HomeMy WebLinkAboutAUTH-07-2022-175099.TIF CA'TAWBA COUNTY
Public Health Department Subdivision VALLEY FIELD ACRES
:q . . Environmental Health Division PIN 279011660187
ibtroot PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 2
Site Address: 5418 VALLEY FIELD RD, HICKORY NC 28602
Name on Permit *KENNETH ROSENBALM SR
Property Size: Acres 1.68
Directions: Hwy 127 S to Mt View turn in Homestead Development go to end on Valley Field RD house on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
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-01-2022-39927, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
I 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(l5A 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:07/05/2022
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sendingt)� permit)
Signature Cif Date/Time I117)Zz
Method: Fax f Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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CATAWBACOUNTY Casek AUTII-07-2022-175099
• t Public Health Department Subdivision VALLEY FIELD ACRES
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Environmental Health Division PINT! 279011660187
PO Box 389,25 Government Drive,Newton,NC 28658 LOU 2
Site Address: 5418 VALLEY FIELD RD, HICKORY NC 28602
Name on Permit: *KENNETH ROSENBALM SR
Property Size: Acres 1.68
Directions: Hwy 127 S to Mt View turn in Homestead Development go to end on Valley Field RD house on Left
Authorization to Construct Permit
Permit Category: Relocation Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-House
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
Soil LTAR: 0.3 g.p.dJft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25% REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Septic Tank: Existing 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: 648 sq ft Total Trench Length: 216 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 30 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:
-Cut existing drainfield lines 15 ft from water of pool.
-Pack soil at ends of the end of the cut lines.
-Place end cap on existing chamber line.
-Connect existing to new serial.
-This permit is issued to relocate 54%(260gpd)of the existing drainfield.
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: 0.225 dJft2
9•P•
Proposed System: DRIP IRRIGATION
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
07/14/2022 12:40
• CATAWBA COUNTY Case AUTH 07 2022 I75099
• t II Public Health Department Subdivision VALLEY FIELD ACRES
Environmental Health Division PIN# 2 79011 6601 87
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
im
Site Address: 5418 VALLEY FIELD RD, HICKORY NC 28602
Name on Permit *KENNETH ROSENBALM SR
Property Size: Acres 1.68
Directions: Hwy 127 S to Mt View turn in Homestead Development go to end on Valley Field RD house on Left
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.
z„..A.A./. p .
07/05/2022
Authorized State Agent Permit Issuance Date
7/5/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
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Parcel: 279011660187, 5418 VALLEY FIELD RD 1 in=60ft
HICKORY, 28602
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Copyright 2021 Catawba County NC
06/07/2022