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Home My WebLink AboutAUTH-05-2016-072347.TIF gA CATA\\'BA COUNTY Case# __ _ �` ABERNETHY PARK PH 12 .T f.t'` ��y, Public Health Department Subdivision -•3i , 1 Environmental Health Division PIN4 279012874247 '4'-2 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 87 is.2 s, NAME dN PERMIT: *BOUREANU, CONSTANTIN CLAUDIU, 1475 KENSINGTON PARK, HICKORY NC 28602- Site Address: 5163 MEADOW PARK LN, HICKORY NC 28602 Property Size: Square Feet:20,473.20 Acres:0.47 Directions: Bethel Church RD TR Pittstown RD, TL Abernethy Park DR, TR Orchards Park DR, TR Regents Park DR, TL Kensington Park DR, TR Meadow Park LN Owner/Authorized Representative Acknowledgement of Permit Receipt 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 RBPR-10-2015-22479 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 (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: 05/13/2016 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted b • Al 1.4 0 t d 1 1� (name of person srndin• permit) f � Signature III (I 1'. i I Date/Time , )( ) 0 11 Q • Method: Fax Email US Mail Other Owner's requ t to se d by,the above indicated method o transmittal in lieu of signature yin' We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService chpermil 05/13/2016 09:32 Page 4 of 4 0 Case# ,S5 CATAWBA COUNTY 0 %a G AUTH-05-2016-072347 Public Health Department 7%� 1.$ Subdivision ABERNETHY PARK PH 12 < IH Environmental Health Division .l ti. PIN# 279012874247 4�+ o Rio o 92 I PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 _ r LO"r# 87 g.2 s 4. o NAME ON PERMIT: *BOUREANU, CONSTANTIN CLAUDIU, 1475 KENSINGTON PARK, HICKORY NC 28602- Site Address: 5163 MEADOW PARK LN, HICKORY NC 28602 Property Size: Square Feet: 20,473.20 Acres:0.47 Directions: Bethel Church RD TR Pittstown RD, TL Abernethy Park DR, TR Orchards Park DR, TR Regents Park DR, IL Kensington Park DR, TR Meadow Park LN 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 480 g.p.d Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - house Basement? No Basement Plumbing? Bedrooms: 4 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: 1,200 sq ft Total Length: 400 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 4 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: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP Repair System Required? Required Soil LTAR: 0.3 g.p.d./ft2 PUMP REQUIRED ***** OPERATOR REQUIRED chpennit 05/13/2016 09:32 Page 1 of �6 CATAWBA COUNTY Case# AUTH-05-2016-072347 .� 3 f4 Public Health Department Subdivision ABERNETHY PARK PH 12 4 ,� Environmental Health Division PIN# 279012874247 PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT# 87 1g42 w NAME ON PERMIT: *BOUREANU, CONSTANTIN CLAUDIU, 1475 KENSINGTON PARK, HICKORY NC 28602- Site Address: 5163 MEADOW PARK LN, HICKORY NC 28602 Property Size: Square Feet:20,473.20 Acres:0.47 Directions: Bethel Church RD TR Pittstown RD, TL Abernethy Park DR, TR Orchards Park DR, TR Regents Park DR, TL Kensington Park DR, TR Meadow Park LN The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/propeny 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 18A.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 05/13/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/13/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. elipeimit 0511312016 09:32 Page 2 of4 -SP. AG R6PK 10-,015-1)`179 5163 Meadow Park Ln, Hickory * y4-QI\ IoOOvallon s€4ic 4anK and 9oo41. of Ds?. Reduc}ion 4- 10(41. 4renci,es. or S-iOs. * 4q11 drwvlfiela on Coo-far. S s1erm musk be of 1easV loot{. of wells, 10{{. from Wafer lints, 5f}. -From S-Irurlvres, lvdi1c,\ de i Porck s , )0 • from ProPer47 lines, and o✓t o{ any rti-of,ter or QASe Meni. * Do nol; drive, `facie, cuk, or-U111 oJer .sec4ic, areas. �er cc( an<k away S S Fray grade o-( Beirut area rnus-1 shed su(kuce vJa '4 SMal\ Jswales or dikcties m°Y be r\eeded• At House, v+1■1 conneck vu{vtir. gerorded ec w soj ke�r R /fir., i (r/ ?� �,,') ;�I{ Q• So tiCr4irage I . , EASVmeh} / 5' "MO 15'r i 5. 60 , / Qearoom , y l w 4lause, , / 65' y. I I 1 / q / So' / I / I 35.64' Meadow 1E4 U .