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CATAWBA COUNTY Case# AUTH-10-2023-205931
• ii Public Health Department Subdivision HORSESHOE BEND
- , ,, Environmental Health Division PIN# 372312862615
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 21
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Site Address: 2198 HORSESHOE BEND RD, HICKORY NC 28601
Name on Permit: JUAN LOPEZ
Property Size: Acres 0.51
Directions: NC 16, left onot US-70A W/1st St W, right onto Section House Rd,left onto Horseshoe Bend Rd NE,property
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
permit(s)as requested in the application for service EHPR-09-2023-45425,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
f 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: 10/04/2023
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 4 Date/Time `ou )/)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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.1.1w• CATAWBACOUNTY' Case# AUTI I-I 0-2023-205931
• .i,ii Public Health Department Subdivision HORSESHOE BEND
< Environmental Health Division PIN# 372312862615
PO Box 3R9,25 Government Drive.Newton.NC 28658 i OT# 21
/84 ,.
Site Address: 2198 HORSESHOE BEND RD, HICKORY NC 28601
Name on Permit: JUAN LOPEZ
Property Size: Acres 0.51
Directions: NC 16, left onot US-70A W/1st St W, right onto Section House Rd, left onto Horseshoe Bend Rd NE, property
on the right
Authorization to Construct Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
Soil LTAR: .45 g.p.d.lft2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 25% REDUCTION PRODUCT, NO REDUCTION GIVEN
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: 850 sq ft Total Trench Length: 268 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 45 in
Minimum Soil Cover: 12 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 4 Trench Width: 3 ft
Distribution: Serial
Pre Treatment: NONE
Additional Specifications:
*EXISTING SEPTIC TANK MAY BE USED
*GRAVEL BED IS*NOT*GETTING WATER
*CORRECT CONNECTIONS TO GET WATER TO ORIGINAL GRAVEL BED
*IF ORIGINAL GRAVEL BED CAN NOT BE SALVAGED GO FORWARD WITH THE REPAIR
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 aoorove 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./ft2
Proposed System:
System Classification:
10/11/2023 09:211