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CATAWBA COUNTY Case # AUTH-3-10-5593
Public Health Department
d 2 Subdivision CHARLES D PROPST HEIR
Environmental Health Division
w PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 2
1. PIN# 372305182903
Applicant/Owner BEN GRIFFIN REALTY & AUCTION, INC.
Site Address: 2389 NE 29TH AV DR, Hickory, NC
Property Size: SF 0.579 ACRES
Directions: HWY 127 N/ RT ON 29TH AV DR NE/ LT JUST BEFORE 24TH ST NE
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: .3 g.p.d./ft2
Permit Category: New Septic
Type of Facility: House
Basement? Yes 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 24 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 3
Distribution: Serial
Additional Specifications:
Proposed Repair
System Class: IIIG Proposed System: 25% REDUCTION Distribution Type:: Serial
Soil LTAR: .3 g.p.d./ft2
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 Bumpmer 03/18/2010
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/18/2015
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
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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 EHPR-3-101-4217 , 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 3/18/2010
Owner/Authorized Representative Signature
Date
Documentation of Permit(s) Transmittal
perm. transmitted by electronic or other means)
Permit transmitted by ~,,4a (name of person 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.