HomeMy WebLinkAboutEHPR-09-2022-42287.TIF (113A)
'PHIS IS NOTA PERMIT Case# EHPR-09-2022-42287
ILZ
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Environmental Health Plan Review-Septic Malfunction
AUTH CONST- SEPTIC MALFUNCTION
1 O1 sf» R,tir Sid day(MY
Applicant CHOUA THAO, 1811 12TH AVE SW,HICKORY NC 28602
C:8285029576 CHOUATHAO@LIVE.COM
LIVE.COM
Contractor ALL PRO ENVIRO,518 LAKEVIEW DR,MCADENVILLE NC 28101
C:7045021263 CFOUST@ALLPROENVIRO.COM
NAME TO APPEAR ON PE
Choua Thao
SITE ADDRESS: 1811 12TH AVE SW,I IICKORY NC 28602 PIN# 279215546549
NAME of SUBDIVISION: Lot# TR 1 ScctionlE3lock
PROPERTY SIZE: Square Feet 26,136.00 Acres 0.6
DIRECTIONS: US 70,left onto 19th St SW,left onto 19th St SW,last home on the dirt road
PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: 9/19/22 Revised new site map received.
Previous Description:2 trees grew on top of the septic tank and has damaged the tank. Water keeps coming
out on the top of the tank.
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 home
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE: 45x85
NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 6
PROPOSED CONSTRUCTION
BASEMENT? Yes BASEMENT FIXTURES? Yes 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:
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