HomeMy WebLinkAboutIMPV-4-11-17058.TIF �q CATAWBA COUNTY Case # IMPV-4-11-17058
� G Public Health Department
� 2. Subdivision CATAWBA SHORES SECTI
Environmental Health Division
�`�' PO BoY 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # 4
Ig4 �M PIN# 372515731629
Applicant/Owner GREGG FISHER � NPQ •� -� � ��'��ij
Site Address: 4345 30TH ST LN NE, Hickory, NC
Property Size: SF 0.86 ACRES
Directions: SULPHUR SPRINGS RD TO 44 AVE DR NE LEFT ON 30TH ST LN NE LOT ON RIGHT LOT 4
Improvement Permit
Faci�ity: primary Residence
Permit Category: New SeptiC Bedrooms 4
WATER SUPPLY: Public Water
Basement? Yes Basement Plumbing? Yes
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INITIAL SYSTEM SPECIFICATIONS
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Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 480 9•P•d
Proposed Wastewater System: 10" LARGE DIAMETER PIPE
Type: IIIF - LARGE DIAMETER PIPE SYSTEM
Permit Conditions: The 50' setback to the lake must be marked before the construction authorization will be issued.
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REPAIR SYSTEM SPECIFICATIONS
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Repair System Required? Required
Proposed Wastewater System: LOW PRESSUR PIPE
Type: NA - ANY SYSTEM WITH LPP DISTRIBUTION
PUMP REOUIRED ***** OPERATOR REOUIRED
Landscaping or other site alterations that potentially divert groundwater or surtace 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 forSewage Treatment and Disnosal Svstems' (15A NCAC 18A .1900). Neither
Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily
Susan Bumgarner 04/15/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 04/13/2016
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
04/18/11 09:05
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Department of Environment, Heafth, and Natural Resources Sheet: �
Division of Environmental Health File #: G;�};�n ,,i L�1 ��� ��l <
On-site Wastewater Section
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for ON-SiTE WASTEWATER SYSTEM
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