HomeMy WebLinkAboutAUTH-01-2023-187583.TIF mac`,%rio CATAY,BACOUNTY Case I At 1-01-2023-1175d3
>`r l Public Deportment Braids FOREST RIDGE
11�t�s PublicBraids En,r mmeat Health Division PIN/ 370117005524
V.I / PO Boa 319,23 Gov animus Dmt,Newton,NC 21631 LOTI 20
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site Address: 1733 MAGNUM RD,HICKORY NC 28602
Mama on Parrett BLUE COLLAR PROPERTIES LLC
Property sty.: Acres 0.37
otictions: Left on Old Conover Rd,right on Startown Rd,left on Sandy Ford Rd,right on Zion Church Rd.straight on
Bethel Church Rd.continue on Wallace Dairy Rd to Magnum Rd.
Owner/Authorized Representative Acknowledgement of Permit Receipt
I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
AAs the property owner or authorized representative,I have received the above referenced
permits)as requested in the application for service EHPR-0I-2023-43117,by the following method(s):
!
Received in Person
^ Facsimile Transmittal(Return form with signature required)
7 Electronic Image Transmittal/E-mail (Return receipt required)
rd 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(I SA 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:01/132023
/:
Owner/Authorized Representative Signature
Date 1 — iq 'a3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person s nding permit)
Signature Date/Time 1 1 !Q 1)3
Method: Fax 1 Email US Mail Other
Owner's request to send by the above indicated method of transmittal In lieu of siignatere
We wane tto hear from yosPlease ttake a few momentis tto complette our cusUocner service survey art
http://www.surveymonkey.cornisiEHrusttornerServke
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�A CATAWBACOUNTY Case# AUFI-I-01-2023-187583
FT Public Health Department Subdivision FOREST RIDGE
V 4, Environmental Health Division I'IN# 370117005524
� PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 20
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Site Address: 1733 MAGNUM RD, HICKORY NC 28602 Name on Permit: BLUE COLLAR PROPERTIES LLC e!(�
1 PR-t r o). ` 3117
Property Size: Acres 0.37
Directions: Left on Old Conover Rd, right on Startown Rd, left on Sandy Ford Rd, right on Zion Church Rd, straight on
Bethel Church Rd, continue on Wallace Dairy Rd to Magnum Rd.
Authorization to Construct Permit
Permit Category: Repair Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Existing house
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Community Well Maximum Occupants: 6
Soil LIAR: g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY
System Classification: HA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
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: sq ft Total Trench Length: ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in
Minimum Soil Cover: in Minimum Trench Separation: ft on center
Number of Drain Lines: Trench Width: ft
Distribution: Gravity
Pre Treatment: NONE
Additional Specifications:
*Existing tank must be abandoned.
*Proposed septic tank must be 5'from the house.
*An existing gutter drainpipe is in the location of the proposed septic tank and must be rerouted around the
proposed septic tank.
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? Soil LTAR: g.p.d./ft2
Proposed System:
System Classification:
'i' 01/18/2023 10:05