HomeMy WebLinkAboutAUTH-09-2016-076368.TIF .cs CATAWBA COUNTY Case#
. tli 2 Public Health Department Subdivision
2 .siey KI Environmental Health Division PIN# 268904746576
''' PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT#
/842 sv
NAME ON PERMIT: DANIEL ESPEY, 1670 2ND ST NW, HICKORY NC 28601
Site Address: 6418 GREEDY HWY, HICKORY NC 28602
Property Size: Square Feet:393,346.80 Acres:9.03
Directions: Hwy 127 to Greedy Hwy, Go about 1.4 miles and property will be on the Right. # is on the mailbox.
Owner/Authorized Representative Acknowledgement of Permit Receipt
NAI 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
j requested in the application for service EHPR-07-2016-24331 by the following method(s):
Received in Person
eacsimile Transmittal (Return form with signature required)
lectronic Image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
rof 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: 09/01/2016
Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by ..liii' / It t (name of person :ending permit)
SignatureY f' % Date/Time i 101�
Method: Fax , /1mailUS Mail Other
Owner's request to send by theaboveindicated method of transmittal in lieu of signature
We w nt hear from you. Please a few moments to complete our customer service survey at:
http://www.surveymonkey.com/s/EHCustomerService
ehpennit 09/01/2016 10:32
c,A CATAWBA COUNTY Case#
X1:'k�,���, G Public Health Department Subdivision
CLQ
d�„ �t „�; Environmental Health Division l'IN# 268904746576
''' ' PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 LOT#
/g.2 w
NAME ON PERMIT: DANIEL ESPEY, 1670 2ND ST NW, HICKORY NC 28601
Site Address: 6418 GREEDY HWY, HICKORY NC 28602
Property Size: Square Feet: 393,346.80 Acres:9.03
Directions: Hwy 127 to Greedy Hwy, Go about 1.4 miles and property will be on the Right. # is on the mailbox.
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-07-2016-24331 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: 09/01/2016
Owner/Authorized Representative Signature
Date
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
cltpermit 09/01/2016 10:32
CATAWBA COUNTY ❑e rte.. Case# AUTH-09-2016-076368
r.�'1pp�7 Public Health Department i .„ -.1Subdivision
6�u •
< „t?, Environmental Health Division I y�' ' PIN# 268904746576
•
y PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 �� �n LOT#
/8.2 M - 'r1-'�
s+o'eta
01 . •
NAME ON PERMIT: DANIEL ESPEY, 1670 2ND ST NW, HICKORY NC 28601
Site Address: 6418 GREEDY HWY, HICKORY NC 28602
Property Size: Square Feet: 393,346.80 Acres:9.03
Directions: Hwy 127 to Greedy Hwy, Go about 1.4 miles and property will be on the Right. # is on the mailbox.
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 100 g.p.d
Type: DIG - OTHER NON-CONN TRENCH SYSTEMS
Soil LTAR: 0.25 g.p.d.lft2
Permit Category: New Septic
Type of Facility: Accessory Structure-
Basement? No Basement Plumbing?No Bedrooms:
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: 300 sq ft Total Length: 100 ft Maximum Trench Depth 20 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 2
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: 0.25 g.p.d./ft2
chpcmiit 09/01/2016 10:33
,osA CATAWBA COUNTY Case# AUTH-09-2016-076368
.T "�y Public Health Department Subdivision
< , �y7 S; Environmental Health Division PIN# 268904746576
Ly^' PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT#
IR.2 ,M
NAME ON PERMIT: DANIEL ESPEY, 1670 2ND ST NW, HICKORY NC 28601
Site Address: 6418 GREEDY HWY, HICKORY NC 28602
Property Size: Square Feet: 393,346.80 Acres:9.03
Directions: Hwy 127 to Greedy Hwy, Go about 1.4 miles and property will be on the Right. # is on the mailbox.
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 for any niven period of time
Steven Price 09/01/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 09/01/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 09/0112016 10133
IP, AC,WELL EHPR 07-2016-924331
6418 Greedy Hwy,Hickory
AC
• Do not cut, drive, fill, or grade over septic or repair areas.
• Septic system must be 10 ft from property lines; 50 ft from wells; 5 ft from building
foundations and appurtenances; and out of right-of-ways and easements.
• Install a new 1,000 gallon septic tank and 100 linear feet of 25%reduction system with
maximum trench depth of 20 inches; proposed (2) lines 50 ft each on contour.
• Final grade of septic area must shed surface water off and away from system.
WELL
• Well should be 5 ft from property lines; 25 ft from structures; 50 ft from septic systems;
and out of right-of-ways and easements.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES FWC 07- 20/6- V-13 Q,/ 1
Sheet of
DIVISION OF PUBLIC HEALTH,ENVIRONMEN"I'AI.HEALTH SECTION PROPERTY ID it
ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba
SOIL/SITE EVALUATION
for-ON-SITE WASTEWATER SYSTEM
(Complete all fields in hill)
OWNER: 71;L/ LS° /D, _ APPLICATION DATE
ADDRESS: DATE EVALUATED: Y //hL
PROPOSED FACILITY: $. PROPOSED DESIGN FLOW(.1949): /OC) PROPERTY SIZE: `/.es
LOCATION OF SITE: G y(R G-.---c 4,7 ff--.) PROPERTY RECORDED:
WATER SUPPLY: 0 Private U Public Jtd Well U Spring U Other
EVALUATION METHOD: LI Auger Boring } Pit 0 Cut TYPE OF WASTEWATER: R Sewage U Industrial Process U Mixed
• • • •
P
0 SOIL MORPHOLOGY OTHER
F (1941) PROFILE FACTORS
1 .1940
E LANDSCAPE HORIZON
POSITION/ DEPTH PROFILE
a SLOPE% (IN.) .1942
.1941 .1941 SOIL .1943 .1956 ,1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &L'I'AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
7_ 77 S a r_ t=/ ,N//k f, �,d.i. h 7
1 1st 27- `j_'. "'5Ir C `"rr S"
o- 7 L5 sc-c F( SC IS
LS 7-3f s6&_ G r; se ,vi rd.) AI*
2 ,� 3/- Y3 �scL C 4ri se- y� 0, z75-
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Space(.1945) b //s SITE CLASSIFICATION(.1948): (5
j /� / .9'EVALUATED BY: - P'—
System Type(s) • `L (oo Ae 2j der IQ OTHER(S)PRESENT:
Site LTAR 0, hr D. 115--
COMMENTS:
COMMENTS:
ERVC — o7- 2o14— Zy33I
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