Loading...
HomeMy WebLinkAboutEHPR-04-2016-23646 (2).TIF ySY'A C G THIS IS NOT A PERMIT Case # EHPR-04-2016-23646 CATAWBA COUNTY HEALTH DEPARTMENT El +CI D o v k '!,,t 'C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �' �.. rt t 1842 5M Environmental Health Plan Review - Septic Malfunction '0' po AUTH CONST - SEPTIC MALFUNCTION • - ° El ,°. till 1cU - )1.1,1I/76 Owner GEORGE HARRIS DISTRIBUTORS, INC. (GEORGE), PO BOX 216, HICKORY NC 28603 H:8283240665 HOME:8283240665 NAME TO APPEAR ON PERMIT George Harris Distributors, Inc. (George) SITE ADDRESS: 4887 COUNTY HOME R I I R I2)CONOVER NC 28613 PIN # 373417203470 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 169,884.00 Acres 3.9 DIRECTIONS: County Home Road, On Left just before Springs Road, Cross Town Apartments. 2ndbuilding on Left. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: Water is on the ground.* 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: MULTI-FAMILY RESIDENCE FACILITY TYPE: Multiple Family Residence OTHER DESCRIPTION: DESCRIPTION OF Apartment EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 100x20 NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 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 correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 F9-eliapplication 05/16/2016 10:13 Page 1 of 7 • 4v, _ • CATAWBA COUNTY Case# EHPR-04-2016-23646 i� 14'9� G Public Health Department Subdivision 4 *Tel Environmental Health Division PIN# 373417203470 PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 fH-2 ,w NAME ON PERMIT: GEORGE HARRIS DISTRIBUTORS, INC. ( GEORGE), PO BOX 216, HICKORY NC 28603 George Harris Distributors, Inc. ( George ) Site Address: 4887 COUNTY HOME RD I I & 12. CONOVER NC 28613 Property Size: Square Feet 169,884.00 Acres 3.9 Directions: County Home Road, On Left just before Springs Road, Cross Town Apartments. 2nd building on Left. �IIlcII M �ivlili&lIll �pP,i11 tj"lIit�, qn,n�ad( sji A 1; irmimllm 77i 6i1''��rt 1'ruil'J #t itf1I�1 i ' I. DATE � � i(1�IIFEEAMOUNTjj Authorization to Construct(Repair) Fee 04/13/2016 $450.00 ���.... j�l',. '�TOTA> !F>�;>re�Nl�ihl�1i :'< 4� l llilhlhilih�lil��ili�f�ll�lll�Il��t Illillill!iililll�!ill'�� ;M�$aso 0010 I( t1- til..%.. — Jt1 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) E9-ehappl ication 05/16/2016 10:13 Page 2 of 7 SBA • THIS IS NOT A PERMIT Case # EHPR-04-2016-23646 Q CATAWBA COUNTY HEALTH DEPARTMENT D_aV D �,,• PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES I 1842 sM Environmental Health Plan Review - Septic Malfunction •i(4" . . • AUTH_CONST- SEPTIC_MALFUNCTION . Owner GEORGE HARRIS DISTRIBUTORS, INC. (GEORGE), PO BOX 216, HICKORY NC 28603 H:8283240665 HOME:8283240665 NAME TO APPEAR ON PERMIT George Harris Distributors, Inc. (George) SITE ADDRESS: 4887 COUNTY HOME RD II, CONOVER NC 28613 PIN # 373417203470 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 169,884.00 Acres 3.9 DIRECTIONS: County Home Road, On Left just before Springs Road, Cross Town Apartments. 3rd building on Left. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: Water is on the ground.* 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: MULTI-FAMILY RESIDENCE FACILITY TYPE: Multiple Family Residence OTHER DESCRIPTION: DESCRIPTION OF Apartment EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 100x20 NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 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 correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules, I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessble that a complet"site evaluation can be performed. Date: ' 013 /16 Signature of Applicant or Agent ,�,� c+>+--%) An Environmental Health Specialist will contact you within working days f application date. If you need further information or assistance please call 828-466-7291 AREA2 E9-chappl lcai ion 04/13/2016 13:39 Page 1 of 7 Ce CATAWBA COUNTY Case# EHPR-04-2016-23646 .Q t'a,'9 G� Public Health Department Subdivision 6 E� z Environmental Health Division PIN# 373417203470 PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 18.2 su NAME ON PERMIT: GEORGE HARRIS DISTRIBUTORS, INC. (GEORGE), PO BOX 216, HICKORY NC 28603 George Harris Distributors, Inc. ( George ) Site Address: 4887 COUNTY HOME RD II, CONOVER NC 28613 Property Size: Square Feet 169,884.00 Acres 3'9 Directions: County Home Road, On Left just before Springs Road, Cross Town Apartments. 