HomeMy WebLinkAboutEHPR-08-2022-41804.TIF %11116• THIS IS NOTA PERMIT Case# EHPR-08-2022-4 1804
CAI'AWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1 Zit SIA Environmental Health Rrri tic Malfunction
AUTH CONST
Owner TYRIK HOLMES,2420 25TH STNE,HICKORY NC 28601
C:8283085677 TIIOLMES8014@GMAIL.COM
NAME TO APPEAR ON PERMIT
Tyrik Holmes
SITE ADDRESS: 2420 25TH STNE,HICKORY NC 28601 PIN# 372306391811
NAME of SUBDIVISION; CLEARVIEW ACRES PL 9-50 PTS 13-20
Lot ti Section/Block
PROPERTY SIZE: Square Feet 20,473.20 Acres 0.47
DIRECTIONS: McDonald Pkwy NE,right onto 23rd Ave PL NE,left onto 26th SI NE,left onto 24th Ave NE,right onto 25th St NE
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS P DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: 11/29/22 IP for repair denied.AC only for tank replacement.
8/16/22 SEPTIC SYSTEM IS NOT FAILING AT THIS TIME. REVISE TO TANK ONLY, TEE BROKEN, AND IP
FOR DESIGNATION OF REPAIR AREA FOR FUTURE
PREVIOUS DESCRIPTION:septic drainfleld not accepting effluent water,water level in septic tank is above
operating level
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is"YES",then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? Yes
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF single family home
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 46x59
NUMBER OF EXISTING BEDROOMS: 3 OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
ehapplicau,ai I1/29/2022 11.11 Page 1 of 3
catawba county
public health
November 29, 2022
Tyrik Holmes
Margarete Kocakaya
2420 25T"St NE
Hickory, NC 28601
Re: Application for Improvement Permit for 2420 25th St NE, Hickory NC 28601; Health Department file
number EHPR-08-2022-41804
Dear Mr. Holmes and Ms. Kocakaya:
The Catawba County Health Department, Environmental Health Division on 8/10/2022,evaluated the above
referenced property at the site designated on the plat/site plan that accompanied your Improvement Permit
application. According to your application the site serves an existing 3-bedroom house with a design wastewater
flow of 360 gallons per day. Your application requested designation of septic repair area.The evaluation was
done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-
333 including related statutes and Title 15A, Subchapter 18A,of the North Carolina Administrative Code, Rule
.1900 and related rules.
Based on the criteria set out in Title 1SA,Subchapter 18A, of the North Carolina Administrative Code, Rule.1940
through .1948,the evaluation indicated that the site is UNSUITABLE for a sanitary system of sewage treatment and
disposal. Therefore,we must deny your request for an Improvement Permit. A copy of the site evaluation is
enclosed. The site is unsuitable based on the following:
Unsuitable soil topography and/or landscape position (Rule.1940)
Unsuitable soil characteristics(structure or clay mineralogy) (Rule.1941)
Unsuitable soil wetness condition (Rule .1942)
Unsuitable soil depth (Rule.1943)
Presence of restrictive horizon (Rule_1944)
X Insufficient space for septic system and repair area (Rule.1945)
X Unsuitable for meeting required setbacks(Rule.1950)
Other(Rule .1946)
These severe soil or site limitations could cause premature system failure, leading to the discharge of untreated
sewage on the ground surface, into surface waters,directly to ground water or inside your structure.
The site evaluation included consideration of possible site modifications, as well as use of modified, innovative,or
alternative systems. However,the Health Department has determined that none of the above options will
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270
MAKING, LIVING. BETTER.
overcome the severe conditions on this site. A possible option might be a system designed to dispose of sewage to
another area of suitable soil or off-site to additional property.
For the reasons set out above,the property is currently classified UNSUITABLE,and no Improvement Permit shall
be issued for this site in accordance with Rule.1948(c).
Note that a site classified as UNSUITABLE may be classified as PROVISIONALLY SUITABLE if written documentation
is provided that meets the requirements of Rule .1948(d). A copy of this rule is enclosed. You may hire a
consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as
PROVISIONALLY SUITABLE.
You have a right to an informal review of this decision. You may request an informal review by the soil scientist or
environmental health supervisor at the local health department. You may also request an informal review by the
North Carolina Department of Health and Human Services regional soil scientist. A request for informal review
must be made in writing to the local health department.
You also hove a right to a formal appeal of this decision. To pursue a formal appeal,you must file a petition for a
contested case hearing with the Office of Administrative Hearings, 1711 New Hope Church Rd, Raleigh, NC 27609.
To get a copy of a petition form,you may write the Office of Administrative Hearings or call the office at 984-236-
1850 or download it from the OAH web site at http://www.oah.nc,gov. The petition for a contested case hearing
must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 150B-23 and all
other applicable provisions of Chapter 150B. N.C. General Statute 130A-335(g) provides that your hearing would
be held in the county where your property is located.
