HomeMy WebLinkAboutAUTH-12-2022-185885.TIF . r
�'W4'. T CATAWBA COUNTY - -
( Public Health Department Subdivision
�_ s Environmental Health Division PINS 269902751449
111b, PO Box 389,25 Goveniment Drive.Newton,NC 28658 LOTS B
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Site Address: 5476 WHITENER RD,.HICKORY NC 28602
Name on Permit GREGORY SMYRE, II •
Property size: Acres 26.88
Directions: NC10 bear left onto whitener rd,property on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
_4certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the propertydescribed above.
ll "As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-09-2022-42245,by the following method(s):
Received in Person
_ Facsimile Transmittal(Return form with signature required)
J Electronic Image Transmittal/E-mail (Return receipt required).
V4sCproperty 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: 12/08/2022
• Owner/Authorized Representative Signature 127 __�'s �
Date J �,,,.d-1
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time 11/4.4?3
Method: Fax J Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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w• e'AT'AWi3A corm' Case# All'LH-12-2022-185885
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7- Public I Iealth Department Subdivision
„ri(; ,� 1?nvirunmental I lcalth Division PIN# 269902751449
PO Box 389,25 Government Drive,Nekton,NC 28658 LOT# B
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Site Address: 5476 WHITENER RD, HICKORY NC 28602
Name on Permit: GREGORY SMYRE, II
Property Size: Acres 26.88
Directions: NC10 bear left onto whitener rd, property on left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 600 g.p.d.
Type of Facility: Prim Res/Acc Dwelling-
Basement? No Basement Plumbing? No Bedrooms: 5
Water Supply: Private Well Maximum Occupants: 10
Soil LTAR: .3 g.p.d.Ift2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Septic Tank: New Tank: 1,500 gal
Pump Tank _gal Grease Trap_gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down in
Drainfleld: Total Area: 1,500sq ft Total Trench Length: 500 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 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
'PROPERTY LINE MUST BE PROPERLY MARKED TO ENSURE 10FT SETBACK
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 9-p•d.lft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
el pemdi 0123,2023 14.45
CATAWBA COUNTY Case# AUTH-I2-2022-185885
Public Health Department Subdivision
J "I Environmental Health Division PIN# 269902751449
PO Box 389,25 Government Drive,Newton.NC 28658 LOT# B
Site Address: 5476 WHITENER RD, HICKORY NC 28602
Name on Permit: GREGORY SMYRE, II
Property Size: Acres 26 88
Directions: NC10 bear left onto whitener rd, property on left
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.
Degas Ei 4r+s
01/19/2023
Authorized State Agent Permit Issuance Date
1/19/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpennit 01/23/2023 14:49
-....----, Catawba County Environmental Health
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Parcel: 269902751449, 5476 WHITENER RD 11n=200ft
HICKORY, 28602
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