HomeMy WebLinkAboutAUTH-04-2023-193707.TIF 44, i. N'CA1ABACOL'NU CaNeii M,11I-rIt-2r1?i 1'1+;;17
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Public health Dcputmcnt Subdivision
lew s Environmental Ilealth Division I'I\a 372310466727
PO Bos 359,25 Government I)rne,Newton.NI-• 25655 I.(Yfa
Sits Address: 1940 28TH ST NE, HICKORY NC 28601
Name on Permit: MONET WATKINS
Property SW: Acres 0.34
Directions: McDonald Pkwy NE, right onto Spnngs Rd NE, nght onto 28th St NE,property on the left
Owner/Authorized Representative Acknowledgement of Permit Receipt
( PWA certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the pmpert} described above.
X, Alj As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service EHPR-02-2023-43541, by the following method(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
TElectronic Image Transmittal/E-mail (Return receipt required)
WAs 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 Cer9llaa Laws and Rules for Sewage Treatment and Disposal Systems(1SA NCAC )8A.1900),
sad/or Wed 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
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Owner/Authorized Representative Signature f' /Li.'.� --
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Date Q 5/0 i Jc)20:2?3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by - (name•of person sending pe rmir/
Signature____j:V_ Date/'time 1h7j)3
Method: Fax Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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1,4 CATAWBA COUNTY Case# AUTH-04-2023-193707
. , Public Health Department Subdivision
d „� �� Environmental Health Division PIN# 372310466727
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
g4 sm
Site Address: 1940 28TH ST NE, HICKORY NC 28601
Name on Permit: MONET WATKINS
Property Size: Acres 0.34
Directions: McDonald Pkwy NE, right onto Springs Rd NE, right onto 28th St NE, property on the left
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms:
Water Supply: Public Water Maximum Occupants:
Soil LTAR: g.p.d./ft2
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
Drainfield: Total Area: sq ft Total Trench Length: ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: in
Minimum Soil Cover: 6 in Minimum Trench Separation: ft on center
Number of Drain Lines: Trench Width: ft
Distribution: Distribution Box
Pre Treatment: NONE
Additional Specifications:
*No permit on file,gallons per day used to size tank only.
*Drainfield is not sized for three bedrooms per current standards.
*Existing septic tank MUST be properly abandoned (pumped, crushed and filled).
*Risers are required if more than 6in of cover.
*New septic tank must be 10 feet from property line.
*Do not drive,grade, cut or fill over septic system area.
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,has space Soil LTAR: g.p.dJft2
Proposed System:
System Classification:
ehpeimil 04/17/2023 09:44
S03: CATAWBA COUNTY Case# AUTI-I-04-2023-193707
\•\
II ,y Public Health Department Subdivision
d Environmental Health Division PIN# 372310466727
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
84 w
Site Address: 1940 28TH ST NE, HICKORY NC 28601
Name on Permit: MONET WATKINS
Property Size: Acres 0.34
Directions: McDonald Pkwy NE, right onto Springs Rd NE, right onto 28th St NE,property 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' (I 5A 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.
344/(AVt.
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.
chpcnnit 04/17/2023 09:44
Catawba County Environmental Health
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Parcel: 372310466727, 1940 28TH ST NE 1 in=40ft
HICKORY, 28601
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04/03/2023