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AUTH-05-2016-072504.TIF
CATAWBA COUNTY Case' AU'rIi-0s-2016.072504 r" Puhhc 114ihh Dipinincni Subdivision CATAWBA CO BOARD OF C^' • wt ,J Iimuunnnin tictlthDi'isian P1NT: 279009158260 PO Box 389, 100-A Southwest Blvd,-Nc'ion NC 23463 LOT# 5 NAME ON PERMIT: CALINSERAZ,;4424 1ST.STREET DR NW, HICKORY NC 28601 Site Address: 5824 DWAYNE:STARNES DR, HICKORY NC 28602 Property Size: Square Seer 23,958.00 . Acres:0.55 Directions:. going..South on 127, right Dwayne Starnes Owner/Authorized Representative-Achnowlcd_gement of PermitReceipt f cehifv that I ain the owner or authorized agent (owner's anthorizatioil required) representinu 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'-04-2016-23712 , b} the following method(s): • Received in Person _ Facsimile.Tra nsniittaf(Return.fotin.withsignattii. requited) _ Electronic Image Transmittal/ E.-Mail (Retain 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:atI applicable regulator♦' requirements specified under the North Carolina Laws and Ricks fur Sehh hge I le a fin enband I)ispos hl Ss'stems (15A'NCAC ISA :1900),and/or Well-Construction Standards (IS. NC AC 2640104 shall apply to;the issuance of this permit and the construction 61thewastewater Svstentland/or waldnscipply tieli pe hutted. Permitlssue Date: 05/18/2016 ((i/v/ Owner/Authorized Representative Signaulre Date, SHg' 00 Docunhentation or.Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by _ ( unle nI parson sending permit) Signatut.e Date/Time • Method: Fax Entail _ US Mail Other Owner's request to send l)\•,.the above iutlieldel method of transmittal in lieu of.signaturt . We.want to:hear:from you Please take a few moments to complete our customer service survey at hifp://WwwHsurveymonkey.com/s/ENCustomerSeivice chpmult 05118/220lb 1 1:1.1 I'agc 4 of •aA CATAWBA COUNTY 0 'r • 0 Case# AUTH-05-2016-072504 .81: ^' 2, Public Health Department 13.7 • Subdivision CATAWBA CO BOARD OF ‘<, H Environmental Health Division i;1''• I' PIN# 279009158260 ° PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 : ea.% LOT# 5 /841 sM 4 1 � r • NAME ON PERMIT: CALIN SERAZ, 4424 1ST STREET DR NW, HICKORY NC 28601 Site Address: 5824 DWAYNE STARNES DR, HICKORY NC 28602 Property Size: Square Feet:23,958.00 Acres:0.55 Directions: going south on 127, right Dwayne Starnes 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: 1I1G -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic 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 9 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 ma result in failure to a..rove the initials stem installation or the sus•ension/revocation of existin• •ermits. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Repair System Required? Required Soil LTAR: 0.3 g.p.d./ft2 ehpemiit 05/18/2016 11:14 Page I of 4A CATAWBA COUNTY Case# AUTH-05-2016-072504 L.j©y Public Health Department Subdivision CATAWBA CO BOARD OF i Environmental Health Division PINtt 279009158260 -4' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 5 /842 ,. NAME ON PERMIT: CALIN SERAZ, 4424 1ST STREET DR NW, HICKORY NC 28601 Site Address: 5824 DWAYNE STARNES DR, HICKORY NC 28602 Property Size: Square Feet:23,958.00 Acres:0.55 Directions: going south on 127, right Dwayne Starnes 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' (I5A 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 Steven Price 05/18/2016 AUTHORIZED STATE AGENT APPROVAL DACE Permit Expiration Date: 05/18/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemi it 05/18/2016 11:14 Page 2 of 4 RBPR 04-2016-23712 5824 DWAYNE STARNES DR, HICKORY • Do not cut, drive, fill,or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 5 ft from building foundations and appurtenances; 10 ft from water lines; and out of right-of-ways and easements. • Install a 1,000 gallon septic tank and 300 linear feet of 25%reduction system; (4) 75 ft lines on contour. • Final grade of septic area must shed surface water off and away from system. (10 H • 254�6 /a t us 05, Il Sj Gl'-Duy.t 410' v `!pr TX'c1AC 54.r„-S 'Dr /\ ; 1:52> �I