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HomeMy WebLinkAboutAUTH-09-2016-076539.TIF 4 CITAWBA COUNTYCus N" Cy, fl k t Public.I Icalth'Deparment - Subdivision ALONZO W SHOOK N .i , nwironmental Health Division PIN# 371520808570 PO 08us 389. 100-A Southwest BBlvd.Newton.NC: 28653 : 1.01-# 6 -1.tf 4 W NAME ON PERMIT: EDGAR SANDERS, 16201 RIDGEWOOD CIR, PUNTA GORDA FL 33982 Site Address: 1035 43RD AVE NE, HICKORY NC 28601 ' Property Size: square:Feet: 117,612.00 Acres:2.7 • Directions: Springs Rd to Sandy Ridge Rd, left on 43rd Ave,old house,on the right. Owner/Authorized Representative Acknowledgement of Permit Receipt JI certify that I am the owner or authorized agent (owner's authorization required)representing the owner of the propertyNdescribed above. TpAs the property owner or authorized representative. I have received the above referenced permit(s)as requested1)14"... in the application for service RBPR-OB-2016-24476 . 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 applicableregulatory requirements specified under the North Carolina.Laws and Rules for,Scseage Treanni:ntand Disposal Systems (15A NCAC 18A .1900), and/or Well Construction Standards (ISA NCAC 2C .0160), shall apply to the issuance of this permit and the construction of the Wastewater system and/or water suppl ' lermined. Permit Issue Date: 09/07/2016 a / i I Owner/Authorized Representative Signatu Date q''_:t -- Documentation of Permit(s) Transmittal (permit transmitted by electronic or`other means) . Permit transmitted by . (name of person sending permit) Signature Date/Time Method: Fas 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/p1CustomerService oecnuii M1012016 13:08 - I fe,-A CATAWBA COUNTY �e j- o �e Case# AUTH-09-2016-076539 Q11 y Public Health Department F _ i Subdivision ALONZO W SHOOK �. soy 4, Environmental Health Division PIN# 371520808570 PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 0 . LOT# 6 NAME ON PERMIT: EDGAR SANDERS, 16201 RIDGEWOOD CIR, PUNTA GORDA FL 33982 Site Address: 1035 43RD AVE NE, HICKORY NC 28601 Property Size: Square Feet: 117,612.00 Acres:2.7 Directions: Springs Rd to Sandy Ridge Rd, left on 43rd Ave, old house on the right. Authorization to Construct Pen lit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments ( Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p.d Type: IIIG - OTHER NON-CONN TRENCH SYSTEMS Soil LTAR: 0.3 g.p.d./ft2 Permit Category: New Septic Type of Facility: Primary Residence - Basement? No Basement Plumbing?No 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 4 Distribution: Serial Pre Treatment: NONE PUMP *MAY BE* REQUIRED 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: 0.3 g.p.d./ft2 ehpennit 09/07/2016 13.08 0, • CATAWBA COUNTY Case# AUTH-09-2016-076539 T r `; Public Health Department Subdivision ALONZO W SHOOK Eta ; Environmental Health Division PIN# 371520808570 �' `aM PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOl'# 6 /a.2 ,M NAME ON PERMIT: EDGAR SANDERS, 16201 RIDGEWOOD CIR, PUNTA GORDA FL 33982 Site Address: 1035 43RD AVE NE, HICKORY NC 28601 Property Size: Square Feet: 117,612.00 Acres:2.7 Directions: Springs Rd to Sandy Ridge Rd, left on 43rd Ave, old 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 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 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 09/07/2016 AUTHORIZED SIAI'E AGENT APPROVAL DATE Permit Expiration Date: 09/07/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 09/07/2016 13:08 1p:- ,kC RBPR 08-2016-24476 1035 43`d Ave NE, Hickory • Do not cut, drive, fill, or grade over septic or repair areas. • Septic system must be I 0 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. • Install 300 linear feet of 25% reduction system with maximum trench depth of 36 inches; proposed 4 lines total; (2) 90 ft, (1) 70 ft, and (1) 50 ft lines on contour. • Final grade of septic area must shed surface water off and away from system. • Old house to be removed and new house will utilize existing well. LboI zf 4 977' i1�o' Rein- Ler 41.-c ti) / 11,,'-1 s Qw."✓ 35-k 71dSL OA ifiCA c4:13 4 1 . 240` r DEPARTMENT OF HEALTH AND HUMAN SERVICES ,u.pie -b& 2o/E -- Z`{LJ 76, Sheet ( of DIVISION OF PUBLIC HEACFII,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WAFER PROTECTION BRANCH COUNTY: Catawba SOIL/SITE EVALUATION for ON-SI'PE WASTEWATER SYSTEM (Complete all fields in full) OWNER: ech _ca....Jeri APPLICATION DATE ADDRESS: DATE EVALUATED: Vt.3 PROPOSED FACILITY: S4C PROPOSED DESIGN FLOW(.1949): 3 L PROPERTY SIZE: .L.7 LOCATION OF SITE: /O S 13`a- A+_ We PROPERTY RECORDED: WATER SUPPLY: U Private U Public D Well U Spring U Other EVALUATION METHOD: U Auger Boring Pit U Cut TYPE OF WASTEWATER: )Sewage U Industrial Process U Mixed • o P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 F LANDSCAPE HORIZON POSITION/ DEPTH PROFILE a SLOPE% (IN.) .1942 .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WIC'I iNESS/ SOIL ' SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ 0-7D 6-4 Su Fit JE Alk yr N4 wit es LS 10-)r S,1 i, G wiz sE 1 IA°(, 3s-- 4$ `16k Sc._ A. C`3 .tib • 0-7 Esc Fre- sc= PS LS -7- 27 S 6 I Cc._ Fri_ sl 'Af'I- 51D n1/\- gA- 2 St° 1_7- 5b '161c Scc ``VEL.Scr £4 CY b-i3 6,c_ SL ,c -re LS I.3 -iq JLC _F 2 ser" 0,4- ti t/ 6 N/ /l- is J �� ° 2p-Yy " lG S2c_ f2 f� — �� tiY sa „ s� � fit Jr 4 DESCRIPTION INI'T'IAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): pS- SITE CLASSIFICATION(.1948): P.S. Available Space(.1945) \ i p System Type(s) 2e1 ( ��� Cr! EVALUATED BY: Sir-- in.-.... OTHER(S) PRESENT': Site LIAR o,3 OL) COMMENTS: re-Vet- 14.--)0 / 1,,,..., '(.:L.- se,.-4 k t—sz.-[d 01mi- /We og—'2,z4, — 2W 74 • Catawba County Environmental Health At Lcci,,,_s 1.7-"*.les}-2 \„ 11111 h^ Nom .- / ! 57 tAO _ , cs, Jt1 , 1••0 -- 3/ i k tr ti 4100, l 144,63 f r---------v._ /02---. 4. Z S ter co N. 4q. .l 156:01? Tr 4 m- n Li • , )5 ilj P . PS • IK.,. 5.2 2.43 C ` 03. i Q6 py �9c3 CV \ ONco n t. @ " �/ 4 pi60 37 ICWil s r--.. y� / Atit '60.00 onE 3-ii '3G,/ 1 ( 43RD AVE NE r"`----~ 349-6 K \ 1/4cs\k(tic\ . m„,„„,...i- yzeeete-Hz --------%4-7 R - /-*--.'sar /1 4 Parcel: 371520808570, 1035 43RD AVE NE %L. ,ec, ! GD © 1 in=100ft HICKORY, 28601 P t 30' Ye P3 /zo' ! os 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