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HomeMy WebLinkAboutAUTH-05-2016-072645.TIF cdA • CATAWBA COUNTY Case# AUTH-05-2016-072645 ,v'is ,, Public Health Department Subdivision Belle Meade < we n-, s; Environmental Health Division PIN# 371420908869 \,,,-.0° PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 7-10 lg.2 :M NAME ONPERMIT: TONYA HOLCOMBE, 6345 SULPHUR SPRINGS RD NE, HICKORY NC 28601 Site Address: 2720 21ST ST NE, HICKORY NC 28601 Property Size: Square Feet: 18,730.80 Acres:.430 Directions: McDonald Pkwy, onto 29th Ave, right into Bellemead,20th St Ln NE, to stop sign, turn right on 27th Av Dr NE, left on 21st St house on right Owner/Authorized Representative Acknowledgement of Permit Receipt X 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 petmit(s) as requested in the application for service EHPR-03-2016-23484 by the following method(s): Feceived in Person acsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) F; 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: 05/23/2016 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) ,LIIIPermit transmitted by 11 • , (name of person s ndin.permit) /© q �( � Signature . A I„LA Wl.'l1 .6 Date/Time �` I —!� Method: ax _Email US Mail Other Owner's request to send by he above indicated method of transmittal in lieu of signature � 02� '� �J_Q:2Z'P We want to'hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpemtit 05/23/2016 10:50 Page 4 of 4 0, �G • • CATAWBA COUNTY CI ;to 0 Case# AUTH-05-2016-072645• Qom' p Public Health Department S y Subdivision Belle Meade < Q —°-� q^C Environmental Health Division t � 73:. PIN# 371420908869 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 o • LOT# 7-10 /8 iii •14.,f�+^ %13 • NAME ON PERMIT: TONYA HOLCOMBE, 6345 SULPHUR SPRINGS RD NE, HICKORY NC 28601 Site Address: 2720 21ST ST NE, HICKORY NC 28601 Property Size: Square Feet: 18,730.80 Acres:.430 Directions: McDonald Pkwy, onto 29th Ave, right into Bellemead,20th St Ln NE, to stop sign, turn right on 27th Av Dr NE, left on 21st St house on right 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: HAG -OTHER NON-CON V TRENCH SYSTEMS Soil LIAR: g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - Basement? Yes Basement Plumbing? Yes 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 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 6 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 Repair System Required? System Class: Proposed System: Distribution Type:: Soil LIAR: g.p.d./ft2 ehpermit 05/23/2016 10:50 Page I of4 4A CATAWBA COUNTY Case# AUTH-05-2016-072645 /fall G Public Health Department Subdivision Belle Meade wasiv,, „`(; Environmental Health Division PIN# 371420908869 t PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# 7-10 /8.2 s. NAME ON PERMIT: TONYA HOLCOMBE, 6345 SULPHUR SPRINGS RD NE, HICKORY NC 28601 Site Address: 2720 21ST ST NE, HICKORY NC 28601 Property Size: Square Feet: 18,730,80 Acres:.430 Directions: McDonald Pkwy, onto 29th Ave, right into Bellemead,20th St Ln NE, to stop sign, turn right on 27th Av Dr NE, left on 21st St house on right 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 preen period of time. Steven Price 05/23/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/21/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. eligernnt 05/23/2016 10:50 Page 2 of EHPR 03-2016-23484 2720 21st St NE,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; 10 ft from water lines; 15 ft from a basement; and out of right-of-ways and easements. • Install a new1,000 gallon septic tank unless existing septic tank can be shown to be the correct size,structurally sound,in good working order, and can be updated with sanitary tee and filter. • Install 300 linear feet of 25%reduction system; (6) 50 ft lines on contour. • Final grade of septic area must shed surface water off and away from system. Otte_ ltavx situ 6,;.;)4 S( /— 50 ST N • 7 7 9 oeI SYR� '� ` 4Y ro ' a f(_ ■ _l(O DEPARTMENT OF HEALTH AND HUMAN SERVICES ra 0 3.— 6 -Z — 3 V17 Sheer 1 of l DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION C.t�• PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba_ SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM 9/ (Complete all fields in Cull) OWNER: l o- < Al(C•c,In, _ APPLICATION DATE ADDRESS: DATE EVALUATED: '-1/z1 PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: 2720 -Mr' ST 4/C PROPERTY RECORDED: WATER SUPPLY: 0 Private APublic 0 Well 0 Spring 0 Other EVALUATION METHOD: 0 Auer.Boring NPit 0 Cut TYPE OF WASTEWATER: ,�Sewage 0 Industrial Process 0 Mixed• P R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 • L LANDSCAPE HORIZON E POSITION/ DEPTH PROFILE • d SLOPE•/. (IN.) .1941 .1941 S.1942 OOIL •1943 '1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 6`5- I'.Sk SLc & fe- 11 5 15 S-211 S6/c c Frt SC i fAt Li( N4- J 1 to6 25- yg 443 tit C-L Fie Sr 0:1 wijy, • 0 -IC, Cr Sc. _ F/ Se- 6t-al N 4 Mt Q f GS 16-yo Ss k- c ft se,' is A- LI K 0- -3 2 (01,, yo -9g v!`, a het 5(2- 3 • 4 - DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) (5 SITE CLASSIFICATION(.1948): /s' 3 5 �i4 r � System Type(s) �,.y EVALUATED BY: 2- t 61 OTHER(S)PRESENT: Site LTAR b. 3 COMMENTS: e$C'- f 1 6. RI-. ...P 1 Eff// b 3- 7a(L- 23 vxt/ to,F I�c.J 7 Catawba County Environmental Health ", N oe oo IV -- .---. 7'■ N. / \ N. `( N N. N. \ I / N. i ./ J N. N N. / / / N. N. N/ N. \ K:\-.. ::, \ 8 \ \ \ / / h s. N. N. \ N N \ eV N ti N N. \ / N o N \ \ 1 N`// N ! \ N��! o \ N N N. \ N / N ,-\ ' N y J N \�? /% '/ / / \ \ p.Vz \,o \ / / //,1/4/ / , 141:ii / .7\ 17/ / Q.% // / Of� / ,•')C...\,...„� \ I / N. \ / / --) //) / • / . \ / / \ \ N / / / \ NV, / / N \ N Parcel: 371420908869, 2720 21ST ST NE 1 in=40ft 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