HomeMy WebLinkAboutAUTH-5-11-18436.TIF � CATAWBA COUNTY Case # AUTH-�-11-18436
Q - � G Public Health Department
� � Subdivision
� Environmental Health Division
�`�� o� `< PO Boa 389, 100-A Southwest [31vd, Ne�vton, NC 28658 Lot #
Ig 2 �u P(N#
37021�744249
Applicant/Owner KENNETH RUDISILL �i �' P� �� %� �- ��� �[3
Site Address: I 177 2ND ST PL SG, Hickory, NC
Property Size: SF 1 ACRES
D irections [-IWY 127 S TO 2ND ST SE/ LT ON 11T1-I AV DR SE/ RT ON 2ND ST P L SE/ LAST 1-IOUSE ON L
Authorization to Construct Permit
Authorization to Construct Wastewater System (Required for Building Permit►
* See site plan and number of addilional attachments (�.
Proposed Wastewater System: 25% REDUCTION Wastewater Flow ' g.p.d
Type: IIIG - OTHER NON-CONV T SYSTEM
Soil LTAR: 0 • 3 g.p.d./ft2
Permit Category: Repairs
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Wastewater System Requirements
Tank Size: Existing Tank Unknown Size 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: '�� ft Maximum Trench Depth 28 in
Aggregate Depth in Trench Width 3 � 0 ft
Minimum Soil Cover 12 in Minimum Trench Separation g•� ft on center
Number of Drain Lines �
Distribution: Serial
Additional Specifications: It is ok to use existing septic tank so long as it is found to be in tact structurally sound; if it is found
to be otherwise compromised a new 1000 gallon tank must be installed. Septic system must be at
least 100 ft. from any well, 10 ft. from property lines, 5 ft. from structures, 15 ft. from basement
cuts.
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 a�proved,
and may result in failure to approve the initial system installation, or the suspension/revocation of existing permits.
»»> DO NOT INSTALL SYSTEM UNDER WET C ONDITIONS ««<
Proposed Repair
System Class: Proposed System: Distribution Type::
Soil LTAR: g.p.d./ft2
OS/31/I I 1 I:02
��gA CATAWBA COUNTY Case # AUTH-5-11-18436
� G Public Health Department
Q �� Environmental Health Division Subdivision
� "� `<' PO Box 389, 100-A Soutlnvest Qlvd, Newton, NC 28658 Lot #
1 8 2 s� PIN#
370215744249
ApplicantlOwner KENNETH RUDISILL
Site Address: 1177 2ND ST PL SG, Hickory, NC
Property Size: SF 1 ACRES
Directions: HWY 127 S TO 2ND ST S�/ LT ON 11TH AV DR SE/ RT ON 2ND ST PL SE/ LAST 1-[OUSE ON LT
The issuance of this permit by the 1-lealth Department does noT guarantee the issuance of other permits. It is the responsibility of the
applicanbproperty owner to insure that all Cata�vba 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 Znws nnd Rules for ewage Treatment nnd Disposnl S stv ems (15A NCAC 18A
.1900). Neither Catawba County nor the Environmental Health Specinlist warrants that the septic tank system will continue to
function s ati s fa c torily for any given period of time.
Megen McBride OS/31/2011
AUTHORIZGD STATE AGENT APPROVAL DATE
Permit Expiration Date: OS/29/2016
No grading or construction activzty is allowed in areas desrgnated for- system and repair without approval of the Health Department.
0�/31/I I 11:02
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��A CATAWBA COUNTY Case # AUTH-5-11-18436
G Public Health De artment
Q � � 2 P Subdivision
.= Enviromnental Health Division
°•` o`�' PO Box 389, ]00-A Southwest Blvd, �Newton NC 28658 Lot #
1 g4 2 �� PIN#
370215744249
ApplicantlOwner KENNETH RUDISILL
Site Address: 1177 2ND ST PL SE, Hickory, NC
Property Size: SF 1 ACRES
Directions: HWY 127 S TO 2ND ST S�/ LT ON 1 1TH AV DR SE/ RT ON 2ND ST PL SE/ LAST HOUSE ON LT
OwnerlAuthorized Re�resentative Acknowledgement of Permit Receipt
�'� I certify that I am the owner or authorized agei�t (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
re � ested in the application for service EHPR-5-11-10943 , by the following method(s):
Received in Person
_ Facsimile Transmittal (Return form with signature required)
_ 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: OS/3112011 �
�
Owner/Authorized Representative Signature —
Date �j J�
-----------------------------------------------------------------------------------------------------------
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
, _.,
Permit transmitted by '��- ��-- `l� (name of person sending permit)
Signature Date/Time � ; 31 �1 �
Method: Fax Email �US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
acknowledges the conditions and statements above.
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OS/31/11 I I :02
DEPA$IMEKT OF ENVIRONMFM AND NATURAL RESOUBCFS . S� —°�—
DMSIUN �F EN17Ra2dMENTAL HF_Ai,Yi� PROPERTY ID #:
.ON-SITE WAS'TEWATEBSECIION COUNTY:
so�s� Evas,�rAZ�ort
ow�: � n ndl�, Q�d �s �! i f°r OIV S�TE WASTEWATER SYS M �
�pPLICATION DATE � 5 - - d �
ADDRESS: DATE EV A�D: 2
PROPUSID FACIIITY: PROPO ED DESIGN FLOW (.1949):. 360 . PROPERTY SI7E;
LOC.�lTION OF SITE; Za, . E PROPERTY RECORDID: �_
WATFB SIJPPLY: O Private � Pu81ic O WeII O S , �'°g O Other
EYALUATlON M�THOD: � Augrr Baring O Pit U Cut .
TYPE OF WASTEWATER: � Sewage �'Indusmal pmc�ss 0 Mixad �
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