HomeMy WebLinkAboutAUTH-04-2023-192867.TIF CATAWItA COUNTY Case# All I I I-04-2023-192867
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t 11 Public Health Department Subdivision
d "j Environmental Health Division PIN# 277004544817
U PO Box 389,25 Government Drive.Newton.NC 28658
ll342 w LOT# 1 &2
Site Address: 1180 GUY RD, HICKORY NC 28602
Name on Permit: MARK ROBINSON
Property Size: Acres 3.07
Directions: From Old Shelby Rd go straight through Crossroads onto George Hilebrand School Rd, Guy Rd is Approx 1.5
miles on the left, road is marked by sign, 3rd house on the left
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.
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service EHPR-02-2023-43375, by the following method(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
Electronic 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(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.
Permit Issue Date: 04/03/2023
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of'person sending permit)
Signature Date/Time
Method: Fax Email US Mail Other
Owner's request to send h ' the above indicated method of transmittal in lieu of signature
We wantt tto hear from youPlease ttake a few momentts tto complette our custtomer service survey att
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elipcmui 05/02/2023 10:47
11• • B(Army A cot'Nil' Case# Atl'll-I-04-2023-192867
F, .f. . Public I lcalth Department Subdivision
d�'� '� Environmental I lcalth Division PIN# 277004544817
\ i'J
PO liox 3R�).25 Government Drive,Newton.NC _SGi3 LOT# 1 &2
F2 4 w
Site Address: 1180 GUY RD, HICKORY NC 28602
Name on Permit: MARK ROBINSON
Property Size: Acres 3.07
Directions: From Old Shelby Rd go straight through Crossroads onto George Hilebrand School Rd, Guy Rd is Approx 1.5
miles on the left, road is marked by sign, 3rd house on the left
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Repair
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: 0.3 g.p.d.lft2
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: sq ft Total Trench Length: 302 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: 5 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
'Tree and brush clearing will be required prior to installation of the drain field. The grade and soil depth of the
drain field area must be maintained as close as possible to the original site conditions that were recorded during
the soil evaluation and system layout to prevent denial of the permit. A pre-construction site visit will be required
prior to installation of the 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: 0.275g.p.d.fft2
Proposed System: 50%REDUCTION HORIZONTAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
,1,.:,,,, 05,02.2023 10:47
1 t
r \ CATAWBA COUNTY Case tt AUTH-04-2023-192867
i f fl1 Public Health Department Subdivision
'-.1Environmental Health Division PINtl 277004544817
184
PO Box 389,25 Government Drive,Newton,NC 28658 LOTtt 1 &2
Site Address: 1180 GUY RD, HICKORY NC 28602
Name on Permit: MARK ROBINSON
Property Size: Acres 3.07
Directions: From Old Shelby Rd go straight through Crossroads onto George Hilebrand School Rd, Guy Rd is Approx 1.5
miles on the left, road is marked by sign,3rd house on the left
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 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 Health of this change prior to system installation.
Bli gi,nee Pee t;4s
04/03/2023
Authorized State Agent Permit Issuance Date
4/3/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 04/04/2023 16:03
Catawba County Environmental Health
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Parcel: 277004544817, 1180 GUY RD HICKORY, 1 in=60ft
28602
This map/report product was prepared from the Catawba County,NC Goosppatlnl Information Sorvleos. Cntnwha County has rondo substantial efforts
to ensure the accuracy of location and labeling information contained on this mop or date on this roport.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the usor.Thu County of Catawba.its employees,a onts,and
personnel,disclaim,and shall not bo hold liable for any and all damugoe,loss or liability,whothor direct,Indirect or consequential which arises or may
arise from this map/report product or the use thoroof by any person or entity.
Copyright 2021 Catawba County NC
02/21/2023