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
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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
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LOT
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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
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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 ✓ •
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S01i,MO$£80LOGY• ,• {?TEER
9` (1941) PROFIIEFACTOIts
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scisn - ZAN : : L .. . . '1941 ... SOIL .:1441 1456 44 PRQFILE.
a. _POsct'mow:! DLPTi:: srittit tlitnt OONSISTENGE) ALIN'tS$ SOU $4P.RO ItlgT(t
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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: '