HomeMy WebLinkAboutAUTH-09-2023-205188.TIF A IN*. CATAWBA COUNTY Case 0 AUTH-49-2023.2051 SB
1+ Public Net
Department Subdivnion PROPST ACRES
sr,9,4 . , Environmental Health Disown Ms 269917017137
+\/t� PO Box 31t9.25 Government Drive,Newton,NC 2865t LO t 0 9
fatSite Address: 5962 LEIL R0, HICKORY NC 28602
None on Permit CHRISTOPER STINSON
Property Mu: Acres 1,74
Directions: NC 10,nght onto Loll Rd,property on the right
Owner/Authorized Representative Acknowledgement of Permit Receipt
K £? I certify that I am the owner or authorised agent(owner's authorization required)representing the owner of
the property described above.
sit (rJ As the property owner or,tuthorizcd representative, I have received the above referenced
permit(s)as requested in the application for service EHPR-09-2023-45502,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
—7 Electronic Image Transmittal/E-mail (Return receipt required)
CS As the property owner or authorized representative I have reviewed and understand the specific conditions
\i
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(ISA NCAC ISA.1900),
and/or Well Construction Standards(ISA 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:09/21/2023 •
„....;,441...fit.„..------
Owner/Authorized Representative Signature
1
Date 1 v/94'
Documentation of Permits)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ _ (name of person sending permit)
Signature _____ _ _ Date/Time MN)3
Method: Fax I 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 yo+Please hake a few momentts tto complette our custtomer service survey aft
http://www.surveymonkey.com/s/EHCusttomerService
4 n nl 5thVa 0 3M43.
(ann
rtpermrt 09'2I,2023 05 43 111
�A• CATAWBA COUNTY Case# AUhI1-09-2023-205188
.t,a Public Health Department Subdivision PROPST ACRES
Q '-'1 Environmental Health Division PIN# 269917017137
PO Box 389,25 Government Drive.Newton,N(' 28658 LOT# 9
Site Address: 5962 LEIL RD, HICKORY NC 28602
Name on Permit: CHRISTOPER STINSON
Property Size: Acres 1.74
Directions: NC 10, right onto Leil Rd, property on the right
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Existing house
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: g.p.d.lft2
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: in Minimum Trench Separation: ft on center
Number of Drain Lines: Trench Width: ft
Distribution: Gravity
Pre Treatment: NONE
Additional 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? Soil LTAR: g.p.d.lft2
Proposed System:
System Classification:
10/03/2023 12:16