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Home My WebLink AboutAUTH-02-2016-069437.TIF s15 • CATAWBA COUNTY Case# ;Q' fr.'1 L Public Health Department Subdivision 4. ,�,Q Environmental Health Division PIN# 372518227484 "•�' PO Box 389. 100-A Southwest Blvd, Newton, NC 28658 LOT# J8._ Su NAME ON PERMIT: FRYING PAN LLC, 612 3RD AV NE, HICKORY NC 28601 Site Address: 4820 16TH ST DR NE, HICKORY NC 28601 Property Size: Square Feet:504,424.80 Acres:11.58 Directions: Hwy 127 North Left on Cloninger Rd Left on 16th Street Dr property on Right one mile Owner/Authorized Representative Acknowledgement of Permit Receipt --S-5 I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the property described above. ict -16 As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-01-2016-23046 , by the following method(s): — Received in Person Facsimile Transmittal (Return form with signature required) _ Electronic Image Transmittal/ E-mail (Return receipt required) AS As the property owner or authorized representative I have reviewed and understand the specific conditions 7 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: 02/23/2016 —)Owner/Authorized Representative Signature v n Date 2I21-1 I KO Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of Berson 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 ehpermit 02/23/2016 13:38 Pane 3 of 3 �A - CATAWBA COUNTY a Al. � . -b 0 Case# AUTI-I-02-2016-069437 morel Public Health Department % f J. . Subdivision 2 `°1, ;‘.1 Environmental Health Division re • • IF- r; PIN# 372518227484 2 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 - � • : G LOTS /8 2 it. D rL T NAME ON PERMIT: FRYING PAN LLC, 612 3RD AV NE, HICKORY NC 28601 Site Address: 4820 16TH ST DR NE, HICKORY NC 28601 Property Size: Square Feet:504,424.80 Acres:11.58 Directions: Hwy 127 North Left on Cloninger Rd Left on 16th Street Dr property on Right one mile 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 240 g.p.d Type: 1110 -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.275 g.p.d./ft2 Permit Category: New Septic Type of Facility: Accessory Structure - Barn with Full Bath Basement? No Basement Plumbing? Bedrooms: 0 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: 660 sq ft Total Length: 220 ft Maximum Trench Depth 28 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 10 in Minimum Trench Separation 9 ft on center Number of Drain Lines 2 Distribution: Serial Pre Treatment: NONE Additional Specifications: *Maximum trench depth is 28 inches on the uphill side. *Install a clean out in the supply line between the septic tank and nitrification field. *Do not grade fill or drive over any designated septic area. 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 sussension/revocation of existin. .ermits. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial Soil LTAR: 0.275 g.p.d./ft2 PUMP *MAY BE* REQUIRED ehpermit 02/23/2016 13:39 Page I of 4 �$ CATAWBA COUNTY Case# AUTH-02-2016-069437 C~' " Public Health Department Subdivision �:�p 372518227484 ®� ,,, Environmental Health Division PIN# ' - PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# rs I ,v NAME ON PERMIT: FRYING PAN LLC, 612 3RD AV NE, HICKORY NC 28601 Site Address: 4820 16TH ST DR NE, HICKORY NC 28601 Property Size: Square Feet: 504,424.80 Acres:11.58 Directions: Hwy 127 North Left on Cloninger Rd Left on 16th Street Dr property on Right one mile 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' (15A NCAC ISA.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given neriod of time. Robbie Phelps 02/23/2016 AUTHORIZED STATE AGENT APPROVAL DAME Permit Expiration Date: 02/22/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 1)2/23/2016 13:39 Page 2 of 4 Lcit.6 'p: '=. i _:1Linty II- ; IVilcililif.,'1'IEral . ;",-.1∎0 f'h vfi_ 2 -�O(6 � �4�: I of k4 ■ 4 _ , . .,, , . \ . r� ..... ,....,,. •• , bv.it . • S / _\_ , _ • 1 1,:\ri '.. :- „...1• o % T \. -., ,' .. .-- 4\:I.H1., • v Y • 3 1. 1 iI • '� :-..--"---,-....,_ . tiE. : • Parcel: 372518227484, 4820 16TH ST DR NE 1in=100ft HICKORY, 28601 This map/report product was prepared from the Catawba County,NC Geospatlal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 02/23/2016 iJ ^.r. x"s v !*.&n .r 6rf. SW Av