HomeMy WebLinkAboutAUTH-07-2016-074119.TIF 101 16 01:05p Leatherman's Septic Tank 704 462 2636 p.1
Jul. 1. 2016 9 :43AM
No. 0306 P. I
a •��•' CATAWBA COUNTY CascN
�? nt TH-07.2016-074119
,.�� Public Health DeperOnent Subdivision HIDDEN CREEK ESTATES
.�yg �, Environmental Health Division PIN# 371009059289
!t PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 LO'I'N 46
NAME ON PERMIT: CORINNE DOOLEY, 3772 MATTINGLY DR, HICKORY NC 28602
Site Address: 3772 MATTINGLY DR, HICKORY NC 28602
Property Size: Square Feet: 16552.80 Acres:0.30
Directions: Sandy Ford Rd, Right onto River Rd, Left at Hidden Creek Dr, Take the 1st Left, House on the Right.
•
Owner/Authorized Representative Acknowledgement of Permit Receipt
X /v I 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 EHPR•06-2016 24187 by the following method(s):
iteceived in Person
Facsimile Transmittal (Return form with signature required)
_ Electronic Image Transmittal/ E-mail (Return receipt required)
/iG 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 (ISA NCAC 1SA .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: 07/01!2016
.f�� _2.
Owner/Autlrflrize9 Representative Signature ll�"2 x, c,
Date �✓l //4
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmited .y Sa t. ,,t/I t,1 14 u ame ofperson sendM permit)
Signature `rt ft e S Date/Time O1 t f J(p
Method: Fax _Email US Mail Other
•
Owner s re u\ yt to send by the
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the a ,ve io 'ca e .mphod of transmittal in lien of signature
-.0.A.
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071012016 09:36
viA CATAWBA COUNTY 0 : ' �o 0 Case# AUTH-07-20 16-074 1 1 9
`�s'I f Public Health Department Sr a -el. Subdivision HIDDEN CREEK ESTATES
< ;' ; Environmental Health Division t• .ti• • '31 PIN# 371009059289
1�.,. PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 _ J. 1� O " LOT# 46
s4 A
NAME ON PERMIT: CORINNE DOOLEY, 3772 MATTINGLY DR, HICKORY NC 28602
Site Address: 3772 MATTINGLY DR, HICKORY NC 28602
Property Size: Square Feet: 16,552.80 Acres:0.38
Directions: Sandy Ford Rd, Right onto River Rd, Left at Hidden Creek Dr, Take the 1st Left, House on the Right.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and number of additional attachments ( f.
Proposed Wastewater System: Wastewater Flow 360 g.p.d
Type: **** no system class assigned **** 0
Soil LTAR: g.p.d./ft2
Permit Category: Repairs
Type of Facility:
Basement? No 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: sq ft Total Length: ft Maximum Trench Depth in
Aggregate Depth in Trench Width ft
Minimum Soil Cover in Minimum Trench Separation ft on center
Number of Drain Lines
Distribution:
Pre Treatment: NONE
Additional Specifications: Septic tank only replacement
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
elip•rmit 07/01/2016 09:36
CATAWBA COUNTY Case# AUTH-07-20 1 6-074 1 1 9
�� Public Health Department Subdivision HIDDEN CREEK ESTATES
< - -,, Environmental Health Division P1614 371009059289
'�® PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT# 46
Is. ,M
NAME ON PERMIT: CORINNE DOOLEY, 3772 MATTINGLY DR, HICKORY NC 28602
Site Address: 3772 MATTINGLY DR, HICKORY NC 28602
Property Size: Square Feet: 16,552.80 Acres:0.38
Directions: Sandy Ford Rd, Right onto River Rd, Left at Hidden Creek Dr, Take the 1st Left, House 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 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' (ISA
NCAC ISA .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.
Steven Price 07/01/2016
AUTf10RIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 07/01/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpennit 07/01/2016 09:36
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