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Home My WebLink AboutAUTH-09-2016-076523.TIF �yts CATAWBA COUNTY Case# • 1, 11 , e Public Health Department Subdivision < + '' Environmental Health Division PIN# 370218424407 �� ^c PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT# 18 Sm NAME ON PERMIT: CITY OF HICKORY, PO BOX 398, HICKORY NC 28603 Site Address: 1400 2ND ST SW, HICKORY NC 28601 Property Size: Square Feel:531,432.00 Acres:12.2 Directions: S Center St and 2nd St SW, drive south on 2nd St SW approx 1/2 South of the US 70 Overpass. Park entrance 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. X As the property owner or authorized representative. I have received the above referenced permit(s) as requested in the application for service CBPR-07-2016-24387 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: 09/06/2016 Owner/Authorized Representative Signature_ Date 9/4 Jo 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 elipemiii 09/07/2016 12:23 IP A, kL CBPR 07-2016-24387 1400 2ND St SW, Hickory • 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 and streams; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank. • Install 200 linear feet of 25% reduction system with maximum trench depth of 30 inches; proposed 2 lines total, at 100 ft each on contour. • Final grade of septic area must shed surface water off and away from system. 1 /I —_ _1 r Li Vl t.} t .`_ \ / Kg' 1 f uy z� !I. gra Re / 1/41 1 Ori,vl et I r /I i¢ I I / ANN l �_�p ,aA CATAWBA COUNTY ❑a . I • -rte -❑s Case# AUTH-09-2016-076523 .C' d`�:tt n Public Health Department r r' .1 Subdivision < I Y Environmental Health Division �{y�.,. r r • : PIN# 370218424407 10'1PO Box 389, 100-A Southwest Blvd,Newton.NC 28658E �' LOT# Ea rcszip NAME ON PERMIT: CITY OF HICKORY, PO BOX 398, HICKORY NC 28603 Site Address: 1400 2ND ST SW, HICKORY NC 28601 Property Size: Square Feet:531,432.00 Acres:12.2 Directions: S Center St and 2nd St SW, drive south on 2nd St SW approx 1/2 South of the US 70 Overpass. Park entrance on left Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site p/an and number of additional attachments ( ). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 200 g.p.d Type: 111E -OTHER NON-CONV TRENCH SYSTEMS Soil LTAR: 0.25 g.p.d./ft2 Permit Category: New Septic Type of Facility: Accessory Structure - Basement? No Basement Plumbing?No 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: 600 sq ft Total Length: 200 ft Maximum Trench Depth 30 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 12 in Minimum Trench Separation g 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 chpennit 09/07/2016 12:43 IgA • CATAWBA COUNTY Case# AUTH-09-2016-076523 7 ma G Public Health Department Subdivision 2 irfOli Environmental Health Division PIN# 370218424407 "6- PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 LOT# Ig 42 :u NAME ON PERMIT: CITY OF HICKORY, PO BOX 398, HICKORY NC 28603 Site Address: 1400 2ND ST SW, HICKORY NC 28601 Property Size: Square Feet: 531,432.00 Acres:12.2 Directions: S Center St and 2nd St SW, drive south on 2nd St SW approx 1/2 South of the US 70 Overpass. Park entrance 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 aru!Rules for Sewage Treatment and Disposal Systems' (ISA NCAC ISA .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given neriod of time. Steven Price 09/06/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 09/03/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 09/07/2016 12:43 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet / of Z DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL IIEALTH SECTION C I/ ge. bR -234- z`138� PROPERTY ID q: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba SOIL/SITE EVALUATION for ON-SI'Z'E WASTEWATER SYSTEM (Complete all fields in full) OWNER: Ce o4- Hx _ APPLICATION DATE ADDRESS: DATE EVALUATED: WE'D PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: / OD )'ST SW PROPERTY RECORDED: WATER SUPPLY: ❑ Private _. 'ublic 0 Well ❑ Spring ❑Other EVALUATION METHOD: ❑Auger Boring cl2r-P-it ❑Cut TYPE OF WASTEWATER: Q�ewage ❑Industrial Process ❑Mixed P R SOILrMORPHOLOG,Y' OTHF,.R Ir " •(:1941) PROFILE FACTORS r . :LANDSCAPE HRI OLON ', POSt PION/' DI PfFI 1- 1. r- - • •--.1942 n • • lr '1 • PROFILE .1941 11941':' ' SOIL • :1943' i 11956.x' .1944'. -CLASS,. .-. STRUCTURE/ .CONSISTENCE/.. WETNESS/ SOD. • SAPRO : RESTR ;.d LTAR ,:FEx.TURE Y. ,MINERALOGY' COLOR DEPTI1t L CLASS ; IIORPL, , - - .. . - o-9 -6o ‘6k-SW N SE- Cf nm- etii4- g 1 ly--39 shy C ase' a• zs- ,512 3t-Y8 "Stec c(,`/sr 7X .LF-1, 01.,.1- c.,,.,,.4I l ,-.." ,...1( ,4'e/ U rJ C.-5 2 .3-Z c io 4iS k c /7 se- apt),d F 10 u✓) /✓�.t- CS I'D - Of 44 Vs-s,-.P 3 st I - 3'D Atfek 0,-1.3 it-61c C ,L2ft SE ,✓4 -f_c LS I.? - Z5 S6L C F/ .SC N� s✓A 4 zy-yr L'1,56.L c(,iter, ft-1- . DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946):• �,#4 PS �� SITE CLASSIFICATION(.1948): Available Space(.1945) /� System Typc(s) 2�G 64 �ZS 6 0 / EVALUATED BY: °�C� OTHER(S)PRESENT: Site LTAR D, ZS b. 25" i COMMENTS: •So &-. `' .c.t rs+ Updated February 2014 • SOIL/SITE EVALUATION Sheer 1 of (Continuation Sheet-Complete all field in full) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: DIVISION OF PUBLIC HEALTH 07 2_16- VISE DATE OF EVALUATION: 9:40 ENVIRONMENTAL HEALTH SECTION C-b0�- COUNTY: ON-SITE WATER PROTECTION BRANCH • • • • • • SOIL MORPHOLOGY OTHER F , _ (.1941) PROFILE FACTORS•' g,. L • '•LANDSCAPE HORIz. • x1942 P051 FION/ rl 1941- .1941-: SOIL 4.1943 .1956 -.1944 ' PROFILE. q. !', SLOPE% .STRUCTURE,/ CONSISTENCE/ • WETNESS/ ' :'SOLI SAP12O ' RLSI12 -CI ASS - "6'. TEXTURE MINERALOGY r COEOR x SUET lHh. I;ASS '�{.'110RIL ;.�&LIAR- `C LS 1 e z7 G,_ SC_ Fri 1C 014- zo 5 /St 17- s6fc L F 3 1)-fir L'S6 (L CC F-2 fr • • • COMMENTS: Updated February 2014 cI5G/L 07-2.of17 2Y387 Catawba County Environmental Health lei- fte 7D) r / , t is -Th t.iNpairisis:,....2 4„,„ L w _ . -11"" Hrii:1-11.1"./"---- le __ ,„). : y, , h ,--,s I i Ill\ 17 N .. if : I m i ( j Qf �' VI Pei yr- 01 o C.22 7: 1 3 \Ii • d .Cyr - 491), 1 in=100ft 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 '