HomeMy WebLinkAboutIMPV-09-2022-181297.TIF ,...k r CATAWBACOUNTY Cases IMPV-09-2022-181297
!,ibi -t.liik, Public Health Department Subdivision JACOBS VIEW
it Eavironmental Health Division
s�,t■e PINE 3609029ee731
L./ PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 37
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Sibs Address: 5132 BUTNER DR,HICKORY NC 28602
Naar on Permit JOHN CALABRESE
Property Size: Acres 0.47
Directions: 5132 Butner Dr,Hickory
Owner/Authorized Representative Acknowledgement of Permit Receipt
I,!
I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
s the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-07-2022-41539,by the following method(s):
Received in Person
—t Facsimile Transmittal(Return form with signature required)
J Electronic Image'I'ransmittal/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(1SA NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
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it :09/28/2022
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1 Date 7/2f/2.-_2_
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature ' . Date/Time_f,1 1/'
Method: Fax 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 moments tto complette our custtomer service survey att
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yyy, CATAWBA COUNTY Case# IMPV-09-2022-181297
Public Health Department Subdivision JACOBS VIEW
"I Environmental Health Division PIN# 360902988731
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 37
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Site Address: 5132 BUTNER DR, HICKORY NC 28602
Name on Permit: JOHN CALABRESE
Property Size: Acres 0.47
Directions: 5132 Butner Dr, Hickory
Improvement Permit
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: Relocation Wastewater Flow 360
g.p.d
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Community Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Existing Wastewater System: CONVENTIONAL
System Classification: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: -IP to relocation repair area for construction of building.
-Building must remain 5 feet from all septic areas.
-Do not drive,grade,cut or fill over any part of the septic system 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 Sewa.Ee Treatment and Disposal Systems' (1SA 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.
3'71Av -
09/28/2022
Authorized State Agent Permit Issuance Date
9/28/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated forsystem and repair without approval of the Health Department.
chpermie 09/29/2022 15:56
Catawba County Environmental Health
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Parcel: 360902988731, 5132 BUTNER DR 1 in=40ft
HICKORY, 28602
This map/report product was prepared from the Catawba County.NC Geos atlat 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 a�person or entity.1 Caawba County NC
09/27/2022
DL•'PARTMINT OF I IEA1:I7i AND HUMAN SERVICES Sheet 1 of
DIVISION OF PllI31.1C HFALTII,ENVIRONMENTAL ITEALTN SECTION PROPERTY ID N: 34019 $075'
ON-SITE WATER PROTECTION BRANCH COUNTY:_CA_Kki.f4.
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: 0 Co A 6 rE se _ APPLICATION DATE__ Z L
ADDRESS: 4 n Aron}- D OS DATE EVALUATED: I2
PROPOSED FACILITY: ,, dl/YA PROPOSED ESIGN OW(.1949): 3(IQ 6P PROPERTY SIZE: Gc.v.
LOCATION OF SITE:£/'� }�r Dtfiiideory lvc Zr#PUZ PROPERTY RECORDED:
WATER SUPPLY: 0 Private Silublic 0 Well O Spring 0 Other _�
EVALUATION METHOD: I?Au.er Boring 0 Pit 0 Cut TYPE OF WASTEWATER: I�Sewage 0 Industrial Process 0 Mixed
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lr (.1941) PROFILE FACTORS
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POSITION/ DEPTH .1942 PROFILE
(IN.) CLASS
N SLOPE% .1941 .1941 SOIL .1943 .1956 .1944
STRUCTURE) CONSISTENCE) WETNESS/ SOIL SAPRO RESTR do LIAR
TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ
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SystemType(s) MA 50 t0 ,red OTHER(S)PRESENT: �
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COMMFNT:S: .
Updated Fehruary 2014
Catawba County Environmental Health
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Parcel: 360902988731, 5132 BUTNER DR tin=40ft
HICKORY, 28602
This map/report product was prepared from the Catawba County.NC Geoapetlel Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling Information contelnod on this map or data on this roport.Catawba County promotes and recommends
the Independent verification of any date contained on this mep/roport product by the user.The County of Catawba,its employees,agents,and
personnel.disdain 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
pparson right nor entity.1 CaCoawba County NC
09t27f2022