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HomeMy WebLinkAboutAUTH-07-2016-074588.TIF 6A CATA\VBA COUNTY Case f! ' �� G Subdivision ',C' a=y'1�,Z, Public Health Department ru�ea Environmental Health Division PIN# 269801274107 V"�>� PO Boy 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# Igg2 sv NAME ON PERMIT: TERRY LIDEY, 3719 RHONEY FARM RD, VALE, NC 28168 Site Address: 6021 W NC 10 HWY, HICKORY NC 28602 Property Size: Square Feet:229,561.20 Acres:5.27 Directions: Hwy 10 W, just past Plateau Rd, property on left 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. 11' /As the pro erty owner or authorized representative, I have received the above referenced permit(s) as requested in t e application for service RBPR-06-2016-24094 by the following method(s): _ Received in Person Facsimile Transmittal (Return form with signature required) _ Electronic Image Transmittal/ E-mail (Return receipt required) •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: 07/15/2016 -- � Owner/Authorized Representative Signature 1/ Date 1 VI\\Le 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 apo mit 07/15/2016 09.15 •OA CATAWBA COUNTY Q 1 0'r Case# AUTH-07-2016-074588 .C' ,ii�, Public Health Department ti � r Subdivision 4 r '' Environmental Health Division ;' '� ••� PINit 269801274107 ®� _i • PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 Cl.. � • LOT# 2 .0$ for kc a NAME ON PERMIT: TERRY LIDEY, 3719 RHONEY FARM RD, VALE, NC 28168 Site Address: 6021 W NC 10 HWY, HICKORY NC 28602 Property Size: Square Feel: 229,561.20 Acres:5.27 Directions: Hwy 10 W, just past Plateau Rd, property on 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: 25% REDUCTION Wastewater Flow 360 g.p.d Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - modular house 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: 900 sq ft Total Length: 300 ft Maximum Trench Depth 32 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center Number of Drain Lines 4 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: 0.3 g.p.d./ft2 ehpnmit 07/15/2016 09:15 s�A CATAWBA COUNTY Case;! AUTH-07-2016-074588 .Q' �lti � Public Health Department Subdivision < 'vis H Environmental Health Division PIN# 269801274107 PO Box 389. 100-A Southwest Blvd,Newton-NC 28658 LOT# /g42 ,u NAME ON PERMIT: TERRY LIDEY, 3719 RHONEY FARM RD, VALE, NC 28168 Site Address: 6021 W NC 10 HWY, HICKORY NC 28602 Property Size: Square Feet:229,561.20 Acres:5.27 Directions: Hwy 10 W, just past Plateau Rd, property on 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 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 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. Megen McBride 07/15/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 07/15/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpcmuit 07/15/2016 09:15 if, AG, weLL i?- FI<.Ob-Job-)10pp (90)1 W NG (b tftvi'/, Iic-oil *-1„,40f /060 c y),04 52p{ic -1,-an Z ana 300 f . of 252r; Reai,Y iJri ��- 7'31 ._ ice 1,-;(5 Vts1cdt ,r rcoAeLi (Ark `'or o t * Se I c s Clem M't �L& 00-U . -krl t`deRjc, 5-11_ _(�v i sii ic-t e 4 1 Jerk( 1 f S, InC Iu(7.1l401 t //` 7 7 }} I QV{G� 06rCi/les ( P -frL7hl @�r0 rTl pPF°i'r And 6�Y,,` (kid-j- �J,�- �.�C,.._r) Cl7ri �` ;M,t:hi'��. k C) f� CiciJe, ape!€, cut lloi ill oJr`, cP,DhL 0(7!A 5. e✓ A I 1 'RI l R� � R .9 jtr:' I I- F T 0 fseP;ic RepsrNeet 1 a57a RddQc4ioti f , L75Xyo i I t Well f�IJS; let cvl teosk; : J5',a ( fl Tan - (00 Pi croft Sc i'c r,(s4tmc =6x6 1io' 1 Ii V l osed 3 BF — D-,Pi- ,r>rk S ruc-t tP5 Incwcti o� P P, 5$' j o rnooa{q 4a>3o pp� po c41 E." LOsae'e _ 35' (,xbtipmcied1 4 °:r7r•� iC"lej [o1�?S 6orage 1 f ! ,lot). 74xY; I *r Yep 114 U 0ul Of I IA�;i-(cij•u+1 5 t J j I ' ,/ j o{ Lf tti 1 1 1 C 1, 1 1 i i II '__________ i -- 137.98' 1 � \\o i v • DEPARTMn'T'T OFEN'VIRONMENT AND NATURAL RESOURCES Shed_af_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID r: ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM /}p OWNER: ern LiAe`t APPLICATION DATE LI it/1(6 NSPK-O6-a01!,-<Wo`W ADDRESS: 1 I DATE EVALUATED: 7-11-a. PROPOSED FACII.IIY: 3 BR- H°QSU PROPOSED DESIGN FLOW(.1949): 360 PROPERTY SIZE: 5•'T'I acres LOCATION OF Slit: 6o?I W tUGIn HWY, Hickory PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public Q Well 9 Spring 0 Other EVALUATION METHOD: 0 Auger Boring © Pit 0 Cut TYPE OF WASTEWATER: © Scwagc 0 Sndustial Pm=ss 0 Mired P .n:: :`:::'i-=:'€iii....'-ri=;3s'iis;:�:i] SO. sMo aoLOG` -:::ccusER i914 F_ t: taall0■ .HOBI' 194. Swg" . ., YON .. 194: 3941 SOIL 1943 last: Y 4944 PPOi.tht;;. fili Eid§rn..,:::0,:iwthipytii . STRUCTURE' .. . OON$ISTENGP,I F utmr't$ ...$OJV.... :::`KAIPRO:::: :::RESTIt . _ .. . . .SLOP&m {i )' ... �EaIPI MUERAiYGY[ .cataR DEPT .: -C LAS$._'::HOR Z .arT YR: .. 0-& Ar t., -G.<; = sup 1, 10-'II Std= Cl L - A-( 55, SocP 1 59 _. ill -- — PS ! o.; I I I j 0 -7 I di'' I-.. .. . ._. I 1: ,SSA Sexy ''yr 1 7 ay y; C. I . v,c =. �ry rJ 1 2 ;I- st,1- C.f II 1,• ,55. 5,-,a -, bb — — 1 . I 1 R ock. 04 )10.f'l CkIS.L�-re7�in 4 O`3 k+icev+ :1-3& 0-7 at L r 7-3-9 S Cle at k6. a r+sh,ers PS 3 - yg - - S -4155, Shk- (J- wI SAP 0:2) 4 DESCRIPTION 1 D-.1It4[.SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Spare(.1945) 1 pc- Ps SITE CLASSIFICATION(.1948): f`/. 4� , EVALUATED BY: F6iF'i1 '•i.Y.,h:-L. S}�stemiypxs) 1. -61 iv, 01PIb.R(S)PRESENT: 1 - SiteLTAR Q, 3 I 0. 3 COMMENTS: