HomeMy WebLinkAboutAUTH-02-2023-189674.TIF A:Mr*, CATAwaACOUN�• • Cawr AIMI-02.2023-189674
r'/I PuDBc health Department Subdrvuion CHARLES S HOOVER EST
1a1^�te E,veronmenut It ith DIvision I'INI 360802994044
� PO Box 319.25 Gomnm ui Dyke,Newton.NC 21651 I.crT's 15
I:iti p
SIM Addnsa: 4147 W NC 10 HWY,HICKORY NC 28602
Nang on permit CRYSTAL MOODY
Property bias: Acne 0.47
Directions: Hwy 10 toward Startown,po around big curve,go down dip and up hill.On top of hill on right, Yellow cap cod
style home
Owner/Authorized Representative Acknowledgement or Permit Receipt
Kt fi/I
`l certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
lam"As the property owner or authorized representative,I have received the above referenced
permit(s)as requested ini the application for service EHPR-01-2023-43129,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
fElectronic 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(I5A 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:02/16/2023
(17462j
Owner/Authorized Representative Signatur i
Date 2f idiDc2
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
se
Signature Date/Time 1 rI 3
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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We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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, • CATAWBACOUNTY
g,4 Case AUTH-02-2023-189674
f. t Public Health Department Subdivision CHARLES S HOOVER EST
.ri '4 Environmental Health Division PIN# 360802994044
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 15
Site Address: 4147 W NC 10 HWY, HICKORY NC 28602
Name on Permit: CRYSTAL MOODY
Property Size: Acres 0.47
Directions: Hwy 10 toward Startown,go around big curve, go down dip and up hill. On top of hill on right, Yellow cap cod
style home
Authorization to Construct Permit
Permit Category: Repair Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Existing house
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LTAR: 0.275 g.p.d./ft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Septic Tank: Existing Tank 1,000 gal
Pump Tank 1.000 gal Grease Trap_gal
Dosing Volume 150 gal Pump Specs: 30•44 GPM @ 16 TDH
Pressure Head 2 ft Draw Down 7.1 in
Drainfield: Total Area: sq ft Total Trench Length: 328 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 30 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center
Number of Drain Lines: 4 Trench Width: 3 ft
Distribution: Pressure Manifold
Pre Treatment: NONE
Pump Required
Additional Specifications:
*The existing deck is less than 5 feet from the existing septic tank. Before an operations permit can be issued,
the existing deck must be removed/modified to meet the 5 feet setback to the existing septic tank. Additionally,
the new deck that will replace the existing deck must be a minimum of 5 feet from the existing sep
tic 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? Not Required Soil LTAR: g.p.d.lft2
Proposed System:
System Classification:
clipc„ttil 02/21/2023 11:13
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shrd l of
DMSION OF ENVIRONMENTAL HEALTH PROPERTY ID#: 360S U 91-ro41-1
ON-SITE WASTEWATER SECTION COUNTY: Go :•,vL�
SOIL/SITE EVALUATION
for ON-S1'l'E WASTEWATER SYSTEM
OWNER: C(1 S'&1 A 0,;N•i APPLICATION DATE )f C12�
ADDRESS: 1 14141 W Aid I"w•�,111 t I�-i r.E)r4.iltL 9'I b 0,. DATE EVALUATED: a i l o��3
PROPOSED FACILITY: i2r.r' PROPOSED DESIGN FLOW(.1949): '�(0 J 51,4 PROPERTY SIZE: 0.,N7 Herr
LOCATION OF SITE: ` ,_,/c-Pr✓1P PROPERTY RECORDED: �1/I J`1--"X
WATER SUPPLY: 0 Private dd Public 0 Well 0 Spring 0 Other
EVALUATION METHOD: 0 Auger Boring SJ`Pit 0 Cut
TYPE OF WASTEWATER: ®Sewage 0 Industrial Process 0 Mixed
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Space(.1945) S SITE CLASSIFICATION(.194S):
System Types) S at/ EVALUATED BY: !:�i r e /fie i'E 1 yt S
OTHER(S)PRESENT:
- . Site LTAR — () •9_7 S
COMMENTS: