HomeMy WebLinkAboutIMPV-04-2016-071016.TIF g CATAWBA COUNTY ' 'rte b Case# IMPV-04-2016-071016
/�'_" Public Health Department r� It Subdivision
* 277002869212
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NAME ON PERMIT: ROBERT PRYSTUP III, 2266 FD RD, VALE NC 28168
Site Address: 3561 OLD SHELBY RD, HICKORY NC 28602
Property Size: Square Feet:61,855.20 Acres:1.420
Directions: Hwy 10 W, right 127 N, left Greed Hwy , right Old Shelby Rd, just before intersection of George Hildebran Rd,
across from new green vinyl house
Improvement Permit
Facility: Business
Permit Category: New Septic Bedrooms
WATER SUPPLY: Public Water
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 300 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: 1110 -OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: DRIP IRRIGATION
Type: VA- SAND FILTER PRETREATMENT
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 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 04/11/2016
AUTHORIZED STAR:AGENT APPROVAL DATE
04/09/2021
Permit Expiration Date:
No grading or constriction aclinifl is allowed in areas designated for system and repair without approval of the health Department.
ehpennit 04/12/2016 I4:09 Page I of 3
EHPR 03-2016-23300
3561 Old Shelby Rd,Hickory
• Do not cut, drive, fill, or grade over septic or repair areas.
• This permit is not intended for septic installation purposes.
• Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 ft from
building foundations, grading limits, and appurtenances; 10 ft from water lines; 15 ft
from a cutbank; and out of right-of-ways and easements.
• Pit 6 is located at the back of building as it is currently laid out. The building will need to
be shifted forward so that the building and all grading is at least 5 feet away from pit 6
which would be part of the septic system.
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Parcel: 277002869212, 3561 OLD SHELBY RD 1in=60ft
HICKORY, 28602
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
04/07/2016
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet 7 of Z
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION 15 2 03_ go 16 PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH Z�-�o0 COUNTY:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
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OWNER: /V1Cr7 �'K _ APPLICATION DATE
ADDRESS: 3i, , d sir_ b , t-k ' DATE EVALUATED:
PROPOSED FACILITY: P•OPOSED DESIGN F OW(.1949): 30 o PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: 0 Private %Public 0 Well 0 Spring 0 Other
EVALUATION METHOD: 0 Auger Boring ,,@Pit 0 Cut TYPE OF WASTEWATER: 4KSewage 0 Industrial Process 0 Mixed
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P
R SOIL MORPHOLOGY
p OTHER
F (.1941) PROFILE FACTORS
1 .1940
E LANDSCAPE HORIZON
POSITION/ DEPTH 1942 PROFILE
p . SLOPE% (IN•) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE /MINERALOGY COLOR DEPTH CLASS HORIZ
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Space(.1945) PS (' SITE CLASSIFICATION(.1948): p Q�
�/ � J EVALUATED BY: S{`^'� f�'E-t
SystemType(s) 2�G Own �'tQ OTHER(S)PRESENT:
Site LTAR p, 1-" 0,
COMMENTS:
Updated February 2014
.. . ... -
SOIL/SITE EVALUATION Sheet_2-of Z
(Continuation Sheet-Complete all field in full) PROPERTY ID#:
DEPARTMENT OF HEALTH AND HUMAN SERVICES DATE OF EVALUATION:
DIVISION OF PUBLIC HEALTH COUNTY:
ENVIRONMENTAL HEALTH SECTION 1 0j-29(6 - 2-33 o0
ON-SITE WATER PROTECTION BRANCH
•
R SOIL MORPHOLOGY OTHER
(.1941) PROFILE FACTORS
1 .1940.
E LANDSCAPE HORIZ .1941 .1941 SOIL . .1943 .1956 .1944 PROFILE
POSITION/ ON SAPRO RESTR CLASS
# SLOPE% STRUCTURE/ CONSISTENCE/ WETNESS/ - - SOIL
DEPTH TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ <AR
ON-)
0_ q V Std 1, - 5 C 3j4 7�ro n./4-
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COMMENTS:
Updated February 2014