3rd building on Left. FEFNAMEs f h a`ys � / OATFa tz ]FEE AMOUNT ij Authorization to Construct(Repair) Fee 04/13/2016 $450.00 `,21 ,,sAn «41,+a G.c...,i'#E3t a', ;1 ;....,v_.._ "Ze..:« dkla..a".r>30,:z23'F5'air ?.ybe,_,.23 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) E9-ehapplleal ion 04/13/2016 1139 Page 2 of 7 CATAWBA THIS IS NOT A PERMIT COUNTY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit U Authorization to Construct n Septic Repair n Septic Malfunction Septic Expansion n New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair n Existing System Inspection (Pre-Approval Required) n Application is for New Construction n Existing Facility T�CI Property Address 111)3' 7 C DU s±. Norm f c) Subdivision T� ifGoNo✓er, N C i 7-$613 Lot# Acres Section/Block/Phase '/ Driving Directions to Property (Je. z r 5pr; nyp $4, /-1,,,k,,_1 , N •G , z86D/ NAME TO APPEAR ON PERMIT? 1/41kwner Applicant n Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information Name George 0. Hbrr , Address po nos 11A pi ,. kory, N• Ct 7• 860 Phone g 2 8- 32 N. 0 6 6 5 Cell Phone Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT?"K Owner n Applicant n Contractor Description of Existing Structures on Site 3 0 Apart rq er45 # of Bedrooms *t Structure Dimensions _ # of Occupants Basement n Yes ❑ No Basement Fixtures [ Yes n No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the propel in question. If the answer to any question is"yes", applicant must attach supporting documentation. Yes No Does the site contain any jurisdictional wetlands? Yes ❑No Does the site contain any existing wastewater systems? ❑ Yes o Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes No Is the site subject to approval by any other public agency? ❑ Yes XNo Are there any easements or right of ways on this property? Describe Existin water supply in use I I Individual Well ❑ Community Well nSemi-Public Well 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) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other Any cATA ( BA THIS IS NOT A PERMIT COUNTY .. 17 CATAWBA COUNTY HEALTH DEPARTMENT Ho na Application for Environmental Services Page 2 Proposed Facility Type n Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *t Project Description Structure Dimensions #of Occupants Basement ❑ Yes n No Basement Fixtures n Yes ❑No n Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes n No Describe Plumbing Needed Multi-Family Residence# Units_ 2- #Bedrooms per Unit*t &. Total # Bedrooms *t_ `f Structure Dimensions I 0 D ft y 2 0 f-f ❑ 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 n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well n Semi-Public Well n Community Well Abandonment Type n Drilled n Bored ❑ Dug _ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t 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. t 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 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 correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent A ewe Date `!I t 3/Ho Printed Name of Owner or Agent G e.o r l e ('J, Ha r v4 5 Catawba County Environmental Health • f 207.; .63- ( .11,11 ( to to f m 13 ( — — 04712 _ — — ( 4 — ALLEN:i:N 1 67.77 t 14249 34.75 I I, 80 I ill (185) _ o-y ° 125 142.13 I iD o49 7 10. I — _, — _. 414351. :. oa i — — _ — �_ (186) oE4 aE.22511 a ro OD;ri 0D2ID1 ..ij. LIII,'IPS. 04887 C1 c. Z. Z. (28*! _, G O 3 m , -o`4721 P1r82 084 06 a20G4 1.. 0H2 (4i 8889 "C 4'11 oJ2 8 F , 88.•a ; t� IR 44' I 90 ° 90 •r 90 Iii AI,: _ — O N q ' 1;c5 ? 