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Home My WebLink AboutAUTH-06-2023-198445.TIF r • CATAWBA COUNTY Case# A1JT11-06-2023-198445 t, . 'II Public Health Department Subdivision FOREST RIDGE • "' '� Environmental Health Division PIN# 370005196407 PO Box 389,25 Government Drive,Newton,NC 28658 urrti 2 w Site Address: 1603 ROLLING LN, HICKORY NC 28602 Name on Permit: DARRELL HOLLOWAY Property Size: Acres 0.38 Directions: Wallace Dairy Rd, left onto Forest Ridge Dr, right onto Magnum Rd, lefto onto Rolling Ln, property on the 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-04-2023-44133, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 1 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: 06/20/2023 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 E Date/Time 1 I 135 Method: Fax J 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/EHCusttomerService pa hone :«ye qpt . 0,"r1 (21° &perlmf 06/20/2023 15:16 4� A CAT.4 BA Cot:NTY Case k At'"ll I-06-202 3.198 445 t �1 Public Health Department Subdi'.i,ion FOREST RIDGE Q �; Environmental health Division PIN# 370005196407 PO Rox 389.15 Go%eminent Drne.Ne'uon.NC 28658 LO7» 2 I8475 � Site Address: 1603 ROLLING LN, HICKORY NC 28602 Name on Permit: DARRELL HOLLOWAY Property Size: Acres 0.38 Directions: Wallace Dairy Rd, left onto Forest Ridge Dr. right onto Magnum Rd. lefto onto Rolling Ln. property on the left Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Repair Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Community Well Maximum Occupants: 6 Soil LIAR: 0.3 g.p.dift2 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: 294 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 33 in Minimum Soil Cover: 6 in Minimum Trench Separation: 5 ft on center Number of Drain Lines: 10 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Additional Specifications: *It is recommended that the oak tree in the front yard be removed prior to installation of the septic system. `If the existing septic tank is determined to be functioning properly and structurally intact it may be used in lieu of a new 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: lime:.1)1? nuut • • 44'•4.( • CATAWBA COUNTY Case# AUTH-06-2023-198445 Public Health Department Subdivision FOREST RIDGE Environmental Health Division PIN# 370005196407 zinti PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 Site Address: 1603 ROLLING LN, HICKORY NC 28602 Name on Permit: DARRELL HOLLOWAY Property Size: Acres 0.38 Directions: Wallace Dairy Rd,left onto Forest Ridge Dr, right onto Magnum Rd, lefto onto Rolling Ln,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' (15A NCAC I 8A.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. :0" B,nre fir. ,� ,�(, - ) 06/20/2023 Authorized State Agent Pennit Issuance Date 6/20/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 06/20/2023 15:16 Catawba County Environmental Health epee-oq,;nvr - 14 ti9>3 AolA • U6'2°75 1`fgt,lk> t.16e Ge1,51/45 41;r1• J14f1 Lu V/.111 , t. . , 4"' &t9A u 0 ('y`.,J e;nib 7•6 ' r : 1g' \f"A;` , ,:� wir e (,6' ., ) 1r rt #1 38' G3 , ' hK '2 �' Se' e ' 51` 18 j ,,ce � t, ,S i,� - ti AN IOC- e tiG �AxO Parcel: 370005196407, 1603 ROLLING LN 1 in=40ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatial 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 06/20/2023 DEPARTMENT OFINVIKONMENT AN I)NA7lIRAIit1'.+titIRCl;S Shed.....LaJJ_.. DWISIONOFI 4VIRONM1 NiAt III AI.TII PROPERTY IDM: i..1 fir'o;/ei 6I&.•i ON•SITR WASTEWATER SEC11ON COUNTY:.L;% z1n SOIL/SITE EVAI.UA'I'ION for ON-SITE WASTEWATER SYSTEM OWNLR: ) '. 1 r r r'i f ?} , _ ,APPLICATION DATE /f f;_ .'` • _ . ADDRESS: II t, r # , i' .r I +.. ,. DATE EVAI.IJATED !J1`' PROPOSED FACILITY: ['t , _ PROPOSED DEMON FLOW(.1949): ' ! 'l 1'/':a_ PROPERTY SIZE 2. •` _ LOCATION OF SITE: :. ...'..L`:_ ._..._.,.-_.»_..._..._:..»...._.. _ ..,...___........_ PROPERTY PROPERTY RECORDED: WATER SUPPLY: ['Private - n Public (.) Well 11 Spring i.i Othcc EVALUATION METHOD: 0 Auger Doling LI Pit [] (.uI TYPE OF WASTEWATER: 0 Sewage 0 Industrial Noma 0 Mixed r . . ---- . Ali : :l:........................... ..............-- ::''OTLMC3kt`iCiLOCr"'Y'7.::::::::::::: :::::'.:.::::' ::::Q # ,R ,: ::::::::: :::::,:,::,: i:::;,:•:::i)J:,,::2,,,,: ::41... •:: 2:.. .... 41) ...... • VIL FACiTOitS' 1,` `1:iN1S ..BOR1..... ....1... ............... ...... :2................ t:::::::,:: 941::a:::.:::::::?..2.!2,...'Spi ......::::::!::;19.43::::::: 19. a911::,::-......... ,:2,:: ... . t�s:¢ 't? t), ::2.:1)EPTfi €-::::::: ` 1C'x`C1CtEf:...... .....CKSI�$'I',�!I.C!"1,;...,.,,:W�'1tiE551''"``::SQI!<:+t:: ;�A]''i��i '3�52'R :.: ..:. .... 'irk :'�l... ........... ..... . . . ::COLo ts:::::::::DEFT "':0 As.$ 3iORIZ'::.::'O r.... 9 II r i 2 t, I/ f' "; F II-:CO y c f�l� i(.1, i').; 1 z� rl ) )) i 2 - • .-_ • 4 DESCRIP'17oN I.'TIIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) S SITE ' P CLASSIFICATION((..1948): System Typ=(s) �- //'S90 EVALUA (. TED BY: I F r-i T. �tt, - OTHER(S)PRESENT: • . She LIAR — U - COMMENTS: Catawba County Environmental Health ,t 1.. \ ra • ti_ 74.81 \ 00 0,1 b ' ii y 0 ae�1 7�99 • o 1 1 {�� ma`s 'o J qo`. N f n T o o7 in n ,t G 5 r [`v / '�$ �c� 4.35 , ` o J Q�fi t?� \ / tE 4 i,"71:og.,/ � NO d` ti �� \ ! 4 7 o ... O V' 1 `mil h• ),�e0 9P. (4) N 1 Parcel: 370005196407, 1603 ROLLING LN 1in=40ft HICKORY, 28602 This map/report product was prepared from the Catawba County.NC Geospatial 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 anse from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 06/20/2023