HomeMy WebLinkAboutAUTH-12-2022-186437.TIF _ —.
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•/.f.f Public Ilcalth Department Subdivision
11Pi1.o - Environmental Health Division PINii 378112959699
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PO Box 389,25 Government Drive.Neuron,NC 28658
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Site Address: 2261 HUDSPETH RD,CATAWBA NC 28609
Name on Permit: DIANE STEPHENS
Property Size: Acres 2.89
Directions: E NC 10 HWY,Hudson Chapel,Left on Hudspeth Rd,Property on Left
Owner/Authorized Representative Acknowledgement of l'ermit Receipt
XI certify that I um the owner or authorized agent(owner's authorization required)representing the owner of
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the property described above.
COX As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service Rl1PR-11-2022-42664,by the following method(s):
Received in Person
_ Facsimile Transmittal(Return form with signature required)
ie.-Electronic Image Transmittal/E-mail (Return receipt required)
y( 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.01(10), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date: 12/20/2022 ,
-.--� Owner/Authorized Representative Signature
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Date_1 "[ 1
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by_� f\ (name ofperson sending permit)
Signature __....._. .___.__._ ______. _ _ Date/'Time_u y 23 2' 'Splh
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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CNIAWBA COUNTY Case AWl-I-12-2022-186437
• .i.iik Public I Iealth Department Subdivision
„ t, linvirnnmenb Dvon rive.Ne PIN/I 378112959699
PO I3ox 389,tal 2>GoIIcaltvernmentiisi D '.1on.NC 28658 LU'I';I
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Site Address: 2261 HUDSPETH RD, CATAWBA NC 28609
Name on Permit: DIANE STEPHENS
Property Size: Acres 2.89
Directions: E NC 10 HWY, Hudson Chapel, Left on Hudspeth Rd, Property on Left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
Soil LTAR: .3 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: 1,200sq ft Total Trench Length: 400 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 26 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:
*This septic system must be 100ft from any well.
*INSTALL ON CONTOUR
*LINE LENGTHS MAY VARY
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: .3 g.p.d./ft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
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