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HomeMy WebLinkAboutIMPV-03-2016-069786.TIF Mgr CATAWBA COUNTY Case# IMPV-03-2 0 1 6-0697 8 6 (fill \ Public Health Department Subdivision River Run -1 ; w©i l-Environmental Health Division PIN# 360902757894 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 LOT# 30-31 ra 2 s. NAME ON PERMIT: BRAD HUDSON, 4608 DIAMOND ST, CLAREMONT NC 28610 Site Address: 4310 RIVER RUN CIR, HICKORY NC 28602 Property Size: Square Feet:344,995.20 Acres:7.920 Directions: Hwy 10 W, right Finger Bridge Rd, r into River Run Subdivision, middle of River Run Circle ,/ Owner/Authorized Representative Acknowledgement of Permit Receipt x/tan I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the / `prop erty described above. A/ As the property owner or authorized representative, I have received the above referenced permit(s) as 7' requested in the application for service EHPR-02-2016-23135 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) ' I As Image Transmittal/ E-mail (Return receipt required) /6MtN 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: 03/07/2016 ,..___ Owner/Authorized Representative Signature >C-- e-/„.,e _..e.„ Date 3/7//y Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpennit 03/07/2016 11:06 Page 3 of 3 ,gA CATANBA COUNTY 0 Case#� 0 IMPV-03-2016-069786 G f Public Health Department '.Ti' Subdivision River Run } 7S 360902757894 4 -- . �; Environmental Health Division rk ' r, • PIN# "Fr®� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 _1� LOT# 30-31 lgg2 s. - . o • - NAME ON PERMIT: BRAD HUDSON, 4608 DIAMOND ST, CLAREMONT NC 28610 Site Address: 4310 RIVER RUN CIR, HICKORY NC 28602 Property Size: Square Feet: 344,995.20 Acres:7.920 Directions: Hwy 10 W, right Finger Bridge Rd, r into River Run Subdivision, middle of River Run Circle Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Public Water Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 10" LARGE DIAMETER PIPE Type: IIIF-LARGE DIAMETER PIPE SYSTEM 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. 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 Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement 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 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. Steven Price 03/07/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/05/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 03/07/2016 11.06 Page 1 of 3 fro t*fPc 02 -204_ 2,3,3 Catawba County Environmental Health (1311) l %v,,. ,e.,., C rc s 4- 00 .J•T dr;v� / 314e.. / c.�, or P/^ 11 eur Sag 1x AKS th-tkors 10 266,08 0 / Oro / / rs / O / P+ / I ti, e k tt / At lo' UiP / Z1 v/ryVv PS / Pi c / "rt. EIP: t; Po / / PS 39'@ uf.t•u f / PG 61,e $ 43'4.) (lac / 72,13 / / F4... Q;k9 b ptr4-2. 68r @ $78'r 2 132.72 / " PrF2 + BFI Lo't 58.81 Rp(ER RUN•CIR I 190.79 295.68 Parcel: 360902757894, 4298 RIVER RUN CIR tin=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatial information Services. Catawba County has made substantial efforts rm 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 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of ? DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION e4?t 02.-bl6- 23136 PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY: file•--Lc SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: 13 ^ APPLICATION DATE ADDRESS: `f319 Q:v r i an .i- arc(( -DATE EVALUATED: PROPOSED FACILITY: PROPOSED DESIGN FI,OW(.1949): PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: U Private .Public U Well U Spring U Other EVALUATION METHOD: U Auger Boring SPit U Cut TYPE OF WASTEWATER: )(Sewage U Industrial Process U Mixed • • . . P R SOIL MORPHOLOGY OTHER o F (.1941) PROFILE FACTORS I .1940 L LANDSCAPE HORIZON POSITION/ DEPTH PROFILE # SLOPE% ( .1942 IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR 1 TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ ids 0-20 .S6k-/c F+2 Scf d� 2g uu s14 PS Zo-t& 'SAY- (cc "'s� /it se LAP 'Att. 1 20,6 "-SP se/bit fi SC cr..ti.,i`o O S o-M "Sae Sc4. fit Se L5 `1-17 SAL c f2 ,2 ,�a 38 14^1 ^'^ 0.3 2 'sit /7- 38 4661 a. 110 Fit Sir 3f--48 SP/P/C crAtli #t S g r- SC 0-Zj SOIL/SITE EVALUATION Sheet-Z-, of 21. (Continuation Sheet-Complete all field in full) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: DIVISION OF PUBLIC HEALTH So • ' r2,3 1 3J' DATE OF EVALCUAI NON: C ` ENVIRONMENTAL HEALTH SECTION ON-SITE WATER PROTECTION BRANCH . • . . P R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZ .1942 POSITION/ ON .1941 .1941 SOIL ,1943 .1956 .1944 PROFILE N SLOPE% STRUCTURE/ CONSISTENCE/ WETNESS/ SOH, SAPRO RESTR CLASS DEPTH ON) TEXTURE MINERALOGY COLOR DEPTH CLASS DORIZ &LTAR LS 0-s "56k. SCL 61- Se- lit u9 w+ PS o Se' o"' S,� S-3 S6k_ L 5 3,At "s6t cL "/v fit Se- O.3 9j-9'. wLfs.P s■. 1• • &L f.k s ,^ Qo. o-S "S 6t Su. yt se Ps LS c. 21 S 6 c Pc St.' NA-- at k.✓ NA- c50 .-/ St If Irt M..24 "s61c ccy(tic rot f`` o.S COMMENTS: