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Home My WebLink AboutAUTH-04-2023-194626.TIF , V,N • CA hAW1tA COUNTY Case u AUI'[[-04.2023-194(i26 ,1 la Public Health Dcpatuncnt Subdivision CLEARVIEW ACRES PL 13-5E - ^-, i:nvirorunental Health Division PM t! . 279111555253 •- • - - (....._ PO Box 389,25 Government Drive,Newton,NC 2x658 LOP/ 2 w Site Address: 5460 CLOVER ST, HICKORY NC 28602 Name on Permit: SHANE AND KALI MALMQUIST Property Size: Acres 0.77 Directions: Take exit 42 for NC 127,turn right onto NC 127 S/Brookford Blvd. turn right on Frye Ave, left onto Clover St. home is on the right Owner/Authorized Representative Acknowledgement of Permit Receipt 44.. I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. K4k. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHI'R-04-2023-43928, by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 7 Electronic Image Transmittal/E-mail (Return receipt required) kAs 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 fur Sewage Treatment and Disposal Systems (I SA NCAC 18A.1900), and/or Well Construction Standards (I5A 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: 04/28/2023 Owner/Authorized Representative Signature -: Date 5/ 0 j23 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name qf person sending permit) Signature _C_ Date/Time .5 chz Method: Fax V 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 yor,Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 50) maiK1cbui5t- 43 .PM ' ehpenni: 05/02/2023 10:26 .44gA . CKI'AWBA COUNTY Case M AU•PH-04-2023-I94626 ti ilk y Public I lealth Department Subdivision CLEARVIEW ACRES PL 13-5f < Y Environmental Health Division PIN 279111555253 �� PO Box 389,25 Government Drive,Newton,NC 28658 I O"I_q 2 a. Site Address: 5460 CLOVER ST, HICKORY NC 28602 Name on Permit: SHANE AND KALI MALMQUIST Property Size: Acres 0.77 Directions: Take exit 42 for NC 127,turn right onto NC 127 S/Brookford Blvd. turn right on Frye Ave, left onto Clover St, home is on the right Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? No Bedrooms: 3 Water Supply: Community Well Maximum Occupants: 6 Soil LTAR: 0.275 g.p.d./ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONV TRENCH SYSTEMS Septic Tank: Existing Tank 1 000 gal Pump Tank _gal Grease Trap_gal Dosing Volume gal Pump Specs: GPM @ TDH Pressure Head ft Draw Down in Drainfield: Total Area: sq ft Total Trench Length: 328 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 33 in Minimum Soil Cover: 6 in Minimum Trench Separation: 9 ft on center Number of Drain Lines: 4 Trench Width: 3 ft Distribution: Serial Pre Treatment: NONE Additional Specifications: The existing septic tank my be used, if found to be suitable for continued use. If not, a new septic tank is to be installed. See also attached site plan. 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. >>>>> Do not install system under wet conditions «<<< PROPOSED REPAIR Repair System Required? Not Required Soil LTAR: d.Ht2 9•P• Proposed System: System Classification: dipemni 05/05/2023 08:40 C TAWBA COUNTY Case d AUTI I-04-2023-194626 LT tt'2 Public Health Department Subdivision CLEARVIEW ACRES PL 13-5f < Y Environmental c Health Division PINE 279111555253 . PO Box 389,25 Government Drive,Newton,NC 28658 LO'I'8 2 Site Address: 5460 CLOVER ST, HICKORY NC 28602 Name on Permit: SHANE AND KALI MALMQUIST Property Size: Acres 0.77 Directions: Take exit 42 for NC 127, turn right onto NC 127 S/Brookford Blvd. turn right on Frye Ave, left onto Clover St, home is on the right 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 Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions or the North Carolina'Lrnrs and Roles for Serruee Draw:eta end Disposal Systems' (ISA Nett I8A.I900). 