Please note: If you wish to pursue a formal appeal,you must file the petition form with the Office of Administrative
Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is 11/29/2022. Meeting the 30-
day deadline is critical to your formal appeal.
If you file a petition for a contested case hearing with the Office of Administrative Hearings,you are required by
law (N.C. General Statute 150E-23)to serve a copy of your petition on the Office of General Counsel, N.C.
Department of Health and Human Services, 2001 Mail Service Center, Raleigh, N.C. 27699-2001.
Do not serve the petition on your local health department. Sending a copy of your petition to the local health
department will not satisfy the legal requirement in N.C. General Statute 150E-23 that you send a copy to the
Office of General Counsel, N. C. Department of Health and Human Services.
You may call or write the local health department if you need any additional information or assistance.
Sincerely,
Dean Evans, REHS
Environmental Health Specialist
Catawba County Public Health
Enclosures: Site evaluation
Rule.1948, .1945, .1950
reAmtarrOFENvIRONM NT AND NATURALRESOURCIS Slice / of !
DIVLSION OF FA'YIRCNAINTAL REALIN PROPERTY ID If:
aN,SITE N'ASIEWATF1 SECTION COUNTY:
SOIIISITE EVALUATION Cc
�, yf1 nofor ON-SITE WASTEWATER SYSTEM Z
I 1L �. ,,—2-L
ADD APPLICATION DATE .2 c
DATE EVALUATED: 4?-1
PROPOSED FACILITY: SF P PJfi!rV D GN FLOW(.1949): 74� . PROPERTY SIZE: e.ei7.
LOCATION OF ST E: 2 Y la Z r'' ¢ f / PROPERTY RECORDED:
WATER SUPPLY: .'bate D Public WeII, 0 Siring 0 O ilux __ ._.
EVALUATION me-ErAuger Baring v.-alit
Cit U Cut
TYPE OF WASTEWATER: .W ewage 0 Industrial Process 0 Muted
.�f a
_mri: - '? —..a.1. �19'73i.nu:_i_._ka:eecl_•. _ -ac.l-1: ! _:.� _ --.�i
c m - _ - •`' i- ii?!mmca.Tas. '.0 wu i l.r,::c-... ati-.-r_r•i 'i a�zirsimiii it nTTi.:4 •i
[T_ `r'S:`m.@_..: -��� {{ t^_. ..i =.c.;=,L•_.--:::=i�ia. _ I�ii ki�f` r..^ ...r.:::.c::;;� ;t:i:..i::.,
�= '-"*' _e�•r'- �l •.�t :�.Iycs:_.........._._=__o ::=: :c:• ii- .•l���l::a? .. IEiler'_.gtzl•'7.7iiH..--':^:� '=uu^_rt:.
_}�- -ec—s_ -- ..a• JCi '- h .:_!'. ::' �►�4FWfaie:sa:: .....:.:il:l"1!? i����_ei'e_:•__ uticii6��ste r.J
:__-.__.__- ._ Ia11C:' .........1..._. l./.L7 �1-:„-_ : - in ....A:..�i._...:t:tl�:illh: • I.:=Td.�'. _
- .xr_'_.. . i=-�P_�_ :. .._.-:...o:c:r.:_::: _c:..=c��:.._:nc. :it U=' i5�sy�y/�_�_.�.F.r�=Erc:a3a/u�n�.litAw�tys�at..�ua1 tI a•:=��_ -1 uC::�ar.=_r=
MI S:-.-s Z_s tF—ii:_::.-. • . ::..0-§4 a mccitt---mgFtigi A aii i.1.ROli'�3x:::: JYL"01t.S� rii: {y;.�'• ut- ! F.l!.F- .u_ Liit
�_• _�� _ .` ..� S'•li IS• �__...... ......._...�.... itl..i ....._.i : l .-......f^._:: ^i1LY........ L_..
