HomeMy WebLinkAboutAUTH-01-2023-187938.tif • CATAWBA CottNfl Case It
.fi.ii Public Health lkpattment Subdivision M L DEAL
1,.,,mit Environmental Health Division PIM 373517018124
PO Box 389,25 Government Drive.Newton.NC 28658 1.0Tlt 23&24
tail 5.
Site Address: 4586 35TH ST PL NE, HICKORY NC 28601
Name on Permit: DW EXPRESS INC
Property Size: Acres 0.92
Directions: Right off of Sulphur Springs Rd NE onto Wandering Ln Ne. Right onto 35th St PI NE. 2nd lot on right.
Owner/Authorized Representative Acknowledgement of Permit Receipt
A-5I certify that I am the owner or authorised agent(owner's authorisation required)representing the owner of
��// the property described above.
l� dam' As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-I2-2022-42989,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
7 Electronic Image Transmittal/E-mail (Return receipt required)
K , 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(I5A NCAC I8A.1900),
and/or Well Construction Standards(I5A 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:01/23/2023
Owner/Authorized Representative Signature___ /-¢she _Shs G-_
`� Date 01/23/2023
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (Hume of person sending permit)
ofSignature E Date/Time J1)3]73
Method: Fax 1 Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService�(/I ,
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County: 64arJbq
I CONSTRUCTION AUTHORIZATIO FOR G.S.130A-335(a2)/SL2022-11
PIN/Lot Identifier: 3735l'161ad(I a) 3735Mo/8/07V
Issued To: DV.) EApr-e.S5 : L 1C• /
Property Location: 351& Si- Pi AJL gamy AJC.e►2&g `` //��'' I ;�
AOWE/PE Plans/Evaluations^Provided: Yes'&] No 0 If yes,name and I cense number of AOWE/P::SCv't..()1 P .Lick, 'ILI k:1' (v,j?.f E.
Facility��Type: 3 BR S•r 5 'D
� New ❑Expansion ❑Repair System Relocati fn 0
Basement? 0 Yes 0 No Basement Fi ures? 0 Yes ❑ �p No pC
Type of Wastewater System" tgO . Li v//++r•Au; 1' , ;bk. • (Initial) &xMttt bt.#; 7 iBF5/LP Ava 4.6k— (Repair)
P )
Design Daily Flow: ,' coo GPD Wastewater Strengt :�om^estic 0 high strength 0 industrial process
Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow ixtures and Low-flow Technologies? ❑Yes C-ftto-
Installation Requirements/Conditions q
Septic Tank Size: IODD gallons Total Trench/Bed Length: 9,� feet Trench/Bed Spa:irig: ` feet on center
Drainfield square footage: Vo Trench/Bed Width: M inches LTAR: 0.675. gpd/ft2
Soil CoveraolMvt•inches Slope Adjusted Maximum Trench/Bed Dep :c O rota.5,c(tinches
Aggregate Depth: inches above pipe inches below ,ipe inches tota
Pump Tank Size(if applicable): gallons Requires more than 1 pump 0 Yes 0 No
Pump Requirements: ft.TDH vs.s.-Bo GPM Grease Trap Size(if applicab e): gallons
Distribution Method: 0 Serial 0-1 x or ParallelEl Pressure Manifold(s) 0 LPP 0 Other:
Artificial Drainage Required: Yes 0 No[S It yes,please specify details:
Legal Agreements(If the onswer is"Yes"to any type of legal— agreements,/ please attach a copy of It e agreement.)
Multi-party Agreement Required(.1937(h)): Yes 0 Nold'
Easement,Right-of-Way,or Encroachment Agreeemennt R puired(.19380): 0 Yes [t(o
Declaration of Restrictive Covenants: 0 Yes PI
**If applicable:
I understand the system
y type specified is different from the type specified on the application. I accept the speeifikptlons of this permit.
'f} Owner/Legal Representative Print Name:
4 Owner/Legal Representative Signature:
Date:
Pre-Construction Conference Required: Yes 0 No lam
Conditions: 4cvedr oI Fe-('p/k6t it P/S Pert,i ed
t
The construction and installation requirements of Rules.1950,.1952,.1954,.1955,.1956,.1957,.1S58,and.1959 are i*tirpolairid by refeis8ice
into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ;4.1' N vet •" /..%r
AOWE/PE Print Name: r� ']tg ( i4,(Al-:.• I ;.j;(( a_ N.
AOWE/PE Signature'_ .�v,r ../ f. ` �,..F� ` r Date: jf/S`/1C f C..- .r /�11 `.
This AOWE/PE submittal is pursuant to and meets the requirements of G.S 130A-335ta rer ( ).'rir,.?7II a - r
*See attached site sketch* V
/ •
K • y
... �'
county: Catawba
This Section for Local Health Department Use Only
Initial submittal received: 12/12/22 by RP
Date Initials
Permit Number: Auth-01-2023-187938
G.S. 130A-335(a6)states the following: 'If a local health department fails to act on an application for a construction authorization
submitted pursuant to subsection(a5)of the section within 10 business days of receipt of a complete application, the local health
deportment shall issue the construction authorization.'
In accordance with G.S.130A-335(a5)the construction authorization application is:
❑ Incomplete(If box is checked, information in this section is required.)
The following items are missing:
Copies of this were sent to the AOWE/PE and the Owner on
Date
State Authorized Agent: Date:
❑ Denied (See attached report.)
