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HomeMy WebLinkAboutRBPR-07-2015-21878.TIFJuly 31, 2015 Mark Decker 1840 29°i AV PL NE Hickory, NC 28601 Catawba County Public Health WWW.Cgtawbacountync.gov/environmentalheaIth Environmental Health P.O. Box 389, 100-A South West Blvd., Newton, NC 28658 Phone (828),165-8270. Fax (828) 465-8276 Re: Application for improvement permit for Mark Decker property site 1840 29" AV PL NE, Hickory, NC 28601 Health Department file number I;LBP 2-07-2015-21878 Dear Mark Decker, The Catawba County Health Department, Environmental Health Division on,luly 23, 2015 evaluated the above referenced property at the site designated on the plat/site plan that accompanied your improvement pennit application. According to your application the site is to serve a 5 bedroom house with a design wastewater flow of 600 gallons per clay. The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 including related statutes and Title ISA, Subchapter 18A, of the North Carolina Administrative Code, Rule .1900 and related rules. Based on the criteria set out in Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rule .1940 through .1948, the evaluation indicated that the site is UNSUITABLE for a sanitary system of sewage treatment and disposal for 600 gallons per clay. Therefore, we must deny your request for an improvement permit. A copy of the site evaluation is enclosed. The site is unsuitable based on the following: Unsuitable soil topography and/or landscape position (Rule .1940) Unsuitable soil characteristics (structure or clay mineralogy) (Rule .1941) Unsuitable soil wetness condition (Rule .1942) X Unsuitable soil depth (Rule .1943) Presence of restrictive horizon (Rule .1944) X Insufficient space for septic system and repair area (Rule .1945) Unsuitable for meeting required setbacks (Rule .1950) Other (Rule .1946) These severe soil or site limitations could cause premature system failure, leading to the discharge of untreated sewage on the ground surface, into surface waters, directly to ground water or inside your structure. The site evaluation included consideration of possible site modifications, as well as use of modified, innovative, or alternative systems. However, the Health Department has determined that none of the above options will overcome the severe conditions on this site. A possible option might be a system "Lending the Way to o Healthier Comnnmitv"" Oz' Pub jC ow, ®®®.pf°' r O 2VaIt h �lG.•o.m.m y '^m,eMNF 2 1 P a - e designed to dispose of sewage to another area of suitable soil or off-site to additional property. For the reasons set out above, the property is currently classified UNSUITABLE, and no improvement permit shall be issued for this site in accordance with Rule .1948(c). Note that a site classified as UNSUITABLE may be classified as PROVISIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule .1948(d). A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. Pott have a right to ma ii:forn7ul rer�ieit,of tliis alecisio77. You may request an informal review by the soil scientist or environmental health supervisor at the local health department. You may also request an informal review by the North Carolina Department of Health and Human Services regional soil scientist A request for informal review must be made in writing to the local health department. Eau also have a right to a formal appeal of this clecision. To pursue a formal appeal, you must Tile a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. To get a copy of a petition form, you may write the Office of Administrative Hearings or call the office at (919) 431-3000 or download it from the OAH web site at httn:/h w.ncoah.com/lorms.html . The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 15013-23 and all other applicable provisions of Chapter 15013. N.C. General Statute 130A-335 (g) provides that your hearing would be held in the county where your property is located. Please note: If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is Jule 31, 