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HomeMy WebLinkAboutAUTH-06-2016-073502.TIF 06' CATAWBA COUNTY Case# AUTH-06-2016-073502 s •G Public Health Department Subdivision CLEARVIEW ACRES PL 9-: ® 372418306846 4 ;���< ,"'�,'Environmental Health Division PINY" -L PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 26-28 18 tit su NAME ON PERMIT: ROBERT ELROD, 2631 27TH ST NE, HICKORY NC 28601 Site Address: 2631 27TH ST NE, HICKORY NC 28601 Property Size: Square Feet:54,014.40 Acres:1.24 Directions: Down Springs Rd to Clearview Acres, go to the yield sign &take a Left, 1st Rd on the Right-27th St NE, Last house on the Left, 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 Ne/ property described above. Ka As the property owner or authorized representative, I have received the above referenced permit(s) as requested in t e application for service EHPR-12-2015-22843 by the following method(s): Received in Person Facsimile 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: 06/15/2016 /� , Owner/Authorized Representative Signatures// ate -$"./ 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 tipennil 06/15/2016 08:23 Page 4 of4 y,A CATA\VBA COUNTY 0 : 0 Case# AUTH-06-2016-073502 ^Q ra'I • Public Health Department y. q - Subdivision CLEARVIEW ACRES PL 9-: S?4.� H Environmental Health Division ri 3 PIN# 372418306846 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 +}� 0 Gq LOT# 26-28 •0' ` • ' s a • NAME ON PERMIT: ROBERT ELROD, 2631 27TH ST NE, HICKORY NC 28601 Site Address: 2631 27TH ST NE, HICKORY NC 28601 Property Size: Square Feet:54,014.40 Acres:1.24 Directions: Down Springs Rd to Clearview Acres, go to the yield sign &take a Left, 1st Rd on the Right-27th St NE, Last house on the Left. 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: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Soil LIAR: 0.3 g.p.d.lft2 Permit Category: Repairs Type of Facility: Primary Residence- house Basement? No Basement Plumbing? Bedrooms: 3 Wastewater System Requirements Tank Size: Existing Tank Unknown Size Pump Tank 1,000 gal Grease Trap gal Dosing Volume 146 gal Pump Specs: 22 GPM @ 19 TDH Pressure Head 2 ft Draw Down in Drainfield: Total Area: 900 sq ft Total Length: 300 ft Maximum Trench Depth 18 in Aggregate Depth in Trench Width 8 ft Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center Number of Drain Lines 3 Distribution: Pressure Manifold Pre Treatment: NONE PUMP 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 Repair System Required? System Class: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 ehpermit 06/15/2016 08:23 Page 1 of 4 'e' CATAWBA COUNTY Case# AUTH-06-2016-073502 Tu G Public Health Department Subdivision CLEARVIEW ACRES PL 9-: 6;.a K Environmental Health Division PIN# 372418306846 e.dp,' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 26-28 18.2 s. NAME ON PERMIT: ROBERT ELROD, 2631 27TH ST NE, HICKORY NC 28601 Site Address: 2631 27TH ST NE, HICKORY NC 28601 Property Size: Square Feet: 54,014.40 Acres:1.24 Directions: Down Springs Rd to Clearview Acres, go to the yield sign &take a Left, 1st Rd on the Right-27th St NE, Last house on the Left. 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 period of time Megen McBride 06/15/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/15/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 06/15/2016 08:23 Page 2 of4 AG Nair EHPIZ-p-a015-)ag43 )631 D7th Si- NE, Hicrory V QV 4.0 use exis1in Se }ic1ank s° 'orl as i4 is k - act and skruc}vraljsound. If 4 ..s found Au be olherwise�c.c PbroMised, lns-1 all new I000jallor -6)1 , Tr\ ll new + JI}er in exisl'm9 rK 'Ins}qll 1000 lion P1vlkany., 13vofl. of a57 Redvel-jai,, 3- loo-} -fret es. i Qum? -40 pressure rvranifola. 