HomeMy WebLinkAboutAUTH-08-2023-203329.TIF ft% CATAWBA COUNTY'
Public Health Department Subdivision W L WHISNANT ESTATE
ii Environmental Health Division
�• PI Na 268802787702
f " PO Box 389.25 Government Drive,Newton,NC 28658 LOTt 20
Site Address: 2415 S&W FARM RD, HICKORY NC 28602
Name on Permit: ASHLEY MORETZ
Property Size: Acres 18.88
Directions: Hwy 10W, Right on S&W Farm Rd, Last cleared property on Left
Owner/Authorized Representative Acknowledgement of Permit Receipt
•,,A1"-I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
,
(p MAs the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-07-2023-45018,by the following method(s):
Received in Person
I Facsimile Transmittal(Return form with signature required)
'`a Electronic Image Transmittal/E-mail (Return receipt required)
NI, lAs 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(I5A 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: 08/24/2023
Owner/Authorized Representative^ Signature C;("3"47::_
Date /O '-/�2
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted b (name of person sending permit)
Signature e Date/Time 'O)i 03
Method: Fax _ Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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.I . CATAWBA COUNTY Case# AUTH-08-2023-203329
F. t Z Public Health Department Subdivision W L WHISNANT ESTATE
Environmental HealthGovernment DivisionD rive, PIN# 20 268802787702
� LOT#
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Newton,NC 28658 t w
Site Address: 2415 S&W FARM RD, HICKORY NC 28602
Name on Permit: ASHLEY MORETZ
Property Size: Acres 18.88
Directions: Hwy low, Right on S&W Farm Rd, Last cleared property on Left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence- New house
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
Soil LTAR: 0.275 g.p.d.lft2
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: 218 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 25 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center
Number of Drain Lines: 3 Trench Width: 3 ft
Distribution: Serial
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? Required Soil LTAR: 0.275g.p.dJft2
Proposed System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
cl permit Ion 0/2023 09:44
CCase• CATAWBA COUNTY
# AUTH-08-2023-203329
Public Health Department Subdivision W L WHISNANT ESTATE
Environmental Health Division PIN# 268802787702
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 20
sm
Site Address: 2415 S&W FARM RD, HICKORY NC 28602
Name on Permit: ASHLEY MORETZ
Property Size: Acres 18.88
Directions: Hwy 10W, Right on S&W Farm Rd, Last cleared property on 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.
pig. $ielre Pe;k;43)
08/24/2023
Authorized State Agent Permit Issuance Date
8/24/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chprmiit 10/10/2023 09:44
Catawba County Environmental Health
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Parcel: 268802787702, 2415 S & W FARM RD 1 in=60ft
HICKORY, 28602
This map/report product was prepared from the Catawba County,NC Geospatlal Information Services. Catawba County has made substantial efforts
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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
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Copyright 2023 Catawba County NC
08/23/2023
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