HomeMy WebLinkAboutAUTH-01-2023-187445.TIF L Public health Department Subdivision KINGSWAY
" Environmental Health Division PI NI: 269905290976
- PO Box 389.25 Government Drive.Newton,NC 28658 LO'fk 16
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Site Address: 5806 KINGSWAY BLVD, HICKORY NC 28602
Name on Permit: MARIUS BAHNEAN
Property Size: Acres 0.57
Directions: 127 South right on Kingsway Blvd
Owner/Authorized Representative Acknowledgement of Permit Receipt
LIP, 1 certify that 1 am the owner or authorized agent(owner's authorization required)representing the owner of
the described above.
property
11 I t 3 As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-12-2021-39572,by the following method(s):
Received in Person
r Facsimile Transmittal (Return form with signature required)
J Electronic Image Transmittal!E-mail (Return receipt required)
(LAP.) As the property owner or authorized representative I have reviewed and understand the specific conditions
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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.
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Permit Issue Date: 01/11/2023
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Owner/Authorized Representative Signature (/ Ci
Date ___�, C)/.Z .
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of percnn sending permit)
n Signature Date./"fime )P1 U1
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Method: ' Fax Y Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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,p . CATAWBA COUNTY Case# AUTI 1-01-2023-187445
i~(..t. , , Public Health Department Subdivision KINGSWAY
i. Environmental Health Division PIN# 269905290976
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 16
5.
Site Address: 5806 KINGSWAY BLVD, HICKORY NC 28602
Name on Permit: MARIUS BAHNEAN
Property Size: Acres 0.57
Directions: 127 South right on Kingsway Blvd
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: Public Water Maximum Occupants: 6
Soil LTAR: 0.3 g.p.d.lft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIE- PPBPS GRAVITY DOSED SYSTEM
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: 0 sq ft Total Trench Length: 200 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 34 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center
Number of Drain Lines: 4 Trench Width: 2 ft
Distribution: Equal
Pre Treatment: NONE
Additional Specifications:
*Equal distribution will be achieved by distribution box with speed levelers
*Install 48 T&J panel blocks total(12 blocks per line)
*Install the 1x6 boards under the blocks
*Rake and lime the side walls
*Seal both the outer and inner compartments of the T&J panel with foam. The outer seal is a complete seal and
the inner seal is only up to the top of the connecting pipe.
*Use approved backfill sand.
*The water line must be at least 10ft from any part of the septic system.
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: 0.25 g.p.dift2
Proposed System: 50%REDUCTION VERTICAL
System Classification: IIIE-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
ehpennil 01/20/2023 13:15
44+ e CATAWBA COUNTY Case# AUTi1-01-2023-187445
ti .r 1. Public Health Department Subdivision KINGSWAY
Q "1 Environmental Health Division PIN# 269905290976
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PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 16
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Site Address: 5806 KINGSWAY BLVD, HICKORY NC 28602
Name on Permit: MARIUS BAHNEAN
Property Size: Acres 0.57
Directions: 127 South right on Kingsway Blvd
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 I 8A.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.
gii- Bletee Pe ,:;,Is
01/11/2023
Authorized State Agent Permit Issuance Date
1/11/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department.
chpe nit 01/20/2023 13:15
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Catawba County Environmental Health
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Parcel: 269905290976, 5806 KINGSWAY BLVD lin=50ft
HICKORY, 28602
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12/29/2022