3 - /zincl`, SGeclule qv {aPs or mailfold. 4 70s4ap drain-f7ell. or con}our is incr. -4rer\cb.dent. lr R cw'Je-}tees anct Undcrbrusi- In drairriel1 area. * $ertio 1s}Em muss be, 504 -from wx.Ils, ID-(1.-From wale( lines, 5}l•-frDM 54cuc}ures, ID-F4. from Properly lines, one out of Qny nqh{•o{-vial 0( easeMen4. . Qo no} drWe.l01rode, Cul, or-Gil ogle septic/area. + House connec-ted 10 Public woIer. D37,6' 110. 1os \ fP ati Pnl W 9 o ., B, J ex. (r f3 Bedrooe m 1 / Hous well /cF 11/4.3.7, ;7•h s4. NE x„_60, a DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shat—Of— DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID N: ON-SHE WASTEWATER SECTION COUNTY: SOILISITE EVALUATION for ON-SITE WASTEWATER SYSTEM OwNFR 11,01>e4 �Irod APPLICATION DATE It 15 ENPR-1)-)OI5•aagy3 ADDRESS; DATE EVALUATED 3 I6 t a8/it PROPOSED FACILITY: o G P SEDDESIGNFLOW(.1949): 360 . PROPERTY SIZE: I•�Yncra LOCATION OF SITE: )631 )7+1. E i( ! PROPERTY REGARDED: WATER SUPPLY: 0 Hyatt ® Public 0 W 0 Spring 0 Other EVALUATION MEIHOD: 9I Auger Boxing 9 Pit 0 cut TYPE OFWASTEWATER: ® Sage a Indus al Process U Nfizei Savage _:: -:_ '- _ ==t e :: a; :-a: !`_e,i:: .':€;3;-. :E_ _::==_ms.s_`. =. -..-.._.. _.._....._......;......:.:.._i_ - :_:,. :_;� �- __r_ � __ _ _;- {_Lt;:G ==i'=i'= ;ci F : ) __:eeeatt t=[t[.=attstt:__t=ta..a tt ==e__;t -:::::: ::ii,s : : • k . ` ii- -_ i = '- i Y3 FF - !_Ft..:::: .:- .::::_:_ =,_ _..:-.- _ : ==. : . _ riot o_e..---vavv,,...•a. a. :_ .::o:::==coca--o::�:: ':::'::' __5 -..“:: =:iii:-ce:_ : :::14.YTS:::E_:_:e:ea_.::::::::: ::.:4$16IIIil_...__.. p: ____......— .......... Si] _: ..o:_. .:._.__ :=:_:-r--:::14dT: .i=..-iiif:rj___��,�iie-' 'C '.Eii3ii Y�.:.�°.�� sg .. '..._ .. sthFist _SAN_ ''''''''''',3.,..'--,:: ,-":--TtETilii:'si:_... E CV ii ::W'trnERSI' __s;x�.Ur.:= , 5AP3¢=_Rx Rgi R,..--'•--_-'s :__ .s1or :: .._(!?*7 -:.---; `'... = _:: =:mu, e2sat3Gx C ic# _ _:nee..... ltuz EraRS: 0-6 9r L -P•ss, Sex, CC G-3I SiA U- - 4 .tc. SPYp PS 1 57, GI-+Rock '5°7. -- 31 03•° wetter 0 ?o• D-A sE{c• &L cr,ss, Svp L a9-Y$ GL i Rock 75°7°J PS . 2 a — _ • 59. • 0'3 o-* sWJL, fr:ss.sexp n-YG 45k C wi 'js low mo44 bs frists€19 y6 FS 3 N6-5I Rock — 0.35 1 o-)4 sW U- -Cc ss. 1Y-3D' abk G.t wiz 4,55, Self P5 4 3o-4g Rock — 30 - - p,3 *der 018' e DESCRIPTIDA n.TnAL SYSZSd REPAIR SYSTEM OTHER FACTORS(.1946): AwiI If SAatt(.1;45) SITE CLASSIFICATION(.1948): Pc SystewTyp�s) �{b EVALUATED BY: �PAPr�titfltlP. * Ct'i l' �"elp$ lit 9 OTBER(S)PRESENT:- k�IG wife I.00sf Ends Site LIAR 0,3 • COMMENTS: SOIL/SITE EVALUATION Sheet of (Continuation Sheet) DEPARTMENT OF ENVIRONMENT PROPERTY ID#: PPR.-2)113 AND NATURAL RESOURCES DATE OF EVALUATION: DIVISION OF ENVIRONMENTAL HEALTH COUNTY: • • • • •• :Fr IIIV ''' ... . .. ......... .., .... .... . .. .. .... :16:1 ... . ... .. ... . . Pg'i3ldhLiA(.40.01r 6:1941 :TROYITZFACT.QRS .. . . .. . 14 iv,:.......::.1940 ....1942 .1941 :::...::SOIL.....:....::1941.... ,195.6 044 ;;:PR-OPP.01 ..zorsr *:::::VOSITIONE • WIRT/CIL/RP)• CONSISIIINCE( ::WETNESSV SOIL :1',IiAPRDi:: IiIRESTRM CLASS. PUMPA.:E . .ANIY. .. . MINERALOGY COLOR IE,Erriu :ii:CEASS IiiiiIIHRIZ::: ,,::&w. 0-lb SW._ Gt. 16-27, sbk-Ita GI wg- fr,Cs, ex? PS 5 L - fri aveta5e. )7 _ o.3 1 57 D7_qg )507. RocK 0- 5 SW'- CACI_ "G rsS,sex() Ps_ _ a3 _1. . i 1 • _ . . 1 COMMENTS: , , , 3-1004. }miles - O5 , 4 Y' soppy [one -)fl. HP 349es x 7.11;= D1.33 l m,n 3o0 x 0475= 195 \` 195x 5.75 iy-1; 14 - —�_-_ dos;no7 7 „d�0.wdoun 4)5 -- SCHNo.)a Sappy 61\4 =I.?7 vol. � .__\ 117 loo 0' 01)-7 x 1)5 : 1.5875 F1 15 t11 PH ii T0H 55 1-75' -Ito / • o' © 110 -p© 0- -loo. lb' ,O 3 .3p• 60. -so_- g0 s, \ 3SLHouse, I wui IF ait S+ NE (NOOSC4��