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Home My WebLink AboutIMPV-06-2016-073926.TIF Ax/-% • CATAWBA COUNTY Case# .v Al $ 2 Public Health Department Subdivision 4 w.�4s 1/4.,,H Environmental Health Division PIN# 372518227484 • PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 LO T# 18.2 w NAME ON PERMIT: FRYING PAN LLC, 612 3RD AV NE, HICKORY NC 28601 Site Address: 4820 16TH ST DR NE, HICKORY NC 28601 Property Size: Square Feet: 504,424.80 Acres:11.58 Directions: Hwy 127 North Left on Cloninger Rd Left on 16th Street Dr property on Right one mile 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. As the property owner or authorized representative. I have received the above referenced permit(s) as requested in the application for service RBPR-01-2016-23046 by the following method(s): Received in Person Facsimile 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: 06/27/2016 Owner/Authorized Representative Signature >Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit trans pitted by X11 1,iini 1. ';1�1V (name of person sending permit) Signature ►C ,�. - - / I Date/Time COf�,lJI( o �� Method: Fax v/ Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature —w @D cann We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpenuit 06/27/2016 10:27 Page 4 of �A CATAWBA COUNTY 0 Mir". .". '1%41; 0 Case# IMPV-06-20 1 6-0 73 926 .7 L, Public Health Department `1 iSP Subdivision G W®1 ,-4 Environmental Health Division r PINE 372518227484 'Wb y PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 � r TOM/84'L dpi Ai yi NAME ON PERMIT: FRYING PAN LLC, 612 3RD AV NE, HICKORY NC 28601 Site Address: 4820 16TH ST DR NE, HICKORY NC 28601 Property Size: Square Feet:504,424.80 Acres:11.58 Directions: Hwy 127 North Left on Cloninger Rd Left on 16th Street Dr property on Right one mile Improvement Permit Facility: Accessory Structure - Barn Permit Category: New Septic Bedrooms 0 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 100 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 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 I3uilding 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 Mr Sewage Treatment and Disposal Systems' (I5A NCAC I8A .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. Robbie Phelps 06/27/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/25/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 06/27/2016 10:28 Page 1 of 3 Ca re;vt' .- ' Count; -a J aC (1i` ; lf3! Health A vt1- 6 -200- 073927 „-r, ite i l' M1 p a V F� \'I , : ..- ....--..— .-.. . . '" Swyl i , ___..._.\ ,\ ., ,::: --- . f • �n r e / 1 0 T • I _, no . . • FTh S• • Ne �/ • I i / � f r : Parcel: 372518227484, 4820 16TH ST DR NE 1in=100ft 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 personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity 2014 Catawba County NC 02/23/2016 Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: ' SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: 23046 Owner: Frying Pan LLC Applicant: Address: 4820 16th St Dr NE Date Evaluated: 2/9/2016 Proposed Facility: Barn with bathroom Design Flow(.1949) 240 Property Size: Location of Site: Property Recorded: Water Supply: [ ]Public [ ]Individual [x]Well [ ]Spring [ ]Other Evaluation Method: [ ]Auger Boring [x]Pit [ ]Cut Type of Wastewater: [x ]Sewage [ )Industrial Process [ ]Mixed P i J' �.,-ia fl #. egl '6 a i f xot u # x.-111 ,,1 ,"a:.' � n ya r #5 s aye v . t 4 a tai 'Ei a 3^� z {'s h Hx t u - f1 f3+ t !TV- I'd r"S m!`. 1 0- "dS ;:r it4 ;,a4 'i r n Id' #.! l 05.- .' tSbr ,��aP PTO t.IoG 111th tll i i '` Yo:+ 1� I ,, m.I t�1 i } ' ` , ° e a' Oi r ,Ip _ i ^ .? en MORPHOLOGY 1114 a !rg . e ,,,,ttF-1 r'rnri-74 ,r,. - rl E 9. , ` i . 1- � o r (g "y. w-4.� ^ *"fl s 3 i p � ��f. 7 r 0`$ 1 4 .a b ` +v Ku`4`r ,5� rr$u,.d,�, 4— 4 3s, F1 d U `,w N r� ffi �.,t.. „�I 19at ` - , � 3'1t�hl1� 1 ta- kr'rra.,9 PROFILE FACTORS, .t. .,.,3firk, S ..aa an Ir arA1940t t'Po, iY " °ih'MI �tI t�f 4k j emu.. :if::s Lands`capeq�-F Horip !a'A.1941: , '� 1941 t k'.a �t?if" s Soil °."iaisti az,�.k1943 r 11 195664 1944,46 r Profile 'El,a`�a ",�PP�,ositioril ,g Depth Structure/ 40.: Consistence '. 3 r ''; ,Wetness/ -,cx Soil r,,Sapros !dRestr�� a ,§,.s {1n - 7 a `; o @ ,� �c b^�t#d a !v t.F� d� v for a3 �kax .P t li.Cl S J t tr. '"yttrt #, „s"1� s?Slope%,� 1_.(INi) .� ,u2;aTexture��.;�1`�7glMineralogy^;=�;7 �,g;°;,„-,,,Color,�r>1€�,k.U.�-E, as4t H4rzl.,f _ &LTARtii,F` 1 ns,10% 0-24 fill 24-48 Rock 0 u 2 ss,15% 0-3 L fr 3-20 c,sbk fr,ss,sp 20-35 cl,wsbk+sap fr,ss,sp 35-49 c/sap,wsbk fr,ss,sp 49 0275 3 ss, 15% 0-5 L fr 5-19 c,sbk fr,ss,sp 19-32 cl+sap<40% fr,ss,sp 32-49 cl+sap40% fr 49 0.275 4 ss,15% 0-17 c,sbk fr,ss,sp 17-34 cl,wsbk fr,ss,sp 34-40 cl+sap,wsbk fr,ss,sp 40-48 sap fr 40 0.275 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) s s Soil Evaluation By: Robbie Phelps System Type(s) 25% 25% Others Present: Site LTAR 0.275 0.275 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: FILE#. Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky Fl-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations