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HomeMy WebLinkAboutAUTH-4-11-17389.TIF �p,A CATAWBA COUNTY Case # AUTH-4-11-17389 G Public Health Department Q � Environmental Health Division Subdivision HOMESTEAD �''�' PO Box 389, 100.A Southwest Blvd, Newton, NC 28658 Lot # g lg sM P�1# 279010276046 Applicant/Owner GREGORY WYANT �� PQ -t�_ ��. I(:}4 (,P�j' Site Address: 5753 VALLEY FIELD RD, Hickory, NC Property Size: SF 0.479 ACRES Directions: HWY 10 TO HWY 127 TURN RIGHT INTO HOMESTEAD (VALLEYFIELD RD) HOUSE ON CORNER BEFORE 1ST RD TO RIGHT Authorization to Construct Permit Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and number of additional attachments (_). Proposed Wastewater System: 25% REDUCTION Wastewater Flow 360 g.p. Type: IIIG - O T H ER N TRENCH SYSTEMS Soil LTAR: • g.p.d./ft2 Permit Category: Repairs Type of Facility: Primary Residence Basement? Yes Basement Plumbing? No Bedrooms: 3 Wastewater System Requirements Tank Size: Existing 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: 900 sq ft Total Length: 300 ft Maximum Trench Depth 24 in Aggregate Depth in Trench Width 3 • 0 ft Minimum Soil Cover 6 � 0 in Minimum Trench Separation �•� ft on center Number of Drain Lines 3 Distribution: Serial 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 Reaair System Class: Proposed System: Distribution Type:: Soil LTAR: g.p.d./ft2 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 Zaws and Rules�or Sewage Treatment and Disposal Svstems' (15A NCAC 18A .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. Susan Bumgarner 04/27/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/25/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 04/27/11 14:34 ��l P�- �-II -1 b�9 � V`� • � �'` I r ' 1 ��/� Uti�l� ��Id R� � � .� � � .� o a � _ � �� m � � 'o s � 1 � '� o — � a � C � � Q _ - a ` � w �S? � `� �S ! � � _ �� � , � � I o m;+^ � � a s. oa FR'K J 14= V10 l.H I NWF6-1 l.l 7 N I 7 Id R/ I 1 N"hS d�.`i I-f,!'/1: P Dfi 2011-0427 15:39 » 1 828 465 8276 P 1/1 pub�ic Hcdth Dw�A� • Subdiviaion HOMESTPAD Eeviroemeo¢d Ideet�h Diriei4n Lot k S PO Box 319, 10dA 5oudi�rodt Blv4 Naa�toa� NC 28658 �, PINN 2190t0276046 �pp�kanotowr�r (}REGORY W�'ANT 6ia Ad�r�s• S?S3 VA1,I.�Y PIELD RD xi�y, rrC pr�p�t�r �ia�: S� 9.,�ZR ACRES �;�d }{Wy 1p 1'0 HWY 1277UItN RiQHT Q�'0 HOMEST'EAD (VAi.LE'YFIEI,D RD) H�USE ON CORNER BEFOitE lST RD TO 1RlCi�-Ci' Ow�raer/Authorized Repr�csdntative Acknowledgeu►ent of Pernuit �ce�pt _ I cettl� th�t I am tho owner or authorized a8ont (owntlr's authori�tion requited) rcpresenting t�� ownCr oftt►e proporry describad bbove. �,As the property ownec or authorized represtntative, I ha.ve recr;ivad the above refet�en�eod prrmit(s) ae requcsted in rhe a�plleatian for service E�PR-4-11-10469 , by the foUowinQ method(s): Recoi�►ed in Person �� Facsimile Tta�amitcal (Return form with signe►zure tequired) ��loe�onlc Image Transmittal/ E-mail (Renun rcxeipt requircd) As th� pmpoa�ty own�er or auchorized representative I hav� reviewe;d and undc;rstand the specific conditioas of tht pormit isswed, and f�rthcr understand that all applicablc rcgulatory roquireinents specified under thc North Carolin4 L�wa and Rales for SewA�� Treatment and Di�po�al 5ystems (15A NCAC 18� .1900), �nd/o�' Wedl Coashvction Sta�adaed� (15A NCAC ZC .0100), shall apply to thc issuence of this pecmit and thc construcdoa of the wastewater system and/or water supply well pccmittad. Pcamit lssu�c Dato; 04/27/20l 1 Owuot/Autharized �tcpresenta�ive Signnhue � -�- �` � � � Dace � � `7 - // , �..+�w�w�+W���r� ..���� w�� ��.� __�� --��w ����—�r.�w� DocomentaHon of Permit(s) Tr�a�mltf�►1 (permilt trap�mlded by clectronie o� othee mtytne) Pormic transmittea by � (name of person sendingF,erm�t) Si�►tuse DatelTime� Motbod: �Faz Emsil US Mai1 Other Owner's r�qumst to send by tbe 4bove Iadie�t�d method of trAnemittAl in tiea of ai�pnahrre acbsowled�ts tAe conditdon� mnd �tatcareooa �bove. l��-'� �e,rF�e,,�. � OV - �GJ - ��3 � 4�n1�t � ta�3� DEPARTMFM OF IIJViRONMENT AND NATURAL RESOU&�S . �_. o I_ DMS1dN OF P.�IVIROAtMENT�►I, IiEALTH PROPERTY ID#:.__, .ON-SITE WASTEWATffi SECTION COUNTY: ______ so�rsrrE Ev�uA�ort �p� _ �. � I - 'r � for ON SITE WASTEWATER SYSTEM � �-� `� �� 0 �� �.pPLICATiON DATE . 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