'i— a 1 0 191 '2 II a4 6 TB * F3ri 2 4 a " 90 017' RAD DR 90 65 '38.4' • a Parcel: 373417203470, 4887 COUNTY HOME 1 in=100ft RD CONOVER, 28613 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 04/13/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 373417203470 Owner: GEORGE HARRIS DISTRIBUTORS INC Parcel Address: 4887 COUNTY HOME RD Owner2: null City: CONOVER, 28613 Address: PO BOX 216 LRK(REID): 52968 Address2: null Deed Book/Page: 1189/0588 City: HICKORY Subdivision: State/Zip: NC 28603-0216 Lots/Block: / Last Sale: School Information: School District: COUNTY Plat Book/Page: Legal: 4887 COUNTY HOME RD Elementary School: SNOW CREEK Middle School: ARNDT Calculated Acreage: 3.900 Tax Map: 1517 08001 High School: ST STEPHENS Township: CLINES School Map State Road #: 1484 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: ST STEPHENS Zoningl: R-20 Building(s) Value: $517,800 Zoning2: Land Value: $65,300 Zoning3: Assessed Total Value: $583,100 Zoning Overlay: Year Built/Remodeled: 1974/null Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel It: 37103734003 Building Details 2010 Census Block: 2006 WaterShed: null 2010 Census Tract: 010303 Voter Precinct: P29 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report 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 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. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=373417203470&typ=P 4/13/2016 .,ar-e-e! 9/ a 3/6-L, OPERATIONS PERMIT FOR TYPE III WASTEWATER SYSTEM PERMIT NUMBER 5840 In accordande with the provisions of Article 11 of Chapter 130A, General Statutes of North Carolina as amended, and other. applicable Laws and Rules PERMISSION IS HEREBY GRANTED TO George Barrie operation of a wastewater collection, treatment, and disposal system to serve PIN NUMBER 3734-17-20-3470 pursuant to 15 A NCAC 18A 1900 et seq and in conformity with the application., improvement permit, and other supporting data subsequently filed and approved by the Catawba County Health Department and considered. a part of this permit Facilities to be served (Address and specific _type of facility) ' " "Crosstown-.apartnients - County Home Road Hickory Type 3B The approved wastewater collection, treatment, and disposal system' consists of Ti (1) 1000 Gallon Septic tank (2) 1000 Gallon Pump Tank (3) Hydromatic OSP33 Effluent Pump (4) D-Box (5) 30X40 Bed The .owner' shall be subject to all applicable provisions of Article 11 of Chapter 130A of the General Statutes and 15A NCAC 18A 1900 et seq -The owner is especially referred to Rules 19351 (31) , 1937 (e) ; 1938 (g) , 1945 (a, b) , 1950 (a through i) , 11961 (a through d) , 1.965•, 1967, arid 1968- , The owner shall also be subject to the following specified conditions and limitations as they apply is I GENERAL CONDITIONS This permit is effective only with respect to the number and type of proposed facilities and volume and nature of wastes- specified In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Owner/Operator shall take immediate corrective actions to correct the problem, including actions as may be required -by' the Catawba County Health Dept , such as the construction of ,.or replacement of wastewater treatment or disposal facilities, upon receipt of a repair permit The, septage generated from this system shall be .disposed of in accordance with Article 9 of. Chapter 130A of the General Statutes and 15A, NCAC 133 0100 et seq and in a' manner approved by the North Carolina. Division Of Solid Waste Management The -issuance of this permit shall not relieve the Owner of the reeponeibility for damages to surface or ,groundwaters resulting from the operation of this system Neither does the issuance of this permit exempt the -Owner from complying with any and all statutes, rules, regulations, or ordinances which may be imposed by other"govrnment agencier(local-, -state, and federal) which have jurisdiction ' This permit may become suspended or revoked if the. soils fail to adequately absorb and treat the wastes or if the facilities are not 'maintained and operated as designed The system must be operated and maintained in a manner which will not create a public health hazard• or nuisance by surfacing of effluent or .discharge directly into groundwater or surface water any time during the operation of the system Adequate measures shall be taken to divert stormwater from the disposal field area and to prevent wastewater runoff Diversion or bypassing of the 'untreated wastewater from. the treatment facilities, is prohibited Prior to the transfer of this land to a new owner, a ,notice shall be -given to the new owner that gives full details about the system and the materials applied or incorporated at this site At the time of the sale of. the property a Pew Operations Permit will have' to be issued Operations permits are nontransferable . The designated