HomeMy WebLinkAboutIMPV-3-10-5706.TIF
CATAWBA COUNTY Case # IMPV-3-10-5706
Public Health Department
N Environmental Health Division Subdivision EDGEWOOD SUBDIV
d
v►~ PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 2
Is PIN# 373210354677
ApplicantlOwner THOMAS WATTERS
Site Address: 116 NW CONE CT, Hickory, NC
Property Size: SF 1.009 ACRES
Directions: SPRINGS RD TO SECTION HOUSE RD/ AT THE END OF SECTION HOUSE/ LAST PAVED ST ON RT
Improvement Permit
Permit Valid: Expires In Five Years: _X_ No Expiration:
Facility: House
Permit Category: Other Bedrooms 3
Projected Daily Flow 360 g.p.d
WATER SUPPLY: Well Type: Individual Well a
Basement? Yes Basement Plumbing? Yes
Proposed Wastewater System: 25% REDUCTION
Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
Proposed Repair:
Pump Required?: May Be Required
Operator Required?: NO
Permit Conditions: Existing system appears to be a gravel bed. This permit is to designate repair area. A sunroom is proposed.
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 18A.1900). Neither
Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily
Megen McBride 03/24/2010
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/24/2015
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
03/24/10 08:59
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THOMAS WATTERS
116 NW CONE, CT, HICKORY
1842 sm
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 EHPR-3-10-4386 , 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 3/24/10
Owner/Authorized Representative Signature /Z 42::)
Date, f -
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
acknowledges the conditions and statements above.
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed _ cf
DWISION OF ENVIRONMENTAL HEALTH PROPERTY ID ON-SITE WASTEWATER SECTION COUNTY:
SOBUSTTE EVALUATION
OW -T► l0(nQ~~,~J~ for ON SITE WASTEWATER SY
NER: 'S ^ `X~ APPLICATION DATE 16 D
ADDRESS: - DATE EV. ATID: D
PROPOSED FACILITY: 3 9 PROPOSED DESIGN FLOW (.1949): ,N00 _ PROPERTY ZE'-1-007 cO$
LOCATION OF SITE: I PROPERTY RECORDED:
VATER SUPPLY: I Private D Public 0 Wa 0 Spring 0 other
EVALUATION METHOD: Auger Baring 0 Pit 0 Cut
TYPE OF WASTEWATER: ~ Sewage 0 'IndwftW Pmc= 0 Mixed
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DFSCRnMON SYSTEM RWAM SYSTEM OTHER FACTORS (.1946):
AvaDable Space (1945) SITE CLASSIFICATION (.1948):
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Site LTAR
COMMENTS: f
LEGEND
use the following standard abbreviations
SOIL CONVENTIONAL UP MRC.RAWGYI
LANDSCAPE POSMON RO TEa"NRE .1955 LM* .1457 LTAR* CONSISTENCE 52'R
CC (Comeau: Slope) • I S (Smd) 12 0.S 0.6-0.4 NESP (Mon- to scive) G (Smile Crain)
CV (Coaves Slope) LS (Leemy sa>~ Sm (SUBW ) M (Massive)
D (D>aWp Way) E ( ) CR (Cmmb)
DS (Do1ak Stamp) II SL (Samdy.Lamn) 0.9-0.6 0.4 - 03 GEL (Cmmcln)
FS((F~S9o) L(loam) SEEP 6dummky)
L Slope) SiL ((S yamCl y Loam) 0.6-0.3 U-0.15 Pit (Ph=ad,)
N (Now slope) CL (Clay L-Z)
R (Ridge) stet (Slay Clay L-) MOIST w.~T
S (snaalaw slope) Si (SM
T (r==) VFL (Vwy Ftm6b) to p~ wiry)
sic (Silty m 0.4 - 0.1 0.2- 0.0S F (F(Fdahta) rdd:y) ~
V SC
C (Clay) VPI (Vmy Fi:m V. Vay Stilly) VS (vvy WichA
0(Organic) Name EM(F.immatyFina) ~0b"imdo)
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*,44U M LIAR die to deptly coudsteaM Structure, toll wetness, landscape, pufflon, wastewater flow and qudUy. P O'Lsk)
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X ADEPTS Tn ion below msiuml sail sttr<ace vp(vmy Pla*
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RE~IClNIi bfQl(TZQN T and deem fmm lsmd sMsee
SAPROLM S(suiubt:) a I7(naemmble)
SOIL WAV= Mocks Am had satfaev to five water or in:lm famm Inod surface to soil colon with elaamm 2 or Icss -=cmd Mmarell color chip dedpntioa
c3A==oy S (SUbbbj PS (Pmvia®ally Suitable), or U jjnmhmhle)
EvaLt dm of selanltte shall b: by pits.
Log-corm A=epmnu RM (LTA4 pUdq&
Show ro18e locations and other site features (dimendan reference or benchmark, and North).
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