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Home My WebLink AboutAUTH-07-2016-074407.TIF 16 • CATAWBA COUNTY Case# AUTH-07-2016-074407 rr..'�� G Public Health Department Subdivision E- /le „ Environmental Health Division PIN# 372311662516 IM PO Box 389. 100-A Southwest Blvd, Newton,NC 28658 LOT# 6 J 1, n NAME ON PERMIT: CHAD HEATHERLY, 1928 33RD ST NE, HICKORY NC 28601 Site Address: 1928 33RD ST NE, HICKORY NC 28601 Property Size: Square Feet: 16,117.20 Acres:0.37 Directions: From Springs Rd, Food Lion will be on the Right onto 25th Ave NE, Left onto 33rd St NE, Go past the trailer park & the S curve. After the curve it is the 3rd house on the Left. Owner/Authorized Representative Acknowledgement of Permit Receipt cI�C certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. X As the property owner or authorized representative, I have received the above referenced permit(s) as / (T//requested in t e application for service EHPR-06-2016-24136 , by the following method(s): _ Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) C_ ltAs 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: 07/12/2016 Owner/Authorized Representative Signatur- Date 7- /)- "/ C 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 el penuit 07/122016 10:04 ■{SA CATAWBA COUNTY OS. Case# AUTH-07-2016-074407 ''f� r4. ;. Public Health Department Subdivision 4 r �3 ' PIN# 372311662516 71:4549 Environmental Health Division Ig Z ,/ PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 SY� t r LOP/ 6 NAME ON PERMIT: CHAD HEATHERLY, 1928 33RD ST NE, HICKORY NC 28601 Site Address: 1928 33RD ST NE, HICKORY NC 28601 Property Size: Square Feet: 16,117.20 Acres:0.37 Directions: From Springs Rd, Food Lion will be on the Right onto 25th Ave NE, Left onto 33rd St NE, Go past the trailer park & the S curve. After the curve it is the 3rd house on the Left. Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( Proposed Wastewater System: 50% REDUCTION Wastewater Flow 360 g.p.d Type: IDE- PPBPS GRAVITY DOSED SYSTEM Soil LTAR: 0.3 g.p.d./ft2 Permit Category: Repairs 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: sq ft Total Length: 200 It Maximum Trench Depth 36 in Aggregate Depth in Trench Width 2 ft Minimum Soil Cover 6 in Minimum Trench Separation 8 ft on center Number of Drain Lines 4 Distribution: Distribution Box 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 LTAR: g.p.d./ft2 chper nit 07/12/2016 10:04 , ,A • CATAWBA COUNTY Case AUTH-07-2016-074407 Public Health Department Subdivision • -: m' Environmental Health Division PINU 372311662516 "u41' PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 LOT# 6 lg.2 w NAME ON PERMIT: CHAD HEATHERLY, 1928 33RD ST NE, HICKORY NC 28601 Site Address: 1928 33RD ST NE, HICKORY NC 28601 Property Size: Square Feet: 16,117.20 Acres:0.37 Directions: From Springs Rd, Food Lion will be on the Right onto 25th Ave NE, Left onto 33rd St NE, Go past the trailer park & the S curve. After the curve it is the 3rd house on the Left. 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 Plannine/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 Se wage Treatment and Disposal Systems' (I5A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any viven period of time Megen McBride 07/12/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 07/12/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 07/12/2016 10:04 AL lepckir EN PR- bl,-9016-)q136 19 '33r1 SI• NE, Hick-oil PurnP 00 and [Ac1<fil1 exis{-in sep�-i&-1-ank. '` Ins1a11 new 10005ailon sep+ic, f and -Ins+a'I )OO -q. of 5070 Red udf ors- T<j Panel ; 4- 50•{1. �renc4+es. it Panels per -French- 49 {.} -Fatal panels. feed wiI►n disfiribuf on box. i All rium6in5 {rorn house m051 Conned }o Sef410 Sts}em. ale RaomMend (elnovinq -tree in drain-field area. p1o4e• S+ofaot shed lovl of draivtfield greq. Tf most be. 51f. from SePho sys}eon most be, a4 teas} 50f{ from wells Io-p. -from wuier Imes, 5f1- from Skrockores, 5f1. from properly lines, and 004 of any n3hi-of Way Or ecuemen-f t Do no} drive, 9 race, Cul, or fill over Sefflc, c Sjef area. i-Filial rode Mv5-i shed Sur-Fart wu#er off and (Nal from sys1c . 'F1! �n tow svo j, Qna SMoo+h OJ+ �'qrd as needed, boo• is m'r PosS ble new loca�on for mcis4i+la shed *S4 ne,w 10003641on s 'Yrt1 l( \ drair>f,eld uncovued Pee`°-i EXi4inel°1 sep}+c,Tank`—E1 ow4iall vhdee conueke, pad dna sunfoorn - cWr fion. 3Bedroom e, Pump out And pal House, _ Uli Fh dirt Or Corte}E I 3 gy.45' 33rd Si- NE DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES - Shed_oJ_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ON-SITE WASTEWATER BECKON COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SY M OWNER: q' t<'r 'fl PLCATION DATE 6�U Ib DATE EVALUATED:'�1&1 -16 ADDRESS: PROPOSED RAMIFY: 38R OOSP, PROPOSED DESIGN FLOW(.1949): 360 PROPERTY-STE: 0:31ofifs LOCATION OFSILP.: lin 3s rd 54- NE ilickori PROPERTY.RECORDED: WATER SUPPLY: 0 Private ® Public 0 Well 0 Spring 0 Other �,M EVALUATION METHOD 0 Auger Baring 0 Pit 0 Cut *oJtl holes "l owner TYPE OFWASTSWAXk'R: la sewage 0 Industrial Process 0 Mixed I - . . 5941 PPgFIL,'�V..- ---........... .._. _,...__ ._._ ..----� .._._ .: . 440:- ::�.= _ . : _ - _ .- ,....._:::......:::::...._. .:.."....:.... . _ :: -::: :::::::::_=: :_�. .-.:::_=�;�. ::: :_:::::_:_.:- £= .i: ^v: °' . . 4i=. :- - = _ r. _. _ _ . ,E§EirlPT_ ,_pox_.- :r.-: ce . _- •:4-1 ii=:3� 1 !?_i c: :!ii:iEff llep:::: _ 1 ::. '= rry_ q„m .. P,..BQF ' F t iOL DEPTH TTtitgg ::�nusl�c�rP� wEra abie sxsa IPa . . :?sis . t,, RA: . CISL .c.., -- t1QZ_ fij 0.31 c- - Fill L )1.3 5rov4 Goat.dra;nficld • — 1 X90 _ — 0 g CL Fill ... .. ,. ,. S-20_ SU- wsbk l'"will Fr. Sc.sex( PS 2 )0-3). Su- user 1d� ftss,se P tig _.- 33-98 c viii►, SA?. sbv- "[r:5,, serf — 0.3 1 0-16 SI. N561` . +.55. Sex' 16-95_ G .5 - �fros.spxe _ `IS PS 3 0,3 i 1 1 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Ata3ble Space(.1945) M� M o S TVPxs) EVALUATED BY: C5Pn I cf>rlr1e, Sjr 1 n P(VC., O1uhR(S)PRESENT: • Site LTAR COMMENTS: 1121 3r Yo' NI O 38• a 15' O isz.a, Bed loca}i on f l2otiect by serht inSfectof. a+tc' Gravrl IS sleep b•-4 with P�obc. House. 33(a s} ■ � (Nk\t) SPA