Copies of this were sent to the AOWE/PE and the Owner on
Date
State Authorized Agent: Date:
Complete
1(6
State Authorized Agent: Date of Issuance:
1/23/23
This Construction Authorization is issued pursuant to G.S.130A-335(a2),(a5),and(a6)using the signed and sealed plans or
evaluations attached here.This Construction Authorization is subject to revocation if the site plan,plat,or the intended use
changes,or if information submitted in the application was falsified,inaccurate or misleading. The Construction Authorization
shall not be affected by a change in ownership of the site. This Construction Authorization is subject to compliance with the
provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. The location and
identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner.
Final landscaping shall be constructed to divert water and establish vegetative cover.
The Department,the Department's authorized agents,and the local health departments shall be discharged and released from
any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to
plans,evaluations,preconstruction conference findings,submittals,or actions from a person licensed pursuant to Chapter 89C of
the General Statutes as a licensed engineer or a person certified pursuant to Article 5 of Chapter 90A of the General Statutes as an
Authorized On-Site Wastewater Evaluator in GS 130A-335(a2),(a5),and (a7).The Department,the Department's authorized
agents,and the local health departments shall be responsible and bear liability for their actions and evaluations and other
obligations under State law or rule,including the issuance of the operations permit pursuant to GS 130A-337.
Construction Authorization Expiration Date: 1/23/28
*See attached site sketch*
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LEGEND GRAPHIC SCALE
Areas contain at least 24 inches of usable 1 ,—40'
\\\\ material and have potential for accepted,
modified conventions and conventional
septic systems. 86 do B7 require cover. 40 0 40 80
Unsuitable 82 Boring Locations. FOR PRElBINAiY PIMPING PURPOSES ONLY. ALL LOTS WILL REQURE FINAL
APPROVAL BY THE COUNTY HEN-7H DEPARTMENT ON A LOT BY LOT BASIS. THIS WP
SHOULD BY USED AS A GENERAL CUBE,SOME ADJUSTMENTS WILL BE NECESSARY IN TE
FELD DUE TO S .VAR4BI(W ARO COYPLD(TOPOGRAPHIC FEATURES.
RHIS MAP ONLY REFLECTS°avec SOIL SLIRABILITY FOR ON—SITE SEPTIC TAN($YSTF)A5.
IMP TITLE: JOB 1: 22-0101
SOIL&FORESTRY SERVICES OF THE CAROLINAS,PA. PREUMINARY SOIL EVALUATION FILL RWOSS\u-oloe
P.O.ROE&V &CITIFY RONAN,NC 11CF.6.SO)SOIL SCIENTIST PROJECT MDR.: SJLR.
MCIORESVILLJ;NC 71/115 MOBILE(704)746.5016 PROJECT RME 110111CN/baE Lai IT•16 WM IT M.t f1E1D 1M01t c1 SEAR
PHONE:(701)746-5016 EMAIL ASIR.EYROLLANNSCMAR-COM mom*OM/NM R P.MC Galt 17•'M) MOM OOIMII,WIN 11.711116
MAW WI (RAW B!: SA.R.
35TH ST PL NE HICKORY, Lot# 23/24
Calculations
Designer Ashley Rollans
Project Name 35TH ST PL NE HICKORY
Project# 22-0108
Project MM YYYY Nov 2022
Lot# 23/24
0 Business (if applicable) N/A
u_
Z Contact Bill Billington
Phone 828-381-6624
Email bbillington64(c�icloud.corn
County Catawba
Bedrooms 3
Daily Flow 360
System LIAR 0.25
w System Type HPPBPS
co
System Distribution GRAVITY-DBOX
} System Trench Depth 20
u7
Required Feet of Line (system) 240
Repair LTAR N/A
cc Repair Type EXEMPT
wRepair Distribution EXEMPT
cc Repair Trench Depth N/A
Required Feet of Line (repair) EXEMPT
DW Express Inc.
7100 Toxaway Lane
Charlotte NC 28269
January 10, 2023
From: Francisco Javier Ortiz, President, DW Express Inc.
To: Catawba County Environmental Health
Subject: REQUEST FOR CONSTRUCTION AUTHORIZATION
1. The plans or evaluations attached to this application are to be used to issue a
Construction Authorization in accordance with G.S. 130A-335(a2), (a5)and(a6).
2. For any additional information please feel free to contact my general contractor Kevin
Smith at(540) 771-8302.
Respectfully Submitted,
Copy To: Key Contracting LLC
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Robert Phelps
From: Robert Phelps
Sent: Wednesday, December 28, 2022 11:28 PM
To: ashleyrollans@gmail.com; 'kevin@keycontractingllc.com'
Subject: 4586 35th St PI Ne APP incomplete
Ashley and Kevin
-To issue the a2-construction authorization we will need a signed and dated statement from the applicant (owner or
owner's legal representative) that reads as follows:
"The plans or evaluations attached to this application are to be used to issue a Construction Authorization in accordance
with G.S. 1304-335(a2), (a5) and (a6)." t
-Also Ashley has a permit condition that a plat showing the two lots combined be provided before permits are issued.
Kevin do you have this?
Call me if you have any questions I will be back in the office on Jan 3rd, thanks.
Robbie Phelps, REHS
Environmental Health Supervisor, OSWP Division
25 Government Drive, Newton, NC 28658
(828)320-3077 cell
https://www.catawbacountync.gov/county-services/environmental-health/
Ocatawbi coui t%
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