HomeMy WebLinkAboutAUTH-01-2023-187132.TIF • + i
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1.� �, I'uhlic I Icalth I)epartmcnr Subdivision
; Environmental Ilealth Division l'INrr 373511760990
PO tios 389.25 Guvemmcnt Drive.Newton.NC 28658 I.U'fl! 2
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Site Address: 4155 54TH AVE NE, HICKORY NC 28601
Nemo on Permit: KEITH&NANCY THOMPSON
Property Size: Acres 1.78
Directions: Sulphur springs RD, Left onto 37th ST DR NE, Left onto 54th Ave NE property on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
.. I certiI\ burl I ant the owner or authorized agent(owner's authorization required)representing the owner or
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-12-2022-43054,by the following method(s):
Received in Person
Facsimile acsimile'I'ransrnittal(Return firm with signature required)
�d. 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(t5A NCAC 18A.1900),
and/or Well Construction Standards(I5A NCAC 2C.0100), shall apply to the issuance adds permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Dale:01/06/2023
Owner/Authorized Representative Signatur
Date / 4201'3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by_ (name nfperson sending permit)
Signature Ore
nature - ._...— ..__....... Date/'lime t q 7
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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._AI,: CATAWBA COUNTY Case tr At!TH-01-2023-187132
' .t* Public I lcalth Department Subdivision
d Fnvironmcntal I lcalth Division PIN# 373511760990
PO Box 389,25 Government Drive,Nes%ton.NC 28658 Lurn 2
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Site Address: 4155 54TH AVE NE, HICKORY NC 28601
Name on Permit: KEITH&NANCY THOMPSON
Property Size: Acres 1.78
Directions: Sulphur springs RD, Left onto 37th ST DR NE, Left onto 54th Ave NE property on Left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
Soil LTAR: .3 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Septic Tank: New Tank: 1.000 gal
Pump Tank 1.000 gal Grease Trap_gal
Dosing Volume 183 gal Pump Specs: 35.55 GPM @ 58,78 TDH
Pressure Head 2 ft Draw Down 8.7 in
Drainfield: Total Area: 1,200sq ft Total Trench Length: 400 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 28 in
Minimum Soil Cover: , 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 5 Trench Width: 3 ft
Distribution: Pressure Manifold
Pre Treatment: NONE
Pump Required
Additional Specifications:
*INSTALL ON CONTOUR
*PRESSURE MANIFOLD:
-GATE VALVE REQUIRED
-5 SCH40 1/2"taps 6"long each
-SUPPLY LINE MUST BE 36"DEEP 5FT FROM PROPERTY LINE AND 15FT FROM BASEMENT WALL
*TANKS PER BEST LOCATION
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: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
01120,2023 12.51)