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Home My WebLink AboutAUTH-3-10-5139.TIF ~gA CATAWBA COUNTY Case # AUTH-3-10-5139 G Public Health Department 2 Subdivision Q DEAL ACRES Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 5-7 18 2 PIN# 373519702289 Applicant/Owner WILLIAM EARLEY ~H ~'Y~'°391^ Site Address: 5736 SULPHUR SPRINGS RD, Hickory, NC Property Size: SF 0.49 ACRES Directions: SPRINGS RD - TURN LEFT ONTO WANDERING LN - TURN RIGHT ONTO SULPHUR SPRINGS RD (1 ST RIGHT) - TURN RIGHT ONTO PEGGY ST (1 ST RIGHT) -1 ST HOUSE ON LEFT (CORNER OF PEGGY ST AND SULPHUR SPRINGS RD (HOUSE IS FACING SULPHUR SPRINGS RD) 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 360 g.p.d Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Soil LTAR: 0.35 g.p.d.M2 Permit Category: Repairs Type of Facility: House Basement? No Basement Plumbing? No Wastewater System Requirements Tank Size: Existing Tank Unknown Size 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: 260 ft Maximum Trench Depth 30 in Aggregate Depth in Trench Width 3 ft Minimum Soil Cover 6 in Minimum Trench Seperation 9 ft on center Number of Drain Lines 5 Distribution: Serial Additional Specifications: OK to use existing septic tank so long as it is found to be in tact and structurally sound. If it is found to be otherwise compromised, a new 1000 gallon tank must be set. Disconnect old drainfield. Septic system must be at least 50 ft. from any well, 10 ft. from property lines, 5 ft. from structures. Install on contour. Remove trees as needed for septic installation. Do not drive, grade, cut, or fill over septic system. 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 S stv ems' (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. Megen McBride 03/05/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/05/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/09/10 17:57 31 16 cu, ~ eu ro6l loca{G paCiSlin 100 U ' I ,J 1 ili5 wh one-ve- i o~ 45 f.Y(Acl rew S~ ~ - 1 ~~-al~ev ~n ~5~ ~e-P n syS~ o., r . -cd ve fvn15 , U ~t5 ck~lcc, wry ~U~~i(Dha d Nu~1,!»is ~opg, %Ale(j rh 10 0 5' yd shed yo, rQn~ 3 bedroor• house, 1 S t i n 5 ~A ' G CATAWBA COUNTY Case # Q Public Health Department Subdivision Environmental Health Division Section/BUPh/Lot# PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# j84 Z Say (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 Applicant/Owner ,G F-At Site Address: Property Size: Directions: 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, 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 Received Date Catawba County Public Health Environmental Health Section Owner/Authorized Representative.Signature Date Documentation of Permit(s) Transmittal (Re MLE smitted by electronic or other means) Permit transmitted by tt (name o fperson s nding 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 acknowledges the conditions and statements above. )sei ht►u v- Sen lea .CJm haf Ma"I.60A NCDtNR Division of Environmental Health Date: e 2/ a 3/ a 0 10 On-Site Wastewater Section Soil/Site Evaluation 'File 3 9 6 8 6 For On-Site Wastewater System PIN EHPR-2-10-3916 *Owner William Earley Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 e Location of Site 5736 Sulphur Springs Rd. Property Size 0.49 Water Supply EXISTING WELL Evaluation Method Auger 1 Horizon SOIL MORPHOLOGY Landscape Depth 1941 Other Profile Profile# POS Mineralogy Matrix Mottle Factors Slope % (IN) Texture Structure Consistence Color Color 1 0-40 CL 2-Modi sbk fr ss Sp .1942 Wet. 1943 Depth 4 6 PS GPS Saprotite: (n) .1944 R nst. .1947 Class PS EHS le Megen McBr(c Profile LTAR 0 • 3 5 .1942 wet. % .1943 Depth GPS Saprolite:(in) .1944 R nst. Horizo 1947 Class EHS Copy rohle ofile LP MIR _ .1942 Wet. % .1943 Depth GPS Saprofite:(in) .1944 Rest. Horizon .1947 Class EHS Copy rolUe Profile ILTAR _ • .1942 Wet. % .1943 Depth GPS Saprolite:00 .1H n2onst. .1947 Class EHS Profile Copy rohte LTAR .1942 Stet. % .1943 Depth GPS Saprolite:(in) .1944 R nst. ,A 1947 Class W EHS Profile I Copy ofile LIAR Available Space (.1945) PS Other Factors(. 1946) PS Site Classification (.1948)Ps Initial LTAR: Repair LTAR: e . 3 5 Others Present: Susan Miller Comments: Evaluated By. Megen McBride NCDENR Division of Environmental Health Date: ® 3 1 ;13 /;)010 On-Site Wastewater Section Soil/Site Evaluation File 3 9 6 8 6 For On-Site Wastewater System PIN 1940 Horizon SOIL MORPHOLOGY Landscape .1941 Other Profile Profile# POS Depth Factors Slope (IN) Mineralogy Matrix Mottle Texture Structure Consistence Color Color 1942 Viet. % 1943 Depth Saprolite:(in) .1944 Rest. GPS Horizon .1947 Class 60 EHS Copy Profile IProfile LTAR .1942 Viet. o~0 1943 Depth Saprolile:pn) 1944 Rest. GPS Horizon .1947 Class EHS CoDY~roltle Profile LTAil .1942 Viet. % .1943 Depth Saprolile:(in) .1944 Rest. GPS Horizon 1947 Class EH3 Copy rotil Profile LIAR .1942 41 et. % .1943 Depth GPS Saprotite:(rn) .1Hori;oust. .1947 Class E111 Cop old Profile LTAR .1942 Viet. 00 1943 Depth GPS Saprolite:(in) 19441 nest. .1947 Class EHS CopY~. `0111 Prot u LTAR Comments: Attach Image The "Open Drawing Form" button, opens the the drawing form. The Import1• button, attaches the drawing, or other image into the space below. Open Drawing Form Wt(( 0. r S Hays ~ e Profile: 1 { X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: Q X Y Z Profile: 0 X Y Z