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
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...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.
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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
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Parcel:278103420120, 6044 LAUREL WAY 1 ina 50ft
HICKORY, 28602
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Cop Catawba County NC
08/23/2022