2015. Meeting the 30 day deadline is critical to your formal appeal. If you rile a petition for a contested case hearing with the Office of Administrative Hearings, you are required by law (N.C. General Statute 15013-23) to serve a copy of your petition on the Office of General Counsel. N.C. Department of Health and Human Services, 2001 Mail Service Center, Raleigh, N.C. 27699-2001. Do not serve the petition on your local health department. Sending a copy of your petition to the local health department will not satisfy the legal requirement in N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, N. C. Department of Health and Human Services. You may call or write the local health department if you need any additional information or assistance. Sinceerrely, � �/ Robbie Phelps, REHS Environmental Health Specialist Enclosures: (Enclose copy of site evaluation) (Copy of Rule .1943 &:.1945) or PO Box No. Hickory NC 28601 Certified Mall Provides: o A mailing receipt a A unique identifier for your mailpiece o A record of delivery kept by the Pt;ar ice for two years Important Reminders: ®�� a Certified Mail may ONLY be combined 4 �Irst-Class ail®or Priority Mail® E3 Certified Mail is not available f r class of inter I mail. o NO INSURANCE COVERAGP" PROVI ®with Certified Mall. For valuables, please consider Insured or R d Mail. o For an additional fee, a Return RQ q May be requested to provide proof of delivery. To obtain Return Receipt ice, please complete and attach a Return Receipt (PS Form 3811) to the'Wicle and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restudted toressee or addressee's authorized agent. Advise the clerk b� rk thpail-plewith the endorsement "Restricted Delivery': o If a postmark on the Certified Mail receipt Is desired��l�asa present the arti- cle at the post office for postmarking. If a postm ��bbll�� the Certified Mail receipt is not needed, detach and affix label with po age and mail. IMPORTANT: Satre this receipt and present it when making an Inquiry. PS Form 3800, August 2006 (Reverse) PSN 753002-000-9047 Mark Decker 1840 29t1i AV PL NE Hickory, NC 28601 2. Article Number (Transfer from service label) _ PS Form 3811, February 2004 AA - rt\ �3/Service Type KCertified Mail ❑ Express Mail LJ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7012 0470 0002 Domestic Return Receipt 3767.44806._ "rrg�i 102595-02-M-1540 a Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. X 1:1Agent • Print your name and address on the reverse - ❑ Addressee, so that we can return the card to you. le Attach this card to the back of the mailpiece, B. Received b (Prlhtpd Naf4' C. Date of Delivery e (-z� or on the front if space permits. - = D. Is delivery address different from item 1? El Yes 1. Article Addressed to: If YES, enter delivery address below: ❑ No Mark Decker 1840 29t1i AV PL NE Hickory, NC 28601 2. Article Number (Transfer from service label) _ PS Form 3811, February 2004 AA - rt\ �3/Service Type KCertified Mail ❑ Express Mail LJ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7012 0470 0002 Domestic Return Receipt 3767.44806._ "rrg�i 102595-02-M-1540 S .{OR0 UNITED STATES %'OiAL�RVICE First -Class Mail JJcl. 7 ` li Postage & Fees Paid '05.AL.IG'15 USPS Permit No. G-10 RM47-2015-21.878 • Sender: Please print your name, address, -and ZIP+4 in this box • RECEIVED AUG 0 7 2015 Robbie Phelps, RENS CATAWBA COUNTY Catawba County Environmental jgbM gQNMENTAL HEALTi PO Box 389 Newton, NC 28658 .E.0 3e1:-6 9 J,lli„1, ill. 1„iNl„dill 1111l11„111111„1H,1)1i11111l11,/l11 CATAWBA COUNTY UZ Public Health Department �►�� Environmental Health Division 1 �` PO Boa 389, 100A Southwest Blvd, Newton NC 28658 84 sni (828)465-8270 Pay (828)465-8276 IDD (828)465-8200 SITE PLAN Case P RBPR-07-2015-21878 Name Mark Decker Address 1840 29'" AV PL NE Lotti l0A *There is not enough available space to expand and repair for 600 gpd with current soil conditions. C) r 4 ✓ ` S � 'k 4c ` 1 t6l I � I li I � I , +l iAk.r.