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Site Address: 2674 SARDIS CHURCH RD.HICKORY NC 28602
Name on Permit: LANE FULBRIGHT
Property Size: Acres 4 28
Directions: Left off of W NC 10 Hwy onto Sardis Church Rd.3rd lot on left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
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�` I certil} that I ant the oft n s cr or authorized agent tots authorization required)rcprescn(ing the rtcncr Of
{{ the property demerill d abate.
L1 As the property owner or authorized representative.I have received the above referenced
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permit(s)as requested in the application 'Or service RBI'K-IO-2022-42500.by the following method(s):
Received in Person
1 Facsimile Transmittal(Return firm with signature required)
Electronic Image Transmittal- E-mail (Return receipt required)
14.
(..—k"+1s the property owner or authorized representative I have ref iewed 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(I5A NCAC 2C .0100), shall apply to the issuance oI'this permit and
the construction ol'the wastewater system and/or water supply well permitted.
Permit Issue Date: 11/22)2022
Owner'Authnrized Representative Signature
Date 1W
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by . . /tutu'ol.person seralipt,l;permit)
CifSignature I)alc''titne iu 5i`1
Method: Fax /Email _US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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:`• CATAWBA COUNTY Case# Atl l 11-I I-2022-185000
•(....f.li Public I Icalth Department Subdivision
Envmental Health Div PIN#
PO Boxiron 3t9,25 Governmentision Drive, 269801162762
Newton,NC 2t65t LOT# 1
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Site Address: 2674 SARDIS CHURCH RD, HICKORY NC 28602
Name on Permit: LANE FULBRIGHT
Property Size: Acres 4.28
Directions: Left off of W NC 10 Hwy onto Sardis Church Rd. 3rd lot on left.
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence- New House
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: 0.275 g.p.d.lft2
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: 990 sq ft Total Trench Length: 330 ft
Aggregate Depth: 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: Serial
Pre Treatment: NONE
Additional Specifications:
*Do not drive,grade, cut or fill over any part of the initial or repair septic areas.
*All parts of the septic system MUST remain 10 feet from property lines, 5 feet from building structure(including
porches/decks),and 50 feet from future well.
*Install new 1000 gal septic tank and 330 feet of 25%reduction product according to manufacturer
specifications.
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: 0.275 9•p•d.lft2
Proposed System: 50%REDUCTION HORIZONTAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
,,,r,..iI 12/05/2022 16:07