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HomeMy WebLinkAboutAUTH-04-2023-193663.TIF a • CATAWBA COUNTY ' -i ,y Public Health Department Subdivision d - '� Environmental Health Division PIN# 370005079967 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 Site Address: 1766 SAIN RD, HICKORY NC 28602 Name on Permit: STEVEN&ANGELA*CANNON Property Size: Acres 3 Directions: Will access bldg by foot from home*Startown Rd, Left Sandy Ford Rd, Right Zion Ch Rd, Left Bethel Ch Rd, Left Sain Rd. Property on Left. Owner/Authorized Representative Acknowledgement of Permit Receipt n I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. ‘1(, As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-01-2023-43211, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) IElectronic Image Transmittal/E-mail (Return receipt required) f- 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: 04/14/2023 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) Signature4 Date/Time I3/D 3 Method: Fax i 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 yollrPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 0 nyitLeaAACil`Lfi thtt° 56 [4c„". lirA 4 ehpennit 04/142 l 023 14.45 1 l �g 4. CATAWBA COUNTY Case# AUTII-04-2023-193663 (.......r�, �� Public Health Department Subdivision Q Environmental Health Division PIN# 370005079967 Mt • 'C •4 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 Site Address: 1766 SAIN RD, HICKORY NC 28602 Name on Permit: STEVEN&ANGELA*CANNON Property Size: Acres 3 Directions: Will access bldg by foot from home*Startown Rd, Left Sandy Ford Rd, Right Zion Ch Rd, Left Bethel Ch Rd, Left Sain Rd. Property on Left. Authorization to Construct Permit Permit Category: New Septic Wastewater Flow: 240 g.p.d. Type of Facility: Accessory Structure-Metal building Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 Soil LIAR: 0.225 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: 266 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 22 in Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center Number of Drain Lines: 3 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Additional Specifications: *An interceptor drain may be necessary in the future to promote subsurface drainage 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 LIAR: 0.25 9•p•d.ft2 Proposed System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required chpermt 04/14/2023 14:45 nn CATAWBA COUNTY Case# AUTH-04-2023-193663 Public Health Department Subdivision Environmental PIN# PO Box 389,25 GovernmentHealthDivision Drive,Newton,NC 28658 LOT# 3270005079967 w Site Address: 1766 SAIN RD, HICKORY NC 28602 Name on Permit: STEVEN&ANGELA*CANNON Property Size: Acres 3 Directions: Will access bldg by foot from home*Startown Rd, Left Sandy Ford Rd, Right Zion Ch Rd, Left Bethel Ch Rd, Left Sain Rd. Property on 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' (I5A 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. & � glnte ett ktns 04/14/2023 Authorized State Agent Permit Issuance Date 4/14/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 04/14/2023 14:45 Catawba County Environmental Health P1PP- 0) - 0?3- I � M PY- 00. 2023 - 10131.60 pvt1N - 04 - 2.073 . 1A361,3 Rome noci /40 r t'1!41a) Qrec,‘ BN' - 9 -171 s , p P( oSra &� moo' Qt,it 1.f� P gel? 6s, ,:/) • 4l' f)VC �p R ao• fie, a l9S" 11, cC}c( Parcel: 370005079967, 1766 SAIN RD 1 in=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Goospatlal 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 maplreport product by the user.The County of Catawba,Its employees.agents,and personnel,disclaim,and shall not be held liable for any and all damagos,loss or liability,whether direct,Indirect or consoquontinl which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 04/11/2023