�MJhr 1 i�'►Y�scd �' I I AJ��f�uvl , Z'7(� 411 Scale f I TO I Department of Environment, Health, and Natural Resources Division of Environmental Health On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Mark Decker '.}-..r�_.�I--':•1„,..•. Address. 1840 29th Av PI NE x ,�• •, Proposed Facility 5br Design Flow ( 1949) 600 Location of Site. t'�_ .` .; _t Water Supply: [ x ] Public [ ] Individual [ ] Well Evaluation Method: [ ) Auger Boring [ x ] Pit Type of Wastewater: [ x ] Sewage [ ] Industrial Process 2 I 0-10 10-20 20-40 I 40-48 I I I 0-16,17,11 15+ I I 0-6 I 6+ Sheet. Property ID. Lot #' File #' AppID: 21878 Applicant' Date Evaluated, Property Size' Property Recorded: (] Spring [ ] Other [ ] Cut [ ]Mixed fey• �y�wv^.r�. �y'Y �f �r �R-C rr-_ _,.o _ .�'-Y.._., .� -1«-,-1}. '.}-..r�_.�I--':•1„,..•. -tj..y ix 4 - Jt X11 5•y ,, r (SOITiMORP„HOLOGY x ,�• •, -.. �•+.-. ' 6 a `''• I � . f t'�_ .` .; _t to � Cr _��z�r9a,i�� � !-h'--','��''-'tom '�;�`'JP-ROFILEdFAC1TlORS,= � ' ±`'»i: t' 1 • ij.i' -+;'• -ry j�•.. Pe•. H. 13: �l;•{ 2"�r. � +,'�' S, t,r1u9c4�u�i�e• l ,r.y� p�s.. _'.1 °C'•xi<4• ���.� •;soit-,.� ' 1V , .,1-.�9,4Y. 3r , IhI,�'i;l9,�1J � �•.��1944-+ 1Pp �„yr'� 1-,-P�„i-�o"il-e' 3;1#Conisten6e) �,# �� '•_ }x�r' . o I -te19n,4' 1Cblo4., I _IDe thi )-9'4 s56s. G_Tu�e •-gHo'rii_ `f • h",_i&IL•TARi.?, � sl,gr I fr scl,sbk I fr,ss,sp scl+sap j[ hard sap I I cl,sbk I solid rock I I L I solid rock I fr,ss,sp fi 40 0.3 fr,ss,sp I 15 u I I 6 u IDescription Initial System Repair System J Other Factors ( 1946) IAvallable Space ( 1945) u I u I Soil Evaluation By. Robbie Phelos Meaen McBride System Type(s) I I Others Present. Site LTAR I I I Site Classification ( 1948) U Site Evaluation By. Others Present: COMMENTS: Landscape Position Group Texture R -Ridge I S -Sand SS -Shoulder Slope LS -Loamy Sand LS -Linear Slope FS -Foot Slope II SL -Sandy Loam NS -Nose Slope L -Loam HS -Head Slope CC -Concave Slope III SI -Silt CV -Convex Slope SICL-Silty Clay T -Terrace Loam FP -Flood Plain CL -Clay Loam SCL-Sandy Clay Loam IV SC -Sandy Clay SIC -Silty Clay C -Clay Consistence Moist VFR-Very Friable FR -Friable FI -Firm VFI-Very Firm EFI-Exlremely Firm Consistence Wet NS -Non -Sticky SS -Slightly Sticky S -Sticky VS -Very Sticky NP -Non -Plastic SP -Slightly Plastic P -Plastic VP -Very Plastic .1955 LTAR 1.2 - 0.8 04-01 Mineralonv SEXP-Slightly Expansive EXP -Expansive Sketch of Soil Evaluation Locations Sheet, FILE #. Structure SG -Single Grain M -Massive CR -Crumb GR -Granular SBK-Subangular Blocky ABK-Angular Blocky PL -Platy PR -Prismatic r -d 15A NCAC 18A.1943 SOIL DEPTH (a) Soil depths to saprolite, rock, or parent material greater than 48 inches shall be considered SUITABLEasto soildepth. Sol depths to saprolite, rock, or parent material between 36 inches and 48 inches shall be considered PROVISIONAILYSUITABLE as to soil depth. Soil depths to saprolite, rock. or parent material less than 36 inches shall be classified UNSUITA BLE as to soil depth. (b) Where the site is UNSUITABLE with respect to depth, it may be reclassified PROM SIONALLYSUITABLE afteraspecial investigation indicates that a modified or alternative system can be installed in accordance with Rule .1956orRule.1957ofthis Section. 1`Gstou Note : whtnity G.S. 130.9-335(e); Ffff July 1, 1962; Atneude(l F_ff. August 1, 1985 15A NCAC 18A.1945 AVAILABLESPACE (a) Sites shall have sufficient available space to permit the installation and proper functioning ofground absorption se�wge treatment and disposal systems, bused upon the square footage ofnitrification field required for the long{ermacceptance rate determined in accordance with these Rules. (h) Sites shall have sufficient available space fora rep air area separate 1}unt the area determined in Paragraph (a)ofthis Rule. The repair area shall be based upon the area ofthe nitrification field required to accommodate the iris tallationofateplacermnt systemasspecifiedinRule .1955..1956,or.1957ofthisSection. Priortoissuance oftheinitial Improvement Permit forasite, the local health department shall designate on the permit the original system