The URL can be used to link to this page

Home My WebLink AboutIMPV-08-2016-075274.TIF `C,A CATAWBA COUNTY Case# IMPV-08-2015-075274 :X- fill's;�, Public Health Department Subdivision I0, „mss, Environmental Health Division PINI 279007586472 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 LOT# /g.2 ti, ' NAME GN PERMIT: DOLLY PARLIER, 1484 DICKINSON RD, HICKORY NC 28602-9000 Site Address: 1490 DICKINSON RD, HICKORY NC 28602 Property Size: Square Feet: 1,918,382.40 Aeres:44.04 Directions: Hwy 10 W to Hwy 127 N, right on Dickinson Rd, go to the end, singlewide on left Owner/Authorized Representative Acknowledgement of Permit Receipt certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the I e propert described above. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in he application for service RBPR-06-2016-24153 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: 08/03/2016 Owner/Authorized Representative Signature ,/ /� , " .; i Date IP 4/6e Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson sending permit) Signature Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService aim mit 08/04/2016 09'.17 �A v CATAWBA COUNTY 0 ' o'-}• 0 Case# : :: : '� 4 - o LOT# PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ,; /842 s. J': r.30. NAME ON PERMIT: DOLLY PARLIER, 1484 DICKINSON RD, HICKORY NC 28602-9000 Site Address: 1490 DICKINSON RD, HICKORY NC 28602 Property Size: Square Feet: 1,918,382.40 Acres:44.04 Directions: Hwy 10 W to Hwy 127 N, right on Dickinson Rd, go to the end, singlewide on left Improvement Permit y INlytAaLSYST]EM EXi ST" = k, Facility: Primary Residence Permit Category: Other Bedrooms 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: Type: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: Existing system is a 10'x60' bed. 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 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 08/03/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/03/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. elvermit 09/09/2016 10:00 _ u RBPR 06-2016-24153 1490 Dickinson Rd,FIickory • 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. • New 3 bedroom mobile home proposed. Will connect to existing septic system. • Existing septic system was visually functioning 7/27/2016, however no guarantee can be given as to its longevity. • New home, including decks and porches must be 5 ft from septic system and 25 ft from well. creel. JS i ' 256 Gd � k 711": 1 4o wrm1 y . bll ST 0- lettileme iosst Cod 737/ 1-LbSL I - 6,0 44A CATAyWBACOUNTY ie ti ',a . Case r/ 1MPV-08-2016-075274 ,Tau;Ea�, Public Health Department + Subdvision 6t1.] are-c1:--L 2 �a�, Environmental Health Division t`0" PO Box 389. 100-A Southwest BlvdI•1 • �. �e • PINK 279007586472 , Newton, NC 28658 � -� r LOT# 1842 ,� . t -'t rr:•.ti ? tica ri • Bar • .a+. NAME ON PERMIT: DOLLY PARLIER, 1484 DICKINSON RD, HICKORY NC 28602-9000 Site Address: 1490 DICKINSON RD, HICKORY NC 28602 Property Size: Square Feet: 1,918,382.40 Acres:44.04 Directions: Hwy 10 W to Hwy 127 N, right on Dickinson Rd, go to the end, singlewide on left Improvement Permit trt %' ,;' 1111P.."1/4'1"117 LI `i8. r e _ i °n i i'�,f` a,1 +: . . nt PP1(!jILuINIThAL�SYSTE'M EXISTING �='�I,Iu�G I II"::: ' .,'.�l tl�.il�. ISI• a �G Facility: Primary Residence Permit Category: Other 13edrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: No Expiration: _X_ Projected Daily Flow 360 g.p.d Proposed Wastewater System: Type: IIA-CONN SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: Existing system is a 10'x60' bed. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: HIG -OTHER NON-CONN TRENCH SYSTEMS Landscaping or other site alterations that potentially dived 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 Sewage Treatment and Disposal Systems' (ISA 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 08/03/2016 AUTHORIZED STATE.AGENT APPROVAL DAPS 08/03/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 08/04/2016 09:17 DEPARTMENT OF HEALTH AND HUMAN SERVICES R i>f 4 o(p- zoic- 2 V(S3 sheet I of I PROPERTY ID#: DIVISION PUBLIC HEENVIRONMENTAL HEALTH SECTION COUNTY:_Catawba_ ON-SITE-SITEWAA TER PROTECTION BRANCH SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: .'fO _ APPLICATION DATE ly P frt.."' ADDRESS: DATE EVALUATED: /27 PROPOSED FACILITY: 361- PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: Y`/"PROPERTY RECORDED: LOCATION OF SITE: r -~se. 9190 a 1 . . 41 WATER SUPPLY: 0 Private 0 Public XWell 0 Spring 0 Other_ EVALUATION METHOD: $Auier Boring 0 Pit ❑Cut TYPE OF WASTEWATER: 4 Sewage 0 Industrial Process 0 Mixed a- • e R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON E PROFILE POSITION/ DEPTH .1942 # SLOPE% ON-) .1941 .1941 SOIL .1943 ,19% ,1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ o^Z-`I Gr SL /-*c Pt- -sr fel LS zy_ 32 56 C /'le- Se- SVA- IS N* m4 �•3 1 /0'4 3Z- yg ,,iok Ct_ F2 -sem '41 2 3 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): n SITE CLASSIFICATION(.1948): 75 Available Space(1945) er)V5)%1,.. 1"S S �/ EVALUATED BY: L, (� System Type(s) 2-St OTHER(S)PRESENT: Site LIAR 0. 3 COMMEN'T'S: eggs v6- zotb - z 7/S3 Catawba County Environmental Health g 3 .01 %i • ty zi 18 (7) • of 1045 \.0 103 ,oma Parcel: 279007586472, 1484 DICKINSON RD 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