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CATAWBA COUNTY Case # AUTH-3-10-5396
" Public Health Department Subdivision
Environmental Health Division THE PONDEROSA
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 20
tM PIN# 370008893235
1-J-ID-3~7r
ApplicantlOwner TIMOTHY JORDAN
Site Address: 1605 CORRAL DR, Hickory, NC
Property Size: SF 0.379 ACRES
Directions: HWY 321 S TO MTN VIEW/ LT RIVER RD/ LT CORRAL DR./ 3RD HOUSE ON LEFT (GREEN W/RED SHUTTERS)
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit) PcS
* See site plan and number of additional attachments
Proposed Wastewater System: 50% REDUCTION PPBPS Wastewater Flow g.p.d
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
Soil LTAR: 0.3 g.p.d.M2
Permit Category: Expansion
Type of Facility: House
Basement? No Basement Plumbing? No
Wastewater System Requirements
Tank Size: New Tank 1,200 gal Pump Tank 1,200 gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfield: Total Area: 405 sq ft Total Length: 135 ft Maximum Trench Depth 42 in
Aggregate Depth in Trench Width 2 ft
Minimum Soil Cover 6 in Minimum Trench Seperation 8 ft on center
Number of Drain Lines 3
Distribution: Distribution Box
Additional Specifications: Must use a large distribution box/washer box to distribute flow. See drawing for other conditions.
Preinstallation meeting required to determine pump size.
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 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.
Susan Bumgarner 03/12/2010
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/12/2015
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
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03/18/2010 12:57 8283225814 CATAWBA CO PAGE 03/03
AUTH-3-10-5396
G, The Ponderosa
Lot 20
'C Tiinotlly Jordan
1 2 sM 1605 Corral Dr, Hickory
Owner/Authorized Representative Acknowledgement of Permit Receipt
_7-7I ccrn.ify that 1 am the owner or authorized agent (owner's authorization required) representing the owner of
the propcrty described above.
~ As the property owner or authorized representative, I have received the above referenced permit(s)
as requested in the application for service .i✓HPR-2-10-3574 , by the following mrtlhod(s);
+'~'_Reccivcd in Person
_ Facsimile Transmittal (Return form with signature required)
Electrotuc Image Transmittal/ E-mail (Return receipt required)
_ As the property owner or authorized representative f 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 .1,900), 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 _
M Catawba County Public Health
f nvirom nt Health Section
Owner/Authbriz d Representative Signature
Datc
----------1-----------------------------------------------------------------------------------------_--------
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson 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
acknowledges the conditions and statements above.
Department of Environment, Health, and Natural Resources Sheet: Aa*-3-t0-53
Division of Environmental Health Property ID:
On-site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM AppID:
Owner: Applicant: T-t 1,
Address: Date Evaluated: C)
Proposed Facility: Design Flow (.1949) A40 Property Size:
Location of Site: Property Recorded:
Water Supply: [4ublic [ ] Individual [ ] Well [ ] Spring [ ] Other
Evaluation Method: [v] Auger Boring [ ] Pit [ ] Cut
Type of Wastewater: Sewage [ ] Industrial Process [ ] Mixed
P
R
O SOIL MORPHOLOGY b
F .1941 PROFILE FACTORS
1 .1940 .1942
L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile
E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class
# Slope% (IN.) Texture Mineralogy Color Depth (IN.) Class Horiz & LTAR
I,S 0_( u C.I. I SL
5ria or `F 0c, Sbk 5~ . ~ R S
i3
Description Initial System Repair System Other Factors (.1946): ~S
Available Space (.1945) PS S Soil Evaluation By: Snr~ ~iAlv►CAtirncr
System Type(s) 5o°lu (-LA Others Present: (11 tv-, ~llL n t
Site LTAR 3 Site Classification (.1948): P S
Site Evaluation By: SLr~ ~Lt_1~t6~il rr~r
Others Present: `,1J~cC r~(J,t3 n C~'C.
Sheet:
COMMENTS: FILE
Landscape Position Group Texture .1955 LTAR Structure
R-Ridge I S-Sand 1.2-0.8 SG-Single Grain
SS-Shoulder Slope LS-Loamy Sand M-Massive
LS-Linear Slope CR-Crumb
FS-Foot Slope 11 SL-Sandy Loam 0.8-0.6 GR-Granular
NS-Nose Slope L-Loam SBK-Subangular Blocky
HS-Head Slope ABK-Angular Blocky
CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy
CV-Convex Slope SICL-Silty Clay PR-Prismatic
T-Terrace Loam
FP-Flood Plain CL-Clay Loam
SCL-Sandy Clay
Loam
IV SC-Sandy Clay 0.4-0.1
SIC-Silty Clay
C-Clay
Consistence Consistence Mineralogy
Moist Wet SEXP-Slightly Expansive
VFR-Very Friable NS-Non-Sticky EXP-Expansive
FR-Friable SS-Slightly Sticky
FI-Firm S-Sticky
VFI-Very Firm VS-Very Sticky
EFI-Extremely Firm NP-Non-Plastic
SP-Slightly Plastic
P-Plastic
VP-Very Plastic
Sketch of Soil Evaluation Locations
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