layout, the repair area, and the type of replacement system. (c) The repair area requirement of Paragraph (b) of this Rule shall not apply to a lot or tract of land. (1) which is specifically described in a document on file with the local health department on July 1, 1982, or which is specifically desenbed in a recorded deed or a recorded plat on January 1, 1983; and (2) n'ItichisofinsuffiicientsizetosafsRthe repair area requirement ofParagraph (b)ofthis Rulc,asdetermined by the local health department; and (3) on which a ground absorption sewage treatment and disposal system with a design daily flow of'. (A) no more than 480 gallons is to be installed; or (B) more than 480 gallons is to be installed ifapplication for an improvement permit %rhich meets the requirements ofRule .1937(c) ofthis Subchapter is received by the local health department onor before April 1, 1983. (d) Although a lot or tract of land is exempted under Paragraph (c) from the repair area requirement of Paragraph (b), the masmum feasible area, as determined by the local health department, shall be allocated for a repair area. HismrvNote: AwhorigvG.S. /30,1-335(e) and (/); Eff July 1, 1952; Amended Eff. February 1, 1992, Jnlr 1, 1953, Janaurr 1, 1933 Applicant Owner THIS IS NOT A PERMIT Case # RBPR-07-2015-21878 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building Addition IMPROVEMENT - AUTH CONST - EXPANSION MARK DECKER, 1840 29TH AVE PL NE, HICKORY NC 28601 C:8283020430 MARK DECKER, 1840 29TH AVE PL NE, HICKORY NC 28601 C.8283020430 NAME TO APPEAR ON PERMIT Mark Decker SITE ADDRESS: 1840 29TH AV PL NE, HICKORY NC 28601 NAME of SUBDIVISION: HERBERT LEE PROPST ESTATE PROPERTY SIZE: Square Feet Acres 0.71 DIRECTIONS: Sandy Ridge RD, between Argyle Place and Lawsons Creek PIN # 371420814801 Lot # 10A Section/Block PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 600 WATER SUPPLY : Public Water DESCRIBE WORK: 36x24 Attached garage with apartment upstairs (2 bedrooms, 1 full bath and half bath and kitchenette and livin( room.) SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES', then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Single Family dwelling EXISTING STRUCTURES ON SITE (IF ANY DIM EXISTING STRUCTURE: 70x55 NUMBER OF EXISTING BEDROOMS: 3 # OF OCCUPANTS PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 36x24 # OF NEW BEDROOMS:: 2 BASEMENT? No BASEMENT FIXTURES? Desired system types (Improvement Permit or Authorization to Construct). ACCEPTED ALTERNATIVE: OTHER. INNOVATIVE Other described: 4 PLUMBING REQUIRED? CONVENTIONAL: ANY YES E9 - ehapphcauon 07/02/2015 16 54 Page I of 4 yQA CATAWBA COUNTY Case # RBPR-07-2015-21878 :may Public Health Department Subdivision HERBERT LEE PROPST ESTA „'�, Environmental Health Division PIN# 371420814801 PO Box 389, 100-A Southwest Blvd, Nea40n. NC 28658 18 2 an NAME ON PERMIT: (MARK DECKER), 1840 29TH AVE PL NE, HICKORY INC 28601 ( Mark Decker) Site Address: 1840 29TH AV PL NE, HICKORY NC 28601 Property Size: Square Feet Acres 0.71 Directions: Sandy Ridge RD, between Argyle Place and Lawsons Creek Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility I have read this application and certify that the information provided herein is true, complete and corre county and st to officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws r s I understand t at I am s ly responsible for the proper identification nc labels of all property lines and corners and making the siCe, sible that a complete a ev ion can be performed Date: �/'� Signature of Applicant or AgAn Environmental Health Specialist will contact youworking days of application date. If you need further information or assistance please call 828-466-7291 AREA2 FEENAME DATE FEE AMOUNT ` Authorization to Construct Fee (New/Expansion) 07/02/2015 $300.00 Fee Improvement Permit Fee 07/02/2015 $150.00 TOTAL FEES $450.00 FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9 - chapphcavon 07/02/2015 1654 Page 2 of 4 C`� ATAWBA THIS IS NOT A PEn4IT otan _ -. CATAWBA COUNTY HEALTH DEPARTMENT