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Home My WebLink AboutAUTH-06-2016-074021.TIF ��A ' CATAWBA COUNTY Case# .7 AR Public Health Department Subdivision 2 '^,�i "3 Environmental Health Division PIN# 361701270521 151 ^c • PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# PT 1-4 gq2 :y NAME ON PERMIT: TERRELL SETZER, 1469 ZION CH RD, HICKORY NC 28601 Site Address: 4851 HICKORY LINCOLNTON HWY, LINCOLNTON NC 28092 Property Size: Square Feet: 769,269.60 Acres:17.66 Directions: Hwy 10 to Hickory Linc Hwy, turn left 3 miles on right Owner/Authorized Representative Acknowledgement of Permit Receipt 4I 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 permit(s) as requested in the application for service RBPR-06-2016-24073 by the following method(s): .Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) -S As the property owner or authorized representative I have reviewed and understand the specific conditions icof 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: 06/29/2016 / el Owner/Authorized Representative Signature /. / / -l - Nor DateOq — /Er 4, Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson 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 elipennit 06/29/2016 08:48 Page 3 o13 CATAWBA COUNTY CI 0 CaSe# AUTH-06-20 1 6-07402 1 �Y Subdivision t•.a y Public Health Department >w~ �} . Lai ti .t PIN# 361701270521 Environmental Health Division i \ } PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 sCC�� Lon PT 1-4 /842 :u • it? } r ar NAME ON PERMIT: TERRELL SETZER, 1469 ZION CH RD, HICKORY NC 28601 Site Address: 4851 HICKORY LINCOLNTON HWY, LINCOLNTON NC 28092 Property Size: Square Feet: 769,269.60 Acres:17.66 Directions: Hwy 10 to Hickory Linc Hwy, turn left 3 miles 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: IHG -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - house 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 28 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 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? Required System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LTAR: 0.3 g.p.d./ft2 rhpenuil 06/29/2016 08:49 Page 1 of4 yA ' CATAWBACOUNTY Case# AUTH-06-20 1 6-074021 R' Ptil Qi Public Health Department Subdivision 4 s I) Environmental Health Division PIN# 361701270521 4.844 284 PO Box 389, 100-A Southwest Blvd, Newton. NC 28658 LOT# PT 1-4 2 NAME ON PERMIT: TERRELL SETZER, 1469 ZION CH RD, HICKORY NC 28601 Site Address: 4851 HICKORY LINCOLNTON HWY, LINCOLNTON NC 28092 Property Size: Square Feet: 769,269.60 Acres:17.66 Directions: Hwy 10 to Hickory Linc Hwy, turn left 3 miles 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 'Lows and Rules fur Sewage Treatment and Disposal Systems' (15A NCAC I8A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any°iven nerind of time Megen McBride 06/29/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/29/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpenuit 06/29/2016 08:49 Page 2 014 -If, P-6P03,,-ao,16-)`1073 I Ni'c� Unco(40y, l✓Wi.L'nco146 f lnskll 1002 ullon serh.c +ank and Sao-f}. of 257o 1' eAudi.04 ; 3- 100-F1. . I�enctles. Lns{RII arwn-I'eld oh cor our Septic. s'JSleM mvs4- ioo-q- -from we11s, lo-Cl—from propfy lies, 5-R. from S�r�c�wPS , inclQding dots rakes, IS-U. Gorki bosemeni cvis, and oo{ of any rik5M- o(-way of eAseMehd. + Do no-I dri'e, grade, 0A, or fill Nev Se ic meas. r it Tina ra�.e mys�" S11ed Su{-face vaater off and awA7 -�-roM SyS}enn. +I 110V>tUwill co+wri in exis-\in3 Well. e Sentic 30 -lao' �TopV Proposed 3Bedroom — HoZc 72177 r IMo' C 4 0 rL 9 k 73 vi uit 2 w 357' \i-x(ktirj �inalinit)h Nay I I00.