repair area -shall be reserved for the installation of additional nitrification fields and. is not to 'be covered with structures or impervious materials No addition, expansion, alteration or other repairs shall be made to the Wastewater system without first obtaining an improvement permit from the Catawba County Health Dept in accordance with. GS 130A'-336 Failure to abide by the conditions and limitations contained, in this permit may subject the Owner to an enforcement action in accordance with North Carolina General Statute 130A-18 , l3OA-22C, 130A-23 , and/or 130A425 In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Owner/Operator shall contact the Catawba County Environmental Health Section of the Health Dept within 48 hrs of discovering this failure or problem A suitable cover, preferably 'fescue, shall be maintained over the drainfields ' .Grassed areas shall be kept mowed and the clippings and other debris removed as needed to prevent thatch build-up _ No traffic (including parking of 'RV' s, boats, trailers as well as other vehicles) or other equipment shall be allowed on the drainfields with the exception of mowing equipment Non-biodegradable products (plastics, metals, etc ) chemicals .(disinfectants, drain cleaners, acids, alkalies, pesticides, petroleum products, etc ) or grease shall hot be discharged into the septic system The owner shall keep the plumbing system in the facility in good repair and eliminate leaks, drips, or excess flows as they are found Use of ultra low fixtures and conservative, water use practices are recommened PERMIT ISSUED. THIS" THE ?,p DAY OF )V10. , 19cici. CATAWBA CO HEALTH DEPT 0 et ature. ENVI ONMENTAL HEALTH SECT K. R S 'e, CATAWBA COUNTY HEALTH DEPA : ENT No 5 48 4-Ad Telephone. (828)465-8270 T D (828)46 e: s.. Imp Prmt. " S Auth. to Const. Rpr Prmt. }� Opr Print. Sys Type��L � el] Prmt. Well Rpr P_rmt. Owner/Agent (Jean' P J(u,f r t s - Phone -3�-06A s . Address �,`,0t 1�5`r 5 T- kn..) 14, c c t-i Subdivision = . Section/Block/Phase Lot/ r Lot Size i Directions ( rossrov, S Ilr'1-5 (.._Qi.h-ri ?'b.Y.e fC(tc,a( Facility House Mobile Home Business Multi-family X Other Tax Map or Pin Number Other Zoning Approval N ---" 11 Bedrooms y 11 Seats if Employees Application Rate - '5 co GPD Flow 9 HotTub or Spa yes/Special Fixtures _Basement yes/to 100% Repair Area yes/re) Basement Plumbing yes/s Water Supply Private Well Public X' Semi-Public **********************************************************************+**************************************************** Type of System. Trench Bed/ Pump Pump/Panel Panel LPP Other 1 � c Septic Tank Size f"XtSr,wl Pump Tank Size -' Nitrification Field. Total Square Feet /)ts+U Depth of Stone )pv Bed Size 30',<'IC Trench Width '------ Total Length of All Trenches Number of Trenches ---- Trench Length / / / / / Feet on Center > Maximum Trench Depth -..,-‘k Distance of Nearest Well -- *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* *************************************************************************************************************k** ********** Topo - % Slope Texture _s./ Structure i r XtSTrw I . eQ ' t cre Clay Min. n] I S?M Soil Wetness L. " `� `'t r° l t•1 troll I �,.,_ Soil Depth 1 0-17. . Restric Hoz. at 1 s" t r' Available space N./no A C I'r • P-v O Overall Class S 7 U - F Comments ,z A-_.,._,,,, m u _ - S - __ _ ti yT, . G'`I Ell 5 n f` VQ 0 .fsoh2-F 141 c� `�d�_...t.,r\LO (7. " (PvwS � �' �� to **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME TillS SY` EM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked-if site plans or intended use changes for the proposed' facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid far 5-years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is-guaranteed at any site by the Health Department. _ Permit Date ZL - ) - EHS . A ,_ t 9 Owner/A}.t _-: newt. - x, Septic Tank Installe" By Exrh,s AjQcaresx Date'- .*- ,r EHS- - r FaSM. Well Installed By Well Grout Approval Date / Well Head Approva late / - Date Sample Collected Date of Results' Results EHS While-Office Blue-Building Inspection Operation Permit Yellow-Owner/Agent Green-Building Inspection Authorization to Construct p, N I_ ° ' � . 1 • )x .,::.„ . , ,, . :....._ D. „. . .,„,,, F.., . • _ ..... r,_ I -.) C h n I , �. z ° '.