HomeMy WebLinkAboutAUTH-08-2022-177910.TIF ��+e ('ATAW'Ih\('(fl:N'l l' Case# Al l'I 1l-08-2022.177910
• t.a Public Ilculth Depinunent Subdivision
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/ Y I{nvuunmcntal health Division 1'IN7! 278103306276
IS)Its 3Kc).25 Government Drive.Newton.N(' 28658 LUI t 3
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Site Address: 2964 OLD SHELBY RD, HICKORY NC 28602
Name on Permit: STUART RADCLIFFE
Property Size: Acres 1.5
Directions: Corner of Old Shelby Rd and Mountain Grove Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I ant the owner or authorized agent k mncr's authorization required)representing the owner of
the property described
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service EHI'R-08-2022-41951, by the following method(s):
Received in Person
./ Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
Y. 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(I5A NCAC I8A.1900),
and/or Well Construction Standards(1 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: 08/16/2022
c� Owner/Authorized Representative Signature 5ieada*e_
`�ll)ate 8/16/2022
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature 46
Date/'Time /!li/ZZ
Method: Fax " Email 11S Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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44,! • CATAWB.ACOlUNTY Casco AUTH-08-2022-177910
• .t.ii Public Health Department Subdivision
• „� Environmental h Div
PO Box 389,25 Governmentealth ision Drive,Newton,NC 28fii8 LOT#PINK 278103306276 3
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Site Address: 2964 OLD SHELBY RD, HICKORY NC 28602
Name on Permit: STUART RADCLIFFE
Property Size: Acres 1.5
Directions: Corner of Old Shelby Rd and Mountain Grove Rd
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 480 g.p.d.
Type of Facility: Multi-Family-one side of a Quadplex
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
Soil LTAR: 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: 1,500 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: Serial
Pre Treatment: NONE
Additional Specifications:
`Pump and dig out the existing tank. Place the new tank in the same area as the existing.
*Fix the distribution to feed the original bed(blue)first then serial feed to the repair bed(green). This may require
a new drop box.
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.lft2
Proposed System:
System Classification:
c•i,i,enniI 08n(,/2022 I7:01
"� CATAWBA COUNTY Case# AUTH-08-2022-177910
ityLop
. Public Health Department Subdivision
tF Environmental Health Division PIN# 278103306276
PO Box 389,25 Government Drive.Newton,NC 28658
LOT# 3
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Site Address: 2964 OLD SHELBY RD, HICKORY NC 28602
Name on Permit: STUART RADCLIFFE
Property Size: Acres 1.5
Directions: Corner of Old Shelby Rd and Mountain Grove Rd
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' (I5A NCAC I 8A.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 I lealth of this change prior to system installation.
flu,(,„
08/16/2022
Authorized State Agent Pennit Issuance Date
8/16/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpennit 08/16/2022 16:09
Catawba County Environm ntal Health 4Ir °I-2°22 - I79/0
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Parcel: 278103306276, 2964 OLD SHELBY RD 1 in=60ft
HICKORY, 28602
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Copyright 2021 Catawba County NC
08/16/2022