HomeMy WebLinkAboutAUTH-07-2016-074174.TIF \-8A • CATAWBA COUNTY Case# AUTI-I-07-20 1 6-074174
Public Health Department Subdivision
< , Environmental Health Division PIN# 372109053559
--ire PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 L0T# A
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NAME ON PERMIT: PATSY SMITH-CALDWELL, 2019 STARTOWN RD, HICKORY NC 28602-8308
Site Address: 2019 STARTOWN RD, HICKORY NC 28602
Property Size: Square Feet: 27,442.80 Acres:0.63
Directions: Hwy 70, Startown Rd, Go through 1st intersection (Catawba Valley Blvd), 4th house on the Right, across from
Scronce's Pump House.
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
property described above.
As the property owner or authorized representative. I have received the above referenced permit(s) as
7 requested in the application for service EHPR-06-2016-24160 by the following method(s):
Received in Person
Eacsimile Transmittal (Return form with signature required)
lectronic Image Transmittal/ E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
I 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: 07/02/2016
Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electro nic or other means)
Permit trans ni ted my _ /
IS i if al. ,�I (name of person s n ing permit)
Signature , it__ ,��_ Of ��� Date/Time ad / '® g e^ I�
Method: Fax s sAmail US Mail Other
Owner's request to send by he • bore indicated method of transmittal in lieu of signature
ip
We want to hear from you. Please take a few montents to complete our customer service survey at:
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ehpennit 07/05/2016 08:32
13A CATAWBA COUNTY 0 I +:y.i; 0 Case# AUTH-07-2016-074174
.7 p Public Health Department "4,°ti1 i� �-* Subdivision
Q !
4 n 41 Environmental Health Division I �� ' PIN# 372109053559
I2 42 PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 . i r LOTS A
IR 2 a �y[! 0�1 ?
NAME ON PERMIT: PATSY SMITH-CALDWELL, 2019 STARTOWN RD, HICKORY NC 28602-8308
Site Address: 2019 STARTOWN RD, HICKORY NC 28602
Property Size: Square Feet: 27,442.80 Acres:0.63
Directions: Hwy 70, Startown Rd, Go through 1st intersection (Catawba Valley Blvd), 4th house on the Right, across from
Scronce's Pump House.
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit}
* See site plan mrd number of additional attachments ( J.
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 240 g.p.d
Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
Soil LTAR: 0._3 g.p.dift2
Permit Category: Repairs
Type of Facility: Primary Residence - house
Basement? Yes Basement Plumbing? No Bedrooms: 2
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: 600 sq ft Total Length: 200 ft Maximum Trench Depth 36 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation 6 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 existingpermits.
»»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««<
Proposed Repair
Repair System Required? System Class: Proposed System:
Distribution Type:: Soil LTAR: g.p.d./ft2
chpennit 07/05/2016 08:32
•
„n • CATAWBA COUNTY Case# AUTI-1-07-2016-074174
W /, Public Health Department Subdivision
< " �� Environmental Health Division PIN# 372109053559
\ �� Y PO Box 389. 100-A Southwest Blvd.Newton, NC 28658 LOT# A
/g.2 ,.
NAME ON PERMIT: PATSY SMITH-CALDWELL, 2019 STARTOWN RD, HICKORY NC 28602-8308
Site Address: 2019 STARTOWN RD, HICKORY NC 28602
Property Size: Square Feet:27,442.80 Acres:0.63
Directions: Hwy 70, Startown Rd, Go through 1st intersection (Catawba Valley Blvd), 4th house on the Right, across from
Scronce's Pump House.
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 'Lou's and Rules far Sewage Treatment mid Disposal Systems' (I5A
NCAC I8A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will
continue to function satisfactorily for any s'iven neriod of time.
Megen McBride 07/02/2016
AUTHORIZED STAIR 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.
ehpemait 07/05/2016 08:32
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DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shea_oJ_
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#:
ON-SITE WASTEWATER SECTION COUNTY:
SOIL/SITE EVALUATION
II ,, //� ,�t�rQ�V S1TE WASTEWA 1•ER SX NI
OWNER: PR-6- SIYI4 -CAAICIWE I APPLICATION DATE J 3'!6 EtIP12-06-2oA-)iiiti0
ADDRESS: DATE EVALUATED: Li-30-lb
PROPOSED FACILITY: 7 PA- Hovcr PgOPOSF?DESIGN FLOW(.1949): 1'(0 PROPERTY SITE: 0.63oafs
LOCATION OF SIM 9011 .SlartnWn Rd Haply PROPERTY RECORDED:
WATER SUPPLY: R Private 0 Public II Well 1 11 Spring 0 Other
EVALUATION METHOD: 0 Auger Being if Pk O Cut
TYPE OF WASTEWATER: W Sewage 9 Industrial Process 9 M1xed
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DESCRIPTION TnALSYSTEM REPAIR.SYSTEM OTHER FACTORS(.1946):
Available Spat=(.1945) 105 S CLASSIFICATION(.1948): Q ,J
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System Tya(s) l,7'' EVALUATED BY: Melt.i/I-"W�tte
Ll °TREKS)PRESENT: tily -!;$ehhE1
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