The URL can be used to link to this page

Home My WebLink AboutIMPV-07-2022-175098.TIF CA'TAWBA COUNTY Public Health Department Subdivision VALLEY FIELD ACRES :q . . Environmental Health Division PIN 279011660187 ibtroot PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 2 Site Address: 5418 VALLEY FIELD RD, HICKORY NC 28602 Name on Permit *KENNETH ROSENBALM SR Property Size: Acres 1.68 Directions: Hwy 127 S to Mt View turn in Homestead Development go to end on Valley Field RD house on Left Owner/Authorized Representative Acknowledgement of Permit Receipt 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 RBPR-01-2022-39927, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) I 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(l5A 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:07/05/2022 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sendingt)� permit) Signature Cif Date/Time I117)Zz Method: Fax f 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 yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService Ka tql _%)16 Oar 11( 4 A f t 1 12-r h,„i r n i 07/05/2022 16:12 ..03' • CATAWBA COUNTY Case# IMPV-07-2022-175098 ti(....._t ,� Public Health Department Subdivision VALLEY FIELD ACRES Q 1 Environmental Health Division PIN# VALLEY 279011660187 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 sw Site Address: 5418 VALLEY FIELD RD, HICKORY NC 28602 Name on Permit: *KENNETH ROSENBALM SR Property Size: Acres 1.68 Directions: Hwy 127 S to Mt View turn in Homestead Development go to end on Valley Field RD house on Left Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: Relocation Wastewater Flow 480 d 9.P. Type of Facility: Primary Residence-House Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25% REDUCTION System Classification: IIIG-OTHER NON-CONV TRENCH SYSTEMS REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: DRIP IRRIGATION System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: Do not drive,grade, cut, or fill over the initial septic or septic repair area. 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 18A.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. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. .,,,_.4., p ✓vvV 07/05/2022 Authorized State Agent Permit Issuance Date 7/5/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpri uni 07/05/2022 16:14 Rf3i311-Ot-Zo;z - 3?947 Catawba County Environmental Health =MPV-0-1_ZDZZ_ (750R$ 160.00 AIM-0-7 -Zozz - l75oq°I 180.00 833.25 187 68 51-TE pL4N 311 lz0 , r/ 42�Q. if, /06 / I� • P 3 S r►trn �c nr D 0 E.. .Str41 teed r3 new1Iti5 f I.- •5434 I1 : , 611e, i al- •5418 •5408 Cror ' 67.36 67.38 20.44 112 6 37.94 / --1 Parcel: 279011660187, 5418 VALLEY FIELD RD 1 in=60ft HICKORY, 28602 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 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. Copyright 2021 Catawba County NC 06/07/2022 146 PR- 01-2,0ZZ- 3g9Z7 Catawba County Environmental Health PIT L-06.4"TIoN' \\\..K.. 10 ,44'o + toy �� 33 25 .\\.\.,\. 16 4q Q N NC+ �r 187: ��- -_ >. _4.,..41 1 \., . 6 o, .. '0sa �oaa N > '0,,4 ` /028 /030 '°.L /032- \ .ii. \, 10 r* Q S o st Il . to .. ¢0 - \\. \To "yD N. Tpc� 704 moo'°a�, 2 �, ,L ` '`\ a. et% itn i Apt::, z. -.N.NN i r"... • .. ,in _ -- , . 70 `V. ....•--.. "1/ / I, ,. \\\. . TO u \ t`I Torso rss'\,Q N. 4, "N6' N... \ )404\ 49 b.fr. , .._ ... _i_ , ,, , • I., . . ......... , _..... ii. io _. ,7„ , TORS 104 80 8 * ` 0 \i 67.36 67. 0. 1 .0: 94 O G ia SI \ ti 2, ' . , „ Ct. V-----\ , Parcel: 279011660187, 5418 VALLEY FIELD RD 1in=60ft HICKORY, 28602 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 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. Copyright 2021 Catawba County NC 06/07/2022 Department of Environment,Health,and Natural Resources Sheet: 1 of 1 Division of Environmental Health Property ID: 279011660187 On-site Wastewater Section Lot#: 2 SOIUSITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: RBPR-01-2022-39927 Owner: Kenneth Rosenbalm Sr Application Date: 1/31/2022 Address: 5418 Valley Field Rd,Hickory,NC 28602 Date Evaluated: 5/12/2022 Proposed Facility: 4 BR House Design Flow(.1949) 480 GPD Property Size: 1.68 acres Location of Site: 5418 Valley Field Rd.Hickory,NC 28602 Property Recorded: Water Supply: [X]Private Well [ ]Public Water [ ]Spring [ I Other Evaluation Method: [X]Pits [ I Auger Boring [ ]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 1 L 0-10 CL/G FI,SS,SP,SEXP 48" PS 8-10% 10-27 C/SBK FR,SS,SP,SEXP 0.3 27-48 CL BC+RocklwABK FR,SS,SP,SEXP 2 FS 0-4 C/G VFI,SS,SP,SEXP 2.5 6/2 @ 20" 42" PS 5-8% 4-16 C/SBK FR,SS,SP,SEXP Chroma 3 and greater 0.225 16-42 C/wSBK FR,SS,SP,SEXP 16-31" Drip 3 L 0-8 C/G VFI,SS,SP,SEXP 48" PS 8-10% 8-28 C/SBK FR,SS,SP,SEXP 0.3 28-48 C/wSBK FR,SS,SP,SEXP Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: Eric Price System Type(s) IIIG-25%Red IVA-Drip Irrigation Others Present: Site LTAR 0.3 0.225 Site Classification(.1948): PS Site Evaluation By: Others Present: