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CATAWBA COUNTY _
IL` i Public Health Department Subdivision WHITE EAGLE RANCH
•t E:nvironmcntal Health Division PINS 370005189221
' PO Box 389.25 Government Drive,Newton,NC 28658 LOT# 5&PT 6
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Site Address: 1516 WHITE EAGLE RANCH RD, HICKORY NC 28602
Name on Permit: RUSSELL GILCHRIST
Property Size: Acres 6.01
Directions: S NC 127 Hwy, left Bethel Church Rd. right White Eagle Ranch Rd,on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
tdil.. As the property owner or authorized representative, 1 have received the above referenced
permit(s)as requested in the application for service RBPR-11-2021-39376,by the following method(s):
Received in Person
_ Facsimile Transmittal(Return form with signature required)
JElectronic Image Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
oft e 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:06/09/2022
Owner/Authorized Representative Signature ,�/�'4z.c�P
• Date 4J& As-- Z Z—
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _._ (name ofperson sending permit)
Signaturef_./ Date/Time if/15 I))
Method: Fax 4 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 yot Please ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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CATAWBA COUNTY(......._ Case# AU h{1 06 2022 173232
Public Health Department Subdivision WHITE EAGLE RANCH
Environmental Health Division PIN# 370005189221
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 5&PT 6
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Site Address: 1516 WHITE EAGLE RANCH RD, HICKORY NC 28602
Name on Permit: RUSSELL GILCHRIST
Property Size: Acres 6.01
Directions: S NC 127 Hwy, left Bethel Church Rd, right White Eagle Ranch Rd, on left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Accessory Dwelling-Pool House with 1 bedroom
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Public Water Maximum Occupants: 4
Soil LTAR: 0.275 g.p.d.Ift2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25% REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
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: 660 sq ft Total Trench Length: 220 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 18 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 2 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
This permit issued pursuant to Section 11.(c)of SL 2018-114 using the signed and sealed LSS Evaluation
attached here.
Catawba County Environmental Health has not evaluated soils or site conditions for this property. Furthermore,
CCEH has not field-verified soil descriptions submitted by the Licensed Soil Scientist. CCEH exclusively used
the LSS evaluation and system design proposal to permit the septic system and future septic repair area.
CCEH will not have not made any site visit to the property prior to the inspection of the septic installation final.
Catawba County Environmental Health is not responsible or liable for accuracy of soil descriptions or septic
system design for this permit(s).
Prior to CCEH's inspection of the system installation,all property corners must be surveyed,all property lines
must be marked, and the 50 ft. and 30 ft. lake setback, as applicable, must be surveyed. No deviation from the
permit is permissible. If the system cannot be installed exactly as proposed by the LSS, maintaining all
applicable setbacks under 15A NCAC 18A.1900, the property owner is responsible for a LSS resubmittal under
SL 2018-114 Section 11.(c); new permit fees applicable. Do not drive,grade, cut, or fill over the septic system
area/septic repair area. Damage to the septic areas will result in permit revocation.
CIipr„nii 06/14/2022 13:20
•
Xis• CATAWBA COUNTY Case# AUTH-06-2022-173232
ET .r a t Public Health Department Subdivision WHITE EAGLE RANCH
--• `•1 Environmental Health Division PIN# 370005189221
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 5&PT 6
/ Su
Site Address: 1516 WHITE EAGLE RANCH RD, HICKORY NC 28602
Name on Permit: RUSSELL GILCHRIST
Property Size: Acres 6.01
Directions: S NC 127 Hwy, left Bethel Church Rd, right White Eagle Ranch Rd, on left
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? Required Soil LTAR: 0.25 g.p.d./ft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Pump *May Be* Required
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.
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.A.... , p .
06/09/2022
Authorized State Agent Permit Issuance Date
6/9/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpcnnit 06/10/2022 06:33
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Parcel: 370005189221, 1516 WHITE EAGLE RANCH RD HICKORY, 28602
Owners: GILCHRIST RUSSELL VERNON,
Owner Address: 1516 WHITE EAGLE RANCH RD
Values- Building(s): $382,100, Land: $109,300, Total: $491,400
This map/report product was prepared from the Catawba County.NC Geospatiel 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
tkp Independent verification of any data contained on this mac/report product by the user.The County of Catawba,Its employees,agents,and
rsonnel,disclaim,and shall not be held liable for any and at damages,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.
Copyright 2021 Catawba County NC
04/28/2022