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Home My WebLink AboutAUTH-08-2016-075326.TIF CATAWBA COUNTY Case# AUI'H-08-2016-075326 Public Health Department Subdivision CLEARVIEW ACRES PL 9- 4 � � Environmental Health Division PIN# 372306388733 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOTS 5 & PT 4 6 t82 �M NAME ON PERMIT: JAMES RUSSELL KELLER HEIRS, 2351 27TH ST PL NE, HICKORY NC 28601 Site Address: 2351 27TH ST PL NE, HICKORY NC 28601 Property Size: Square Feet:20,037.60 Acres:0.46 Directions: Springs Rd NE, Turn beside Old Circle S Diner onto 28th St NE, 2nd Left onto 23rd Ave PI NE, Left onto 27th St PI NE, 2nd house on the Right. 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 requested in the application for service EHPR-05-2016-23928 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: 08/04/2016 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit trans itted by\ l\A0 rfaras (name of person sending permit) JO Signature J�' � Date/Time B _0YJk1 ` Method: Fax ✓Email US Mail Other Owner' request to send by the above indicated method of transmittal in lieu of signature cAq(CD(et ILaaY1 We want to hear from you. Please few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService :hpermn 08/04/2016 09:20 4A CATAWBA COUNTY eQ• -1 r=j eQ Cosa# AUTH-08-2016-075326 ,T C�#.1O% Public Health Department . `• Subdivision CLEARVIEW ACRES PL 9-i r 4 ; �� Environmental Health Division }• PIN# 372306388733 ` PO Box 389, 100-A Southwest Blvd.Newton. NC 28658 OD '-a,• a '% LOT# 5 & PT 4 6 8 Oe • O NAME ON PERMIT: JAMES RUSSELL KELLER HEIRS, 2351 27TH ST PL NE, HICKORY NC 28601 • Site Address: 2351 27TH ST PL NE, HICKORY NC 28601 Property Size: Square Feet:20,037.60 Acres:0.46 Directions: Springs Rd NE, Turn beside Old Circle S Diner onto 28th St NE, 2nd Left onto 23rd Ave PI NE, Left onto 27th St PI NE, 2nd house on the Right. Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( .b Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Typo: 111G- OTHER NON-CONN TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence - 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: 900 sq ft Total Length: 300 ft Maximum Trench Depth 36 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center Number of Drain Lines 6 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? System Class: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 clipcnnil 08/04/2016 09:20 4y,M CATAWBA COUNTY Case AUTH-08-2016-075326 e' Public Health Department Subdivision CLEARVIEW ACRES PL 9- < P 372306388733 " 6 Environmental Health Division I'IN# d PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOP/ 5 & PT 4 6 /8.2 w NAME ON PERMIT: JAMES RUSSELL KELLER HEIRS, 2351 27TH ST PL NE, HICKORY NC 28601 Site Address: 2351 27TH ST PL NE, HICKORY NC 28601 Property Size: Square Feel:20,037.60 Acres:0.46 Directions: Springs Rd NE, Turn beside Old Circle S Diner onto 28th St NE, 2nd Left onto 23rd Ave PI NE, Left onto 27th St PI NE, 2nd house on the Right. 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 stet. 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 Sewnee Treatment and Disposal Systems' (ISA NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for anv riven neriod of time Steven Price 08/04/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/04/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpermil 08/04/2016 09:20 EHPR 05-2016-23928 2351 27th St PI NE, Hickory • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be 10 ft from p-operty lines; 50 ft from wells; 5 ft from foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank unless the existing septic tank can be shown to be structurally sound, in good working condition, meets minimum size requirements, and can be fitted with a sanitary tee and filter. • Install 300 linear feet of 25%reduction system; (6) 50 ft lines on contour with a maximum trench depth of 36 inche2. • Final grade of septic area must shed surface water off and away from system. I I i ,o rn . Pr s`. X 3 C `, 1 �l m J (4n IN \a2sr Znw ST -zit t t` 10 NT DEPARTMENT OF HEALTH AND HUMAN SERVICES L/NlL os-Z.,14.— 239 zySheet ( of l DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTI)N PROPERTY ID 4: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba SOILSITE EVALUATION for ON-SITE WASTEWATER SYSTEM 'r (Complete all fields in full) OWNER: �'4-S k(h rs _ APPLICATION DATE ADDRESS: DATE EVALUATED: -r/, PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: , YG LOCATION OF SITE: 23s Z7'"' -Cie r4 NG PROPERTY RECORDED: WATER SUPPLY: ❑Private SPublie ❑Well (7 Spring ❑Other EVALUATION METHOD: ❑Auger Boring , Pit 0 Cut TYPE OF WASTEWATER: $1 Sewage ❑Industrial Process 0 Mixed • • .. P R SOIL MORPHOLOC Y OTHER F (.1941) PROFILE FACTORS I :1940 L LANDSCAPE HORIZON _POSITION) DEPTH PROFILE # SLOPE% (IN.) .1942 .1941 .19x1 SOIL .1943 95 .16 .1944 CLASS STRUCTURE/ CONSIST%NCA/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ O—/o GR Sc Fit J- /0 -3( S6L C '7C Jr ill PS LS Sz u ✓ ,VA 0.3 1 /V4 3( -Sz Sac /s, fz 14 ft-51( Lit.Ste • 2 3 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): C SITE CLASSIFICATION(.1948): Zr Available Space(1945) PJ 41:$ 75 trite `.__ EVALUATED BY: System Type(s) /' -CA- .1!"— Zit /4_ OTHER(S)PRESENT: Site LTAR 0.3 COMMENTS: (.&IfX as- &it.,_ z 3 n e Catawba Couny Environmental Health /I zo o., 1 s` i I\ ...., N + o a ____-\ CT --\\\\\\ '''.... 1 i i \ -- Zh I tel_ ( 89) \\‘ , I\ ' __ - - \ \, N 1 + \ PI \ N 8) A xt z� zzoo c� ? $ 'Fn $ T✓� (245) ``\ . 0 1 1 111--- Parcel: 372306388733, 2351 27TH ST PL NE lin=40ft HICKORY, 28601 This map/report product was prepared from the Catawba County,NC Geospatial 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