HomeMy WebLinkAboutAUTH-04-2023-194164.TIF e, CxrA%'BA ccn N rV
.t.11 Public I lealth Department Subdivision
Environmental I lealth Division PINK 361601482661
PO Box 389,25 Government Drive,Newton,N(' 28h58 LUl K A
Site Address: 5840 HICKORY LINCOLNTON HWY, LINCOLNTON NC 28092
Name on Permit: TERRY REINHARDT
Property Size: Acres 2.08
Directions: End of Blackburn Bridge, Left on Hky-Lincolnton, Property on left tree farm
Owner/Authorized Representative Acknowledgement of Permit Receipt
X /1I ccrttf'that I am the owner or authorized agent(owner's authorization required)representing the owner of
theltiv escrihed above.
/ .
1 As -property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBI'14-03-2023-43786, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
JElectronic Image Transmittal/E-mail (Return receipt required)
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yit
II As e property owner or authorized representative I have reviewed and understand the specific conditions
ohthe 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 perintted.
Permit Issue Date: 04/21/2023 / I
Owner/Authorized Representative Signature _ •
_
/ ! Date J S ;/Q I ).5 ._.
Documentation of permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature_ 1-1 cox" Date/Time
Method: FaxEmail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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i CATAWBA COUNTY Case# AUTH-04-2023-194164
f. .t. ,, Public Health Department Subdivision
Environmental Health Division PIN# 361601482661
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# A
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Site Address: 5840 HICKORY LINCOLNTON HWY, LINCOLNTON NC 28092
Name on Permit: TERRY REINHARDT
Property Size: Acres 2.08
Directions: End of Blackburn Bridge, Left on Hky-Lincolnton, Property on left tree farm
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
Soil LTAR: 0.275 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: 660 sq ft Total Trench Length: 220 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 24 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:
*Do not drive,grade, cut or fill over any part of the initial or repair septic areas.
'All septic areas MUST remain 10 feet from property lines, 15 feet from building structure(due to slab), 5 feet
from decks or porches, and 50 feet from new well.
*Install new 1000 gal septic tank and 220 feet of 25%reduction product according to manufacturer
specifications.
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: 0.275 g.p.d.Jft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
IMP' 04/24/2023 14:57
CATAWBA COUNTY Case# AUTH-04-2023-194164
Public Health Department Subdivision
'1 Environmental Health Division PIN# 361601482661
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# A
Site Address: 5840 HICKORY LINCOLNTON HWY, LINCOLNTON NC 28092
Name on Permit: TERRY REINHARDT
Property Size: Acres 2.08
Directions: End of Blackburn Bridge, Left on Hky-Lincolnton, Property on left tree farm
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 SA 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.
37111 . 11117( ‘
04/21/2023
Authorized State Agent Permit Issuance Date
4/21/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpermit 04/24/2023 14:57
Catawba County Environmental Health
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Parcel: 361601482661, 5840 HICKORY 1 in=40ft
LINCOLNTON HWY LINCOLNTON, 28092
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04/21/2023