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Home My WebLink AboutAUTH-05-2022-171771.TIF rINCATAWBA('Ol'N'tl' C'atir aAU711-05 2022 171771 • Public ilcalth Ikp rtmentSubdivision it Environmental Health Division I'IN# 371209262893 ,� PO Box 389,25 Government Drive,Newton,NC 28658 LOU i 2 ljlt +� Site Address: 1310 8TH AVE SE. HICKORY NC 28602 Name on Permit: JACK SIPE CONSTRUCTION Property Size: Acres 0.410 Directions: 1-40 west to Lenoir Rhyne Blvd, right onto Lenoir Rhyne Blvd,continue on LR Blvd, right onto 8th Ave SE, secound house on the right Owner/Authorized Representative Acknowledgement of Permit Receipt VGLP I certify.that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. X_ . GLP As the property owner or authorized representative, 1 have received the above referenced permit(s)as requested in the application for service EIIPR-04-2022-40526, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) JElectronic Image Transmittal/E-mail (Return receipt required) ?( GLP 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 ISA.1900), and/or Well Construction Standards (I SA 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: 05/18/2022 dew Owner/Authorized Representative Signature __ • -"4"` _ Date 5/23/2022 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by ('name of person sending permit) (44,Signature Date/Time ✓143b) 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 yo&Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService JO hi @ jatk.St p011Sintet vvl.. Dirk 12P 051 t 9.2012 16 20 .418: a CATAWBA COUNTY Case# AUTI1-05-2022-171771 .t. y Public Health Department Subdivision d Environmental Health Division PIN# 371209262893 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 sw Site Address: 1310 8TH AVE SE, HICKORY NC 28602 Name on Permit: JACK SIPE CONSTRUCTION Property Size: Acres.27 Directions: 1-40 west to Lenoir Rhyne Blvd, right onto Lenoir Rhyne Blvd, continue on LR Blvd, right onto 8 th Ave SE, secound house on the right Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 240 g.p.d. Type of Facility: Primary Residence-House Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Public Water Maximum Occupants: 4 Soil LIAR: g.p.dift2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY System Classification: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank: 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: sq ft Total Trench Length: ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in Minimum Soil Cover: in Minimum Trench Separation: ft on center Number of Drain Lines: Trench Width: ft Distribution: Distribution Box Pre Treatment: NONE Additional Specifications: • Permit is for replacement of the septic tank only. • Drainfield location is approximate. • Old septic tank should be pumped, crushed in place and filled in,or removed. • Install a new 1,000 gallon septic tank(if more than 6"deep add risers). • Connect to existing distribution. See also attached site plan. 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? Soil LIAR: g.p.d.1ft2 Proposed System: System Classification: 06/15/2022 14:02 r. eelCATAWBA COUNTY Case# AUTH-05-2022-171771 Public Health Department Subdivision Environmental Health Division PIN# 371209262893 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 ,.ipitz, Site Address: 1310 8TH AVE SE, HICKORY NC 28602 Name on Permit: JACK SIPE CONSTRUCTION Property Size: Acres 27 Directions: 1-40 west to Lenoir Rhyne Blvd, right onto Lenoir Rhyne Blvd, continue on LR Blvd, right onto 8 th Ave SE, secound house on the right 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 arc 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' (I5A 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. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. &„:„....,_ p , 05/18/2022 Authorized State Agent Permit Issuance Date 5/18/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chprrmit 06/15/2022 14:02 ENPg- oLI-20-?-- L10Zb Catawba County Environmental Health AU'cl 05-2022- li t`1 11 51.1 .47 14P. .1338 417 OCts • it .1310 V ij, P461 c • Mitt- szP .1240 1% bp- Parcel: 371209262893, 1310 8TH AVE SE lin=40ft HICKORY, 28602 This map/report product was prepared from the Catawba Comity,NC Geospadal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling ilfomrdon conthkied on ills map or data on this report.Catawba Canty promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its empbyeee,agents and personnel,disdain,and shall not be held liable for any and aildamages,loss or liability,whether direct,indirect or consequential which shies or may arise from this map/report product or the use thereof by any person of aridly. Copyright 2021 Catawba County NC 05/18/2022 �yg•• • CATAWBA COUNTY Case# AUTH-05-2022-171771 EQ' •r.ki ,A Public Health Department Subdivision 4 ., f-. '�, Environmental Health Division P1N# 371209262893 7-3 PO Box 389,25 Government Drive,Newton,NC 28658 /842 'M LOT# 2 Site Address: 1310 8TH AVE SE, HICKORY NC 28602 Name on Permit: JACK SIPE CONSTRUCTION Property Size: Acres 0.410 Directions: 1-40 west to Lenoir Rhyne Blvd, right onto Lenoir Rhyne Blvd, continue on LR Blvd, right onto 8th Ave SE, secound house on the right Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 240 g.p.d. Type of Facility: Primary Residence-House Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Public Water Maximum Occupants: 4 Soil LIAR: g.p.d.lft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY System Classification: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank: 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: sq ft Total Trench Length: ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in Minimum Soil Cover: in Minimum Trench Separation: ft on center Number of Drain Lines: Trench Width: ft Distribution: Distribution Box Pre Treatment: NONE Additional Specifications: • Permit is for replacement of the septic tank only. • Drainfield location is approximate. • Old septic tank should be pumped, crushed in place and filled in, or removed. • Install a new 1,000 gallon septic tank(if more than 6"deep add risers). • Connect to existing distribution. See also attached site plan. 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? Soil LTAR: g.p.d./ft2 Proposed System: System Classification: ci,1),mil 05/19/2022 16:20 et _. CATAWBA COUNTY Case# AUTH-05-2022-171771 III \ Public Health Department Subdivision d '�, Environmental Health Division PIN# 371209262893 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 I8 Site Address: 1310 8TH AVE SE, HICKORY NC 28602 Name on Permit: JACK SIPE CONSTRUCTION Property Size: Acres 0.410 Directions: 1-40 west to Lenoir Rhyne Blvd, right onto Lenoir Rhyne Blvd,continue on LR Blvd, right onto 8th Ave SE, secound house on the right 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. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. &,:t., p . 05/18/2022 Authorized State Agent Pennit Issuance Date 5/18/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpermit 05/19/2022 16:20