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Home My WebLink AboutAUTH-08-2016-075534.TIF 0 _• CATAWBA COUNTY Case# AUTH-0S-2016-075534 .4 Public Health Department Subdivision opl „t, En•vironmental Health Division PIN# 372311552316 1' PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 LOT# /g.2 sM NAME ON PERMIT: JAMES & ELIZABETH CHRISTOPHER, 9488 WESTRIDGE DR, HICKORY NC 28601 Site Address: 1727 31ST ST NE, HICKORY NC 28601 Property Size: Square Feet 14,810.40 Acres:0.34 Directions: Springs Road to Crestmont Development, Right at the Stop light into Crestmont, 1st LEft onto 19th Ave & go to the bottom of the hill, Right onto 31st St NE, go to the end of the road, House is on the Right with Remax For Sale sign in yard. Owner/Authorized Representative Acknowledgement of Permit Receipt Gcertify that I am the owner or authorized agent(owner's authorization required) representing the owner of the f erty described above. 1s the propertyoner orauthorized representative. I havereceived the above referenced permit(s) as ested in the application for service EHPR-07-2016-24399 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 f 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: 08/10/2016 Owner/Authorized Representative Signature 4(0 1/J,L� r-. � �� Date F- /0 - a"0 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 chpei nit 08/10/2016 09:16 \c, ,`• CATAWBA COUNTY ❑B �oS . Case 4 AUTH-08-2016-075534 .f' s*' 4 ry Public Health Department refs 1. •fit Subdivision < in�I ,'Environmental Health Division 1A •35.4.4 • :it •} PIN!! 372311552316 al-� PO Box 389. 100-A Southwest Blvd, Newton.NC 28658 }� ,O �r LO'I'k 84 sm ,yO• � a . NAME ON PERMIT: JAMES & ELIZABETH CHRISTOPHER, 9488 WESTRIDGE DR, HICKORY NC 28601 Site Address: 1727 31ST ST NE, HICKORY NC 28601 Property Size: Square Feet: 14,810.40 Acres:0.34 Directions: Springs Road to Crestmont Development, Right at the Stop light into Crestmont, 1st LER onto 19th Ave & go to the bottom of the hill, Right onto 31st St NE, go to the end of the road, House is on the Right with Remax For Sale sign in yard. Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site platy and number of additional attachments ( ). Proposed Wastewater System: Wastewater Flow 240 g.p.d Type: IIA- CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Soil LTAR: g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence- Basement? Yes 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: sq ft Total Length: ft Maximum Trench Depth in Aggregate Depth in Trench Width ft Minimum Soil Cover in Minimum Trench Separation ft on center Number of Drain Lines Distribution: Pre Treatment: NONE Additional Specifications: Tank only replacement and utilize existing drainfield 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: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 ehpcnnit 08/10/2016 09:16 CATAWBA COUNTY Case# AUTI'I-08-2016-075534 s Qir Public Health Department Suhdivision dQ Health < �-e H,�, Environmental Health Division PINK 372311552316 \-'Ii"y PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT# lg.2 s. NAME ON PERMIT: JAMES & ELIZABETH CHRISTOPHER, 9488 WESTRIDGE DR, HICKORY NC 28601 Site Address: 1727 31ST ST NE, HICKORY NC 28601 Property Size: Square Feet: 14,810.40 Acres:0.34 Directions: Springs Road to Crestmont Development, Right at the Stop light into Crestmont, 1st LEft onto 19th Ave & go to the bottom of the hill, Right onto 31st St NE, go to the end of the road, House is on the Right with Remax For Sale sign in yard. 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' (ISA NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily far any given period of time. Steven Price 08/10/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/10/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department. chpennit 08/10/2016 09:16 EHPR 07-2016-24399 1727 31"St NE, Hickory • Permit for new 1,000 gallon septic tank only • Old septic tank failed septic inspection for sale of home and should be pumped out, crushed in place,and filled in. • Septic tank must be 5 ft from building foundations and appurtenances; out of driveway and parking areas; and out of right-of-ways and easements. • All household plumbing must be plumbed into septic tank. • Do not cut, drive, fill, or grade over septic or repair areas. SD` ° ' 9r-9 7 ff'" h poi CV n 1 "= `( '