HomeMy WebLinkAboutIMPV-07-2022-175632.tif a CAT. WDACOUN"pY - Cued AUT11-07-2022-175368
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�� Public Health Department Subdivision G S HILDEBRAN FARM
• Q Envimnmemal Health Division PINd 370015648967
Wilt sr PO Box 789i 25 Go einn,ent Drive,Newton,NC 28658 LOTd 36 8 37
Site Address: .2059 ZION CHURCH RD, HICKORY NC 28602
Name on Permit: 'REALTY SOLUTIONS OF NC LLC
Property She: Acres 1.48 .
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Directions: Zion Church Rd on left past past Bethel Church Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
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FN l certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above. .
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Kr' As the property owner or authorized representative, I have received the above referenced
111 permit(s)as requested in the application for service EHPR-06-2022-41259, by the following method(s):
I
_ Received in Person
/ Facsimile Transmittal (Return form with signature required) .
I " Electronic Image Transmittal/E-mail (Return receipt required)
DO�'As the property owner or authorized representative I have reviewed and understand the specific conditions
1 of the permit issued, and further understand that all applicable regulatory requirements specified under the
NorthCarolina Laws and Rules for Sewage Treatment and Disposal Systems (15A NCAC 18A.1900),
.and/or Well Construction Standard's(I5A NCAC 2C.0100), shall apply to the issuanceof this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date:07/11/2022
�Owner/Authorized Representative Sigtature / -7 e--« el
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1-7 Date 7'41-' Z-Z--
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by CIE
(name of person sendingg permit)
Signature / Date/Time 7//g/.ZZ ,
Method: Fax r IEmail _US Mail Other
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Owner's request to send by the above indicated method of transmittal in lieuo(signature
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cb enbil 07/13/2022 09.04
i CA'I'AWItA COUNTY Case# IMPV-07-2022-175632
F .t.� Public Health Department Subdivision G S HILDEBRAN FARM
� Environmental Hcaith Division PIN# 370015648967
‘trit PO 13ox 389,25 Government Drive,Newton,NC 28658 LOTH 36&37
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Site Address: 2059 ZION CHURCH RD, HICKORY NC 28602
Name on Permit `REALTY SOLUTIONS OF NC LLC
Property Size: Acres 1.48
Directions: Zion Church Rd on left past past Bethel Church Rd
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Repair/Expansion Wastewater Flow 360 d
9P
Type of Facility: Primary Residence-Existing House
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
—
Proposed Wastewater System: 25%REDUCTION •
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
_ REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Permit Conditions: -See AC
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'Lars and
Rules for Sewage Treatment and Disposal Systems' (ISA 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.
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07/13/2022
Authorized State Agent Permit Issuance Date
7/11/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
clipenmit 07/15/2022 15:49
Catawba County E- nvironmental Health
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Parcel: 370015648967, 2059 ZION CHURCH RE 1in=60ft
HICKORY, 28602
This map/report product was prepared from the Catawba County,NC Gees kitlul Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this?nap or dntn on this report.Catawba County promotes and recommends
tho independent verification of any dela 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.loan cr liability,whether direct.Indirect or consequential which arises or may
arise from this map/report product or the use thereof by any
person nor a1 iCopyrightt r.wba County NC
07/05/2022
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f,lI'AI<1MItilrit It1.AI.'111 AND III/MAN SI.I(VICES 9wet _1_61 L_vc
I'I V 1%11)1'1 r r1 1'1)111.fc 1 II Al 111,1.NVIRONMENTA1.HEALTH S•x rIoN PROPERTY ID r.3 r1.5WiS•E y
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SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Comnktz all(-icuJt in full)
OWNER: // 0 U / C _ +
�.�I t _..—�� �?�'1� d/ N C� --- APPLICATION DATE �C1! ZZ
AI)DR ESS: /3b / ,�r �HtJ!K�Ly_d/� L_ DATE EVALUATED: t Z
PROPOSED FACILITY:.._/.Y1c✓—.r<JDJffe PROPOSED D.SIG"4 FLOW(.1949): PROPERTY SIZE: ACie
LOCATION OF SITE: 5-p 2.Jvr) _ 1'Igo 1(/L 72 PROPERTY RECORDED:_____
WATER SUPPLY: f Privatc (J Public C-i1Vcll fJ Spring El C)thcr
EVALUATION METHOD: n Auer Boring I 'it LJ Cut TYPE OF WASTEWATER: 'Sewage 0 Industrial Process I Mixed
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SOIL MORPHOLOGY OTHER
►' (.1941) PROFILE FACTORS
.1940
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l; LANDSCAPE HORIZON
POSITION/ DEPT11 .1942 PROFILE
rr SLOPE 6 (IN.) .1941 .1941 SOIL .1943 .1956 .194-( CL�S.S
STluJCrI11tE/ CONSISTEN�:'EJ 1';h;TN}SS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
0-10 C & rt,5s/5 ,sf- PS
1.5 10 -- L18' , C _i3/ FrI S 3 , ,5'
3°1° 0, 75-
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, 0-/0 L 6 rr'551Sf,5 $
5 to - Z5 C 5616
2 z 5-(1g C .5Pk Fr, 5, ,Si= y�
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0-/q C 6 ,, ss/sr, , ;
C � /q-Lig C SG4 sf s s rf
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IxScRlvrtoN INITIAL SYSTEM REPAIR SYSTEM O.I'I•IL 2 FACTORS(.1946): _
SITE( LASSIFICATION(.1948): S
Available Space(.19451 \C r41
System Type(s) 25 al red Z Salo fed OE I I{L.t(S)PRESENT:
BY: eCVI.k�inl�644Ri4 r ` r
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Silc I.TAR 0. Zq-55 6 1.7-'5
COMMENTS:
Updated February 2014