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Home My WebLink AboutIMPV-09-2016-076538.TIF • y... CATAWBA COUNTY Case Alp Public.Iicaith Department Subdivision ALONZO W SHOOK ':� �•k Environmental Health Division PIN# 371520808570 ''^w`- PO Bax 389. 10(1•A Southwest Blvd.Newton.NC 28658 L6Pu 6 4 td NAME ON PERMIT: EDGAR SANDERS, 16201 RIDGEWOOD CIR, PUNTA GORDA FL 33982 Site Address: 1035 43RD AVE NE, HICKORY NC 28601 Property Size: Square Feer:117,612.00 Acres:2.7 Directions: Springs Rd to Sandy Ridge Rd, left on 43rd Ave, old house on the right. Owner/Authorized Representative Acknowledgement of Permit Receipt wl certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the � p propertyrodescribed above. As the property owner or authorized representative. I have received the above referenced permit(s) as requested in the application for service RBPR-08-2016-24476 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 (I5A NCAC 2C .0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water suppl '• termitted. Permit Issue Date: 09/07/2016 / Owner/Authorized Representative Signatu e Date q- IZ_ t • Documentation of I'ermit(s) Transmittal (permit transmitted by electronic or other means) . • Permit transmitted by (nate ofpetsat.sending peraitf 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/EHaistomerServiCe �nprnuil. 09/0,2016 13:08 SpA • CATAWBA COUNTY ❑a r: o r: ❑s Case# IMPV-09-2016-076538 `f � Public Health Department' ` �r Subdivision ALONZO W SHOOK < „s; Environmental Health Division - ,tip PIN# 371520808570 st. �` � PO Bos 389, 100-A Southwest Blvd,Newton. NC 28658 �e'�920 G '! LOT# 6 NM 2 ,M j ti NAME ON PERMIT: EDGAR SANDERS, 16201 RIDGEWOOD CIR, PUNTA GORDA FL 33982 Site Address: 1035 43RD AVE NE, HICKORY NC 28601 Property Size: Square Feet: 117,612.00 Acres:2.7 Directions: Springs Rd to Sandy Ridge Rd, left on 43rd Ave, old house on the right. Improvement Permit Facility: Primary Residence Permit Category: New Septic 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: 25% REDUCTION Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS PUMP *MAY BE* REQUIRED Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG - 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' (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 09/07/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 09/07/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. dim nmil 09/07/2016 13:08 IP" AC RBPR 08-2016-24476 1035 43`d Ave NE, 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; 5 ft from building foundations and appurtenances; and out of right-of-ways and easements. • Install a new 1,000 gallon septic tank. • Install 300 linear feet of 25% reduction system with maximum trench depth of 36 inches; proposed 4 lines total; (2) 90 ft, (1) 70 ft, and (1) 50 ft lines on contour. • Final grade of septic area must shed surface water off and away from system. • Old house to be removed and new house will utilize existing well. 26p' V. C4 337' Qaa }w } ilio Le t_____, 2r1-44".1-‘ r;ids �355c�S� e "d. 1-1 rcr.,.ad �11� '� , W -- (00 1 il>r�A. - Ale- DEPARTMENT OF HEALTH AND HUMAN SERVICES 461(1 Y7 g ^ 2-o16 •- .ZLtLJ 76 Sheet I 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 full) OWNER: &4r S6.,c12ry _ APPLICATION DATE_ ADDRESS: DATE EVALUATED: �fc3 PROPOSED FACILITY: j6r PROPOSED DESIGN FLOW(.1949): 3co PROPERTY SIZE: .2_.7 LOCATION OF SITE: /ois {.3rd ,4rc PiC PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public DS_Well ❑Spring ❑Other EVALUATION METHOD: ❑Auger Boring ' Pit ❑Cut TYPE OF WASTEWATER: Kl Sewage ❑Industrial Process ❑Mixed • • • • • P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION/ DEl'791 PROFILE # SLOPE% (LN.) .1942 .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL • SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ o -lam C-t Sc f JE 4 k (/ Nil- P-C LS !o-3c. SSlL G f7( X 11 �4'� _ 4$ 'Ilk Su_ fig- Jr �`3 4.40 o -7 C-f_ Str/t- Se LS 7- 27 33ic Cc_ )=12 SC _ •fJv - 5D Ai/1- r✓4- JAS 2 ,> '�° 1.7- 5b -56k SLL `'72SGe t 4 7 L/-7 b—13 64_ se_ >`ete s,C LS 13 -1-P S C F t Se W 4-- qy 8" vi 4— PS 3 �) ° 2p-4y Silt Sed__ St _re- — d:),,3 vy So Cl 6'02 fit,-11;'- 4 DESCRIPTION INITIAL SYSTEM RI IPA IR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) (5 If SITE CLASSIFICATION(.1948): /� PS System Type(s) 23-'‘ I EVALUATED BY: Sir---_ (�-� f OTHER(S) PRESENT: Site LTAR 0 3 0,3 COMMENTS: Mu„ r•- t..t j,.- b,... lar se,t( 14.4. wp, Id j- le:6lie og 25016- 1W 74, Catawba County Environmental Health pi ac“),,,, ..„.... t."1., N ey /0„.77 „et 0111 4111, ft? 1111 \ ' tite . 4a4 f - .1 •.1 _ 31' it i co _� < I J a 144 63 gi 4-11-;: \ r: z t'15h m rI 4q • A /III7.. er\g3(, \,:,:r(ep4 i 5.22.43 I / ivy . t1 1 l Gv 60 37 air .....< A it 0.00 AOS J 21 1 a ./' 43RD AVE NE fJf,/l J I ----e'er' f 349... Parcel: 371520808570, 1035 43RD AVE NE 9;}, 4 a„ ! ED d 1 in=100ft HICKORY, 28601 GI 30' yo' 'pz S/' z.- ' P3 /10' / OS' 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