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HomeMy WebLinkAboutIMPV-05-2016-071858.TIF , \ CATAWBA COUNTY Case# IMPV-05-2016-071858 IL an It Public Health Department Subdivision BAKERSVIEW MEADOWS l5 ' Environmental Health Division PIN# 279009172267 t�.. PO Box 389. 100-A Southwest I3Ivd.Newton. NC 28658 LOT# 2 /• 2 ,. • NAME ON PERMIT: PETRICA (PETE) STOIAN, 1437 SWEETBRIAR LN, HICKORY NC 28602 Site Address: 5885 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 X I certify that 1 am the owner or authorized agent (owner's authorization required) representing the owner of the / 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-03-2016-23492 by the following method(s): Received in Person Eacsimile Transmittal (Return form with signature required) lectronic 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) C . Permit tran milted by 'i�,ai10 ta_ SIR (name of person ,vending permit) Signature _ let___ ,, Alt� 1I. Date/Time//cD/J (o(D 1O, Method: Fax ;mail US Mail Other 0 vne 's r uest to send b ' the above indicated metho oft ansmittal in lieu of signature i(` rtQOL e( l'J>�t . i1�Gi � 'YL We want to hear from you. Please take a few moents to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService eliperm it 05/04/2016 09:59 Page 3 of 3 Case k 43 A CATAWBA COUNTY D: , D IMPV-05-2016-071858 " �� Public Health Department r' Subdivision BAKERSVIEW MEADOWS 4 „—�-�t Environmental Health Division �: ..•• • PIN# 279009172267 \1110` I O Box 389. 100-A Southwest Blvd,Newton, NC 28658 -i ce LO'I# 2 4%�" +S'r r - ~ ' ccrc GY DI . . NAME ON PERMIT: PETRICA (PETE) STOIAN, 1437 SWEETBRIAR LN, HICKORY NC 28602 Site Address: 5885 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: 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 Rules for Sewax+e Treatment and Disposes!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 DAD] 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. ehperntit 05/04/2016 09:59 Page 1 of 3 EHPR 03-2016-23492 5885 PINEWINDS DR, HICKORY • Do not cut, drive, fill,or grade over septic or repair areas. • This permit is not intended for septic installation purposes. Zs 9 " f P ^oi �S \4 MS— r O .1 �.O-IC,T� j v, f f• J° 1 DEPARTMENT OF HEALTH AND HUMAN SERVICES Plaf 63- 2o(t- 23 c/ci Z Sheet I off DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 4: ON-SITE WATER PROTECTION BRANCH COUNTY: CL(, t SOILISTTE EVALUATION for ON-SITE WASTEWATER SYSTEM /� (Complete all fields in full) OWNER: N`tt7 f«sue 4 _ APPLICATION DATE ADDRESS: DATE EVALUATED: V ( PROPOSED FACILITY: 360 PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: r LOCATION OF SITE: SYPS P'-° ..' t 0 PROPERTY RECORDED: WATER SUPPLY: ❑Private )3-Public ❑Well 0 Spring ❑Other EVALUATION METHOD: ❑Auiper Boring SPit ❑Cut TYPE OF WASTEWATER: L1 ewage 0 Industrial Process ❑Mixed P R SOIL MORPHOLOGY • OTHER 0 P (.1940 PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION/ DEPTH .1942 PROFILE it SLOPE% (IN.) .1941 .1941 SOIL .1943 ,1956 .1944 CLASS STRUCTURE/ CONSISTENCE! WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ o-S '-56k scc Ft Se" /1lk nS LS 9 -ry sot c r! _ft— 48 ,v ,4- 1 ©. 2-7r A ( -3o ,t,tr c A s e y u ��y.. ,l.•t,-le, 3x-41 w56t Cc_ f _Se o -!L GI_ SC ft se PS ,b6rr_ cr_ Fr rt1 A- L( Z N4 0,3 i2- S 2 s,G 2 -92 S&L_ I�SC o- (( Cc St Fit- 6L — .vim p D I(-LI Stk. Sc.L F-4 SE )(/AA LS 3 21 -31 s6k. c ( st Y_tt. L Ai 21 ° •Zzr zL 31 - 9L "sbk SLL Ft sc ' I 0-I4 Ck Sc _ H SEA NT ns LS (4 -4j S&L L ! SE �yen.� 'Io Nh . ^i 4 ~ Z o . 7r 5% DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) (S /5 SITE CLASSIFICATION(.1948): Ps Y // 1 Type(s) 2S•� A 1 L n , EVALUATED BY: S'c,—, f^'� System T Ke. Ka' OTHER(S)PRESENT: Site LTAR be 275 D, 276--- COMMENTS: •