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Home My WebLink AboutAUTH-07-2016-074462.TIF �y, • CATAWBA COUNTY Case# AUTH-07-2016-074462 .T 11 Public Health Department Subdivision < �—• - t 14,environmental Health Division PINI! 268704501375 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1g42 :M NAME ON PERMIT: HOLLY LYNNE HALFORD, 2705 N CENTER ST APT 32, HICKORY NC 28601 Site Address: 4205 WILSON RD, VALE NC 28168 Property Size: Square Feet: 557,132.40 Acres:12.79 Directions: 10 W/ left Banoak Rd / left Wilson Rd/approx 1 mile/ right onto gravel driveway/to top of driveway/then to far right at double silver gates Owner/Authorized Representative Acknowledgement of Permit Receipt !t),K I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. Jy�, As the property owner or authorized representative.I have received the above referenced permit(s) as requested in the application for service RBPR-06-2016-24126 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) NiC ).-A 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: 07/12/2016 / Owner/Authorized Representative Signature wy f Date 5P3 iia U�/ 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/ERCustomerService ehpennit 07/13/2016 12:30 CATAWBA COUNTY 0 ' o;r l CI Case ft AUTH-07-2016-074462 ¢' Public Health Department T• r � �� Subdivision Q' r V I� Environmental Health Division ' ' ti_ } I'INit 268704501375 � PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 I. A-6 O ii LOT# /84"1- s. ' — 1 rr NAME ON PERMIT: HOLLY LYNNE HALFORD, 2705 N CENTER ST APT 32, HICKORY NC 28601 Site Address: 4205 WILSON RD, VALE NC 28168 Property Size: Square Feet:557,132.40 Aeres:12.79 Directions: 10 W/left Banoak Rd /left Wilson Rd/approx 1 mile/right onto gravel driveway/to top of driveway/then to far right at double silver gates Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number ofadditional attachments ( Proposed Wastewater System: 25% REDUCTION Wastewater Flow 240 g.p.d Type: 11IG - OTHER NON-CONY TRENCH SYSTEMS Soil LIAR: 0.25 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - Basement? No 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: 720 sq ft Total Length: 240 ft Maximum Trench Depth 24 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 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: 0.25 g.p.d./ft2 eltpermit 07/13/2016 12:30 ,qA \ CATAWBA COUNTY Case# AUTH-07-2016-074462 HIV Public Health Department Subdivision Environmental Health Division PIN/ 268704501375 � PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT/1 18 2 ,x NAME ON PERMIT: HOLLY LYNNE HALFORD, 2705 N CENTER ST APT 32, HICKORY NC 28601 Site Address: 4205 WILSON RD, VALE NC 28168 Property Size: Square Feel: 557,132.40 Acres:12.79 Directions: 10 W/ left Banoak Rd / left Wilson Rd/approx 1 mile/ right onto gravel driveway/to top of driveway/then to far right at double silver gates 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 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 neriod of time. Steven Price 07/12/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 07/12/2021 No grading or construction activity is allotted in areas designwed for system and repair without approval of the Health Department. chpennit 07/13/2016 12:30 RBPR 06-2016-24126 4205 Wilson Rd, Vale • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank. • Install 240 linear feet of 25%reduction system with maximum trench depth of 24 inches; proposed 3 lines total at 80 ft each on contour. • Final grade of septic area must shed surface water off and away from system. 1 I Cot° as 7 A ft` —Cr; WA-s34• 2400'{O p 6'0 W 8 0 h.�u ryrni. , s� n> ° we s3A.Y3 y� ' I 5 hn L • o 01 r i