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HomeMy WebLinkAboutIMPV-06-2016-073277.TIF �' CATAWBACOUNTY Case# IMPV-06-2016-073277 ,Crs ny Public Health Department Subdivision CLEARVIEW ACRES PL 9- a 1.m...,, . ., 4 Environmental Health Division PIN# 372306382743 � �t4 ` PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 17-20 \1842/:. NAME ON PERMIT: YARENIS ANGLIN, 1425 20TH AV NE, HICKORY NC 28601 Site Address: 2604 23RD AV PL NE, HICKORY NC 28601 Property Size: Square Feet:61,855.20 Acres:1.42 Directions: 140 West, Right on McDonald Parkway SE, Right on Springs Rd NE, Left on 28th St NE, Left on 23rd Ave Ct NE, Lot 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 \ / property described above. VL As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-03-2016-23339 by the following method(s): / v_ in Received in Person Facsimile Transmittal (Return form with signature required) ikli _ 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: 06/08/2016 Owner/Authorized Representative Signature 7Z ! s12, CATAWBA COUNTY 0 'o'r-1' a Case# IMPV-06-2016-073277 Q' •' Public Health Department Subdivision CLEARVIEW ACRES PL 9-• Q " Environmental Health Division PIN# 372306382743 ig`• PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 . LOT# 17-20 18.2 s. I 11190 XIS CI El I .. NAME ON PERMIT: YARENIS ANGLIN, 1425 20TH AV NE, HICKORY NC 28601 Site Address: 2604 23RD AV PL NE, HICKORY NC 28601 Property Size: Square Feet:61,855.20 Acres:1.42 Directions: 140 West, Right on McDonald Parkway SE, Right on Springs Rd NE, Left on 28th St NE, Left on 23rd Ave Ct NE, Lot 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: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP 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 Count}'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 06/08/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/08/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpermit 06/09/2016 11:02 Page 1 of 3 EHPR 03-2016-23339 2604 23`d Ave PINE, Hickory • Do not cut, drive, fill, or grade over septic or repair areas. • This is an improvement permit only and is not intended for septic installation purposes. • A surface diversion will be required above the system to divert surface water away from the system area. pu„ttl P41e 790 e9L;.'& J' J Lel �G [. S�sli .l yo'xS9' joy' Pu.• ad bo' FNLLx Petker-1-4 Doe lo' fr 32_91 , G rccl( \ . Zof ' A /I\ I LO Al DEPARTMENT OF HEALTH AND HUMAN SERVICES �'w of- 204 _ Z,35.5. 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 Cull) OWNER: 70ie.i,s /4-^� ic>, _ APPLICATION DATE DATE EVALUATED: I`, —s,4 PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): 3G-o PROPERTY SIZE: LOCATION OF SITE: 280q 2.I'° Aua f°( /1/(y PROPERTY RECORDED: WATER SUPPLY: 0 Private [Public 0 Well 0 Spring U Other EVALUATION METHOD: 0 Auger Boring 5Pit U Cut TYPE OF WASTEWATER: ,'Sewage U Industrial Process 0 Mixed P R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON POSITION/ DEPTH .1942 PROFILE 4 SLOPE% (N) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SA PRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 0-lb u/t6(c SCL Fj Se- e' ' 2511 g-5 LS /a- 2y St C .Icr S ) 444- ✓13 1 S�� 2- (-35 ✓,c4(c CL ft(- 56 areg.-. .—t/( ©`Z� 3> SD USttc CC fr <SC At„/ Yb w tr.:- 0— G %'54k Scc `/ -sr 4 /6" ') (S 6 .- /4 S3(c C ite— ( � nlA- L-61) 2 51; G6 -c(V wt 4 s:,! oy4 72. "Ix b—(O UVC CC ftC_IC 101' 5 (o--Lit all F/ sr c•toy,2. .7/ Lig Ned- AM- UPO 3 5'14 0 ,70 sg±. cc Fe fcr 2,3 16-23 Stile eI- secs D-1g, Nut' Nvf 4 SSG 23 - Yh "ask_ scL fr sV a� M, �� DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946): Available Space(.1945) 15 e) SITE CLASSIFICATION(.1948): P5 System Type(s) 2-St(7 I 'I"'7,, p p,.f' 0,,B EVALUATED BY: �y`'� L OTHER(S)PRESENT: SiteLTAR O 17S D, 1 COMMENTS: SOIL/SITE EVALUATION Sheet - of z (Continuation Sheet-Complete all field in jd1) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: DIVISION OF PUBLIC HEALTH 7 33 3/ DATE OF EVALUATION: ENVIRONMENTAL HEALTH SECTION COUNTY: ON-SITE WATER PROTECTION BRANCH p • . p . P SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS 1 .1940 1, LANDSCAPE .1942 E POSITION/ O O1ZI '/, .1941 .1941 SOIL .1943 .1956 .1944 PROFILE to SLOPE% STRUCTURE/ CONSISTENCE! WETNESS/ SOIL SAPRO RESTR CLASS DEPTH TEXTURE MINERALOGY COLOR (IN.) DEPTD CLASS HOFZ17. &LTAR D—(S— S/3(L SLL 1-7/-16- A/4 pf/4-- PS LS 11--31- Wk Sic t9 Sc-' LEIS 'v71- v.7-71. C (D 3/_ L/f w{(-6 i' CCL fpe sr e-}telh_r I I o' S "S6,E SLL 5e sec- a),F IC P.S. I S R- 2-3 5�5k c_ fie scr tie �4- /1 D .Z7r `P r3a4 &3- I i"!S/f�' CL w. 2-3- SC rt(6-u brace 3T-Li? sa,- C- f7 SL" I 9 COMMENTS: 6_---if(L o3 - 20 /E- 23335 Catawba County Environmental Health pa-/Q«A-7 '� i ' � _i ;° east _"1 �= _ __ - - '-- 239 8� ' �`�- z i M 23RD AV Pt. NE,.,` �` '-- z., �� ,---7 Aim— \I NN x-' ' in` c I 100-08 . \ - 1, : 200 Z�. X092--.,`1 r 947\ I �"---�3L'i s I i I ss' - L rod, � I --�; -�t — 108 . _ Illielllik &a 1 ( ) ,f- I - '`'7086 l NN "I ` � $9 1 _ ON it I p \ T c 1 0& NI 9 {o \j ti3 ~ jp 4 \ I `7022 1 II \ I I i , i ..) 1 kai0 I I i 1 3S. !��»�c I 66 .8.----I I a r- _— i I I H. 228.6 I I i 7-- ------I t c I 20/.6 ________ r _ t 244.5,!---�_ f - � _. _ — — _ C - l /) I\\I \ 1.. _i ( Parcel: 372306382743, 2604 23RD AV PL NE 1 in=60ft HICKORY, 28601 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