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HomeMy WebLinkAboutIMPV-4-11-16902.TIF � CATAWBA COUNTY Case # IMPV-4-11-16902 G Public Health Department Q �y Subdivision BARBARA ANN GRAY ,� Environmental Health Division �� '<" PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 1 s° P�# 370016842737 Applicant/Owner CLAYTON HOMES CLAYTON HOMES Site Address: ZION CHURCH RD, Hickory, NC Property Size: SF 4.329 ACRES Directions: HIGHWAY ] 0 W- TURN RIGHT ONTO Z10N CHURCH RD - PROPERTY ON RIGHT BEFORE PITTSTOWN RD Improvement Permit INITIAL SYSTEM EXISTING - IP FOR REPAIR SYSTEM ONLY Faci�iry: primary Residence Permit Category: Other Bedrooms 2 WATER SUPPLY: Public Water Basement? No Basement Plumbing? No ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- INITIAL SYSTEM SPECIFICATIONS ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 240 9•p•d Proposed Wastewater System: CONVENTIONAL Type: IIA - CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- REPAIR SYSTEM SPECIFICATIONS ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Repair System Required? Required Proposed Wastewater System: 25% REDUCT Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS 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 suspensioNrevocation 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 S stv enzs (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily Megen McBride 04/13/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/11/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 04/13/11 0923 --�-� ��-I�(�- ��- II-1�1 <<� S �� �� V � S� c�, ; i�,� �arq �,,�, (-r-Qy # I � TI�iS �.vY�1i�i c'�SI 4��'F, S�'� i�Pf��r° a S��c�i�i5io� �s �,.o�,ds�� , ti � � f c� lr��l�� ��EYC. Gtli� re t�Sfc�, � l.� � s � P w ���, � t ���e� � 5���,�����5��� ����T � ��c��l� �? �iL �C�;e I��E►��t �;�� �je.: (�e°�' rn�f� ,;c., l C'ecor c ( / I `, re(orc�f . . �*�`��iS �� ea��>>� ��.� r`��1 ir' �� SC�iL �4����ily�����4'� r �C,►{t��((..- �G�i� '•,<. 1 , �,,���f. i`G , � I - t �. � �ov�i��tc �I�N 11 �1� � � � � , . ��j�j �{tr S� 1rIAS �(�S�'��� �" ��"� e Q � L 15� `68 ��e�� � � � I�`> � �`"r e�{�� • S�, or�G'ina� � �'��'� �'177� � � N� ►' } Y J , ` � � 1 `ic, �:���t,�icY � � YO �jPb It���``71�( �.,P�Y U`(Ill ��n� � � � .� � � �v 1 r` _ ` I ! 5�1�( � aS�-fr�C t l �' -----------�-_. / ( 1 (� i �,;+� Se -}ic, (�ePcir� -- _ _ 6�.87� yG 1 ; ��(ll►�1 iE lrf �(�� i �'�f �� � �: �-��� 2 So k�d • r�, x � o `�' !� r: ,; i o i e, �i l,� � �o� � oo' lo � o j � �� � 1anK 0' D i f ��' -- ��, ° I i / i proP�:�a ; e� �-�.� � , , � - �,� , ��.�.� � ; 3gz� ; � i �. ; — � , '; — ; � , ; ; ; � �, i— I `� `Ib �0� �'pr C��tiCG. QA� I ''-�r�' DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sireet _ oj_ DMSION OF ETMRONMENTAL HEALTH PROPERTY 1D #: ON-SITE WASTEWATER SEGTION � COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTE O�I�1t: a�l Y` DIY�P �> AP PLICATION DATE � ''- � � 3� 3" 0 ADDRESS: DATE EVALUATED: ` ' I PROPOSED FACTLITY: P�OPOSED DESIGN FLOW ( 949)• 360 PROPERTY SIZE: I LOCATION OF SITE: ���„ Chvr� R 0.r 6a ra �nn ��raJ Sv�� �-o� � I PROPERTY RECORDED: WATER SUPPLY: � Private � Public � Well � Spring � Other EVALUATION METHOD: � Auger Boring � Pit � Cut T'YPE OF WASTEWATER: � Sewage � Industrial Process � Mixed :::P:�;: ::::�[ ::::::: ::: : :::::::: ::::::::::::::::::::: ::::::�::�::�::�:::::::::::::::::::::::::::::i::: ::::::::::::: �:::: : �:::::::: :::::::: ::i ::� ::: ::::::::: ::�:::::: �[:::::: :s::::::::::::::::::: :::::;;:,:::: :::;:::::::::;:::: ;;:;,`;" : ;:,;: : ::::::!: ::::::::::::::�::::::::::f ';:;:��:::: 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:::::::::::::TEXTIlRE:::::::::::::.:.:.:M1NERtl.I.QG3!::::[::::::�tOR........................._.........._... ..... ...:SLOF�:�"o:::: ::::::�r� :::::: ::::::::::::::::::::::::::::::::::::::::::::: ....:....::::...::.:.:..:.:.:................ ..:: :::::::::::::::::::::: ::::::::::::::::::::::: .:::::::::: [:::::::::::: :::::::: � [:::::::::: [ [: : [:: &:E:TAR::: � - �`� CL �•K- r SS �eX Spr,c. ��P � /Ir/ , � f� "o 1 � � 2 � 3 i 4 'r DESCKIPTION INITIAL SYSTEM REPAIIt SYSTEM OTHER FACTORS (.1946): SITE CLASSIFICATION (.1948): pvailable Space (.1945) QS (� � j � „ EVALUATED BY: 1 ' ' E� �" I � � � ( � l -� SyscemType(s) 01 � OTF�R(S) PRESENT• rtvl P`1 u�Ns Site LTAR V' 3 COMMEMS: � , r <J,, � ;' � ��' , s� L 1 � r' � � � ���'�n J i � � � j � �s�i��, ' � � �� . a��. ,�j� � e . ������Y. , � ____-- a...{, � � ,� ���i � �\ � 1 � i / � __ _ _ j ._._ — I , ; � ' �` J ! ��°� � �� � , C � � � � � � � ;�_ .___._____ _ �i av� �hv�clr Q.d , �11Ir� '�D s��.fF �