HomeMy WebLinkAboutAUTH-04-2023-193560.TIF . •
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tsit I`ubI C Ilcallh Ikpartmrni 'ul di i'. , HIDDEN CREEK ESTATES
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Site Address: 1307 HIDDEN CREEK CIR, HICKORY NC 28602
Name on Permit: SARA MOFFORD
Property Size: Acres 0.48
Directions: Startown Rd. left onto Sandy Ford Rd, bear right onto River Rd. left onto Hiddend Creek Circle, right onto
Mattingly Dr,property on the right
Owner/Authorized Representative Acknowledgement of Permit Receipt
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91 t'1 ccrlil\ that I am the owner or authi)riied agent ltn%nrr's aitthuriiation required)representing the owner of
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the propert) described above.
`��` As the propert) owner or authorized representative, I have received the above referenced
permit(s)as requested in the application an service EMPR-03-2023-43853. by the ti)Ilowing method(s):
Receis ed in Person
Facsimile Transmittal (Return form with signature required)
iElectronic Image Transmittal/E-mail (Return receipt required)
X <)w 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 andior water supply well permitted.
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Permit Issue Date: 04/12/2023 ll
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Owner/Authorized Representative Signaturee\X,fi i td L(
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Date 5/cy /
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by otu►►►e al person sending p mit)
Signature _ �.}' __._..---._... Date/TimeJ3J)3
Method: Fax r /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/EHCusttornerService
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• CATAWBA COUNTY Case it AUTH-05-2023-194779
• Public Health Department Subdivision HIDDEN CREEK ESTATES
NEI Environmental Health Division PIN# 370012968239
PO Box 389,25 Government Drrvc,Nc�stnn,NC 28658 LOT# 6
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Site Address: 1307 HIDDEN CREEK CIR, HICKORY NC 28602
Name on Permit: SARA MOFFORD
Property Size: Acres 0.48
Directions: Startown Rd, left onto Sandy Ford Rd, bear right onto River Rd, left onto Hiddend Creek Circle. right onto
Mattingly Dr, property on the right
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p,d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Community Well Maximum Occupants: 6
Soil LTAR: g,p.dift2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY
System Classification: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
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
Drainfleld: Total Area: sq ft Total Trench Length: ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in
Minimum Soil Cover: in Minimum Trench Separation: ft on center
Number of Drain Lines: Trench Width: ft
Distribution:
Pre Treatment: NONE
Additional Specifications:
'Pump, crush, and fill the old septic 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? Soil LTAR: g.p.d.ft2
Proposed System:
System Classification:
.•I,,,,,,,i o5nt2r2023 11:52
CATAWBA COUNTY Case# AUTH-OS 2023 194779
IPublic Health Department Subdivision HIDDEN CREEK ESTATES
II �R s Environmental Health Division PIN# 370012968239
PO Box 389.25 Government Drive.Newton,NC 28658 LOT# 6
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Site Address: 1307 HIDDEN CREEK CIR, HICKORY NC 28602
Name on Permit: SARA MOFFORD
Property Size: Acres 0.48
Directions: Startown Rd, left onto Sandy Ford Rd, bear right onto River Rd. left onto Hiddend Creek Circle, right onto
Mattingly Dr, property on the right
The issuance of this permit by the Health Department does not guarantee the issuance ol'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*rage Treatment and Disposal Systems' (I5A NCAC I8A I900). 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.
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Blare Pt✓;k;ns
04/12/2023
Authorized State A Agent Permit Issuance Date
4/12/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated fir system and repair without approval of the Health Department.
r61u•rnmi 05/02/2023 11:52
Catawba County Environmental Health
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130'1 HIDDEN CREEK 1in=40ft
CIR HICKORY, 28602
This map/report product was prepared from tho Catawba County,NC Goos atlol Information Soo/loos, Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this mop or data on this report.Catawba County promotes and recommends
the Independent verification of any data contained on this map/report product by Om user,The County of Cotnwbn,its employees,agents,and
personnel,disclaim,and shall not be hold liable for ony and all damages,loss or liability,whether direct,indirect or consequential which arises or may
apse from this map/report product or the use thoroof by ony parson or entity,
Copyright 2023 Catawba County NC
04/11/2023