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Home My WebLink AboutIMPV-07-2023-199850.TIF CATAWBA COUNTY !' t gar Public Health Department Subdivision 1�.v., Environmenul Health Division PING 278004940198 ��;y� PO Box 389,25 Government Drive,Newton,NC 28658 LOT/ 2 Sits Address: 6172 DWAYNE STARNES DR,HICKORY NC 28602 Naar on Permit LAWRENCE KEFER Property Sts: Acres 1.42 Directions: Hwy 127 S to Mtn View, Right on Dwayne Shames Dr,Go 3/4 mile and property on Right 1 1 Owner/Authorized Representative Acknowledgement of Permit Receipt s.) % )certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. /(.5. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-04-2023-44157,by the following method(s): _ Received in Person Facsimile Transmittal(Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 9 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 ISA.1900), and/or Well Construction Standards(15A NCAC 2C A100), shall apply to the issuance of this permit and the construction of the wastewater system and/or supply well • mined. r Permit issue Date:07/11/2023 /441•••••0111111111111b. Owner/Authori d Rep esentative Signatu .. ,.fm -•-arrz,'"''•"+ Date 1 2/ 1; Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) 14 Signature g Date/TimeiltILLI 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 yo&Piease ttake a few momentts tto complette our custtomer service survey att http://www.su rveymon key.com/s/EHCusttomerService 124 cI 1 ll 07112/2023 13:14 4\* CATAWBA COUNTY Case# IMPV-07-2023-199850 .t,II Public Health Department Subdivision 0 ,,,-.1 Environmental Health Division PINK 278004940198 PO Box 389,25 Goverment Drive,Newton,NC 28658 LOTit 2 �IH, w Site Address: 6172 DWAYNE STARNES DR, HICKORY NC 28602 Name on Permit: LAWRENCE KEFER Property Size: Acres 1.42 Directions: Hwy 127 S to Mtn View, Right on Dwayne Starnes Dr, Go 3/4 mile and property on Right 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 600 g.p.d Type of Facility: Primary Residence-New house Basement? Yes Basement Plumbing? Yes Bedrooms: 5 Water Supply: Public Water Maximum Occupants: 10 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25% REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-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 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 Sewage Treatment and Disposal Systems'(I 5A 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. jellg 4.0tieletee Pe k1R3l 07/11/2023 Authorized State Agent Permit Isuanee I)atc 7/11/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 07/12/2023 13:14 i Catawba County Environmental Health l MPV , 10�1. at1 a , . 1�tr1'K-� A1i1I 1\ • f. ! wi ri` r Cmr Inc - 'Ji ;'act T , = rune •s.-,.). %,_ \•. -'' / ' ct"/6104:.,.,,i1/4t,)..-. V .` , y N k V l, 11` . S so g' Q_ ei6t3Yio-i C 4 o`t y Cvvet p° So. / i. S t v `0 /tv.'hb Pf0Y Sf f o �r U\Art SYgQ ` ►, Vic:%A` N. 4/ 5" PT c I 6viYrtiv� tN��r l 'c 7 Oil 7 Parcel: 278004940198, 6172 DWAYNE 1in=60ft STARNES DR 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 07/07/2023 DEPARTMENT OF ENVIRONMENT ANl)NATURAl.RESOURCY_S Shed ef_1_.. DIVISION OF ENVIRONMENTAL I IF-ALTII PROPERTY ID N: ?1't Y O'-J' 011 ON-SITE WASTEWATER SECTION COUNTY: ,a-If uifi A SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: i 1'1.';i ;"` "r (•• h , ,APPLICATION DATE /'.i iJ ADDRESS: "'' ._ . .' ' ('r {..,, , ,;r• !•l 1` I1 --/' DATE EVALUATED: 42 J i i/2 r PROPOSED FACILITY:Art 1 I(1 t'i r PROPOSED[)PSION FLOW(.1949):,[r IJ a ,.) PROPERTY SIZE: I. 4) ..a-"'1 : , LOCATION OF SITE:_ • 1.' 2 Ix ;, I. ' i +' ' L r , I/)i 1', ' , 8f /�t. .;PROPERTY RECORDED: WATER SUPPLY: Q Private U Public 0 Well (l Siring 0 Other EVALUATION METHOD: 0 Auger Boxing 0 Pit Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mvfucod , ..SOIL 10P.P 0 OG' ::................ ::aa: R.,....f,.f:::= „ (:1911)..... ..................:.....:...................... :rTtpFL3iE;FAC'CO .. ................................................................ :>-:: ::..: .... . • . . . : 3r ivr ... :::::z(.v................::::::::like::::..;..........:::::::::::=::::1gid1:::::::::::::::: ::::::::SoCL...............1E.43 ..1954 :::: .1944::::::.;:: RAF ::: ::::T'OSITLO.NI DLPTH s ''S'1tU TU[t f.........:::.:000N. .. GFI: € WEME— 1........SOIL'.'.::: :::SAP1L .: � :... P SS :SLOPE,%::::i A)......-::::::`'.Tang 7 C4..OR:::,-:::D : :: 1OR7Z::: ::::&1TAR • I r /' 1, Ws/'K V-(r/C5 jfil5!' io�� • ; • (1-�a <o�;( ).,f,,,;, (s-f✓ii ls-.s/f, t � . , .3?'s l o 11. 5't ,N.. ;K I v (ssisP/ PS ':. Li CC giC•,m;«, tnlsll't'1Jcr ClicriC 2 l rl,ul� :K- U serto.r�„,. Wsi' VV- fgrPi% ' �� 0.24 . 0 .Cl, C c- (Al s '' 44ssj.SP/f‘ PS y .31j C t, c B( V rrl s-r'1,f t ' 3 c5jrrn, 39-60 5196).,i�r., Wier v!jrtJ1�1sr i U . • 0-0 Ct- w(9-r- Ocisfiff/fr . c , / IO .3.9 GI,4-f.rt,rtf WSgg Vk/ ss)St/it= Ps- 4 vi lY% 3J� co Ga�-{orii ws'et( r�rl ��Ff s��f r SO' 0 .3 1 DESCRIPTION Th TTIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Available Space(.1945) S S' l Type(s)System S% N 7) �S EVALUATED BY: �7 f C e it I-11 Ar _ a K ya t^ OTHER(S)PRESENT: • Site LIAR 0 ,3 2.5 0.3 COMMENTS: Catawba County Environmental Health \ \\ \ \,. .1.3,,,, , ,\ \ \ ,:.,...,... ,,,,,,.. \ \ , \ \ to ;,, ; . AAIP \ I .,;01' ;.,3, 0 ..4044 \ 4 .... "0 71---------'‘I.c7-----\\---..., 1 �� 1 \\\\ 5�'ti t5i \\\ ?� , ' \\ 1 i7 �rT\ ....• ,'�` \ +fir 4� �a tr \ \ \ \ '' ‘ \ \ \ ‘. \ \ • tii I l �' hh'' y I 4 s o ' Q i} I i I 7 I 1 I I S ti ,} tr `I i •r vr \I \ \ \ \ 7 i \ \ I et ch s► ;,a, s ta! r " G �. O CT+ !tr F r t y r- r f f \ .... / / / � / 17/ ill ,� ii I I �r I ` i t 1 1t � i t 0 p , To> cri tli 1 } t ► �� O �t5 14111k. / \\ \ \ \ 5 o 1 ) : 1\ \ # 40'. P....., \ \\\\ J► ... Y t . / Parcel: 278004940198, 6172 DWAYNE 1in=60ft STARNES DR 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 07/07/2023