HomeMy WebLinkAboutAUTH-09-2016-076533.TIF ,6A CATAWBA COUNTY Case# AUTH-09-2016-076533
Public Health Department Subdivision
< 373010363331
sit' Environmental Health Division PINK
` � PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 2
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NAME ON PERMIT: MARY HAMES, 3331 3RD ST DR NW, HICKORY NC 28601
Site Address: 1690 OLD CONOVER STARTOWN RD, NEWTON NC 28658
Property Size: Square Feet: 78,059.52 Acres:1.792
Directions: Radio Station Rd, right on Old Conover Startown Rd, property on right at Schmuker Farms gate
1 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
--.../C t.rh,. erty described above.
, As the property owner or authorized representative, I have received the above referenced permit(s) as
re•, ested in the application for service RBPR-07-2016-24390 by the following method(s):
'N/Received in Person
1 Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
�1 As the property owner or authorized representative I have reviewed and understand the specific conditions
/ o 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: 09/07/2016
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Owner/Authorized Representative Signature v i
Date I I 1 i i LQ ' 11.
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
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chocolat 09/07/2016 14:36
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pA CATAWBA COUNTY �e -o' -❑d Case# AUTH-09-2016-076533
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y Public Health Department lc. I : Subdivision
9R'eg :-4�, Environmental Health Division 1r . PIN# 373010363331
r^• PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 O — 0 pA LO"I'# 2
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NAME ON PERMIT: MARY NAMES, 3331 3RD ST DR NW, HICKORY NC 28601
Site Address: 1690 OLD CONOVER STARTOWN RD, NEWTON NC 28658
Property Size: Square Feet: 78,059.52 Acres:1.792
Directions: Radio Station Rd, right on Old Conover Startown Rd, property on right at Schmuker Farms gate
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 480 g.p.d
Type: 111G -OTHER NON-CONN TRENCH SYSTEMS
Soil LTAR: 0.3 g.p.d./k2
Permit Category: New Septic
Type of Facility: Primary Residence -
Basement? No Basement Plumbing?No Bedrooms: 4
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: 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 24 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 12 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 3
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: IIIB Proposed System: 25% REDUCTION
Distribution Type:: Pressure Manifold Soil LTAR: 0.3 _g.p.d./k2
PUMP REQUIRED
elipermit 09/07/20t6 14:36
spA • CATAWBA COUNTY Case# AUTH-09-2016-076533
All( ,t Public Health Department Subdivision
< "---...3. .1 Environmental Health Division PIN# 373010363331
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PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOP/ 2
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NAME ON PERMIT: MARY NAMES, 3331 3RD ST DR NW, HICKORY NC 28601
Site Address: 1690 OLD CONOVER STARTOWN RD, NEWTON NC 28658
Property Size: Square Feet:78,059.52 Acres:1.792
Directions: Radio Station Rd, right on Old Conover Startown Rd, property on right at Schmuker Farms gate
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 given period of time.
Steven Price 09/07/2016
AUTHORIZED STATE 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.
clupeniit 09/07/2016 14:36
A RBPR 07-2016-24390
1690 Old Conover Startown Rd, Newton
• Do not cut, drive, fill, or grade over septic or repair areas.
• Septic system must be 10 ft from property lines; 5 ft from driveway, building
foundations, and appurtenances; and out of right-of-ways and easements.
• Install a new 1,000 gallon septic tank.
• Install 400 linear feet of 25% reduction system with maximum trench depth of 24 inches;
proposed 3 lines at 134 ft each on contour.
• Final grade of septic area must shed surface water off and away from system.
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