r_n,7a„��k Application for Environmental Services Page I Improvement Permit Authorization to Construct Septic Repair ❑ Septic Malfunction ❑ Septic Expansion A New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ /�jAp lication is/for � New Construction ❑ Existing Facility ❑ Property Address 1 j/7/ L� OL �4 Subdivisio X21 _I / v // V(�� Lot # // Acres i n . SeMpyt/Block/Phase '90p to NAME TO APPEAR ON PERMIT? XONNner Applicant Contact Informatiop Frame Address Phone Owne Contact Info matron Name Address Phone Contractor Contact Information Name Address Phone WHO WILL BE THE PRIMARY CONTACT? J Applicant ❑ Contractor Cell Phone J Cell Phone I Cell Phone ❑ Contractor Description of Existing Structures on Site / F # of Bedrooms *-� -,3 Structure Dimens'o X 1� # of Occupants Basement Yes ❑ No Basement Fixtures Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. Yesto o Does the site contain any jurisdictional wetlands? •TYes Does the site contain any existing wastewater systems? 0 Yes fo Is any wastewater going to be generated on the site other than domestic sewage? "*Yes Is the site subject to approval by any other public agency? ® Yes Are there any easements or right of ways on this property? Describe Existin water supply in use F1 Individual Well ❑ Community Well ElSemi-PublicWell County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) 0 Accepted 0 Alternative ❑ Conventional 0 Innovative ❑ Other )(Any TAWBA THIS IS NOT A PERMIT "CO`UNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type szk Primary Residence ❑ N Residence X AAdd''tto onRes`iddennc i # of New Bedrooms Project Description `ryC%WL / ( eY i- V21t-ttiJ% Structure Dimensions �p X uQ y # of Occupants 7 Basement ❑ Yes $] No Basement Fixtures ® Yes OfNo ❑ Accessory Structure(s) Describe # of New Bedrooms * I if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit*j Total # Bedrooms *j' Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft_) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No if Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial j Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. I If structure is plumbed but no bedrooms, calculated design flow is required. ** If No. a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information aro valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are trransferrable. Permits maybe revoked if the information on this application, site plans or untended use changes for the proposed facility.' I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspection determule compliance with applicable laws and rules. I understand that I am solely responsible for the.propei identification of all property lines and corners and making the site accessible so that a complete site evaluatidii can be perform Signature of Owner or Printed Name of Owner or Agent _ Date 6 r CATAWBA COUNTY HEALTH DEPARTMENT NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PERMIT N° 01392 . cl��'�Y6bEDATE: /d17�ef6 OWNER �(� cr��P C7 �CP ADDRESS �A-p -Z-4l t4a"? 0.//G BUILDING CONTRACTOR SUBDIVISION , LOCATION�wco ���tX�o�P�Ks��?� /Lc�7IL�LO - LOT SIZE BLOCK OR SECTION HOUSE (`,h MOBILE HOME ( ) BUSINESS ( ) OTHER ( ) FHA -VA LOAN ( ) SEPTIC TANK: (SIZE /00 O GALS) WATER SUPPLY: NO. BEDROOMS NO FIXTURES / INDIVIDUAL PUBLIC GARBAGE DISPOTKL- UNIT:YES (TNO (/+) IF WELL, TYPE: BORED DRILLED D G AUTO WASHING MACHINE: YES ( )o NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: /rd Sjo SQ.FT. POLLUTION: FT. 1) NUMBER OF LINES j SEPTIC TA.ix 1N5''ALLt0 13YY 2) LENGTH A" WIDTH OF LINES IV ?071 PERMIT FEE $ a) BED SYSTEMCERTIFICATE OF COMPLETIpN DY:_ b) TRENCH SYSTJ ( ) 3) DEPTH OF STONE IN LINES (I,,- REMARKS: ADEQUATE FALL (GRADE) ON: 1) BUILDING (HOUSE) SEWER LINE: YES (j ) NO ( ) 2) NITRIFICATION LINES: DATE INSTALLED: YES (' NO ( ) SEPTIC TANK LAYOUT 14EALT14.9EPA.RTMENT COPY PERMIT FU: 86, f� p 7 1 PJV__V1r1*f1T NO. 0 0 8 1 6 t 1 PF.RrffT VOID AFTER CATAWB COUNTY HEAT. Fi DEP TMENT IMPROVF�fiT ERPIIT OWNER OR CONTRACTOR: l ,2 i11a. ADDRESS: -I/ti HWA CC � _. n�1 DATE: PIT, :F746/ ATE:_46/ - -- LOCATION: �,• �.