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� a CATAWDACOUNTYDMPV-09-2023-205313
..� Public Health Department Subdivision LAKEGROVE
t .- Environmental Health Division PIN# 370520813033
�� PD Box 389,25 Government Drive,Newton,NC 28658 LOTii PT 8 9
Site Address: 4101 5TH ST NW, HICKORY NC 28601
Name on Permit: THOMAS& PAT STRUVE
Property Size: Acres 0.63
Directions: 127, Left onto 39th Ave Dr NW, Keep Right on 4th St Ct Nw, Left onto 4th St Ln NW, Left onto 41 st Ave Nw,
Right onto 5th St Nw,property on the 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 36C g.p.d
Type of Facility: Primary Residence-New house
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: DRIP IRRIGATION
System Classification: VA-SAND FILTER PRETREATMENT
Pump Required ***** Operator Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Not Required
Permit Conditions: The drip drain field is to be surveyed and fenced off.
'The plans for the septic system must be designed by a registered professional engineer.
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 rot approved,and may result in failure to
approve the initial system installation.or the auspenslonlrevocation of existing permits.
The issuance of:his permit by the Health Department does not guarantee:he.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 revocat+.on if the site plan,plat or the intended use changes,or if site conditions arc altered. The Improvement Permit is nor
affected by a change in ownership of the property This permit was issued in compliance with the provisions()Idle North Carolina'Lents and
Wes for Selectee 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 lime.
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.
44-Zi ke Ieekt43) 09/25/2023
Authonred State Agent Permit(salience Date
9/25/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department
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SOIYISITE EVALUATION
OWNER: --n,60,43 I ,04 41-rcON SITE W� 'WAO DAT$ER ST]�M %j.� '.7ADDRESSL{to 1 Si. A ' An../ F'ai r tt+,4, NC -F 4 r► DATE EVALUATED: 61Rt J 7
PROPOSED FACILITY: N rug lA cw• PROPOSED DESIGN FLAW(.1949): 3 er- • PROPERTY SLr: c).(13 r n'•r
LOCATION OF SITE: ,S C`^^c- PROPERTY RECORDED:Moon- M l 7
WATER SUPPLY: 0 Ptivere VPublie 0 NV_,..ell 0 Spins LI Other
EVALUATION METHOD: 0_19sger Barlag N'P!t U Cut •
TYPE OF WASIEWAT R: Seve se 0 Indust:61 P u Q vgxed
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