\/< • r y 1"t R �i . i - r .)1 i. n Rte_` __ _ ,c .. ^i r ip / I; lc, , 7-- r I lc; .C di----1 Z I I ii I -, 7 I ----1 .� � 47 cz , , L 9h . ' L i -cA, / i ;---.;..i \i, �,_ /L J/ 4----2:-. Imo, / /. l. ' � i ,. h; .. ii;::1.N D i ? I 7) C 124 I J z, �� �i, (G`j` V a i r (n h ' e \ -1 0 ' s pa CATAWI3A COUNTY Case d AUEH-8-I1-20505 Pu Dertnt :'Envblic ironHealth mental Stpaealth me Division Subdivision PO Box 389,100-A Southwest Blvd,Newton,NC 28658 Lot d 91144 373417203470 Applicant/Owner GEORGE HARRIS DISTRIBUTORS INC r Site Address: 4887 COUNTY HOME RD,Conover,NC l/ l I " I I I^II Property Size: SF 3.94 ACRES Directions: COUNTY HOME RD,ON LEFT JUST BEFORE SPRINGS RD.-CROSS TOWN APARTMENTS Authorization to Construct Permit Authorization to Construct Wastewater System(Required for Building Permit' * See she plan and number of additional attachments( J. Proposed Wastewater System: 25%REDUCTION Wastewater Flow 480 g.p.d Type: ****no system class assigned**** Q Soil LIAR: .3 g.p.d.lft2 Permit Category: Repairs Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 4 Wastewater System Requirements Tank Size: New Tank 1,000 gal Pump Tank gal Grease Trap gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: 1,200 sq ft Total Length: 400 ft Maximum Trench Depth 24 in Aggregate Depth in Trench Width 3.0 ft Minimum Soil Cover 6.0 in Minimum Trench Separation 9.0 ft on center Number of Drain Lines 8 Distribution: Serial Additional Specifications: Sleeve supply line under drive with ductile iron or equilvalent. 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. »»> DO NOT INSTALL SYSTEM UNDER WET CONDITIONS ««< Proposed Repair System Class: Proposed System: Distribution Type:: Soil LIAR: g.p.d./ft2 The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/properry owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct 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 'Lows and Rules for Sewaee Treatment and Disposal Systems' (15A NCAC 18A .t900). 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. Susan Bumgamer 08/10/2011 AUTHORIZED STA FE AGENT APPROVAL DATE Permit Expiration Date: 08/08/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 08/10/11 15:27 • i • i i. EAk VR-'l -1 L- 111 'O5 fru-n\-- S-11 - aasOS cpai 4-q bbn4t 12a 4- o D K it ` X 3 3 x so -Vice CC',\ G' Crcl P P 10 "\is f i i i ....___J ir,nn i Shcd_of_ D�ABTMFM OF ENVIRONMENT AND NATURAL RESOURCES PROPERTY She DMSION OF ENVIRONMENTAL HEALTH COUNTY: ON.SITE WASIFWAIUSECDON SOIL/SITEEVALUATION -� ' 117to5 for ON-SITE WASTEWATER c �NDESYSTEM `C APR - OWNER:DS_ DATE EVALUATED: ADDRESS- PROPOSED DESICN FLOW(.1949): . PROPERTY SLg: PROPOSED FAC'J.tTY:. PROPERTY R:CORDED: LOCATION OF SITE WATER SUPPLY: 0 Private Public 0 Well 0 Spring 0 Otber EVALUATION METHOD: 0 Auger Bating -Pit 0 Cu TYPE OF WASTEWATER: $-Sewage 0 )ndustmlPmecst 0 Mixed •. ..................:..:._._....__........._...._......_.........._ gip'— — _ —_— — — C:c_......._._..— _. .._....:.................... ::: :* i '^-Y!ii!iC!!!°:i:'::iei . ` aeon : :!_:: iiiiaa:_:-`e:=ira:::::.:::vc;:;i_:;:.ilR(I --'- -E. p4 b 2TMMC r .. 1 ::-:i';"Mi: 19dY;_e:[' titrt :5Q !;i —':::::ati�14_'`:a::_!:!:�!r: _"_:_._...:.._ :'iii Ht71� a. :! -t=.$Dtk_ :;ii�CgCk`,`�: ::: t o zpT L 5 1 p�(H RAIACi C4F pR !' eei ; : fi kcORt y iµV'Fc c)sbk (S` 1 tY 3 ls°la • . I • • �. I 2 • 3 • 4 • I pP5(,RffT1ON I ATRAI.SYSCEIL REPAIR SYSIFH S FACTORS SE'ICATION(1948): . mina*Spas(-1915) pS 1 (1,.,,J[Q,Y,.C.r. syten EVALUATED BY: S. Type@ a.Sc/o ft 0TEENS)PRESENT: • . [Site LIAR , COMMENTS: �COQ CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT ds v ) PHONE: 828.465.8399 U � �► Wednesday, April 13, 2016 \842 SM www.catawbacountync.gov PAYOR: George Harris Distributors, Inc. George Harris Distributors, Inc. PAYMENTS TRANSACTION NUMBER: TRC-654665-13-04-2016 PAYMENT DATE: 04/13/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 04-16-327191 Authorization to Construct (Repair) $450.00 Fee TOTAL PAYMENTS : $450.00 EHPR-04-2016-23646 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 4887 COUNTY HOME RD 11, CONOVER NC 28613 Owner GEORGE HARRIS DISTRIBUTORS, INC., PO BOX 216, HICKORY NC 28603 H:8283240665 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 04/13/2016 13:39 Page 1 of 1