The URL can be used to link to this page

Home My WebLink AboutIMPV-03-2023-190446.TIF afire CATAWBA CM:NTv �r!',►._� Public Health Department Subdivision t * i Environmental Health Division PING 360903325454 PO Box 389,25 Government Drive,Newton,NC 28658 LOTk SitsAddr*ts: 2201 FINGER BRIDGE RD. HICKORY NC 28602 Name on Permit: JARED YATES Property Size: Acres 38.8 Directions: From NC10 go N on Finger Bridge Rd for approx. 1 mile X Owner/Authorized Representative Acknowledgement of Permit Receipt �r I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. -3-1 As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-02-2023-43492, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) -57 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 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 Date: 03/02/2023 l� �, Owner/Authorized Representative Signature A "t-'4'"4- e- Date 3-2°-a.3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by_ _ (name of person sending permit) r Signatureit------ Date/Time 17 13 Method: Fax J 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 yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerServIce °Mt" 0j t (e c+ya lrs .Fern 1119 cl+pennit 03/02l2023 1114 =fie CATAWBA COUNTY Case# IMPV-03-2023-190446 ti t it PublicHealth Department Subdivision "I Environmental v PIN# 360903325454 PO Box 389,25 GovernmentHealthDiision Drive,Newton,NC 28658 LOT# !g,_ w Site Address: 2201 FINGER BRIDGE RD, HICKORY NC 28602 Name on Permit: JARED YATES Property Size: Acres 38.8 Directions: From NC10 go N on Finger Bridge Rd for approx. 1 mile 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 240 g p.d Type of Facility: Accessory Structure-Workshop/Family Gatherings Basement? No Basement Plumbing? No Bedrooms: Water Supply: Public Water Maximum Occupants: 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: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: 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 ot'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' (I5A 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 Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. tip7 _(Mce , ! 1 03/02/2023 Authorized State Agent Permit Issuance Date 3/2/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 03/17/2023 16:13 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet of j DIVIS1ON OF ENVIRONMENTAL HEALTH PROPERTY ID ii: 36 0 0'3 3,zry s ON-SITE WASTEWATER SECTION COUNTY: le.-ge,,,A SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM? OWNER: t)R f `,o.4 E'7 APPLICATION DATE 2/.23],2 3 ADDRESS: Z.2 D I •—i Qririre AI I /4-i c L-Tri, iG 24?I,0 DATE EVALUATED: '3/1 J.3 PROPOSED FACIL1TY:/Vi'w I,u it);r.c PROPOSED DESIGN FLOW(.1949): 24 r%yi4 . PROPERTY SIZE: 3 rs. 6"Ri..-..i-S LOCATION OF SITE: S07.r1 e PROPERTY RECORDED: WATER SUPPLY: 0 Private Public 0 "W3H. 0 Siring 0 Other EVALUATION METHOD: 0,, ger Boring !1 Pit 0 Cut • TYPE OF WASTEWATER: IT Sewage 0 Industrial Process CI Mixed I7/t� ......._............................................. ..............,...................i::::.....i:::::i::::iSt3 MokHIOLOgy::.......:::iiiiiiiiiiii`iii;:i:::: iii ,... =IJ4 1 AR:.....Mai ..........ZON......iiiii 19•4 .. . ::=riff 10...:::::..:::::::.........SpW:::::.•.....1.,4.. ....- ssr;::::: aa... +•P::::liko kuoRii::].ErTl.::::::::,:: ' t� IJi f::::::::......ttiti ist e t...,-• €v��rxz st:,::::: ow skrtcii s :> sra:::::: iiiiiiiii $i:X) F'1 ._.. 3)i :::i::::€ ' f` titti:'::::::::::: : 1)stitid :;:::::.:::GOTi(7R:E:::,:::DEP i C]itS` `€ :::;fi¢R1L::::.... G-P-S- ,C cey r y-1(TIT"1 s� s10 8 Pc ,5-4$ '- wR- ( rilrn 1 S�rdr�_ frttl�•,l-I t-IgS"" . 1 15/s�o . p 2 s°:+ - 0 .2s • l 0 -30 . .''.'. •*S .... I -I.rr�.st f SO' , I PS' 30 -co G w,r�A! IF►r /J / P/f �" v. —, 2 s _ I -39 G s-ev F-T's.sjs tly t% I �r 1 > / 34 To C-t iisetu r w/}MK fir nisi rl'1f E r 3 WSl S90 • sO v.275 I I I I 4 f DESCRIPTION TD.ITIALSYSTEM REPAIR SYSTEM OTHER FACTORS(.]946): Available Space(.1945) S S SITE CLASSIFICATION(.1945): 1 SyrtemType(s) i1.S�o f S �a EVALUATED BY: � 'r"rC ! r 1•!'�vr( OTHE1.(S)PRESENT: • . Site LTAR 0 .27 S U, 27 j COMMENTS: