HomeMy WebLinkAboutAUTH-08-2022-178315.TIF 44w CATAWBA COUNT Case# AUTI1-08-2022-178315
L Public Health Department Subdivision
Q iiila Environmental Health Division PIN# 279112859204
Po Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
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Site Address: 5124 HARRIS FARM RD, HICKORY NC 28602
Name on Permit AUSTIN HECK
Property Size: Acres 0.74
Directions: Hwy 127 S, right Harris Farm Rd,corner of Mountain View Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
f4 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
)(4/ s the property owner or authorized representative. I have received the above referenced
permit(s)as requested in the application for service EHPR-01-2022-39845,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
__,L_ Electronic Image"Transmittal/E-mail (Return receipt required)
X47As 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(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.
I
Permit Issue Date: 08/22/2022
Owner/Authorized Representative Signature •
Date 8/25/2022
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature -74-E C Date/Time 0`3 5/7 2.
Method: Fax d 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 yoiPlease ttake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
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O8/23R022 14:39
„Ii \ CATAWBA COUNTY Case# AUTH-08-2022-178315
t Public Health Department Subdivision
11110 3 Environmental Health Division PIN# 279112859204
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
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Site Address: 5124 HARRIS FARM RD, HICKORY NC 28602
Name on Permit: AUSTIN HECK
Property Size: Acres 0.74
Directions: Hwy 127 S, right Harris Farm Rd, corner of Mountain View Rd
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LTAR: .275 g.p.d./ft2
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: 981 sq ft Total Trench Length: 328 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: 6 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*EXISTING TANK MAY BE USED IF IN GOOD CONDITION
"INSTALL ON CONTOUR
'EASEMENT TO REMAIN VISIBLY MARKED UNTIL FINAL INSPECTION IS COMPLETE
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./ft2
Proposed System:
System Classification:
08/23/2022 14:39
44 � CATAWBA COUNTY Case# AUTH-08-2022-178315
/r t a Public Health Department Subdivision
d „� Environmental Health Division PIN# 279112859204
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
1842
Site Address: 5124 HARRIS FARM RD, HICKORY NC 28602
Name on Permit: AUSTIN HECK
Property Size: Acres 0.74
Directions: Hwy 127 S, right Harris Farm Rd, corner of Mountain View 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' (I 5A NCAC I SA.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.
IO&M C1,405.
08/22/2022
Authorized State Agent Permit Issuance Date
8/22/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpermit 08/23/2022 14:39
Catawba County Environmental Health
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Parcel:279112859204, 5124 HARRIS FARM RD 1in=40ft
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This maphepal product was prepared from the Catawba County,NC Geospatial tnformation Services_ Catawba County has made substantial efforts
to ensure me aexuacy of location and erip Information contained on this map or data on this report.Catawba County promotes and recommends
the independent verMkation of any data oorNfalftad on this map/report product by the user.The County of Catawba.its employees.agents.and
pommels) declaim,and shall not be held liable for any and ad damages,loss of liability,whether direct,Indirect or consequential which anses or may
arise from dile rneprreport product or the use thereof by any person or enUty.
Copyright 2021 Catawba County NC
0a/2212022
DEPARTMENT OP D VI.ONMENT AND NATURAL RESOURCES . Shed 1 of r DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID W: ` /
-SITE WASTEWATER SECTION COUNTY:
SOIIJ 1u EVALUATION
J 1 p,/�far ON SITE WASTEWATER SYSTEM
OWNER: -1 "ST 1'► � APPLICATION DATE . /-2 Y 2 Z
ADDRESS: DATE EVALUATED:
PROPOSED FACILITY: 5 1.4 PROM:AM D NPLOW(.1949): ?( PROPERTY S1Z .9 e 7q
LOCATION OF SITE; LSl LY. �� 1--t r_fed PROPERLY RECORDED:WATER SUPPLY: 0 Private .'Public 0 Well 1 Spring 0 Other
EVALUATION METHOD: 0 Auger Baring +$Pit 0 Cut •
TYPE OF WASIEWATFR„..4}'Se wago 0 Indus ial Process 0 Waxed
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Parcel:279112859204, 5124 HARRIS FARM RD 1in=40ft
HICKORY,28602
This mapheport product was prepared from the Catawba County.NC Genepeilal Infomnation Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling Infomntlon contained on Ws 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
pefsoonel,disclaim,end shaft 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
08/22/2022
1