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HomeMy WebLinkAboutAUTH-05-2016-072912.TIF OA CATAWBA COUNTY Case# AUTH-05-2016-072912 .7 Q z, Public Health Department Subdivision 40' `j Environmental Health Division PIN# 370008985098 g PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# : 842 6 NAME ON PERMIT: MURL RAY SMART JR., 4134 RIVER RD, HICKORY NC 28602 Site Address: 4134 RIVER RD, HICKORY NC 28602 Property Size: Square Feet:480,466.80 Acres:11.03 Directions: Hwy 321 South to Exit 41 -River Road, Left at Exit Ramp, 1 1/4 mile to paved Dr on Left, House is not visible from River Rd. (mailbox w/#on it) /yy ( Owner/Authorized Representative Acknowledgement of Permit Receipt /. ' /eg I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the I property described above. le g As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-04-2016-23679 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) y� p _ Electronic Image Transmittal/ E-mail (Return receipt required) //BIAS 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 (15ANCAC 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: 05/31/2016 —a Owner/Authorized Representative Signature 721a.721 fa,G1, ,,%/09-2711 A , Date —c2/— /� o 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 ehpennit 05/31/2016 13:21 Page 4 o14 ��A CATAWBA COUNTY 0 ;Y: 41' 10 Case# AUTH-05-2016-072912 �GYa� Public Health Department T� • Subdivision Fll;t c �-1 ;1,) Environmental Health Division 'o �, ' • PIN# 370008985098 dl-1 PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 .tip. a LOT# 0 NAME ON PERMIT: MURL RAY SMART JR., 4134 RIVER RD, HICKORY NC 28602 Site Address: 4134 RIVER RD, HICKORY NC 28602 Property Size: Square Feet:480,466.80 Acres:11.03 Directions: Hwy 321 South to Exit 41 -River Road, Left at Exit Ramp, 1 1/4 mile to paved Dr on Left, House is not visible from River Rd. (mailbox w/# on it) Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permitl * 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? Yes 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 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: 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 LTAR: g.p.d./ft2 ehpermit 05/31/2016 13:21 Page I of 4 `4A CATAWBA COUNTY Case q AUTH-05-2016-072912 Li Ftti%. Public Health Department Subdivision < ----,un z .3 Environmental Health Division PIN# 370008985098 VS 4V PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# Ig.2 w NAME ON PERMIT: MURL RAY SMART JR., 4134 RIVER RD, HICKORY NC 28602 Site Address: 4134 RIVER RD, HICKORY NC 28602 Property Size: Square Feet:480,466.80 Acres:11.03 Directions: Hwy 321 South to Exit 41 -River Road, Left at Exit Ramp, 1 1/4 mile to paved Dr on Left, House is not visible from River Rd. (mailbox w/#on it) 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 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 05/31/2016 AUTHORIZED STAB AGENT APPROVAL DATE Permit Expiration Date: 05/28/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpernut 05/31/2016 13:21 Page 2 of4 EHPR 04-2016-23679 4134 River Rd,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; 15 ft from a basement; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank and 300 linear feet of 25%reduction system; (3) 100 ft lines on contour. • Final grade of septic area must shed surface water off and away from system. rvv r4a-Y Cr &sirs- , ` Ne-'ST9 Dn..-**Al Lid�� '1 ■ ZzS j0I v tt ail' Dr..K- to 2;J to K �o� 1'I ea' �� DDEPARTMENT OF IVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION �rr/e Cy - �,�— 23675 PROPERTY ID fi: ON-SITE WATER PROTECTION BRANCH COUNTY:Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: •— APPLICATION N DATE ADDRESS: DATE EVALUATED: ,0-e PROPOSED FACILITY:_ PROP SED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: e'//39 jero- jr( PROPERTY RECORDED: WATER SUPPLY: U Private 0 Public JXWell 0 Spring ❑Other EVALUATION METHOD: U Auger Boring XPit ❑Cut TYPE OF WASTEWATER: 'Sewage ❑Industrial Process ❑Mixed R SOIL MORPHOLOGY OTHER . F: .: (.1941) PROFILE FACTORS 1 .1940 L g LANDSCAPE HORILON - POSITION! DEPTH "� PROFILE 1942 CLASS" �11941 i .1941 SOIL " STRUCTURE!' CONSISTENCE! " WETNESS! SOH% ; SAPRO RESTR &LTARs _ „TEXTURE j " MINERALOGY -„ COLOR ':DEPTH- •.CLASS HORIZ _ D—� °Sot cif re S(.; /11A- �A- PS t.5 9-30 &E. C F✓C Sr © 3 1 . 3o— y9 "NA- I_ r� J� D S Wsa&. CPC Fe' SC LS j- 24 5t51Cc rtSG- 4 �5 �A Nit PS 2 'I,o°G. 2l - `tl '.Sat CL r'?2.S‘ ftI h Inc • 3 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): P SITE CLASSIFICATION(.1948): Available Space(.1945) 5 'e`r S 15 System Type(s) 2.,r4 4d /�� EVALUATED BY: Sit-- re-Y OTHER(S)PRESENT: Site LTAR D, 3 COMMENTS: Updated February 2014 ari (if_ ZD/6- Z3675' Catawba County Environmental Health P4 t. up 1 dr-is p III I I IllifiS 1::\ iY t y war il r ai u'94 also el, Wilia, k. los Niir,44,44%.,...... .sor 4 ...wii-•.-..,. ..,,,,. .i.c _:---"----..%%.N.- __,. Parcel: 370008985098, 4134 RIVER RD i9,3{-t-,..- f° 6t 1in=100ft HICKORY, 28602 P1 es' SSA Q z Ito, Rs- 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