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Home My WebLink AboutIMPV-3-10-5591.TIF ~gA CATAWBA COUNTY Case # IMPV-3-10-5591 Public Health Department Subdivision d 2 CHARLES D PROPST HEIR ~ Environmental Health Division °~r s PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 1 PIN# 372305191010 Applicant/Owner BEN GRIFFIN REALTY Site Address: 2381 NE 29TH AV DR, Hickory, NC Property Size: SF 0.649 ACRES Directions: HWY 127 N/ RT ON 29TH AVE DR NE/ LOT ON LFT JUST BEFORE 24TH Improvement Permit Permit Valid: Expires In Five Years: _X_ No Expiration: Facility: House Permit Category: New Septic Bedrooms 3 Projected Daily Flow 360 g.p.d WATER SUPPLY: Public Water Type: County/City/Township Water Basement? Yes Basement Plumbing? No Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS Proposed Repair: 25% REDUCTION Pump Required?: No Operator Required?: NO Permit Conditions: 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 S y stems' (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily Susan Bumgarner 03/18/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 03/18/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 03/19/10 16:55 04I t~ ~~t-~ god"~~ I~ ,4( rope r-~, / Vo 1'" pp ~ IC`rn~n n1q,\ 16vE- cuvi JLLVIt\r .'rIGM i A kav-, h,keny\ei\ ('l i 1 1 V e 6Y~.911 ~7Ui~ S fe ILl ~r e a C11 ~i'E'~7L'~I'^ , ! v Ou rw'F l i clY J~L~G.1 e G~~12 r Sly S 1V( t r rtlpcb ✓ ILlro sy `c, Y-V ~E ~V t r BEN GRIFFIN REALTY v 2381 NE 29 Av Dr, Hickory SM I 84 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. As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service ERPR-3-10-4215 , 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 3/18/2010 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (per it transmitted by electronic or other means) Permit transmitted by~a (name of person se ding permit) Signature Date/Time 3.b n .36 Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature acknowledges the conditions and statements above. y Department of Environment, Health, and Natural Resources Sheet: 1 Division of Environmental Health Property ID: On-site Wastewater Section Lot 1 SOIL/SITE EVALUATION File 5591 for ON-SITE WASTEWATER SYSTEM AppID: Owner: Applicant: Ben Griffin Realty Address:2381 29th Ave D Date Evaluated: 3/12/2010 Proposed Facility: Design Flow (.1949) 360 Property Size: 1 Location of Site: Property Recorded: Water Supply: [ x ] Public [ ] Individual [ ] Well [ ] Spring [ ] Other Evaluation Method: [ ] Auger Boring [ x] Pit [ ] Cut Type of Wastewater: [ x ] Sewage [ ] Industrial Process [ ] Mixed P R O SOIL MORPHOLOGY b F .1941 PROFILE FACTORS 1 .1940 .1942 L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class # Slope% (IN.) Texture Mineralogy Color Depth (IN.) Class Horiz & LTAR Is 0-9 sl 1 8 9-29 scl sbk,SE, fr 42 PS 29-42 cl sbk,SE, fr .3 Is 0-9 sl 2 8 9-20 scl sbk,se,fr PS 20-45 cl sbk,se,fr 45 .3 Description Initial System Repair System Other Factors (.1946): PS Available Space (.1945) ps ps Soil Evaluation By: Susan Bum-garner System Type(s) 25% ps Others Present: Site LTAR .3 .3 Site Classification (.1948): PS Site Evaluation By: Susan Bumgarner Others Present: Sheet: OMMENTS: FILE Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations Department of Environment, Health, and Natural Resources Sheet: Division of Envjronmental Health File On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM CONTINUED P R 0 SOIL MORPHOLOGY OTHER F .1941 PROFILE FACTORS f .1940 .1942 L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile E Position/ Depth Structure/ Consistence Wetness/ Soil Sapro Restr Class # Slope% (IN.) Texture Mineralogy Color Depth (IN.) Class Horiz & LTAR Sheet: COM44ENTS: FILE Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Food Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay Loam PR-Prismatic T-Terrace CL-Clay Loam FP-Flood Plain SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Moist Wet Mineralogy VFR-Very Friable NS-Non-Sticky SEXP-Slightly Expansive FR-Friable SS-Slightly Sticky EXP-Expansive FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations ` ~ 1