HomeMy WebLinkAboutRBPR-07-2013-17602.TIF� 1.50
Applicant
THIS IS NOTA PERMIT Case # RBPR-07-2013-17602
CNFAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Swimming Pool
IMPROVEMENT
ROO Sed C1Ce kI. eAIW-/ _
ROBIN \\'ALK ER. 5808 \\'NC 10IWY. IIICKORYNC 28602
B.8_183222536 08605589101
Contractor CAROI.INA POOL BUILDERS. INC.. 4548 REVEL RUN, GRANITE FALLS NC 28630
13.828-313-0362 C-828-217-27781':828-313-3339
Owner THOMAS \VALKER. 5808 \V NC 10 H\VY, HICKORY NC 28602
NAME TO APPEAR ON PERMIT
ROBIN WALKER
SITE ADDRESS: 5808 W NC 10 HWY. HICKORY NC 28602 PIN # 269918312066
NADIE of SUBDIVISION: Lotti 2 Section/Block
PROPERTY SIZE: Square Feet 57,063 60 Acre¢ 1.31
DIRECTIONS: Hwy 10 tow.aids Propst Crossroads/2nd home on right (blue & white) after the Propst Crossroads light
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 600 WATER SUPPLY: Public Water
DESCRIBE WORK: 20 x 40 swimming pool
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is "YES', then supporting documentation is required:
Does this site contain any )unsd,chonal wetlands? No
Does this site contain any existing wastewater systems? Yes
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? No
Are there any easements or iighl-of-ways on this property?
APPLICATION FOR:
STRUCTURE TYPE:
New Structure
ACCESSORY STRUCTURE
FACILITY TYPE: Other OTHER -DESCRIPTION:
DESCRIPTION OF single family home, 1 BR accessory dwelling
EXISTING STRUCTURES —
ON SITE IIF ANY)
DIM EXISTING STRUCTURE: 50 x 30
NUMBER OF EXISTING BEDROOMS # OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 20 x ;0
Desired system types (Improvement Permit or Authorization to Construct)
ACCEPTED. ALTERNATIVE: CONVENTIONAL
OTHER: INNOVATIVE: ANY. YES
Other described.
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An
Authorization to Construct issued by ;h s department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well
Permits are transferrable Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility
I have read this application and cerl,ly that the information provided herein is true, complete and correct Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable laws and rules I understand that 1 am solely responsible for the
proper identification and labeling of all prcperty lines and corners and making the site accessible so that a complete site evaluation can be performed.
Date. Signature of Applicant or Agent
An Envii iminenlal I Icalth Specialist Null contact \'ou within 2 working days of application date.
II you need further information or assistance please call 828-466-7291
AREA2
1.9 - chapphc.awa 07/115/2013 10 2.1 Pave I of 4
G^\; CATAWBA COUiN I ) Case a RBPR-07-2013-17602
i� ) Public I leallh Dcpmlm ;[ Subdivision
4 �± Environmcmallleah Dnison PIN# 269918312066
n
PO I3o.� 359. 100-A�++iuli++csl Blvd. Ncmlon. NC '_'8655
) Iq ,
NAME ON PERMIT: R0131N \\',\LKER, 5808 W NC 10 H\\'Y, HICKORY NC 28602
Site Address: 5808 W NC 10 11\\'1'. I IICKORY NC 28602
Property Size: Sc ue Peel _5i,',G_360_ rores 1.31
Directions: Hwy 10 tov.,.0 ds Propst Crossroads/2nd home on right (blue & while) after the Propst Crossroads light
MINIMUM SETBACKS FROM I . 30 SIDE 10 REAR: 10 MAX HEIGHT:
FEE
Imp-vement Permit (Existing) Fee
TOTAL FEES
DATE FEE AMOUNT_
07/01/2013 $90.00
$90.00
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
I!) - chapphcetion 07/092013 10 25 Page 2 of
THIS IS NOT A PERMIT Case # RBPR-07-2013-17602
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Swimming Pool
IMPROVEMENT
Applicant ROBIN WALKER. 5808 W NC 10 HWY, HICKORY NC 28602
B 8283222536 2:8605589101
Contractor CAROLINA POOL BUILDERS, INC., 4548 REVEL RUN, GRANITE PALLS NC 28630
B.828-313-0362 C -828-217-2778F 828-313-3339
Owner TI IONIAS WALKER, 5808 W NC 10 H WY. HICKORY NC 28602
NAME TO APPEAR ON PERMIT
ROBIN WALKER
SITE ADDRESS: 5808 W NC 10 HWY, HICKORY NC 28602 PIN # 269918312066
NAME of SUBDIVISION: Lot 4 2 Section/Block _
PROPERTY SIZE: Square Peet 57,063.60 Acre. 131
DIRECTIONS: Hwy 10 towards Propst Crossroads/2nd home on right (blue & white) after the Propst Crossroads light
PRIMARY CONTACT: SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY : Public Water
DESCRIBE WORK: 20 x 40 swimming pool
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is "YES", then supporting documentation is required
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? Yes
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? No
Are there any easements or right-of-ways on this property?