• _� :_- --.-. pill A
cL'c _, ._._ _._-x...a __ �_i-_._;_ _•_ I: Ir.:gill�ilini g i PF.Al i_ i r s•g a:'ii,_•':TE,..IF i�l_ -. =aci:::.a=
_ e ___:'_:_•:r=:c._=•rer•s •�azelrstas.tutue3n8u 1a:r ig::_m z iio5-. lcros 3ii "° :c:a:i�:a_r. i:•�.•�:::•-.»_.^_
•:_ �iQ-2att ._ — a_i _.. .._ _.•- r.�x31•7 ::st: az.;...11 � cl .miagiii:: .ii::.._.._. .iiiii .eaV ,?E?.,,'.:s_._:°:_'_'
._ _..._ _:� ^�::t L'R iL,�_��.J :1. ......�.a..._i ai, t_IF.,........._.iT^::_�... !t••: i=3f:.._..... � �.• _...»......:-:...:::.^:
-f�.ry�/��� ]1r C1: �1 iFfit�:�i�/..41L 1-7-2v= �_E/I Cy�1(�I:y[,4 iyiirrrtiiFiii'pll '^_ry:,� .244.�?.(..i _!'.r°:!::' ..-�1_,A S..t::. �N_.1:)y 'i{//I.I�S/a(.p 1
�'�a•.Y.Yu�/Y..:.•e_ail x C=V F# l.e.t.ii� TtoTzi Mctcr 1 r i A.EXP$ES 17V^^ ; LiAti Ot.1x. n L•' \rirjas.•:l•-i
SfAPE9i 1.4Na r ulri 11� i_JidtErM3r0i`X.--..._-4 LORRi .DELTH i,CGASS`i .z C^1. -'ti.Tt7 '.
D la a. S7�L L _
Fr
o C dt1-6a r, .s C,l- .c't P5
1 / la / . /l0
I
3 t0 -zV cik •C_ I. Fr-
L 14 7 - casbk GI- •rr- P5
2 tan Rock' ,
. Lig / / !
ion
+";- o ati 44k c . r S
3 / . V8 / / f2
•
` D $ 1 D` �' n OTHER FACTORS(.1946): -
AtiaI!►ble S¢toe(174S) i f SITE SS WICATION(.I948): r�S
Sygl„T,, (i) n /4 EVALUATED BY: gv4Hs
OTTiF.R(S)PRESENT:
• . She LIAR PI 4
COMMENTS: 1
Catawba County Environmental Health
51.) PCZ - O - ri 22, - 11Igiq
60
.2530
vQ
0 •
9
4:27 IL. .5-6, ,.., \je
sa,
a- 224.0s
N
� s�
a or-ore- /lam 4 3 Ste ' o
e
.
m g
II 2420 St-
r se Shed
* A .....
Well
R
—1--\ 1e1.:.. . ,,e
'k
.2410
0
P,
o —Soli P-A ■
Parcel: 372306391811, 2420 25TH ST NE Lo[ �ion 5 1in=40ft
HICKORY, 28601
This map/report product was prepared from the Catawba County NC Geonpalial Information Services. Catawba County has mado substantial efforts
to ensure the accuracy or location end labeling information contained on this map or data on this report Catawba County promotes and recommends
the Independent verillcabon of any data contained on this mao/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and at 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
11/1 B12022
U.S. Postal Service '
CERTIFIED MAIL® RECEIPT
.11
= Domestic Mail Only
•'ri For deliveryinformation,visit our website at www.us s com°.
rY'i P
3m
m Certified Mail Fee i Holmes/Kocakaya DE
Lr)tU $Extra Services&Fees(check box,add fee as appropriate)
O 0 Return Receipt(hardcopy) S '
(i ❑Return Receipt(electronic) $ Pp \'
p 0 Certified Marl Restricted Delivery $ f Hertti (N ,
Q 0 Adult Signature Required S j V
❑Adult Signature Restricted Delivery S i�•
Postage
,.q Total Postage andPFees
$ Tyrik Holmes L
ra nj Sent To Margarete Kocakaya
Street and A44 ? Stl4JE
"Clry'Yiaie;AlftktoTy;14C-28601 '
PS Form 3800 A•rll2015 PSN7530.02-000-9047 See Reverse for Instruction,
Certified Mail service provides the following benefits:
•A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
•A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
•Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
•A record of delivery(including the recipient's retail associate.
signature)that Is retained by the Postal Service" -Restricted delivery service,which provides
for a specified period. delive to the addressee specified by name,or
EC r h • ..' es authorized agent.
Important ders: R C -_ service,which requires the
•You may purchase Certilie M ig •• o'e at least 21 years of age(not
First-Class Mail°,First-Class Package Service', available at retail).
or Priority Made service. -Adult signature restricted delivery service,which
•Certified Mail service is not available for the signee to be at least 21 years of age
International mail. lO F C ;) r tides delivery to the addressee specified
•Insurance coverage is notavailabler Torpurchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
Insurance coverage automatically included with acce ted as I al proof of mailing,it should bear a
certain Priority l fel e,
emsand' „yi'Fpnment you would like a postmark on
•For an additional fee,and' ns erb lu ai receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post office"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailplece; IMPORTANT:Save this receipt for your records.
