HomeMy WebLinkAboutAUTH-04-2023-194116.TIF 1'
4) CATAWBA COUNTY Case# AUTH-04-2023-194116
Public Health Department Subdivision TANGLEWOOD PARK
� Environmental Health Division PIN# 373206482547
j PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 45
I8g2 54
Site Address: 1574 KENLANE DR, HICKORY NC 28601
Name on Permit: PATRICK JOHNSON
Property Size: Acres 0.42
Directions: US Hwy 70A W, right Section House Rd, left Rayland Dr, right Yorkland Dr, left Kenlane Dr, next to last on 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-01-2023-43202, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
7 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: 04/21/2023
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 .510)3
Method: Fax 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 hake a few momentts tto complette our custtomer service survey aft
http://www.surveympfkey.com/s/EH CusttomerService
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�16 • CATAW BA COI N1 1- Case 4 A l!I.I 1-04-202;-194116
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I, Public Health Department Suhdi‘ision TANGLEWOOD PARK
d • Environmental health Division PINtt 373206482547
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PO Box 389,25 Government I)rive.Newton.NC 286.38 1.(114t 45
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Site Address: 1574 KENLANE DR, HICKORY NC 28601
Name on Permit: PATRICK JOHNSON
Property Size: Acres 0.42
Directions: US Hwy 70A W, right Section House Rd, left Rayland Dr, right Yorkland Dr. left Kenlane Dr, next to last on left
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LIAR: 0.325 g.p.d.1 t2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Septic Tank: New Tank: 1,000 gal
Pump Tank 1,000 gal Grease Trap gal
Dosing Volume 155 gal Pump Specs: 23.06 GPM @ 28.13 TDH
Pressure Head 2 ft Draw Down 4 in
Drainfield: Total Area 0 sq ft Total Trench Length: 185 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 28 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 6 ft on center
Number of Drain Lines: 4 Trench Width: 2 ft
Distribution: Pressure Manifold
Pre Treatment: NONE
Pump Required
Additional Specifications:
*Do not drive, grade, cut or fill over any part of the septic system area.
*Install new 1000 gal septic and pump tanks.
*Existing septic tank may be used if in good condition and meeting current rules.
*If existing septic tank is not used it MUST be properly abandoned (pumped, crushed and filled).
*All parts of the septic system (including supply and pressure manifold) MUST be located NO LESS than 5 feet
from all property lines and building structure.
*See pressure manifold sheet for tap sizes(attached).
`The 31 foot line will contain 7 panels, the 47 foot line will contain 11 panels,the 57 foot line will contain 13
panels, and the 50 foot line will contain 12 panels.
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 <<<<<
PROPOSE I) REPAIR
Repair System Required? Not Required Soil LIAR: 9•P•d.lft2
Proposed System:
System Classification:
05os 202a n,,_1,
rCATAWBA COUNTY Case# AUTH-04-2023-194116
Public Health[impartment Subdivision TANGLEWOOD PARK
Environmental Health Division PINS 373206482547
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 45
Site Address: 1574 KENLANE DR, HICKORY NC 28601
Name on Permit: PATRICK JOHNSON
Property Size: Acres 0.42
Directions: US Hwy 70A W, right Section House Rd, left Rayland Dr, right Yorkland Dr, left Kenlane Dr. next to last 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' (I 5A NCAC I SA.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.
34,6rPt 1)' r\
04/21/2023
Authorized State Agent Permit Issuance Din,:
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.
05/08/2023 09:26
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Catawba County Environmental Health
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Parcel: 373206482547, 1574 KENLANE DR 1 in=40ft
HICKORY, 28601
This map/report product was prepared from the Catawba County,NC Geospetwl 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 map/report product by the user,The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages.loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
04/18/2023
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DI.PAR I MI:NT OF IfE:AI:1'IE ANI)HUMAN SERVICFS Sheet .1 of I
DIVISION OEPUBLIC III:AI T/I ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:Aiidtg 5'(
(1N•SI'rl:WATER PROTECTION BRANCH COUNTY: ‘Ewian
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER; trICK Tn6ncall _ APPLICATION DATE / gin
ADDRESST'O A°X 5(1 WAWA/ NY Jt g9 DATE EVALUATED: ai 3
PROPOSED FACILITY: kepe.;T ✓ PROPOSED DESIGN FLOW(.1?49): 360 GPD PROPERTY SIZE: Q.Liz p(le
LOCATION OF SITE: 15.(l rkei fan( b r i ti,lI(or Al 7 Po D I PROPERTY RECORDED:
WATER SUPPLY: 0 Private IkPublic 0 Well ❑ pring 0 Other
EVALUATION METHOD: ❑Auser Boring LK1"it ❑Cut TYPE OF WASTEWATER: 1 Sewage 0 Industrial Process 0 Mixed
•P
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O SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
1 .1940
L
e LANDSCAPE HORIZON
POSITION/ DEPTH PROFILE
.1942
N SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SA PRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
i s O-l2 CL 58K Fri ssivEy
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OT11ER FACTORS(.1946): QS
SITE CLASSIFICATION(.1948): _
Available Space(.1945) J NM
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System Type(s) 0°/0 red Alin EVAL ATfED BY: ._._.__...eS\e_. Q Imo... N_.9-9,��411_.
OTIIER(S) PRESENT: ._._ .^ , �
site LIAR
D. 3z5 04 —
COMMENTS:
Updated February 2014 _ ___.._.`----_._.—_
Catawba County Environmental Health
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Parcel: 373206482547, 1574 KENLANE DR 1 in=40ft
HICKORY, 28601
This map/report product was prepared from the Catawba County,NC Gaospotlal 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 date contained on this map/report product by the usor.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,lass or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
04/18/2023