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Home My WebLink AboutIMPV-11-2023-208658.TIF f f ,olirdp.l CATAWBA COUNTY Cue M iMPV-11-2023-208658 �•/r Public Health Depertmcnt Subdivision Deerfield R1� . r,II'' Environmamal Health Division PINS 268902987772 ��....-40P PO Box 369,25 Government Drive,Newton,NC 28658 LOTH 43 Site Address: 1393 SHIREBOURN, HICKORY NC 28802 Name on Permit ISTVAN KEDEI Property Skit: Acres 1.38 Directions: Radio Station RD to Old Conover-Stertown RD to Sandy Ford RD to Pittstown RD to NC-Hwy 127 S,left onto NC-Hwy 127 S to Deerfield LN To Fawn Trail to Shireboum. Owner/Authorized Representative Acknowledgement of Permit Receipt K I I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. k, As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-08-2023-45333,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) 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: 11/17/2023 Owner/Authorized Representative Signature ~ Date /2,/0/I�•} Documentation of Permlt(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by ___ _ (name ofperson sending permit) Signature (-4 e Date/Time /?1 y/,3 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 yoiPlease Rake a few momentts tto complette our custtomer service survey art http://www.surveymonkey.com/s11/EHCusttomerService 1,5+4YQn r I,QQI QyaLoo.ecrn 1I/22/2023 05:45 f �_� CATAW BA UY Case# IMPV-I l 2023-2U8658 .f. Public Health DepartmentCO NT Subdivision Deerfield .witEnvironmental Health Division PIN# 268902987772 l PO Box 389,25 Government Drive,Newton,NC 28658 IAT# 43 Site Address: 1393 SHIREBOURN, HICKORY NC 28602 Name on Permit: ISTVAN KEDEI Property Size: Acres 1.36 Directions: Radio Station RD to Old Conover-Startown RD to Sandy Ford RD to Pittstown RD to NC-Hwy 127 S, left onto NC-Hwy 127 S to Deerfield LN To Fawn Trail to Shirebourn. 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 480 g.p.d Type of Facility: Primary Residence-New house Basement? NO Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 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 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' (15A 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 gig gik;44) 11/17/2023 Authorized State Agent Permit Issuance Date 11/17/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 11/29/2023 16:03 Catawba County Environmental Health EY1Pg- 0,1- 2-073 -v1s333 N V- 1) - 9_02z- 9-0658 •137711 45' �o '031 _ n 10 0' lo'. I T b r44 6 1 o' r I '),1 -- Ir ) • l tA B� _ �cfU,,f •1393 / s /tea. S t G �o. �qNs O C 70 }a retiS Z i • IDS' 1 �'0 •140 Ilihillillhh . Parcel:268902987772, 1393 SHIREBOURN lin=60ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatlal information Services. Catawba County has made substantial efforts tai to ensure the accuracy of location and labeling Information conned 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?lability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyngh t 2023 Catawba County NC 11/16/2023 DEPARTMENT OPENVIROWMENT AND NATURAL RESOURCES Shed-1—0 ' 71�� DIVISION OF HEALTH PROPERTY DR: ,Otd,SI EWASTEWATERSECTION COUNTY: 1r',N R SOLU5YTE EVALUATION ` l for ON-SITE WASTEWATER SYSTEM • OWNER: Vt !)e Imidte. APPLICATION DATE %J,2 J),2 3 _ ADDPESS: - DATE EVALUATID:1(2.1..L423 PROPOSED FACILITY: New 1,Q,AJ PROPOSED DESIGN FLOW(.1949):4f�9P J . PROPERTY STD:] ,6 o+w'rf LOCATION OF SITE: 1313 •�h,re b ov_9,1 t 14i r,kr . I c PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public 0 WE°1 0 Sping 0 Other EVALUATION METHOD: 0 Auger Baring .V Pk U tad ' TYPE OF WASTEWAI R: Pi/Sewage 0 Industrial Pucas 0 Mixed P • F 1 pmtii i- i t li ili_gi t:i?,Ili" t n:A?inul??Rl::i : »•—:.i•»•c;::i`':.n'. `;,ma's=-...•:: '. _ sul •' 's .a s}.1y�.��tr�,trIrq� s. t::3us'..y.ur-'�ts.a� .. .... 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Sr•, -wile' j ss/sfi b PS '7 Is L+F,Det SRC Frlcs js03-1% 5.6 - 2 1714 1 0 IS-56 g/ .fhtt' wrk Fr]st)c Ph-5 0 , 3 - 0-6 se-1 wOW 1ss)sP si PS x cr cf fE . • 3 1-Ixi9, 7*-5-14 aKic ws6i(_ Fr ls$1fP)se • 0 t 3 sq-s$ Sop ( ) WCZA1 VAstep)sE 0 -b ‹cb-l-Leta (die e liI I(PJcI . , 195 6-;6 L - f7Sn iI rock S rS1( , tr I f S� • 4 1 J 3�9D , z6 c -sA ,,6�G*ter Wi8P( rf ) s) sPJs l; 0 .3 Arian Daum.SYSTEM MAR SYSTEM OTHER FACTORS(.1946x SITE CLASSIFICATION(.1946):_ AnDsbte OM) S S n} s EVALUATED BY: 6144k 1"er�t nI SYstesa'h'Pg:) ya fs% OT (S)PRESENT: SheLUR 0 t 3 0 ,S • cage: • SOIL/SITE EVALUATION sheet 7 of (C'onllminlian Sheei-Con jllele all field MN!) 777� PROPERTY ID#: 26 gq G'j$ DATE OF EVALUATION: COUNTY: t ads 14h 4 SOIL MORPHOLOGY OTHER (.1941) PROFILE FACTORS .1940 LANDSCAPE HORIZ .1942 POSITION/ .1941 .1941 SOIL .1943 .1956 .1944 PROFILE SLOPE% DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RES R CLASS ON.) MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR o s 5C1, w50 S � 61 79/0 ici-ei ci,d c ws6W r)ss)scf cr o 3 'COMMENTS:... . • Updated February 2014 Catawba County Environmental Health co 1\\\\ ,‘\ \, \ .. T .... 4,0 ..,, , \\'' \\\\ .. ., p � � „°' 1 .1.77cn I 4. , 0, //041) / 7 , 1 \ 1 ib' glbr }oo 1/ . , 1 \ ii y ' Oit 4 d?)Q)fi . 1 CA a42s 0 139 N coD lk t'A G i '' 73 Z 7� f % is o 990, tra r �� \\‘ 141\ to ii""'N 4.03,o'illil-\ 09 , I Parcel: 268902987772, 1393 SHIREBOURN lin=60ft HICKORY, 28602 This mapheport product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the acctwacy 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 11/16/2023