HomeMy WebLinkAboutIMPV-09-2016-076366.TIF �(,A N CATAWBA COUNTY Case#
r
.7 I Public Health Department Subdivision
.�®q ^yS Environmental Health Division I'IN# 268904746576
` 2 / PO 130 389. 100-A Southwest I31vd,Newton,NC 28658 LO,r#
NAME ON PERMIT: DANIEL ESPEY, 1670 2ND ST NW, HICKORY NC 28601
Site Address: 6418 GREEDY HWY, HICKORY NC 28602 .
Property Size: Square Feet: 393,346.80 Acres:9.03
Directions: Hwy 127 to Greedy Hwy, Go about 1.4 miles and property will be on the Right. # is on the mailbox.
Owner/Authorized Representative Acknowledgement of Permit Receipt
NAI 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
I requested in the application for service EHPR-07-2016-24331 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
%-"F 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: 09/01/2016
Owner/Authorized Representative Signature
-- Date
Documentation of Permit(s) Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by A'.Ji A • 14 L (name ofpersonf:ending permit) ____
in
Signature � � Date/Time C1 ' dot. Cv
Method: Fax mail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
_elS snlai
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chpenni! 09/01/2016 10:32
v,A • CATAWBA COUNTY �e �o. �0 Case# IMPV-09-2016-076366
Public Health Department . - .k Subdivision
"-'^'o:+ Environmental Health Division PIN# 268904746576
� PO Box 389. 100-A Southwest Blvd, Newton,NC 28658 -12 O TOM-
Ig. 2 ,� j1
0
NAME ON PERMIT: DANIEL ESPEY, 1670 2ND ST NW, HICKORY NC 28601
Site Address: 6418 GREEDY HWY, HICKORY NC 28602
Property Size: Square Feet:393,346.80 Acres:9.03
Directions: Hwy 127 to Greedy Hwy, Go about 1.4 miles and property will be on the Right. # is on the mailbox.
Improvement Permit
Facility: Accessory Structure
Permit Category: New Septic Bedrooms 0
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
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: MG - OTHER NON-CONN TRENCH SYSTEMS
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: 1110 - OTHER NON-CONN 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' (ISA 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 09/01/2016
AUTHORIZED STATE AGENT APPROVAL DAZE
•
Permit Expiration Date: 09/01/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehperni 09/01/2016 1032
IP, AC,WELL EHPR 07-2016-124331
6418 Greedy Hwy, Hickory
AC
• Do not cut, drive, fill, or grade over septic or repair areas.
• Septic system must be 10 ft from property lines; 50 ft from wells; 5 ft from building
foundations and appurtenances; and out of right-of-ways and easements.
• Install a new 1,000 gallon septic tank and 100 linear feet of 25%reduction system with
maximum trench depth of 20 inches; proposed (2) lines 50 ft each on contour.
• Final grade of septic area must shed surface water off and away from system.
WELL
• Well should be 5 ft from property lines; 25 ft from structures; 50 ft from septic systems;
and out of right-of-ways and easements.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES affiC 07- 20 l6- 2,-17, o / I
Sheet of
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID It:
ON-SITE WAFER PROTECTION BRANCH COUNTY: Catawba
SOIL/SITE EVALUATION
forON-SITE WASTEWATER SYSTEM
(Complete all fields in Full)
OWNER: c,( CSO. APPLICATION APPLICATION DATE
ADDRESS: DATE EVALUATED: /77iL
PROPOSED FACILITY: .5PROPOSED DESIGN FLOW(.1949): /0 c.' PROPERTY SIZE: 5.o,
LOCATION OF SITE: &YrR C r-ceii (f-'j PROPERTY RECORDED:
WATER SUPPLY: U Private U Public 13 Well 0 Spring U Other
EVALUATION METHOD: U Auger Boring SPit U Cut TYPE OF WASTEWATER: M Sewage U Industrial Process U Mixed
• . • • •
P
R
SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
1 .1940
E LANDSCAPE HORIZON
POSITION/ DEPTH PROFILE
is SLOPE% (IN.)
.1941 .1941 SOIL .1943 .1956 .1944
CLASS
SOIL
STRUCTURE) CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &CIAR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
O-3 /rjefG Q(_ N Se-
7/5
I- 7_ 77 5 b(r r_ Elic _ ,,././r- ?' A As
1 /S�! 1-7- rI 2 4'—r C F rc O. e. 75--
•
o 4Sb1L sal S`
is-
1-5 1 -3( .56fe_ - Y i Se wit- y3 ,q)/r Am_
2r5,� j - Y3 t's&L c ( Se z7s
N
&- 7 `'Sir su Fj Se: GS
L5 7-25 S6rc- c ti .56- ri4- 3G. er(,) w,4
3 11- 34. ‘,_.vp /t r-, x' 0,
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4
4
DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
C C SITE CLASSIFICATION(.1948): is
Available Space(1945) e) /#1
System Type(s) ' 24 ACL tit d) EVALUATED BY: .9'v— tL
kJ OTHER(S)PRESENT:
Site LTAR D. 2r D.
COMMENTS:
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Parcel: 268904746576, 6418 GREEDY HWY Ori,, ,*, • ® 1 in=100ft
HICKORY, 28602 Ao—c._ h, ® Pl g o t '
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