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HomeMy WebLinkAboutAUTH-08-2016-076115.TIF , CATAWBA COUNTY Case# AUTH-08-2016-076115 elidz Public Health Department Subdivision Environmental Health Division P1N# 279118401799 '`.•+• PO Box 389, 100-A Southwest Blvd,Newton,NC 28638 LOT# alit . NAME ON PERMIT: GEORGE & JANETTE RHONEY, 5809 PITTSTOWN RD, HICKORY NC 28602 Site Address: 5601 BETHEL CHURCF! RD, HICKORY NC 28602 Property Size: square Feet:90,604.80 Acrcs:2.08 Directions: Hwy 127 South towards Mountain View, Left onto Bethel Church Rd, Business is on the corner on the Right. Owner/Authorizer] Representative Acknowledgement of Permit Receipt ,fiti'l certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above, s the property owner or authorized representative,I have received the above referenced permit(s)as flq-,A requested in the application for service EHPR-08-2016-24576 ,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 Rides for Sewage Treatment and Disposal Systems (15A NCAC ISA.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: 08/24/2016 / Owner/Authorized Representative Signature oor iv e , Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofpersan sending permit) Signature Itik i-:.,_ _1(.., Date/Time %130/10 ()I,G Method: Fax I Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature 1)11-v116())fill,ttehd j jytffli etri - We want to hear from you. Please take a few moments to complete our customer service survey at: tap://vvvvw.surveymonkey.comis/ENCustornerService eiipennn 08/30/2016 08-27 I gA \ CATAWBA COUNTY 0 ' ' -o-i - 0 Case# AUTH-08-2016-076115 he'AAR� Public Health Department rti Subdivision• r ,� Environmental Health Division ' tit• '.r.• PIN# 279118401799 l . PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 �' .I E-P1 LOT# 1:1 tL-'-° ° • NAME ON PERMIT: GEORGE & JANETTE RHONEY, 5809 PITTSTOWN RD, HICKORY NC 28602 Site Address: 5601 BETHEL CHURCH RD, HICKORY NC 28602 Property Size: Square Feet:90,604.80 Acres:2.08 Directions: Hwy 127 South towards Mountain View, Left onto Bethel Church Rd, Business is on the corner on the Right. Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments( ). Proposed Wastewater System: *REPLACEMENT OF SEPTIC TANK ONLY* Wastewater Flow 100 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: Business - Landscaping Businesss Basement? Yes 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: 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: *Install new tank at least 14 feet from office building. *Do not drive over the septic tank. 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 elipermit 08/30/2016 08:27 ma$' CATAWBA COUNTY Case# AUTH-08-2016-076115 Ein,z Public Health Department Subdivision d ' "'rsv." H Environmental Health Division PIN# 279118401799 1° PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# Ig.2 su NAME ON PERMIT: GEORGE & JANETTE RHONEY, 5809 PITTSTOWN RD, HICKORY NC 28602 Site Address: 5601 BETHEL CHURCH RD, HICKORY NC 28602 Property Size: Square Feet:90,604.80 Acres:2.08 Directions: Hwy 127 South towards Mountain View, Left onto Bethel Church Rd, Business is on the corner 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 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 given period of time. Robbie Phelps 08/24/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/24/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpermit 08/30/2016 08:27 Catawba County Environmental Health /-„a _ 3- 2o((— 076 Il (om) 4 BETHEL CHURCH RD rn 100.29 200.00 ^^ff btt G,R- KS old w4 11 416.. Ale 14 • Parcel: 279118401799, 5601 BETHEL CHURCH tin=40ft RD HICKORY, 28602 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 perrson iei,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 08126/2016 t l •t. .