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Home My WebLink AboutIMPV-05-2016-071857.TIF ,,A • CATAWBA COUNTY Case# IMPV-05-2016-071857 z, Public Health Department Subdivision BAKERSVIEW MEADOWS � ) Environmental Health Division PIN# 279009173350 1 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1 /g.2 s. ; NAME ON PERMIT: PETRICA (PETE) STOIAN, 1437 SWEETBRIAR LN, HICKORY NC 28602 Site Address: 5877 PINEWINDS DR, HICKORY NC 28602 Property Size: Square Feet:22,215.60 Acres:0.51 Directions: South on 127 Hwy, Right onto Pinewinds Dr, Property is on the left. Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the X 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-03-2016-23491 by the following method(s): Received in Person F csimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) 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: 05/02/2016 —_ Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) e Permit transmit ed by , $a - II 1 . 1 name of person sending permit) Signature �� I I t t Date/Time — .. 1 fie 10:a- Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature — SAldricea tGi'thai Lcoo We want to hear from you. Please take a few oments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpennit 05/04/2016 09:53 Page 3 of 3 r, �A • CATAWBA COUNTY 0 - E Case# IMPV-05-2016-071857 G Public Health Department Subdivision BAKERS VIEW MEADOWS < y H Environmental Health Division �+ ` . PIN# 279009173350 4� /y PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 r il0 h LOT# 1 /842 w { cle 0 0 NAME ON PERMIT: PETRICA (PETE) STOIAN, 1437 SWEETBRIAR LN, HICKORY NC 28602 Site Address: 5877 PINEWINDS DR, HICKORY NC 28602 Property Size: Square Feet:22,215.60 Acres:0.51 Directions: South on 127 Hwy, Right onto Pinewinds Dr, Property is on the left. Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Public Water 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 Permit Conditions: Surface water diversion will need to be placed along the eastern property line with Recreation Club Rd REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IIIE- PPBPS GRAVITY DOSED SYSTEM 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 Ru/es 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 DATE 04/30/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 05/04/2016 09:53 Page 1 of3 EHPR 03-2016-23491 5877 PINEWINDS DR, HICKORY • Do not cut, drive, fill, or grade over septic or repair areas. • This permit is not intended for septic installation purposes. • Surface water diversion will be required to be placed along the eastern property line with Recreation Club Rd(Right-of-way) above the proposed septic area. 9r Ipv N \ S o I\ EtauX 7° bs \ c s S T ,rp N - er \ c N \n \ , J1 N o { c `- V, r g �y_ \ N N �i i1 6 r z F Y es \1 \1 sus. wtkr a\x s,, ` ■ 0.1.-$ Pr.P—" I7nc \ 0,0` t, DEPARTMENT OF HEALTH AND HUMAN SERVICES 41,e 03_ 2416- 2-3 cf 9 / Sheet 1 of 1 DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba_ SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in fall) OWNER: eth.✓ciitw AS`-4 APPLICATION DATE ADDRESS: DATE EVALUATED: Vc PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): Ica PROPERTY SIZE: LOCATION OF SITE: 5977 (G.,L%-4 s Q,r PROPERTY RECORDED: WATER SUPPLY: 0 Private NPublic D Well 0 Spring D Other EVALUATION METHOD: 0 Auper Boring .Pit 0 Cut TYPE OF WASTEWATER: Sewage ❑Industrial Process 0 Mixed P R SOIL MORPHOLOGY OTHER , 0 F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON POSITION/ DEPTH 1942 PROFILE ii SLOPE% ON-) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE] CONSISTENCE] WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ o-IY Gr Sc _ frc Se` P1 p Ii(_ 30 `SKIT Su _ /-e S e" YV? L" z N fr /14 1 �� 2 -4t S6L ct.. Fe S6 I o -7 wSM. Su_ ht Se" _ L5 7-Lam{ s5k- C Fe Se Z(Z J /1 N� /f �� 2 2 + Liz -sit e r,t se o, 3 o-(q 's56L St-L_ Pt Sc /■ /C- (S f$- 3c S&L C- 3‘ _ FC Sc a y<u_ / Ll y✓ 3 'iz S6(c Se a' � 2 0 . z7S ;DC v-ab 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) (S , OC SITE CLASSIFICATION(.1948): / f / J EVALUATED BY:System Type(s) Z5 �� S�•6 �<r1 OTHER(S)PRESENT: Site LTAR D 2.'7'- O, 'y 7 t COMMENTS: . on. 05- lo lb - 7-311 2 •er 1- e_0.cr-h 11 ei-f(4 o a- •2.3 cff( 4.f- Z.. Catawba County Environmental Health Aa-, ., \ ,i \\ % \ as_ cy3 \we S . , \ . ella \ ' '4411t4.■ 25°- • , \ . , , ..- _ ._ __ _ - _ sot, sus cv . _ .__ . , . \ 1000\tigicsiik.000 0 _ , . . , . _ 11111Irogo -441111%mtik \ ._ 1111 .tr ..- --- --- a q .17 )1317 — ICA t"t" - t r03 ia - - -- 'lk .4 s.,..,..... .1„, .... -, Nis atoo-,, ,,,.; 4_ez --A --,,,- - -/4 n ..., , . ° - 84- -- WA -4 ,..HS ', 1111 all:v.,- ; qt.o .1 Olhoo- • __ ._ ___ — -- - _. 11\-- Voo _ ..„ ,, _ ., - _ .. ------NN Parcel: 279009173350, 5877 PINEWINDS DR 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