HomeMy WebLinkAboutAUTH-04-2018-098430.TIF '
`HA C.VtAWItA COUNT). Cased
.f'kill Public Health Department Subdivision
'< IIG'a_ ` Environmental Health Division PINti 269803100097
\� .
"n` PO Box 389, 100-A Southwest Blvd,Ne tIon,NC 28658 LOTH
rHgti
NAME ON PERMIT: DOUGLAS MILLER, 431 4TH ST NE, HICKORY NC 286041
Site Address: 3301 LEDFORD RD, VALE NC 28168
Property Size: Square Fees 3,962,217.60 Acres:90.96
Directions: west on HWY 10/past Propst X-Rds/left Heavner Rd/when it ends turn right onto Ledford Rd
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 RBPR-03-20I 8-28666,by the following method(s):
/Received in Person
_ Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
s 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 (I 5A NCAC I 8A.1900),
and/or Well Construction Standards (ISA 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: 04/20/2018 / P /
Owner/Authorized Representative Signature a r
Date 41/ 2, S / a- a
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
We wantt tto hear from yoaPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/ERCusttomerService
chpemmh 04/20/2018 09:26
r•.
lav;” • CATA1v BA COUNT Q 1 ■ cnsc n AUTI I-o,1-2018-098430
/^s •� Public Health Department
IF 73:1'6.; r SPI_ Subdivision
< �-- �r�p ,.„, Environmental Health Division IF 'f , PINN 269803100097
��� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 S J r LOT#
/84 : I r
oke ... t
NAME ON PERMIT: DOUGLAS MILLER, 431 4TH ST NE, HICKORY NC 286041
Site Address: 3301 LEDFORD RD, VALE NC 28168
Property Size: Square Feet:3,962,217.60 Acres:90.96
Directions: west on HWY 10/past Propst X-Rds/left Heavner Rd/when it ends turn right onto Ledford Rd
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Buildinq Permit2
* See site plan and number of additional attachments( ).
Proposed Wastewater System: 25%REDUCTION Wastewater Flow 960 g.p.d
Type: IIID-O'I'I-IER NON-CONN'TRENCH SYSTEMS
Soil LTAR: 0.325 g,p,d./k2
Permit Category: New Septic
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing?Yes Bedrooms: 8
Wastewater System Requirements
Septic Tank: New Tank: 2 000 gal
Pump Tank gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfield: Total Area: 2,217 sq ft Total Length: 739
ft Maximum Trench Depth 20 in
Aggregate Depth in Trench Width 3 ft
Minimum Soil Cover 6 in Minimum Trench Separation 9 ft on center
Number of Drain Lines 4
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: IIIG Proposed System: 25%REDUCTION
Distribution Type:: Serial Soil LTAR: 0.325 g.p.d./ft2
el,pcnnii 04/20/2018 09:24
OA . CATAWBA COUNTY Case# AUTH-04-2018-098430
_^s fia.1lll . Public Health Department Subdivision
G — n Environmental Health Division I'INU 269803100097
��i Y
°`aw PO Box 389,100-A Southwest Blvd,Newton,NC 28658 1.0134
NAME ON PERMIT: DOUGLAS MILLER, 431 4TH ST NE, HICKORY NC 286041
Site Address: 3301 LEDFORD RD,VALE NC 28168
Property Size: Square Feet:3,962,217.60 Acres:90.96
Directions: west on HWY 10/past Propst X-Rds/left Heavner Rd/when it ends turn right onto Ledford Rd
The.issuance of this permit by the Ilealth 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 properly. This permit was issued in compliance
with the provisions of the North Carolina 'Laws and Rules for Sneeze Treatment one!Disposal Systems' (ISA NCAC I8,1.1900).
Neither Catawba County nor the Environmental Health Specialist warrants that the septic lank system will continue to function
satisfactorily for any riven'period of time.
#44,--e-2-- /-- Zs2:e.-2___
04/19/2018
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/19/2023
No grading or construction activity is allotted in areas designated for system and repair without approval of the Health Department.
clip:mil 04/202018 09:24
Ca P8PR~63-aUl`6-
Op nod &r,.\ tawba County Environmental Health aed 626
_Teri,LeSdA 4; - A • l
9 le A Ofir e %eel I .)13. 16
1ker
�,. _ (-- Ai AP °Wil ' t ib
c •,
i0 4
i
J
/ irfeed°ll.%ta.Piat3/4N%*SH"%tNaillHHIHIISlrfjll.IIIIIIIIIIIIIIINit ,II 1. TiIriallif
t
L.
•
...N.CC:y\)\\\L.. . •
111111114. a
rif
Parcel: 269803100097, 3301 LEDFORD RD lin=200ft
VALE, 28168
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 ma product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and alldamages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
I Copyright 2011 Catawba County NC
04/192018