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Home My WebLink AboutIMPV-09-2016-076522.TIF t3A • CATAWBA COUNTY Case# 9- fa.n' Public Health Department Subdivision _ Lti!�„ Environmental Health Division PIN# 370218424407 ��m PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 LOT# R�2/,N NAME ON PERMIT: CITY OF HICKORY, PO BOX 398, HICKORY NC 28603 Site Address: 1400 2ND ST SW, HICKORY NC 28601 Property Size: Square Feet: 531,432.00 Acres:12.2 Directions: S Center St and 2nd St SW, drive south on 2nd St SW approx 1/2 South of the US 70 Overpass. Park entrance on 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. X As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service CBPR-07-2016-24387 by the following method(s): 7/ 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: 09/06/2016 Owner/Authorized Representative Signature Date 9/ 4 /(Q Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person 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 e4e069 09/07/2016 12:23 IP y AC CI3PR 07-2016-24387 1400 2ND St SW, Hickory • 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 and streams; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank. • Install 200 linear feet of 25%reduction system with maximum trench depth of 30 inches; proposed 2 lines total, at 100 ft each on contour. • Final grade of septic area must shed surface water off and away from system. />)\\41 _ I _ ._' / y _______ ,____, / ? '-'"-----\.,,,,,,C7/1 / Ptk,, (n f P ' LLsr0 N6,LF ••' NI / / ., ' IQ; / / qi et t:1 / / Ot CATAIVBACOUNTY ❑ ' er • aCase# IMPV-09-2016-076522 ,Q Auk uk Public Health Department 2jt 'BEd% ? . Subdivision 4 H• 13.4060Environmental Health Division r rPIM/ 370218424407 PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 }'Cr.! t e0 LOT# /g.2 :. .10- 50 NAME ON PERMIT: CITY OF HICKORY, PO BOX 398, HICKORY NC 28603 Site Address: 1400 2ND ST SW, HICKORY NC 28601 Property Size: Square Feet: 531,432.00 Acres:12.2 Directions: S Center St and 2nd St SW, drive south on 2nd St SW approx 1/2 South of the US 70 Overpass. Park entrance on left Improvement Permit Facility: Accessory Structure Permit Category: New Septic Bedrooms 0 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 200 g.p.d Proposed Wastewater System: 25% REDUCTION Type: HIG -OTHER NON-CONN TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS Landscaping or other she 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 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 09/06/2016 AUTHORIZED STATE AGENT APPROVAL DATE 09/03/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 09/07/2016 12:23 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet ! of 2 DIVISION OF PUBLIC HEALTFI,ENVIRONMENTAL HEALTH SECTION -/ ge D-? -204- z y387 PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: C(..1-y o4- (4 _ APPLICATION DATE ADDRESS: DATE EVALUATED: S2/eo PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SITE: /'jo ,k ct se° PROPERTY RECORDED: WATER SUPPLY: U Privateublic U Well U Spring ❑Other EVALUATION METHOD: U Auger Boring L2CRit U Cut TYPE OF WASTEWATER: Ai<gewage ❑Industrial Process U Mixed bl�'+ .l .+ 1 Ys 4 r.-t.1.1 . a '6.:14i3,;.`,' SOIL MORPHOLOGY. p , - E OTHER � P a'r. s ('1941) - ; EROFIEE�FACTORS " `.., L119401r` . lahS[ ;ir ' ict" t us'. T a # :L'ANDSCAPE 1'RORIZON ' r �" ,;POSITION/' DEPTH !7 c r 1-:'..i, F s4 , ,41942' i'c F. ^ .i .1'97; .y ( ih 14PROPILE � p "aSLOPE'/ : ..( (m-)T -.1941 ':. 1941 `'SOIL ` fi< 1943 ?:.::.'4,4g6:1, 19414 1 CLASS r`-� s -� � °� STRUCTURE/ -=^ CONSISTENCE/a .WETNESS/ '� SOIL° a�*SAPRO'� �RESTR � &LTAR�; -i r ., • . - ' .• . •TEXTURE ". 11'UNERALOGY• . --COI OR ": DEPTH t ?CLASS i 1 ,HOAR $, .a z _ ' Cf 0114- AAA g- LS !y 4�� H _sr _ �' 1 Iy-.3D shy C R._QC D. zj- 3o -Y8 '-.5 bG cC_Lisw F- or. a 6 � !i r!/ (21'3 2 S D -so 4iski e- H -c — ofA- l'D uvt) Nom{- uIA) �s (-D - (K 44- .1/4ti 3-13 3 St i,- 3tee-/ 9/44 ot� A-6. re c J SEN ✓� /V-1, s LS l3 - Zi 63t C Fi ..I-6' _ b, 2c3 4 Zy- yr uS3k- el-ii, s7s�- DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): PS �� SITE CLASSIFICATION(.1948): 6- Available Space(.1945) p System Type(s) tis 6c1 .ZJ b 4 / EVALUATED BY: - r—,--._ `c'r OTHER(S)PRESENT: Site LTAR 0, ZS a, 2.5— 1 COMMENTS: S=r `i'—_ rk er.A-Z, Updated February 2014 SOIL/SITE EVALUATION Sheet `Z, of 2 (Continuation Sheet-Complete al/field in full) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: DIVISION OF PUBLIC HEALTHDATE OF EVALUATION: Ve,,, ENVIRONMENTAL HEALTH SECTION c461(_ O7- 2.t6- a'-tn7 COUNTY: ON-SITE WATER PROTECTION BRANCH R ,SOIL MORPHOLOGY OTHER ; . :.F (.1941)' ,-PROFILE.FACTORS 1 1940 . E LANDSCAPE HORIZ 1942 4`* POSITION/7 ON 1941. _ ` .1941- - SOIL [ °.19431 7 1956 -.1944 ,PROFILE' q SLOPE% -STRUCTURE/ CONSISTENCE/ . WF1NIISS/ `:soft i I SAPRO i"RESTR ''CLASS - DEPTH _ TEXTURE MINERALOGY, -. r COLOR t iDERTH ..CLASS '`-iHORIZ d.,&LTAR4 RN.) rt 0—1 U ( , l( 5L('- ,Y n/4. S /4 t 8-17 6-1_ SC_ 1 - _S6 ;A./4-- A)� A. 5 /st -L7_qv 56lc c fri. Se- 36 Li)-fir "S6 (G CL Fa- 16T • COMMENTS: _ �. Updated February 2014 c6P2 C7-2c,f(2— 2.Y3 17 Catawba County Environmental Health 74,1- — 1,r 10) 211 . • - atic i '0111N3 ;1 r/ M f e 10, A a I f V oveaCA,p. cri. It, iiir ,,) . --, , 4 ' „p.m ..„----E-,--___ , . , , —1.4 co." e:illikils..\\S\term\LH ililifiri , j 91 Vii ,tv r tr- r 0"i V( J;• i 7 �" \.-:,_,1" t. Q tit , uyi I 4471 y __eye, A 64.---.. "SO/1/"N\ . ' c, . , 1.1 /, 0 i )to. - 1 in=100ft 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