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HomeMy WebLinkAboutIMPV-09-2016-076894.TIF ,� CATAWBA COUNTY Case# IMPV-09-2016-076894 `7 Ptla,y Public Health Department Subdivision < 119 L[16.w} 'o Environmental Health Division PIN# 372319523493 vV O PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 8 NAME ON PERMIT: LANCE GREGORY, 2532 17TH AVE NE, HICKORY NC 28601 Site Address: 2980 SPENCER RD NE, CONOVER NC 28613 Property Size: Square Feet:59,677.20 Acres:1.37 Directions: Hwy 70 to Fairgrove Church Rd, Right onto Highland Ave NE, righ onto Spencer Rd NE, Property on Left Owner/Authorized Representative Acknowledgement of Permit Receipt / x, I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the / property described above. rAs the property owner or authorized representative, I have received the above referenced permit(s) as uested in the application for service RBPR-06-2016-24149 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: 09/16/2016 ' �Owner/Auth+riized Representative Signature • Date L cp , 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 ehpcnnit 09/1612016 09.15 ysA \ CATAWBA COUNTY ❑e 1 I.-p- ❑e Case# IMPV-09-2016-076894 • . Cyd 1,y Public Health Department _' Subdivision 4 Environmental Health Division i • • y r • PIN# 372319523493 ^: PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 �}O �� '� LOT# •■ ? + NAME ON PERMIT: LANCE GREGORY, 2532 17TH AVE NE, HICKORY NC 28601 Site Address: 2980 SPENCER RD NE, CONOVER NC 28613 Property Size: Square Feet: 59,677.20 Acres:1.37 Directions: Hwy 70 to Fairgrove Church Rd, Right onto Highland Ave NE, righ onto Spencer Rd NE, Property on Left Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Public Water 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 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' (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 09/16/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 09/16/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chperm it 09/16/2016 09:15 RBPR 06-2016-24149 2980 Spencer Rd NE, Conover • 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. • Proposed MH not marked in field. Based on site plan, back of MH must be no more than 80 feet from front property line. • MH will need to be marked in field and some clearing of vegetation without disturbing the soil will be required before an A/C can be issued. spa , Q4 JE tyl, /C5lig 20 Ft Ca'4�' ,( ?St 4 par Ce; Y(a• itt' 7-3 3r rya (1114/14r- Or or DEPARTMENT OF HEALTH AND HUMAN SERVICES o.t PL- D b^-2.t(C - 2_9(91 Sheer ( of l DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL IIEALTH SECTION PROPERTY ID N: ON-SITE WATER PROTECTION BRANCH COUNTY: Catawba SOIL/SITE EVALUATION for ONSITE WASTEWATER SYSTEM .,f (Complete all fields in fiill) OWNER: f lovtic Gik k.k, -,5 , _ APPLICATION DATE ADDRESS: DATE EVALUATED: 919 PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): 3&o PROPERTY SIZE: LOCATION OF SITE: 27 Yb S ec- //( ru LS PROPERTY RECORDED: WATER SUPPLY: ❑Private a Public ❑Well 0 Spring ❑Other EVALUATION METHOD: 64-Auger Boring l'Pit 0 Cut TYPE OF WASTEWATER: (Sewage H Industrial Process 0 Mixed P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 3940 L LANDSCAPE HORIZON POSITION/ DEPTH .1942 PROFILE# SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 4, o-(o c,c Sc n/k `fb' NA ,✓f� �S 6'- u 56(_ c_ Fie St---- 1 1,6- `II, Qs6.E a. fre fe- o, 2r- 51. O- 61... sL ht SC /S f-4- NA- tie n./.4. wlg 2 /Jf ay- `fp "JAL Cc_ (=fife— O �T • o-- 7 G,c Sc. Fre se 5 l,)- V T-Ye' s6E c- ,-,C ser c� z rs-ir "'di- g+ 'iF 3 _ o. 2c— /ba6 32- yZ "/S6.E cL /CrL SC 0 -to G4 .ft /----,2 Scr- 60 - rv4 fiS LS /6 ^S6 SaK c CCr N f y(5 i�� 4 �J` 3b - U r L LL Fftte O,� - DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) ff 115SITE CLASSIFICATION(.1948): (S System Type(s) Z� f LS.+� J ' EVALUATED BY: S - g1/4 Pec OTHER(S)PRESENT: Site LTAR D, ZS ©,2r COMMENTS: L«k s SPS "I' w� Z44I ifr3 mac: LF/ 209 Th---------,t” y /J3I \ B 233' SW ILM Ma