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Home My WebLink AboutIMPV-08-2022-178407.TIF 4` , CA't•AWBAcuus•ry n .1, L Public Health Department Subdivision Q '' Environmental Health Divisionlen PINt 278103420120 PO Box 389,25 Government Drive,Newton,NC 28658 1.OTN 1A Site Address: 6044 LAUREL WAY, HICKORY NC 28602 Name on Permit: 'ALICIA&DAVID SEE Property Size: Acres 1.62 Directions: 1-40 West take exit 121 Left onto Old Shelby RD,2.2 miles Right Bryant ST until you reach paved Rd this is Laurel Way,follow it until you reach open lot on Left at top of hill Owner/Authorized Representative Acknowledgement of Permit Receipt ASI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. ASAs the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-07-2022-41625, by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) JElectronic Image Transmittal/E-mail (Return receipt required) ASAs 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 I8A.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 [)ate: 08/23/2022 Owner/Authorized Representative Signature_ fJ . ,r Date 9/2/2022 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of personsending permit) SignatureDate/'Pitney/J i'?L Method: Fax 1,1E' 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 aft http://www.surveymonkey.com/s/EliCusttomerService Atc & Sic. @%/61hLc. fcM oxi2 t'2o22 Oil 44 it4 ,zjY,:. • CATAWBA COUNTY Case# IMPV-08-2022-178407 ry .�.mi• , Public Health Department Subdivision ofig® 4, Environmental Health Division PIN# 278103420120 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1A I sM Site Address: 6044 LAUREL WAY, HICKORY NC 28602 Name on Permit *ALICIA&DAVID SEE Property Size: Acres 1.62 Directions: 1-40 West take exit 121 Left onto Old Shelby RD, 2.2 miles Right Bryant ST until you reach paved Rd this is Laurel Way,follow it until you reach open lot on Left at top of hill Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 360 g.p.d Type of Facility: Primary Residence-SFD Basement? No Basement Plumbing? NO Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 _ INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: DIG-OTHER NON-CONY 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 CUT OR FILL OVER SYSTEM AREA *INSTALLING NEW SYSTEM ABANDONING OLD 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 I8A.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 I Iealth authorization or permit modification.Please notify Environmental Health of this change prior to system installation. efle.........„....- 1 ,1 ruois 08/23/2022 Authorized State Agent Permit Issuance Date 8/23/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Ilealth Department. .1q,rm'i,1 08/24/2022 08:45 Catawba County Environmental Health R ?R -o7aoa /is 1M pki-o8 .9o99 - 17eq07 A vrw- oaoaa I nyoS ,., _ ?Q1ec R04cJ ^7 r Dr-'i p f<Pionrr' no 6044 eDcCie° tt...1 -I g_________./ ioe ft (i'd t•- 7° CV/-1,i,.--4'4C!‘id4r1 So �R, o° • 1 a 0 ' as 403,60 0 �` w` }� N. W a a Parcel:278103420120, 6044 LAUREL WAY 1 inz50f( HICKORY, 28602 This rnaprroport 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 maplreport product by the user.The County of Catawba,its employees,agents,and personnel,disclaim end shell not be held liable for any and all damages,loss or liability,whettror direct,indirect or consequential which apses or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 08/23/2022 DDARni- NT OF ENVIRONMENT AND NATURAL RESOURCES - Shed A ! DIVISION OF FNVIR.ONMENTAL HEALTH PROPERTY ID i: . ' L cPoicV .ON-SITEWASTEWATER.SECTION COUNTY: �it M. SOILISITE EVALUATION l, , f r ON-SITE WASTEWATER SYSTERZ 71�3, 2 Z OWrIER; }�ICci,i r� APPLICATION DATE_ ADDRESS: DATE EVALUA PROPOSED FACILITY S F A P OPOSED DESIGN FLOW(.1949): 3Co'o a - PROPERTY SILL.: 6 2 !b LOCATION OF SITE: a(I C( b au C 1 I •(' PROPERTY RECORDED: WATER SUPPLYi..private 0 Public ell 0 Sp' g 0 Other EVALUATION METHOD: uga Baring .irf Pit L Cat TYPE OF WASTEWATER 0 Sewage 0 Indurt ial Pcoxu O M'ued -.1;1 _. i ....._.�I...f..ilL?::i:l::..._......._I��.,...,....'3: 1.........�..�....«..«.....�: ..» :.1.1_._. ..;......�....y .. ..:::: ..»......... --i::i'..t _••_�_.r.«.. ^Z..:..-,...L�i r:,::�.__ ::::::::... tiiiP j:. !3• '��'''''j'j _.�.....nr:L: t.i..-_._._..__...:r.:...................... :.:....:F:is»:vu•.�..::=::a:.:iiiiii:i:�� ,....- __..,.. ............. rt:.• >n�p� ir}}'t}t }rJ L�.i S C f{!'}}�... _ ._...._L._.' ::::..:..s..JJ•ar.y:_�.... 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Ps L.. 0 4 cr RePtu./ f ot,IL 20 , , - • 4 CY p>5clu'I1ON DaTIAKJY5,f u-- R12AD SYSI731 OTHER FACTORS(.1946): P f //- SITE CI A.SsIFTCATIO 4(.1948): AvaIIshk Space(114.9 v +' • EVALUATED BY: n S �'��') 71 rlp , OI t(5)PRESENT: Site LTiIR • . ' .p?, COMMEN S: • Catawba County Environmental Health i w ol 1 ca fri CD 02.1 * D el p co os s.........0 4y .)„../ , .1f) tAir /Ciii 4 s. lei rah / t �O IIII Q. ! i se '� ,. ,:///431 for .,..it 7 0 �„)0, ,,, _ o t . 0 ‘4) i "'S ' / i i . _4)_ i • 4 G � �Y -•tom' i 4 • h 403.60 op A / P virr cfP cb 13 sillaf3 ., 45/:/// 7 g10 el, a ettP Vzop stio , . a. 7. .,,,. c) // Parcel:278103420120, 6044 LAUREL WAY tin=50ft HICKORY,28602 This map/report product wu PRAM from the Catawba County,NC Geoapatiai Information Services. Catawba County has made substantial efforts to ensure the accuracy of location end labeling information contakted on this map or data on this report.Catawba County promotes and recommends the Independent vertlkation of any data contained on the map/report product by the user.The County of Catawba,Its employees,agents,and personnel, and shall not be held liable for any and al damages,loss or liability,whether direct,Indirect or consequential which arises or may . arise from port product or the use 4ereot by any parson or entity. Copyright 2021 Catawba County NC 08/19/2022