�����1�,.1/ ��� _�/ c��-C% �J/ T, , SUBDIVISION; LOT /# SECTION OR BLOCK:' Notifieq. to check with Zoning Yes ( ) No ( ) Zoning Approval # House (A) Mobile Home ( ) Business ( ) Other ( ) F1 epd Bedrooms:. Ba4�b`rooms: Special Fixtures: Other: Basement - Yes (n), No (- ) Fixtures in Basement - Yes () No ( ) Pump System Yes( ) Nof Garbage Disposal Unit Yes ( ) No ( TANK SIZE: / ()' M gallon NITRIFICATION FnLD: Number of Lines Water Supply: Private ( ) Public Comments/Special Instructions: Length and width of Lines System must be installed as shown. Any (a) Bed System /ej x %%/ changes will be made only with prior Health (b) Trench System 36" X Department approval. If unforeseen problems or Trench System 30" X arise during installation, contractor must Total Square Font age�( �_ neptQf LQIl9-= -_-call-Health Department_- ------ ----- ------------------- I CER FY HA REVIEWED AND AGREE TO THE PROyI.SIQd�I�� PERMIT. ''GGUU-.,SQL . Owner/Agent Sanitar-ian Final approval of thi fic tank s stem sh no wa`�-be taken as a PP -' Y �Y gua antee that the system will function sat ctori3y-fir--any i vd'�af-ti SITE AND SEPTIC TANK FUN Site Factor: Slope and Landscape Position Soil Drainage Soil Depth Restrictive horizon Available Space Other (Specify) Soil Characteristics: Repair Area Required: Yes () Health Department Copyl boli Group S - PS U S- PS S - PS U ! III Fine S - PS U Loams S- PS - U S - PS - U F Soil Texture Class Application Rate Sandy Clay Silt Loam 0,6-0.4 Clay Loam Silty Clay Sandy Clay S - PS - IVa Clays Silty Clay 0.4-0.2 No ( ) Clay *led systems are allowed only in soil Group III, Catawba County Environmental Health Parcel: 371420814801, 1840 29TH AV PL NE �_ a ,J 1;0 1 in=60ft HICKORY, 28601 This map/report product was prepared from the Catawba County, NC Geospatial Information Services Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends 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 arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 06/30/2015 Parcel Report Page 1 of 1 Parcel Report- Catawba County NC Parcel Information: Parcel ID: 371420814801 Parcel Address: 1840 29TH AV PL NE City: HICKORY, 28601 LRK(REID): 53391 Deed Book/Page: 2936/1449 Subdivision: HERBERT LEE PROPST ESTATE Lots/Block: 10A/ Last Sale: $255,000 on 2008-09-30 Plat Book/Page: 20/294 Legal: LOT 10A 10A PL 20-294 PL 20-294 Calculated Acreage: .710 Tax Map: 154H 01042A Township: HICKORY State Road #: 2372 Tax[Value Information: Tax Rates(pdf) City Tax District: All In County County Fire District: ST STEPHENS Building(s) Value: $212,000 Land Value: $48,500 Assessed Total Value: $260,500 Year Built/Remodeled: 1986/ Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details WaterShed: Voter Precinct: P30 Parcel Report Data Descriptions List all Owners Deed History Report Owner Information: Owner: DECKER MARK S Owner2: DECKER PATRICIA J Address: 1840 29TH AVENUE PL NE Address2: City: HICKORY State/Zip: NC 28601-9681 School Information: School District: COUNTY Elementary School: CLYDE CAMPBELL Middle School: ARNDT High School: ST STEPHENS School Map Zoning Information: Zoning District: HICKORY Zoningl: R-2 Zoning2: Zoning3: Zoning Overlay: Small Area: Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: 2007-09-05 Firm Panel #: 3710371400J 2010 Census Block: 2019 2010 Census Tract: 010302 Agricultural District: Assessment Report This map/report product was prepared from the Catawba County, NC Geospatial Information Services Catawba County has made substantial efforts to ensure the accuracy of location and labeling tntormaaon contained on this map or data on this report Catawba County promotes and recommends the independent venLcaLon 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, lass or liability, whether direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity © 2015, Catawba County Government, North Carolina. All rights reserved. c(�2IM 2 http://gis.catawbacountync.gov/noinap/pareel_report.php?key=371420814801&typ=P 7/2/2015