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 fora conventional system may be used for an accepted system without Environmental health authorization or permit modification. ('lease notify Environmental Health of this change prior to system installation. gighigkee f t,ktr12) 04/28/2023 Authorized Siam Agent I'ennit Issuance Date 4/28/2028 Pawn Expiation Dom No grading or construction activity is allotted in areas designated for system and repair without approval of the Health Department. chprnni: 05/02/2023 I0:26 Catawba County Environmental Health 7 0 Hf (2- C)II • .207'5' . (,r3g15( `.00 l\l1 111 (it{. 20,13 • I 1462f1 00 .90 •2578 30 \\,� 1r10 ) ,1. Of; j / r, . , _ „\ <, , \N -1-' \ \PI ,,,,,f),, r\o QvJ 0 IC II c. 10,N `L. •5460 flik 1`A Ilk �je laao° 01 0 150130 e 125 O30 P"' C 205 O 80 00 •54$3 Parcel: 279111555253, 5460 CLOVER ST 1 in=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatlal 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 any person or entity. Copyright 2023 Catawba County NC 04/27/2023 • DEPALL]d [I OF FNV1I.ONMEN T AND NATURAL RESOURCES sI,•d_L oI_L DIVISION OP ENVIRONMENTAL HEALTH PROPERTY ID 0:»gf 1 l S.S S.'. ,ON-SITE WASTEWATER SECTION COUNTY: a SOILISITE EVALUATION for ON—SITE IVASTEWATER SYSTEM . OWNER: 11 ‘,' ::,t., }y,.,i, n16I,,.,rft,r.:,-? APPLICATION DATE t11i1 ADDRESS: 1/4, c. cs le..e; ti•t. 1,;r t,'2,1,N C ;$1,o 2 DATE EVALUATED: L.J /2� PROPOSED FACILITY: h'r 1 k r• PROPOSED DESIGN FLOW(.1949): "SLR�i'Al • PROPERTY SIZE: 0.11,Q.A• LOCATION OF SITE: r.r..1 r PROPERTY RECORDED: --- WATER.SUPPLY: 0 Private 0 Public 0 Well 0 Sping 0 Other C.t rv'ri'i•Pi'j lei s 11 - EVALUATTON METHOD: 0 Auger Bating D Pit U Cut • TYPE OF WASTEWATER: 0 Sewn* 0 Industdel Procne. 0 Mixed - ,::::. .d..0...... f::::::Y:•,.1.1.................:: t • ...1 1:::,:16 a't'::IS�'x altl,:•"•:t1::G::7:7 I::..,Y1::1r::: :ll•sl[1:::::':::.iii l:'ii1 C::ai:::8::ii:::::c::na:::u:asi:ii^i%Eii :i':':f:ii'I:!•iir, :: .. .. ^•r•.nq. { ( !!;i i i....f ! r r• !t•l. .... 1 : EE:. ..!. i. ._! s;!; , T4iiiiiT......c:::: ,.gli:311if!!'t{{1:l:a.... .:I s .i3..-...s 1::::.1!::!r:,illii:d ii..t.. 11AI;;;i HI I.Ii::a:::::. .uGi:.:i•;: i:::..l.:i• .a:::::!:ii:an:sailai: 15,1;;.r•i.l.. ,.. , ::^.:t:nl:l:':'::'::'::�: :...:rt::::l`:I':t: Ili:,......_,}};7 .:.lilt:l::':::::•::::1":'::::i�,;li,.::::I:::!'i::n1:::::: ..FI S{'::.. 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CONP MYr VIi!i!I as1°)M140 !-3iaiicl 4Yjiilii %il ? ;ROM OW?L4 i...t,...... ::�,:: JKii.V: :Y� �: ^:i:e:�7i M !; [..i. .. e.4 !ReT.W_..IF" +1 !'i i::. i irlii!!`"�'�T1f''i! ciiM ,•.1R /!Jt lily ........_ .... .._.... .:• 0 1.» ..y:3:..,`y-�j�rS�1 ir'•it.i:":::::� i�{pp..�::.:: ..f1.�� ::.'.::::=...e i ..... .1.' 4 F:z.'l . ,. irliii:.:.li , ,_Ii',e,g� 111iiih ,Eiii iiii •.•ignEF:li ai i �- —ivi i1 p11.«1..•. ."—^•••.—� �'''�mi a:: .c�;iLe.fit:ci:ffel:errs:forlal:ii!iii ��l"}•s _ s!d!ilti.i.".-'•..•n.: .. . ...}}_��._:.ia lliri'�"!Ei��:fug ��f!"iiiii!�ii?!iiii•�...�'afWs^u?�F�� - ,c'., .p-lick sgac' rris f sq SE...... . • 1 1`'1 .'�, • . ' o.27 • 0 e-3P K i ,rb-: 30 •SS,c1, tic Wso HrJsrf P f r S ,• r 2 / ;; sr-S, c ap/) Q.3 i t 3 I _ ,� . 4 DESCRIPTION A'IITAL SYSTEM REPAIR.SYSTEM OTHER FACTORS(.1946) Avaihble Space(.1045) - SITE CLASSIFICATION(.I948): / , _ System ems) - 25�o EVALUATED BY: R P i"P t' '�i'!S' DTf R(S)PR.ESENT: • . Sue LTAL V. 15- oo : Catawba County Environmental Health X0 \ .0ii, i;.0., 0, \ \ T-' fl.-b-. \ \ , \r"..r, i ..v ‘ \ ;.1. (------ \ '01", 4'0 \\ \ • '01•14,tr„, \ 5 An 4, .! r ~` 104.90 1ya a0' ,�- I , / / 15 ii, 0 f it.: 4 �,:, •5446 r, 17. f u, °' 5460G ?`\ 1 {' A4°~ ,i 1r(\iV" r 1 •5474 :Pt,a- 00a \<--- • if 7it \ it ° .5483 Parcel: 279111555253, 5460 CLOVER ST lin=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatlai 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 any person or entity. Copyright 2023 Catawba County NC 04/27/2023