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�A CATAWBA COUNTY p • .1„-o•' p' 0 case# IMPV-05-2016-071849
RG} Public Health Department vigor Se . Subdivision
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Environmental Health Division ,` r PIN# 268901469961
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 � ' LOT# 2
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NAME ON PERMIT: LOUISE HUFFMAN, 6760 GREEDY HWY, HICKORY NC 28602
Site Address: 1557 GRAND OAKS LN, HICKORY NC 28602
Property Size: Square Feet: 130,680.00 Acres:3.00
Directions: Hwy 127 South, Greedy Hwy, Right onto Grand Oaks Lane, 2 vacant lots on Left
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 3
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 360 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
PUMP *MAY BE* REQUIRED
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: DRIP IRRIGATION
Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
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 05/02/2016
AUTHORIZED STATE AGENT APPROVAL DALE
Permit Expiration Date: 04/30/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
chpermit 05/03/2016 15:07 Page of3
EHPR 03-2016-23303
1557 GRAND OAKS LN,HICKORY
• Do not cut, drive, fill,or grade over septic or repair areas.
• This permit is not intended for septic installation purposes.
• Proposed subdivision. Lot lines shown are proposed and are marked in the field. Lot
must be recorded prior to issuance of AC.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION L- -(4 6 3 -2°I4— 2-3 3 c2 PROPERTY ID i Sheet of
ON-SITE WATER PROTECTION BRANCH
SOIL/SITE EVALUATION COUNTY: 6-4....4„,
for ON-SITE WASTEWATER SYSTEM
�1 n p (Complete all fields in full)
OWNER: I-4'‘4< /ikc�--. _ APPLICATION DATE
ADDRESS: y/
DATE EVA
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZELUATED: 7 �'
LOCATION OF SITE: 4F2 PROPERTY RECORDED:
WATER SUPPLY: ❑Private ❑Public [Well ❑Spring ❑Other
EVALUATION METHOD: ❑Auer Boring Wi Rit ❑Cut TYPE OF WASTEWATER: flsewage ❑Industrial Process ❑Mixed
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0 SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
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POSITION/ DEPTH
.1942 PROFILE
a 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) 1' c Pf' SITE CLASSIFICATION(.1948): is
System Type(s) al hi Jolt( EVALUATED BY: g'Y,_
OTHER(S)PRESENT:
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