Loading...
HomeMy WebLinkAboutIMPV-03-2016-070674.TIF CATAWBA COUNTY Case# IMPV-03-2016-070674 ' Public Health Department Subdivision Joann H. Testerman tab Z Environmental Health Division PINI7 278002766908 �\J\L ail Y PO 13oc 389, 100-A Southwest Blvd,Nekton,NC 28658 LOT# 1 \A4 s. NAME ON PERMIT: JOANN TESTERMAN, 4188 CARSON DR, HICKORY NC 28602 Site Address: 1402 EPS RD, HICKORY NC 28602 Property Size: Square Feel:44,082.72 Acres:1.012 Directions: Hwy 127 S, right Mtn Grove Church Rd, approx 1 miles left on Eps Rd at Brookford Cementary. Down dirt Road property on left Owner/Authorized Representative Acknowledgement of Permit Receipt . IL I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the y- property described above. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-01-2016-23044 , by the following method(s): _Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) • NQ 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: 03/31/2016 —_Owner/Authorized Representative Signature � – ■ti Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (n(1me ofperson 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 ehpertnit 03/31/2016 10:42 Page 3 of 3 • ��y,A CATAyWBA COUNTY 0 ,o- '-f Case# IMPV-03-2016-070674 pr: Public Health Department rr •:= . �}+�W Subdivision Joann H. Testerman Q 1 H Environmental Health Division PINK 278002766908 \, PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 r 1313, LOT# 1 08Eirc ra. NAME ON PERMIT: JOANN TESTERMAN, 4188 CARSON DR, HICKORY NC 28602 Site Address: 1402 EPS RD, HICKORY NC 28602 Property Size: Square Feet:44,082.72 Acres:1.012 Directions: Hwy 127 S, right Mtn Grove Church Rd, approx 1 miles left on Eps Rd at Brookford Cementary. Down dirt Road property on left Improvement Permit Facility: Primary Residence - house Permit Category: New Septic Bedrooms 2 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 240 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED Permit Conditions: Property has been surveyed for proposed subdivision. Prior to issuance of AC permit, the road right-of-way and the 15ft access easement must be surveyed and marked. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED 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 Rues 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. Megen McBride 03/31/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/30/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 03/31/2016 10:42 Page 1 013 IP EHPK 01-2016-?3o4y Hoz EPS Rd, I{;o y Proposed subdivison- lot lines Shown are, !proposed. [ o} mus-1 k recorded prior -f a issoonce of AC- fermi. + Do hoj drige, 3racke, col, or flt c er ark, area. ricleca's Wcll 7I0o(i 4or NT'net 31'7 (01.so 750. xy 5ep4ic Area 5u — `or 005040 +Repair ati deaaa' cs Pvm1 dSya Red. �0� .rt le ,f9 p, .55' yo' 30. poyi61t so' weir atcq 9�q ire/rQOd c a E L.a1• ' A DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet—af- DIVISION OF ENVIRONMENTAL HEALTH PROPERLY ID is ON•SCIE WASTE WATER SEC ION COUNTY: SOIIJSITE EVALUATION o n}: for ON-SITE WASTEWATER SYTT(Ai JoannTQ,S{erMgh APPLICATION DATE III IS II. £}IPQ-Ol-,o16-)3041 ADDRESS: DATE EVALUATED: 3 D1 16 PROPOSED FACILITY: , BR Hp1$C PROPOSED DESIGN FLOW(.1949): SIC PROPERTY SIZE 1.612-act es LOCATION OF SITE: 1402 63 Rd, ti ckoX PROPERTY RECORDED: WATER SUPPLY: II! Private 0 Public ® Wen 0 Spring 0 Other EVALUATION METHOD: 0 Anger Boring IIJ Pit 0 Cut 1YPE OF WASTEWATER: ® Sewage 0 Industrial Prows 0 Mixed , :.:............ /Y1���y "-'" 5L1IYr.hCCS.YIY80L0 � ___ Willi�.'.:.:: :::::::�: : ::::_:: ::......_......:._. .. i: ...................._....... .............. �... �..... • 1i;;=_::::::_:::::::.:::. ::.-_::::::::c'.._...........ta9tt3p:_ !::aa::: [[:1;___::`_ ;:a:[:::[[[s::::: a'TtI3FIFsFAGLRS1:!5::::::::_::::::_:::- .... =-"=zON=;;.;,. ..........S:: RI?:,;::,:1,::::a::site_[_.- -.-;:.::--_:y;_" I:::,:;SO iljas::.- :: 3CFFL 'r'I POSIIIORC; DEP'f31. .. ,�Tg�CrU...�.ef..... �SDVSLS'><'tR.CFI? l4Ln'.F;551 SOIL. 5APki� .BE:�TIt �C�L71S5 T nnt.EEAtAGk _: COT-OR::.:. OBPY'K L*i_Alh5 _E{TA :: &TAR€ 0-9 5b11-1- -fr,ss, SPY GC/ 9-30 Wsf# U- r:ss, seep 30"+ . PS 1 ^570 30 t abk �ryi`d+ , sslserp ' SOW)) 3D — 0•)- O-I5- .SW-1-..- . . . ... I 15-47 sbk•c-L I . PS 2 30' + yellow tholiles-not tutee — 47 — — O• _ _ ehrotMa ; - arorw 3 t 4 presrvPl this pit rannal- ke Pv410.-Eea. z} affai -b Hale 6eeh ay() 4$' 1,14 Since -fhPk.i4 05 3 65 rodpfsed 1caged! in. i4 row is — . — — }wsicaly 6t :w !serA;-solid rNvd ?wit!it wMer'it °roved via4e(—no} rair Oder, 0-JO cl4 L JO-Iik wsbk CL P5 4 \pockc}s art pl•de r in — 25 31st soil i5 Very 4 ha.Jy O. DESCRIP11ON DCTIW.SYSTEM REPAR SYSTEM OTHER FACTORS(.1946): P5 SITE CLASSIFICATION(.1946): At It Scant(.194s) 13 Ps Jy� ���� EVALUATED BY:Pr\Wh Mr.3rlde- . Tps) T..Lt OTHER(S)PRESENT: • Site LIAR 0.3 0.3 COMMENTS: • SOIL/SITE EVALUATION Sheet of (Continuation Sheet) DEPARTMENT OF ENVIRONMENT PROPERTY ID#: ER PR-)3otri AND NATURAL RESOURCES DATE OF EVALUATION: DIVISION OF ENVIRONMENTAL HEALTH COUNTY: . . V . . SOIL MORIITOLOGY —011itIt. .............. 'AN (1941) iTROETUETACTORS-. HA:: ..... 1942 ::Z:1 -IANW ::1330RE-t:: SCAPE M 1941 ..1941 SOIL 1941 4956 . 3944:::::: i:ittlbra: pastnow::;inN t „. .. STRUCTURE! CUNS1STEACE, iWETNESS!: SO14 :Ii:SA.PRO iRESTIC: CLASS MINERALOGY '...COLOR' i;:ipEnaiik,,CLASS.... ::::110R/Z::: 1:::2CLEXIC: - — . , OA 5r L -Er,ss. Sexp , L 1- 3 chg. Cl- -fr...sc Sexp Ps . 5 5-!D7 3)-/15 Wsi,14- CI-wrth SAP -ir 55, sexe .......- 1-15 ...— ..-- fruoi 0-3 I 'Q-8 or L ,SS sg-Lf. sbic CL-- -G" , sexe -fiss, sex? Ps 6 . ...._ Li _ _ 0.3 , . 1 1 1 , I i _ ! COMMENTS: If. . : .. .. , .• . - , . . . _,. ., 15' 1p' •50' .© Yo 5 P� 15' © lv h0Js2 �a 30' 30 30• a s 1- (\o11o & )