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Home My WebLink AboutIMPV-04-2018-098427.TIF /.\i CAT.UVI3A COUNTY Case if /,T Art-L Public Health Department Subdivision yG '4ao' Environmental Health Division FINN 269803100097 n ,` / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT/ NAME ON PERMIT: DOUGLAS MILLER, 431 4TH ST NE, HICKORY NC 286041 Site Address: 3301 LEDFORD RD, VALE NC 28168 Property Size: Square Feet:3,962,217.60 Acres:90.96 Directions: west on HWY 10/past Propst X-Rds/left Heavner Rd/when it ends turn right onto Ledford Rd Owner/Authorized Representative Acknowledgement of Permit Receipt 0 _I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. iipieAs the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RRPR-03-2018-28666, by the following method(s): _/Received in Person _ Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) MoAs the property owner or authorized representative I have reviewed and understand the specific conditions f 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 (ISA NCAC 18A.1900), and/or Well Construction Standards (ISA NCAC 2C .0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. pPermit Issue Date: 04/20/2018 • , ,,, Owner/Authorized Representative Signature a p Date V 2, S7/ 2.5-- 4 Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (game 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 wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/ENCusttomerService elipcuni 04/202018 09:26 �(\ C,\T'A\YBA COUNTY � Y�- � Case 4 INIPV-U4-2018-098427 SE\ , Public Health Department 7:11.17.e • { • Subdivision \1 e�y1 Y Environmental Health Division ! � •+ ." PIM/ 269803100097 \4"421 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 . - ' LOT# SJ Cafi ti • NAME ON PERMIT: DOUGLAS MILLER, 431 4TH ST NE, HICKORY NC 286041 Site Address: 3301 LEDFORD RD,VALE NC 28168 Property Size: Square Feet:3,962,217.60 Acres:90.96 Directions: west on HWY 10/past Propst X-Rds/left Heavner Rd/when it ends turn right onto Ledford Rd Improvement Permit THIS"PERMITcIS NOT,FOR SEPTIC':INSTALLATION Facility: Primary Residence Permit Category: New Septic Bedrooms 8 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing?Yes INITIAL SYSTEM SPECIFICATIONS Projected Daily Flow 960 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG-OTHER NON-CONN TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICA'T'IONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION Type: IIIG-O'IliE12 NON-CONV'I'RENCIi 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 condi I ions 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 tar Sewage Treatment and Disposal Sfstemr' (ISA NCAC IRA.1900). Neither Catawba Comty nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. 04/19/2018 AU'I'IIORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/19/2023 No grading or construction activity is allowed in areas designated for system and repair reit/amt approval of the Health Department. chpermi, 04/20120IS 09:23 1 R 8PR-o3-aUl`6- Go no &r. \ Catawba County Environmental Health �� ,, .'rte' A • ' calili fer ( ..f.• I 1. 4 . . - 'lici— AO'? .. Ai, A.I.ai. ,, a, . ettpa, t ' ....4114, ii; .- I , .t....T: C s. A 0, , in drat ,.. 4: A / I " -4!14 .1 XD7 11 etrmi. - ° id%41°111111.-. . \St.:7-a,, ti r 'Suns Clw tr. (.... WieriNON , 1 vis.1 , 0411 ,, \5s).-NC\:\' . . . . * - ilik 1 1-1:‘ Parcel: 269803100097, 3301 LEDFORD RD lin=200ft VALE, 28168 This map/report product was prepared from the Catawba County,NC Gerp'tial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on Nis 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 I personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copynght 2014 Catawba County NC 04/192018 Catawba County Environmental Health iVadiorwlirorwrtr ' ke <a L , iii. ' 1 • ../s'H '.�.� ��1 �If IS r 7 117. 1(..111 . it),: ,,j e..c .) id i . . .1.0t1 rial at. n a: e( . / 's. al?liem t111t'1., i 1 .Do (4‘. i(70,.._ ______14 %`. 40)1 illk trilkitic -.1-1 • ti. .ir,::,47.1,LS, :'%ztui‘i.. . niiiwi, „___ aiiir_tz. ....)., . ----...? • . , . ___:, %, ,ttictioitil .. reliard a .r • Parcel: 2698031000917, 3301 LEDFORD RD lin=400ft VALE, 28168 Tn!s maWJrepon product was prepared from the Catawba County.NC Geospatial Information Services. Catawba County has made substantial ellorls to ensure the accuracy el location and labeling inlormalion contained on This map or data on this report.Catawba County promotes and recommends the independent vetifaa:tun of any data contained on this map/report produce by the user.The County of Catawba,its employees,agents,end personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether dreCt,indirect or consequential which arises or may arise from Nis map/repon product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 03/142018 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY m a: ON-SHE WATER PROTECTION BRANCH COUNTY: Calawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM nl 5 �// /,�yJ (Complete all fields in full) R: 2-CA-�k OWNEt �/Er- _ APPLICATION DATE. ADDRESS: �r�,�pp DATE EVALUATED:0 AZtear PROPOSED FACILITY: `6 j PRO'OSE' P .IGN FLOW(.1949): �ay.es9 PROPERTY SIZE: LOCATION OF SITE: I Ali./. PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public l4-Well 0 Spring 0 Other EVALUATION METHOD 0 A Boring CnRC 0 Cut TYPE OF WASTEWATER: [!FSAe 0 Industrial Process 0 Mixed �+ r +.•i ? ' rs• Vtsrt..1,erI r I -It,'s.�r:T 1 r*•;: '?y .'aa en. S , roe :ta s e�'S p.v < s ` > xJzi f !=A--,� 6' 0 Lr• ., 5 0 f r 7m 0 1181: x, u t'S r u rs '4, Rf`O1'iir 4.1/4., f "'z`$,Y y y■`€ f iu.. + + q�+ .L,1� R r S V �`.wti� r y z.' ff�;. 52 t4'._1y ,1,, '0":;,: ✓vylt ;to,; 04( q 5,z .!iap 1!: C„is1,0 4r ; ( til. l,.= t-r.Nill ;Ise14,*,,,,,r1 fs 1v '* .. f '''kr" t °'k. `S`. 3 �`•'fiy✓'▪ F r c,p$ Y.' 2` 14'iz S'Y1 _ < b [1£j . .(Ciim' ale 4i.ef Y k y Its re r + , t▪Hrr .•a 1.23S15,1,---,1; 4y £ r.. + • Fl. M eR.{ � .d' kik - 1,i`x &-' t�.,,;�,,t,.. - in, ...G. etc. a �F *. i t Ka , z -sal::. �3 i z r r ; Y 4, 1_ys r al> iI?r a c 11r5al .4s „� :�s " a ' > l�- ^� ` t sr `', it; a.l .�: ti s7 `cr .. 6.°1'z' . ,1 t ,S Ltai r• 1`i"e, et ti` >: t „, + may, cr,..' 1 r" L - r �_ -�`� 6 �` FRI .X f —I� GLS if S ii—1/ �r -3� - MIMI 3257 ,,.,... �(�(��(�}.J��SIL ill in .. 11111111 munimrsi . 4 ,.yy � eld ,� „,,,_4:1,,, Win !MIPMD ) ., ) ' . �I�� 11111... 3 yS- I ' DESCRIPTION INITIAL�SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Avaiablc )(/`"J Space(.1945) 1{.5 _ SITE CLASSIFICATION(.1948): , Syst®Typgs) ---//J EVALUATED BY: j OTFER(S)PRESENT: • Site LTAR tt COMMENTS: Updated February 2014 . - I • I DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet_of_ DIVISIONOF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 9: ON-SITE WATER PROTECTION BRANCH - COUNTY: C ,ba SOW/SITE EVALUATION for ONSITE WASTEWATER SYSTEM (Complete all fields in full) OWNS �Q�C�'�� 411/er _ APPLICATION DATE 1 ADDRESS: V DATE EVALUATED:G l ,Le/y PROPOSED FACILITY: -S(O PROPO ED IGH W(.1949): Ir�d PROPERTY SIZE: ---/ / LOCATION OF SITE: ,fid Q/ J - ! / 1 Z PROPERTY RECORDED: I WATER SUPPLY: 0 Private 0 Public r2-Pfflr 0 Spring 0 Otha EVALUATION+METHOD: ❑Au a Boring E}P�' 0 Cut TYPE OF WASTEWATER: (d.Secv4e 0 Induxhral Process 0 Mixed P x , ,-. .__'D0 `imc5T�t.`i'Z(srlitij '�- i Ir Kd Ye ,fig '?P'`ir gegl.'' �7'z 'ex at, �� 1w. YyY`x„` 4$3 Y -"4-014° mi - ° "' v� Y i' >z „'.rya's n( .... .*4-,,,A,-,"1 ..t tt � �0;y d 44 Tr 1 a f s +fir --7 1 71,1 a gp� .. 4- '�•„c , ...�, 1 �- j Y ,,,,T It „}"e' ,,� ,� 1-i;' ,y`*rsi ,ice ,itf la -( i r: Ci r4 � 24,..., 1 �Y i �. 'CT"` u> x I �. 'r�s rt a:r } � k:6x ,t a_y ga T .% f.>✓ R a t w �9s "F fss,(-1;� x � y$i�ti �s r ��j � ��'_�r b f�� jy.�t+oA �°�] t d , `>r£ j�-'�4" .ss„ iZiN t a t t. I. I :i 9 4 N r :1 IØ!; bpi e�;�llt, •'/Jfs ! 11 Y -"it' , t L .1✓/F��/y ' LaMar' 4 1 e4 e L 61 3251 /,; b -1 RncK 0zy , -i LJr (mss lb— tri - ' MS - M : 11.111 325 � 4 oi- K C56K I _ It 32� rani , 3c2-5 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS .19 Avadabk Space(.1945) /,5 SITE CLASSIFICATION(.1944)8):5 .+:,5, 8yat®Type(y) TILT i EVALUATED BY: .. ._ '. jYWF °THEWS)PRESENT: U o(L mr\ ✓ylr IIY✓t r Site LIAR , f I •re; COMMENTS: ✓ y, Updated February 2014 4 a