HomeMy WebLinkAboutAUTH-09-2023-205186.TIF ' J .
CATAWBA COUNTY Case# AUTH 09-2023-205186
tr) Public Health Department Subdivision FOREST RIDGE
Environmental Health Division PINII 370005198345
PO Box 389,25 Government Drive,Newton,NC 28658 LOTI 3
Site Address: 1616 ROLLING LN, HICKORY NC 28602
Name on Permit: GLORIA DEVANE
Property Size: Acres 0.39
Directions: Bethel Church Rd,Wallace Dairy Rd, right Forest Ridge Dr, right Magnum Rd, left Rolling
Ln on right
Owner/Authorized Representative Acknowledgement of Permit Receipt
fI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
-
X, As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service EHPR-09-2023-45528,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: 09/21/2023
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 (41. Date/Time t 5')3
Method: Fax 4 Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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el-permit 09/22/2023 05:42
1.1-y,• CATAW'BA COUNTY Case# Al M 1-09-2023-205I86
'�_�` Public health Department Subdivision FOREST RIDGE
Q Environmental Health Division PIN# 370005198345
PO Box 389,25 Government Urive,Newton,NC 28658 LOT# 3
Jg 2 w
Site Address: 1616 ROLLING LN, HICKORY NC 28602
Name on Permit: GLORIA DEVANE
Property Size: Acres 0.39
Directions: Bethel Church Rd, Wallace Dairy Rd, right Forest Ridge Dr, right Magnum Rd, left Rolling
Ln on right
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Existing house
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Community Well Maximum Occupants: 6
Soil LIAR: g.p.d.fft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: REPLACEMENT OF SEPTIC TANK ONLY
System Classification: IIA-CONY 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: Serial
Pre Treatment: NONE
Additional Specifications:
'Pump, crush, and fill the old tank.
*Use serial distribution between the two beds. Feed the upper bed first then the lower bed last. THIS MAY
REQUIRE A NEW DISTRUBTION BOX.
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:
10/03/2023 12:03