HomeMy WebLinkAboutIMPV-04-2016-071062.TIF /A CATAWBA COUNTY De ' 1'- 0 Case# IMPV-04-2016-071062
®-i Public Health Department g t • - Subdivision
E �-t® Environmental Health Division _ PIN# 279008894515
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-+� PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 LOT#
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NAME ON PERMIT: DARRELL FOSTER, 5173 BETHEL CHURCH RD, HICKORY NC 28602
Site Address: 5173 BETHEL CHURCH RD, HICKORY NC 28602
Property Size: Square Feet: 285,318.00 Acres:6.55
Directions: From Hwy 127 S/left on Zion Church Rd/right on Wallace Dairy Rd/to end/go straight across Bethel Church Rd
Improvement Permit
Facility: Primary Residence
Permit Category: Expansion Bedrooms 4
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
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: 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 Rules for Sewage Treatment and Disposal Systems' (15A NCAC ISA .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 04/12/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/12/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 04/12/2016 14:16 Page 1 of 3
RBPR 03-2016-23330
5173 Bethel Church Rd, Hickory
• Do not cut, drive, fill, or grade over septic or repair areas.
• Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 ft from
building foundations and appurtenances; 10 ft from water lines; and out of right-of-ways
and easements.
• Install a 1,000 gallon septic tank and 480 linear feet of 25%reduction system; (5) 96 ft
lines on contour.
• Final grade of septic area must shed surface water off and away from system.
• This is an expansion from 3 BR to 4 BR but will utilize a new septic system since the
new addition is over the existing septic system.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of I
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION a$f - 63_�f6_ 2.-333 PROPERTY ID 41
ON-SITE WATER PROTECTION BRANCH COUNTY:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Pewee; all fields in full)
OWNER: PeweeP ±O 4' _ APPLICATION DATE
ADDRESS: 5173 TS e-I4-( OL lx . DATE EVALUATED:
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): %o PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: CYCFrivate 0 Public 0 Well 0 Spring ❑Other
EVALUATION METHOD: 0 Auger Boring Pit 0 Cut TYPE OF WASTEWATER: 581 Sewage 0 Industrial Process 0 Mixed
P
R SOIL MORPHOLOGY OTHER
0
P (.1941) PROFILE FACTORS
1 .1940
LANDSCAPE HORIZON
POSITION/ DEPTH .1942 PROFILE
tt . SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE! WETNESS! SOIL SAPRO RESTER <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
D -/e/ Sit a- vFf PS
LS tY- zS sat c r sr ev4- 47,2,t N 4/4-
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4
DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Space(.1945) Ql /), SITE CLASSIFICATION(.1948): / )
System Type(s) 2/5t. ecti ZJt EVALUATED BY:
7? OTHER(S)PRESENT:
Site LTAR 0. t5 0. 2S
COMMENTS:
Updated February 2014
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Catawba County Environmental Health
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Parcel: 279008894515, 5173 BETHEL CHURCH tin=100ft
RD HICKORY, 28602
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Copyright 2014 Catawba County NC
04/12/2016