HomeMy WebLinkAboutIMPV-05-2016-072505.TIF :•r_
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NAME ON PERMIT: ANA FILIPAS, 1618 MEDISON, HOLLYWOOD FL 33020
Site Address: 1234 SAIN RD, HICKORY NC 28602
Property Size: Square Feet:91,911.60 Acres:2.11
Directions: 127 South left Bethel Church RD, Right on Sain Rd, property on left
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic 13edrooms 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
Permit Conditions:
------------ ---------
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
PUMP *MAY BE* 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 Rides for Seuvi2e 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 05/18/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 05/18/2021
No grading or construction activity is al/owed in areas designated for system and repair without approval of the Health Department.
chpenuit 05/23/2016 10:37 Page 1 of3
RBPR 04-2016-23634
1234 SAIN RD, HICKORY
• Do not cut, drive, fill, or grade over septic or repair areas.
• This permit is not intended for septic installation purposes.
• Issuance of A/C is on hold per contractor, while owner determines final house location.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES o m DY- 20(6- 23 3c j Sheet / of
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 full)
OWNER: !l x c r'Ielrs _ APPLICATION DATE
ADDRESS: DATE EVALUATED: V2-7
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE:
LOCATION OF SITE: /2,3 C( 5e.,., /C`1 PROPERTY RECORDED:
WATER SUPPLY: ❑Private ❑Public )Well ❑Spring ❑Other
EVALUATION METHOD: ❑Auger Boring J$Pit CI Cut TYPE OF WASTEWATER: Sewage ❑Industrial Process ❑Mixed
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0 SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
I .1940
E LANDSCAPE HORIZON
POSITION/ DEPTH .1942 PROFILE
to SLOPE% ON .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTA <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Space(.1945)
Ps �� SITE CLASSIFICATION(.1948): (5
® � EVALUATED BY: S/ -.
System Type(s) 2•-_s-Z. 4 2ff 't OTHER(S)PRESENT:
Site LTAR 0 3 of
COMMENTS:
DEPARTMENT OF HEALTH AND HUMAN SERVICES Oa' IX/- 2,)l6 - 2363! sheet r of f
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION 1 PROPERTY ID#:
ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
d 7 (Complete all fields in full)
OWNER: /i.0 1 'I'/(15 APPLICATION DATE
ADDRESS: DATE EVALUATED: &/z7
PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE:
LOCATION OF SITE: /23 Y Sc.'-, /C`d PROPERTY RECORDED:
WATER SUPPLY: 0 Private 0 Public .Well 0 Spring 0 Other
EVALUATION METH•OD: 0 AuP;er Boring gPit 0 Cut TYPE OF WASTEWATER: ,Sewage 0 Industrial Process 0 Mixed
• •
P
o SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
I .1940
E LANDSCAPE HORIZON
POSITION/ DEPTH PROFILE
SLOPE% (IN.) .1942
ii
.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):
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Available Space(.1945) I'S J
EVALUATED BY: -,« 4
System Types) Z,f'G ZS'� OTHER(S)PRESENT:
Site LTAR 0 3' D.J
COMMENTS:
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Catawba County Environmental Health
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Parcel: 370013231531, 1234 SAIN RD 1in=100ft
HICKORY, 28602
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