HomeMy WebLinkAboutAUTH-11-2022-184732.TIF !`c CATAWBA COUNTY
• .t.No Public Health Department Subdivision
Environmental Health Division PIN# 279109169936
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
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Site Address: 2389 MOSS FARM RD, HICKORY NC 28602
Name on Permit: TERRY GOOCH
Property Size: Acres 17.35
Directions: Hwy 127 S past 321 Hwy Right on Moss Farm RD near end of RD, Driveway w/2383 Moss Farm RD going
into property 2389 Moss Farm RD
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 RBPR-10-2022-42552,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
J
Electronic Image Transmittal/E-mail (Return receipt required)
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(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.
Permit Issue Date: 11/18/2022
Owner/Authorized Representative Signature
- Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)1
Signature -----q----r-- Date/Time i 1 1 I I))
Method: Fax 'Email (IS Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yoLPlease ttake a few momentts tto complette our custtomer service survey att
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dy! • CA]AWBA COUNTY Case# AU 11-11-2022-]84732
1~(......_...a ,2 Public Ilcalth Department Subdivision
�;, `�, Environmental Health Division PIN# 279109169936
PO I3ox 389,25 Government Drive,Newton,NC 28658 I.0'f# 1
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Site Address: 2389 MOSS FARM RD, HICKORY NC 28602
Name on Permit: TERRY GOOCH
Property Size: Acres 17.35
Directions: Hwy 127 S past 321 Hwy Right on Moss Farm RD near end of RD, Driveway w/2383 Moss Farm RD going
into property 2389 Moss Farm RD
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Accessory Structure-Barn with Kitchen and full bathroom
Basement? No Basement Plumbing? No Bedrooms:
Water Supply: Public Water Maximum Occupants:
Soil LTAR: .3 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: CONVENTIONAL
System Classification: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
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: 810 sq ft Total Trench Length: 270 ft
Aggregate Depth: 12 in Maximum Trench Depth on Downhill Sidewall: 30 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 3 Trench Width: 3 ft
Distribution: Drop Box
Pre Treatment: NONE
Additional Specifications:
*1000GAL SEPTIC TANK
*DROP BOXES MUST BE LEVEL
*DRAIN LINES MUST BE LEVEL WITHIN 2 INCHES
*INSTALL ON CONTOUR
*12" OF WASHED STONE/GRAVEL#5
*2FT SEPERATION FROM DROP BOX TO TRENCH
*CALL EHS WITH 24HR NOTICE PRIOR TO INSTALLATION
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 LTAR: .3 g.p.d.lft2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
chpcnwl 11/29.277 I5:54