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HomeMy WebLinkAboutAUTH-06-2016-073606.TIF C•• \ CATAWBA COUNTY Case# AUTH-06-2016-073606 Public Health Department Subdivision we,K Environmental Health Division PIN# 375220709202 Ip-� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT#4 n NAME'ON PERMIT: YOUA YANG, 1842 29TH ST NE, HICKORY NC 28601 Site Address: 2774 E US 70 HWY, CONOVER NC 28613 Property Size: Square Feet:21,780.00 Acres:0.5 Directions: From 1-40 Exit 135, Right onto North Oxford St, Right onto US Hwy 70, House is on the Right. Owner/Authorized Representative Acknowledgement of Permit Receipt \/"/L /I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the A property described above. rt i/As the pr perty owner or authorized representative, I have received the above referenced permit(s) as equested in e application for service EHPR-05-2016-23896 , by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) yB/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: 06/16/2016 C. ✓r Owner/Authorized Representative Signature - (hg-V Date —I c—/ to 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 chper uit 06/16/2016 13:36 Page 4 of 4 CATAWBA COUNTY 0 -o' - fl Case# AUTH-06-2016-073606 C~' Public Health Department it • Subdivision •< „; Environmental Health Division I I PIN# 375220709202 54" PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 lg - Lf, LOT �2 s 14151 o O e NAME ON PERMIT: YOUA VANG, 1842 29TH ST NE, HICKORY NC 28601 Site Address: 2774 E US 70 HWY, CONOVER NC 28613 Property Size: Square Feet:21,780.00 Acres:0.5 Directions: From 1-40 Exit 135, Right onto North Oxford St, Right onto US Hwy 70, House is on the 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: IIIG-OTHER NON-CONY TRENCH SYSTEMS Soil LIAR: 0.3 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - house Basement? No Basement Plumbing? 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 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 elipennit 06/1612016 13:36 Page I of4 s CATAWBA COUNTY Case# AUTH-06-2016-073606 Fv t+j L Public Health Department Subdivision Q SI Environmental Health Division PIN# 375220709202 wit PO Box 389, 100-A Southwest Blvtl,Newton,NC 28658 LOT# /8.2 S. NAME ON PERMIT: YOUA YANG, 1842 29TH ST NE, HICKORY NC 28601 Site Address: 2774 E US 70 HWY, CONOVER NC 28613 Property Size: Square Feet:21,780.00 Acres:0.5 Directions: From 1-40 Exit 135, Right onto North Oxford St, Right onto US Hwy 70, House is on the 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 Plannina/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 niven period of time, Megen McBride 06/16/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/16/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpcnnit 06/16/2016 13:36 Page 2 of4 IBC Repair EN PR-05%bl'0-)3$9b )77(1 E 057o uwy, Conquer Nt-toltes pAWW blil) vilder kou5e. ana Se+ neG\I 100oc ion Sef-ht 4'On fr c c SkoOn .j 4' IAs al 300-cry. oT )57O 1ec uc4ior; 5- 60-f;. Irerckes_ IM.P1i iciii4;e0 ork conloof_ * SKIS-fe,v Mv54 be o; IPA, -; 5041. from Wells, c1 -from s-trurh teS, /0-C4- :rpm properly iine5, QIua CbMek4e / 004 of (Whli' of- vine$ a�iM eo e�rvn . I / t Do filet ar;,Je,, cjraclk., cu4 U 1i1 O r Sect. OX'?a, 1., 48.a) 39 PJ, a d J O well ! well Drive p, Sot I r„..-- Fume o�T crush,an d 1 back4 ll old Sepifc Tank 3 °clroon^ �� - Nevi 1000gc . _ 1 Noose 1 ' 1 S 1Crcng f l 5' Ii 1 1 A bo' ¢- : L �. i lo' l ! I 1 ji __....______—.---_'.—. 10 .!a. E OS 70 laVY "=50 DEPARTMENT OE ENVIRONMENT AND NATURAL RESOURCES Shed—of DNLSION OF ENVIRONMENTAL HEALTH PROPERTY ID 4: ON-SITE WASTEWATER SECTION COUNTY: SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER VOUc \ah� APPLICATION DATE 5117 I bfbPk- D5- 2611,- )3`16 ADDRESS: DATE EVALUATED: 6-;-16 PROPOSED FACILITY: 3 BR NOW, PROPOSED DESIGN FLOW(.1949): 3 60 . PROPERTY SIZE: 0 i 5 LOCATION OF SITE: a 77'1 E Vs 7 9 Hwy (.an oae.r PROPERTY RECORDED: WATEERSUPPLY: 1i Private 0 Public ® Wen fl Spring 0 Other EVALUATIONMETITDD: 0 Auger Baring 0 Ph 0 Cut hand dot hole. TYPE OF WASTEWATER: r$ Sewage 0IndustialProcrss 0 Mixed ✓ • . ...: S01i,MO$£80LOGY• ,• {?TEER 9` (1941) PROFIIEFACTOIts 1044 I_. .. .. EORi 1942, scisn - ZAN : : L .. . . '1941 ... SOIL .:1441 1456 44 PRQFILE. a. _POsct'mow:! DLPTi:: srittit tlitnt OONSISTENGE) ALIN'tS$ SOU $4P.RO ItlgT(t `it :. '.SLOF&.c...i .ilinN.)............. TrX u,E.,,: ::.::.Ml1+E .. COLOR .::!DEPT$ :Ct'4S$ : .::HORIZ:: CLASS- .. RAI,DGY..,.' :&T.1YiR'. D-15 sbk L -Fr.SC. Sete 15-50 <6& C (r.44,cot° 1 _, 50 - PS 510 r ) I 2 I • • - - • 1 I 1 3 - 1 1 4 1 1 DESCRIPTION �ATrIALSYSTEM I REPAnRSYSTEM OTHER FACTORS(.1946): T �C SITE CLASSIFICATION(.2945): Available Spare \(.1945) \ ) m SystemTypXs) �.,, -��77-- EVALUATEDBY: McUPn f'lC (7(�7 .� _ Jlim OTHER(S)PRESENT: U • Site LTAR \ 0:13 COMMENTS: '