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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 We wantt tto hear from yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService Ka tql _%)16 Oar 11( 4 A f t 1 12-r h,„i r n i 07/05/2022 16:12 CATAWBACOUNTY Casek AUTII-07-2022-175099 • t Public Health Department Subdivision VALLEY FIELD ACRES .�at" 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. citperni t 07(14/2022 12:40 128Ple-0 7-Zo2Z - 3M7 Catawba County Environmental Health IMPV O1_Zt (75O iF 160.017 AVM-o1 -Zo Zz- l7509 180.00 833.25 18�6a 5,18768 I LTC PL4N 311 s /zo , ,94 ri 47�4/r v //0 e 740 \r/-*' Q . , r9R/6 • ►Ain �c2 3 n v- r� �-+ St►rd,1 1'etd • `Od\ F ' ii4'�• bSY.>l •$434 ! Clef .5418 - -- _ i ��6 E{oUSG i •5406 67.36 67.38 20.44 112 6 37-94 / —_ 1 Parcel: 279011660187, 5418 VALLEY FIELD RD 1 in=60ft HICKORY, 28602 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 map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all 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 06/07/2022