2014 • Catawba County Environmental Health 9 " °Y-mac- 236r1 .-- ff cow `,.�' 1126 v 99 \ 1 \ \11228 1 5 0 \ \ .0 ' \\ `\ q,-j'` ,�� \' '�� \ \ \ \ 13\ \ • \ C \ \ \ t f 0 1132 may` ,`r SI \ \ 1134 ... ....,A,.. ,cup if, \ Parcel: 373409050029, 3635 34TH AV PL NE 1 in=50ft HICKORY, 28601 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