HomeMy WebLinkAboutAUTH-08-2022-176699.TIF AUG/05/2022/FRI 10:00 AM FAX No, P. 001/001
CATAWVBA COUNTY
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PU Bar 339,25 Government Drive,Newton.NC 28658 LO.rtt
Bite Address: 4083 OLD SHELBY RD. HICKORY NC 28602
Name oh Permit TONY VANHORN
Prop.ny Stta: Acres 3.37
Directions: 1 1l2miles past Advent Crossroads on Old Shelby Rd.2nd house on the right before Faith Olive Baptist
Church going toward eooksville
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 EHPR-04-2022-40595,by the following method(s):
T Received in Person
f Facsimile Transmittal (Return form with signature required)
NI Electronic image Transmittal/E-mail (Return receipt required)
t; As the property owner or authorized representative I have reviewed and understand the specific conditions
ofthe 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(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:08/01/2022 s.."'`�
Owner! uthorized Representative Signature 0
Date — Y -' J
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Documentation of Permit(s)'llansmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permrr)
Signature Date/Time DIiJ Z L '
Method: Fax Y Email US Malt Other
Owner's request to send by the above indicated method or transmittal in lieu of signature
We wantt tto hear from yoiPlease stake a few momentts tto complette our custtomer service survey an
http://www.surveyrnonkey.com/SJEKCAisttomerService
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c ATAr�BA COUNTY Case# AUTII-08-2022-176699
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�. . Public Health Department Subdivision
J '-1 Environmental Health Division PIN# 277004519593IIk
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PO Box 389,25 Government Drive.Newton,NC 28658 OTa
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Site Address: 4083 OLD SHELBY RD, HICKORY NC 28602
Name on Permit: TONY VANHORN
Property Size: Acres 3.37
Directions: 1 1/2miles past Advent Crossroads on Old Shelby Rd, 2nd house on the right before Faith Olive Baptist
Church going toward cooksville
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-Repair
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
Soil LTAR: 0.275 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: LOW PROFILE CHAMBER
System Classification: IIIG-OTHER NON-CONV 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: S70 sq ft Total Trench Length: 290 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 12 in
Minimum Soil Cover: 8 in Minimum Trench Separation: 6 ft on center
Number of Drain Lines: 6 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
-Do not drive, grade, cut or fill over ANY part of the septic system area.
-Install new 1000 gal septic tank and 290 feet of Low Profile Chambers according to manufacturer specifications.
-Existing septic tank must be properly abandoned (pumped, crushed, and filled).
-4 in of cover is required to be brought in for system area due to shallow depth.
-Septic areas must remain 50 feet from any well, 5 feet from building structures and 10 feet from property lines.
-Property line as marked in field by the surveyor.
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? Not Required Soil LTAR: g•p•d./ft2
Proposed System:
System Classification:
;hp.nnn 08%01.2022 12:13