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HomeMy WebLinkAboutAUTH-03-2023-190979.TIF I t 1'.TAlrir . CATAWBACOUNTY yi fl Public Holt Department Subdivision lss Eniimomkntal Ftea1ti Division PINT 278116856078 t�/40 PO Bost 3E9,'25 Government Drive,Newtan.NC 216S$ LATH A Uri'Mos Addsys$: 2570 OLD SHELBY RD,HICKORY NC 28602 Nuns on Paneit SCOTT HART Properly Man Acres 5.01 Dtnctlons: t40 W to Exit Old Shelby Rd.Turn L go Approx 1 mile past Hildebran Shelby Rd on R,then turn Left to Pndperty Owner/Authorized Representative Acknowledgement ofPerrstit Receipt xI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. KAs the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application.for seryicc.RBPR-II-2021-39391,by the following method(s): Received in Person. _ FacsiitiileT ansmittal(Return form with signature required) V Electronic Image Transmittal/E-mail (Return reccipt.required) I? As the property owner or authorized representative I have reviewed and understand The specific conditions of the permit-issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 76A.1900), and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance-of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date:03/1012023 Owner/Authorized Representative Signature &/ rC7 `.tt' /tE Date 3f a I Jaoa3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sendin permit) Signature plc Date/Time 3 j)i J3 Method: Fits 4 Email US Mail Other i Owner's request to send by the above indicated method of transmittal In lieu of signature We wantt tto hear from yoiPkase ttake a few momentts tto complette our custtorner service survey art http://www.surveymonkey.com/s/EHCiattomerServlui hard-Ja)14Taal. e" t y iij..uiirt ouionoi.t ulti yy$A _', CATAWBA ct)t WT'. Case# Al'l'l 1-03-2023-190979 r rt Public Ilealth I)epatlmcnt Subdivision -5„n 4EPOnvBironm ox3R9,enta25l HeGoalthv Divisiernment D A on PI 278116856070 rive.Newton,NC 28658 .O'f# /842 w Site Address: 2570 OLD SHELBY RD, HICKORY NC 28602 Name on Permit: SCOTT HART Property Size: Acres 5.01 Directions: 140 W to Exit Old Shelby Rd, Turn L go Approx 1 mile past Hildebran Shelby Rd on R, then turn Left to Property Authorization to Construct Permit Permit Category: New Septic Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence-SFD Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soil LTAR: 0.3 g.p.d.1ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS 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: 900 sq ft Total Trench Length: 300 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 18 in Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center Number of Drain Lines: 2 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Additional Specifications: *INSTALL ON CONTOUR *2 LINES TO TOTAL 300FT *MAXIMUM TRENCH DEPTH 18 INCHES *SPLASH PAD REQUIRED WHERE SUPPLY LINE ENTERS DRAINLINE *SPLASH PAD IS A 12"X12"stepping stone with 5 gal of#5 gravel spread around it *REPAIR AREA WILL REQUIRE AN ENGINEER 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: .3 g.p.d./ft2 Proposed System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required ***** Operator Required ehpe mm it 03/20/2023 15:21 Ci. CATAWBA COUNTY Case# AIJTH-03-2023-190979 1)1 Public Health Department Subdivision Environmental Health Division PIN# 278116856070 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# A Site Address: 2570 OLD SHELBY RD, HICKORY NC 28602 Name on Permit: SCOTT HART Property Size: Acres 5.01 Directions: 140 W to Exit Old Shelby Rd, Turn L go Approx 1 mile past Hildebran Shelby Rd on R,then turn Left to Property 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 arc met. This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions arc 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 18A.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 I lealth of this change prior to system installation. ifi........ -i).)4,,, 5.4.+s 03/10/2023 Authorized State Agent Permit Issuance Date 3/10/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. CI,1R',,lit 03/10/2023 12:11 Catawba County Environmental Health '6Pg- ll-a0al -39391 W E►-1--06-abaa-17 a 73o ti \i '-o3-a3- 9of71 pry-03 ao -1g0979 SrpI;1- 34/ /' /oo' a ie P'11°- tjel �� 45 0 rYvili- V 1 ‘lo A � T S lGsh Pack 17dry 2 L� 3 301 05. Ca .•0 PA) Parcel: 278116856070, 2570 OLD SHELBY RD 1in=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospallal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,Indirect or consequential which anses or may arise from this map/report product or the use thereof by any person or entity. 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