PS Form 3800,April 2015(Reverse)PSN 7530-02.000.0047
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
■ Print your name and address on the reverse X ., r ) -- • ,;.( N C-Agent
so that we can return the card to you.
s"-_._�. Addressee
B. eceived by(Printed Na Da � slivery
• Attach this card to the back of the mailpiece, ��Q Q' l���
or on the front if space permits. Ty 4.I<_ A�,j,._,\ L� ,) w
1. Article Addressed to: D. Is delivery address diff' m it '1? 0 es
If YES,enter delivery a dre below:' N
Tyrik Holmes U 5
Margarete Kocakaya
2420 25th St NE
Hickory, NC 28601
3. Service Type ❑Priority Mail Express®
111111111111111111111111111
IIIIIIIIIIIIIIII illllIIIIIIIIIII IIII gill
III Delivery 0 Adult Signature Restricted Restricted
Delivery$�Cfed Mail Restricted Delivery 0 ConfntinTM
9590 9402 7759 2152 4099 59 °Collect on Delivery 0 Signature Confirmation
P. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mall
7021 1970 0000 2536 3646 °1(onVer d all Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
USPS TRACKING#
C First-Class Mail
i c 7� 1111 Postage&Fees Paid
USPS
a I 1 I 4: 1! ,/ Permit No.G-i 0
9590 9402 7759 2152 4099 59
United States • Sender: Please print your name,address,and ZIP+e in this box*
Postal Service
R '— VEEP,
tHPR-08-2022-41804
Dean Evans, REHS
[1' " 'n;22 Catawba County Environmental Health
PO Box 389
Newton, NC 28658
Environmental Health
II�IIIII�Ii�ill�llrl�l�i�llll�I►Illll�lirill�ltlll���lll�lll�ltli
A
4 B THIS IS NOT A PERMIT Case# EHPR-08-2022-41804
111
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
1g 2 sM Environmental Health Plan Review-Septic Malfunction
IMPROVEMENT-AUTH CONST
6/i L4 z1 pogo'
Owner TYRIK HOLMES,2420 25TH ST NE,HICKORY NC 28601
C:8283085677 THOLMES8014 a GMAIL.COM
NAME TO APPEAR ON PERMIT
Tyrik Holmes
SITE ADDRESS: 2420 25TH ST NE,HICKORY NC 28601 PIN# 372306391811
NAME of SUBDIVISION: CLEARVIEW ACRES PL 9-50 I of# PTS 13-20 Section/Block
PROPERTY SIZE: Square Feet 20,473.20 Acres 0.47
DIRECTIONS: McDonald Pkwy NE,right onto 23rd Ave PL NE,left onto 26th St NE,left onto 24th Ave NE,right onto 25th St NE
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS • •Y: 360 WATER SUPPLY: Private Well
•.CRIBE WORK: 8/16/22 SEPTIC SYSTEM IS NOT FAILING AT THIS TIME. REVISE TO TANK ONLY, TEE BROKEN,AND IP
FOR DESIGNATION OF REPAIR AREA FOR FUTURE
PREVIOUS DESCRIPTION:septic drainfield not accepting effluent water,water level in septic tank is above
operating level
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is"YES",then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? Yes
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: Existing Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF single family home
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 46x59
NUMBER OF EXISTING BEDROOMS: 3 !!OF OCCUPANTS: 4
PROPOSED CONSTRUCTION
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
ehapplicaun 08/162022 08:49 Page I of 3
CVlM It ccHl,,rti' case n EDIPR-08-2022-41804
d. ' Public I Itrihh I)p itmen, Subdivision CLEARVIEW ACRES PL 9.50
< 71.1Q . lim ru tronental Dealt It Division !INH' 372306391811
I'O Box 38q,100-A Snulti i Alad.Nctlun,NC 2Ah58
N •r
NAME ON PERMIT: (TYRIK I HOLMES).2,120 25TI1 SINE..IIICKORY NC 228601
(Tyrik Holmes)
Site Address: 2.120 25TI I ST NIL I IICKORY NC 28601
Proporty Size: Square Feet 20,473.20 Acres 0.47
Directions: McDonald Pkwy NE,right onto 23rd Ave PL NE.left onto 26th St NE.loft onto 24th Ave NE,right onto 25th St NE
Completed applications are valid for a period of 2 years,Improvement Permits are valid:with complete site plan=60 months(5 years):with complete plat
=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for
septic ropoir is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the Intended use for the
proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements
I have read this application and certify that the information provided herein is sue,complete and correct Authorized county and state officials ate
granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely
responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that o complete site evaluation
can be performed
Tho undersigned is the owner of the property or legal agent of the owner.
Dale: '' • )-1' Signaitrre of Applicant or Agent
I1•you need further infirrrntttion or assistance please en!!82g-465-8270
AREA2
FEENA%IE DATE FEE AMOUNT
Authorization to Construct(Repair)Fee 11810If2022 S300.00
Authorization to Construct Fee(New/Expansion) 08116/2022 SI50.00
Fee
Improvement Permit Fee 08/16/2022 S150.00
TOTAL FEES S600.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
0K0103022 11x•t9
Pape?„ra