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HomeMy WebLinkAboutAUTH-08-2022-178408.TIF 4` , CA't•AWBAcuus•ry n .1, L Public Health Department Subdivision Q '' Environmental Health Divisionlen PINt 278103420120 PO Box 389,25 Government Drive,Newton,NC 28658 1.OTN 1A Site Address: 6044 LAUREL WAY, HICKORY NC 28602 Name on Permit: 'ALICIA&DAVID SEE Property Size: Acres 1.62 Directions: 1-40 West take exit 121 Left onto Old Shelby RD,2.2 miles Right Bryant ST until you reach paved Rd this is Laurel Way,follow it until you reach open lot on Left at top of hill Owner/Authorized Representative Acknowledgement of Permit Receipt ASI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. ASAs the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-07-2022-41625, by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) JElectronic Image Transmittal/E-mail (Return receipt required) ASAs 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 I8A.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. Permit Issue [)ate: 08/23/2022 Owner/Authorized Representative Signature_ fJ . ,r Date 9/2/2022 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of personsending permit) SignatureDate/'Pitney/J i'?L Method: Fax 1,1E' 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/EliCusttomerService Atc & Sic. @%/61hLc. fcM oxi2 t'2o22 Oil 44 it4 ...1.1 3 a • CATAWBA COUNTY Case# AUTI1-08-2022-178408 ,C .t.II ,2 Public Health Department Subdivision d H Environmental Health Division PIN# 278103420120 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1A /8. su Site Address: 6044 LAUREL WAY, HICKORY NC 28602 Name on Permit: *ALICIA&DAVID SEE Property Size: Acres 1.62 Directions: 1-40 West take exit 121 Left onto Old Shelby RD, 2.2 miles Right Bryant ST until you reach paved Rd this is Laurel Way, follow it until you reach open lot on Left at top of hill Authorization to Construct Permit Permit Category: New Septic Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence-SFD Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soil LIAR: .4 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: 675 sq ft Total Trench Length: 225 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 24 in Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center Number of Drain Lines: 4 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Additional Specifications: *INSTALL ON CONTOUR *FORKED WHITE OAK WITH ORANGE POLKA DOT RIBBONS IS REFERENCE(DO NOT REMOVE REFERENCE) *LOCATE PUMP CRUSH AND FILL EXISTING SEPTIC TANK 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 LIAR: .2 9•P•d.lft2 Proposed System: DRIP IRRIGATION System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required :I :. ,a O8/24/2022 08:44 .Ai3 CATAWBA COUNTY Case# AUTH-08-2022-178408 C(b. t+ii ,, Public Health Department Subdivision d 1.11,rl Environmental Health Division PIN# 278103420120 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1A /g,2 . Site Address: 6044 LAUREL WAY, HICKORY NC 28602 Name on Permit: *ALICIA& DAVID SEE Property Size: Acres 1.62 Directions: 1-40 West take exit 121 Left onto Old Shelby RD, 2.2 miles Right Bryant ST until you reach paved Rd this is Laurel Way, follow it until you reach open lot on Left at top of hill 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. 0471............... ."."Dego rpcm.s 08/23/2022 Authorized State Agent Permit Issuance Date 8/23/2027 Permit Expiration Date • No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chprrmit 08/24/2022 08:44 Catawba County Environmental Health R ?R -o7ao BpR p - 4116 as mpoao 99 - 1781/07 Aor g- oGoa? - / 78 '/OS • Payed Beget •_ c. D/ J / 6044 C ‘1' , 'pc • ko I QD ` '' 403.60 � � > LU cr 3 Parcel:278103420120, 6044 LAUREL WAY 1 ina 50ft HICKORY, 28602 This map report product was prepared from the Catawba County,NC Geos Information contained on 1patol Information Services. Catawba County has made substantial efforts tto he ensure pendent accuracy of o ony dela conttton and ained ned on this map/report product by the user.Thes map or data on his County of Catawba its t Catawba County employees,agents,promotes and recommends personnel,disclaim and shell not be held table for any and ell damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/roped product or the use thereof by any per 2or entity. Cop Catawba County NC 08/23/2022