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�4.•� =r� CATAWBA COUNTS' Case ii AUPfH-08-2023-202086
II- Public Health Department Subdivision GLENVIEW
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.sit - 'et Envimnmentai Health Division PINS 279011670474
��/1� PO Box 389,25 Government Drive,Newton,NC 28658 t.or# 12
/xiSite Address: 5407 GLENVIEW DR, HICKORY NC 28602
Name on Permit: ELLENA MOODY
Property Size: Acres 0.41
Directions: NC 127 S to Valley Field Rd,left onto Field Circle, right onto Glenview, home on the right
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
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permit(s)as requested in the application for service EHPR-07-2023-45011,by the following method(s):
Received in Person
1
_ Facsimile Transmittal(Return form with signature required)
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:08/07/2023
Owner/Authorized Representative Signature _ _ (II,
Date_2/e2LI-P 62 3
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by_._. . . ... .. . ... ..__. (name of person sending permit)
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Signature Date/Time D )t / 3
Method: Fax J Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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fig 4 • CATAWBA COUNTY Case# AUTH-08-2023-202086
Public health Department Subdivision GLENVIEW
. t
d - '3 Environmental Health Division PIN# 279011670474
illit I'O Box 389.25 Government Drive,Newton,NC 28658 LOT# 12
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Site Address: 5407 GLENVIEW DR, HICKORY NC 28602
Name on Permit: ELLENA MOODY
Property Size: Acres 0.41
Directions: NC 127 S to Valley Field Rd, left onto Field Circle, right onto Glenview, home on the right
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-Existing House
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Public Water Maximum Occupants: 4
Soil LIAR: 0.275 g.p.d.fft2
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
Drainfleld: Total Area: sq ft Total Trench Length: 220 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 33 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 7 ft on center
Number of Drain Lines: 3 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*Existing septic tank may be used if it is in good condition and meets current rules. If existing septic tank
cannot be used, it must be properly abandoned(pumped, crushed, and filled)and a new septic tank must be
installed.
*The two sheds located in the septic repair area must be moved to a location outside of the septic drain fields
prior to installation of the new drain field.
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 LIAR: g.p.d.lft2
Proposed System:
System Classification:
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