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Home My WebLink AboutIMPV-11-2022-184185.tif CATAWB COUNTY• I Case fyPV-ll-2022.18J185 (....... - a• Public Health Department Subdivision -l,} Environmental Health Division PINS 269913243279 • PO Box 389,25 Government Drive,Newton,NC 28658 Ap wi.o ra Tract A Site Address: 5079 S NC 127 HWY,HICKORY NC 28602 Name on Permit: SHELIA LINEBERGER Property Size: Acres 2.144 Directions: 127 S,on right before Greedy Hwy Owner/Authorized Representative Acknowledgement of Permit Receipt iaI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 01 As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-07-2022-4 1685, by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) 7 Electronic Image Transmittal/E-mail (Return receipt required) VAs 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 ISA.1900), and/or Well Construction Standards(l5A 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 Date: 11/11/2022 %ot_ Owner/Authorized Representative Signatur L ,9J // ! Date ! c _7 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending Permit) SignatureQ'. Date/Time II/(71?Z Method: Fax v Entail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yotPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 54.11 n55ftiNliv lit 0 I\Of11\ 9 4rn chpr,n,ir 111I t 2022 11:21 e CATAWBA COUNTY Case# IMPV-11-2022-184185 N .i.iii , Public Health Department Subdivision d ,� • '4 Environmental Health Division PIN# 269913243279 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# Tract A Site Address: 5079 S NC 127 HWY, HICKORY NC 28602 Name on Permit: SHELIA LINEBERGER Property Size: Acres 2.144 Directions: 127 S,on right before Greedy Hwy 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 Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Public Water 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: DRIP IRRIGATION System Classification: VA-SAND FILTER PRETREATMENT Pump Required ***** Operator Required Permit Conditions: 'Do not cut, drive, fill, or grade over septic or repair areas. *This is an improvement permit only and is not intended for septic installation purposes. 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 it'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' (I5A 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. 11/11/2022 Authorized State Agent Permit Issuance Date 11/11/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. �i,i, 11/15/2022 13:35 re EHIC 07-Zo Z2— 416 py Catawba County Environmental Health it.tv it- 70 22.- fry Itts- ;i-:- .: (303) -.. :.:,, •-, - - " -'•'-', >, M : 11111L \ At IC1\ 4 11 I 120.00 - (271) ,4 ` e 347 3i li • i• t if de. fr:fil ii3 . I 3 18% v,,,, • tom (38‘ , I.p. 7.ft ftea i Sqfp;tr.. A"A mo. 40 oa' S 49 kjt. , f; 134P A id 3gr I •5079 N , n I 4,4 wo .--;,:. se ...............7;VIIMMII ....“,....a. .••'•, ." ,•..... • 2 Zo, ,., %1 , , \ , 1, 5074 Parcel:269913243279,5978 S NC 127 HWY 1in=100ft' HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Cowgirl!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 liablity,whether direct,indirect or consequential which arises or may arise from this mapkeport product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 11/09/2022 yleg5" DEPARTMENT OE ENVIRONMENT AND NATURAL RESOURCES spa l o/ DPISION OP ENVIRONMENTAL HEALTH PROPERTY ID II: .ON,SLTE WASTEWATER SECTION COUNTY: SOILSITE EVALUATION Slick; Lz,4 for ON-SITE WASTEWATER SYSTEM OWNER: APPLICATION DATE ' ADDRESS: DATE EVALUATED: /Q//rizz PROPOSE)FACLIIIY 3 br PROPOSED DESIGN FLOW(.1949): -3b 0 • PROPERTY SITE: LOCATION OF SITE: SD 14 S I/c /21 May PROPERTY RECORDED:' WATER SUPPLY: 0 Private 0 Public 8'Well 0 S 0 Other . EVALUATION MEfOD: 0 Auger Boring B'Pit 0CCut • TYPE OF WASTEWATER: 0 Sewage 0 •Iadusirial Process 0 bezel s:xs: ��•a- is•: "....I.FilifiroillignimayPwr-- -72i3 i ti;inT^i =5�w��M 7i:wF't 2'L ainFF iai?iiiufsrs°fi=n` ° :s s3ia'�^;n=icy.... - s:an:ca:.i.az:a... .,a i-sa.s.i.tis E$ �'y _s s sa• R.••»in ' a ts«•r • sF• �irasf'i.. ail aasa�•i"r•�sif.$nz t�=-nt-.»•••-:n:ta . _.. 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F :7\4\1\ 4t,. \\\\:\i' 62° iN ..z...!.,:4: so,' Parcel:269913243279,-5073 S NC 127 HWY 1 in=100ft . HICKORY,28602 This map report product was prepared from the Catawba County,NC Ceospatfai Information Services. Catawba County has made substantial efTortsh' ' to ensure the accuracy of location and labeling Information contained on this map or data on this report Catawba County promotes and recommends A 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 any person or entity. Copyright 2021 Catawba County NC • 11/09/2022