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Home My WebLink AboutIMPV-04-2023-193660.tif CATAWBA COUNTY Case# IMPV-04-2023-193660 iPublic Health Department Subdivision 1, "'st Environmental Health Division PIN# 370005079967 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 :Et tr Site Address: 1766 SAIN RD, HICKORY NC 28602 Name on Permit: STEVEN&ANGELA*CANNON Property Size: Acres 3 Directions: Will access bldg by foot from home*Startown Rd, Left Sandy Ford Rd, Right Zion Ch Rd, Left Bethel Ch Rd, Left Sain Rd. Property on Left. 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-Metal Building Basement? No Basement Plumbing? No Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 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: Ill-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required 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 aooroved,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 Sewaee Treatment and Disposal Systems' (15A NCAC I 8A.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. gli dime P,;k ,s / t � 04/14 2023 Authorized State Agent Permit Issuance Date 4/14/2028 Permit Expiration Dale No grading or construction activity is allowed in areas designated for system and repair without approval of the health Department. ehpcnnit 04/14/2023 14:45 a • CATAWBA COUNTY ' -i ,y Public Health Department Subdivision d - '� Environmental Health Division PIN# 370005079967 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2 Site Address: 1766 SAIN RD, HICKORY NC 28602 Name on Permit: STEVEN&ANGELA*CANNON Property Size: Acres 3 Directions: Will access bldg by foot from home*Startown Rd, Left Sandy Ford Rd, Right Zion Ch Rd, Left Bethel Ch Rd, Left Sain Rd. Property on Left. Owner/Authorized Representative Acknowledgement of Permit Receipt n I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. ‘1(, As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-01-2023-43211, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) IElectronic Image Transmittal/E-mail (Return receipt required) f- 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(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: 04/14/2023 Owner/Authorized Representative Signature _ --- Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature4 Date/Time I3/D 3 Method: Fax i 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 yollrPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 0 nyitLeaAACil`Lfi thtt° 56 [4c„". lirA 4 ehpennit 04/142 l 023 14.45 1 l Catawba County Environmental Health P1PP- 0) - 0?3- I � M PY- 00. 2023 - 10131.60 pvt1N - 04 - 2.073 . 1A361,3 Rome noci /40 r t'1!41a) Qrec,‘ BN' - 9 -171 s , p P( oSra &� moo' Qt,it 1.f� P gel? 6s, ,:/) • 4l' f)VC �p R ao• fie, a l9S" 11, cC}c( Parcel: 370005079967, 1766 SAIN RD 1 in=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Goospatlal 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,and shall not be held liable for any and all damagos,loss or liability,whether direct,Indirect or consoquontinl which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 04/11/2023 DEPARTMENT OF E!r'VIRON!✓:ENT AND NATURAL RESOURCES Sled of DIVISION OF ENVRON'MEN i-4L HEALTH PROPERTY ID#: " 100 r 11` t.7 ON•SITE WASTEWATER SECTION COUNTY: Cc= „t ^,- SOIL/SITE EVALUATION �V+� for ON-SITE WASTEWATER SYSTEM Ou" -F A e,p 1^ r'', .,- 'i. APPLICATION DATE 112 71.2 3 ADDRESS:_ 6(2 r n;,n r�„ti. µi r r v r-i, NC t. K +Z DATE EVALUATED: 3/2011.93 PROPOSED FACILITY: tiny 6 inila irc PROPOSED DESIGN FLOW(.1949): ' 90 SF'tl PROPERTY Sr2E: 3 Purr LOCATION OF SITE:_ / CA- € _ PROPERTY RECORDED: -- WATER SUPPLY: 0 Private 0 Public [Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Baring L'Pit 0 Cut T�E�OF WASTEWATER: ®Sewa• ge 0 Industrial Process 0 1 ed a. ::.:. ......................... ::o.• ........................... _...........�::::: ::50�::MOI��c7�.OG�::: ::: ................---��O.�x.�1t:::::::::::: ......... ........ .. . .............. . ................... if ...........................: .. ............................................. ...,............- :IQ41 ... ..............._::::::::::::I;'I:20F� �TACTORS��..............--.......... ............... ::: SO .. . G�l� , ::!::ZCCiN::::: ............... :14di::::::::::••:::................ 1,4iif "": :: '.:: .. - ;�pROF:'f->�i; ;#€; FPQsmo :;. :DEPSh ;€; TRCUCTU1iif ...............::` ::%%ET' SSf' ":::.$Ol.i;::°:: :€?£AYk i (i::..usrR' ...... . .- .............:1 ....... , - R::: ::::DEFT'-;; E :::$iL3P :: ::::: :::::` '�LR :::::""::"""Mif£RA �`Y:;:::: ::: AIr�?....:.. ... `$ `:' -:::.. ....................... a- is- t. w G-f grtill rf/rr Ps- i r `ere c wfee FrJJ.t) Pjf6 -, - Sir • 1). 2 r 1 t!•15-,ry 3y-5- -C wfte r;/SIP fJ ' s Y /1.1 d lq C- . , . w e r- • ✓ J.fxjrllft PC IG-LI) ( w fife Fr).!.f)$f/f1✓ 2 1- I b 9, Lt! -s� :f W se,t' Fi f.1I J.f pI ri sY S d a ..., O -I r L W 6 I Y 4r)JJ 1 f Rl`t -C- is-30 C. Wttx FrifT 1 rP/ft S)' V 144 c� . 3 L /111, se-sLi r_ EN fie F;J fr)s/71rr _ v a� _ 1 4 , 1 I DFst'RBrtox 1 INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): S SITE CLASSLFICATION(.194S): Available Space(.1945) System Type(s) �( � o s l/a EVALUATED BY: 1, I ri'C 4 lr-► ! ;r'I. OTHER(S)PRESENT: . Site LTAR 0 • 2,5- 0.2.: COMMENTS: _ Catawba County Environmental Health O \\ N _V 2 \ s \ , \\I:, \, til s'N'N.."----,,________...,.....„,„.„...., \ ---,... --7 lairs 70 7:NNN 036, 5 Q‘,G :N'N:' a, 11;-1 .3 1( 1 So ,a \ , O Fd, ca., \\Ns"---, \____— \\ rd 'r6, ,o 1048 f `3°... N. Parcel: 370005079967, 1766 SAIN RD lin=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Goosppatial Information Sorvicos. Cntnwbn County tins made substantinl efforts to ensure the accuracy of location and labeling information contained on this map or dole on this report.Cntnwbn County promotes and rocommonds the independent verification of any data contained on this map/report product by the user.Tho County of Catawba.Its ompioyoos,agents,and personnel,disclaim,and shall not be hold liable for any and all damages,loss or liability,whotitor direct,Indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 04/14/2023