APPLICATION FOR:
STRUCTURE TYPE:
FACILITY TYPE: Other
New Structure
ACCESSORY STRUCTURE
OTHER DESCRIPTION:
DESCRIPTION OF single family home
EXISTING STRUCTURES
ON SITE (IF ANYI
DIM EXISTING STRUCTURE: 50 x 30
NUMBER OF EXISTING BEDROOMS: 4 # OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 20 x 40
Desired system types (Improvement Permit or Authorization to Construct)
ACCEPTED. ALTERNATIVE. CONVENTIONAL
OTHER INNOVATIVE: ANY: YES
Other described
1 0 - Aapplrc:d:oo u7/01/2013 10 36 Page I of 4
CA AWBA COUNTY Case # RBPR-07-2013-17602
lx Public Health Department Suhdn uwn
nv
Eironmental I leallh Division
ao /Y PINT 269915312066
PO Box 389, 100-A Southi%est Bhd. Newton. NC 28658
�s ti M
NAME ON PERMIT:
Site Address: 5303 W NC 10 HWY, I IICKORY NC'_8602
Property Size: Square Feet 57,063 60 Acres 1.31
Directions: Hwy 10 towards Probst Crossroads/2nd home on right (blue & white) after the Probst Crossroads light
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions, An
Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable, Improvement Permits and Well
Permits are transferrable Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility
I have read this application and certify that the information provided herein is true, complete and correct Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable laws and rules I understand that I am solely responsible for the
proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 929-466-7291
AREA2
MINIMUM SETBACKS FRONT 30 SIDE10
FEENAME
Improvement Permit (Existing) Fee
TOTALFEES
REAR* 10 MAX HEIGHT:
DATE FEE AMOUNT
07/01/2013 S90.00
$90.00
SYSTEM REDESIGN Al RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
19 - rh:rpphcni,m 07/01/2013 1036 Page 2 of
■
Jun. 22. 2013 2:24PM No. 3964 P. i
0C L JA"A THIS IS NOT A PERMIT
0 couNrr CATAWBA COUNTY HEALTH DEPARTMENT
■�
HwJ, GWoIIOn Application for Environmental Services Page 1
Improvement Permit r�,/ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑
Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑
Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑
Application is for New Cons(ruction X Existing Facility ❑
Property Address 5606 w NC 10 HWY Subdivision
HICKORY NC 28602 Lot ff Acres APPROX 1.5
Section/Block/Phase
Driving Directions to Propertv
HWY 10 SOUTH TOWARDS PROPST CROSSROADS CONTINUE ON 10 GOING TOWARDS SHELBY.
I AM THE SECOND ON THE RIGHT FROM THE PROPST CROSSROAD LIGHT- BLUE AND WHITE HOUSE
NAME TO APPEAR ON PERMIT? 0 Owner ❑ Applicant ❑ Contractor
Applicant Contact Information
Name ROBIN WALKER
Address580B W NC 10 HWY HICKORY NC 26602
Phone (W) 828-322-2536
Owner Contact Information
Name SAME
Address
Phone
Contractor Contact Information
Name CAROLINA POOL BUILDERS
Address LENIOR
Phone 828-313-0362
Cell Phone 860-558-9101
Cell Phone
I Cell Phone
WHO WILL BE THE PRIMARY CONTACT? *Owner ❑ Applicant ❑ Contractor
Description of Existing Structures on Site HOUSE AND GARAGE t)nX;1n
4 of Bedrooms *1 4 Structure Dimensions 1900 SQUARE FEET q of Occupants 2
Basement ❑ Yes ❑ No Basement Futures ❑ Yes *No
The Applicant shall notify the local health department upon submittal of this application if any of the following apply to
the property in question. If the answer to any question is "yes'-, applicant must attach supporting documentation
❑ }'es E7r No Does the site contain anyjurisdictional wetlands?
Yes ❑ o Does the site contain any existing wastewater systems?
171 es C�3No Is any wastewater going to be generated on the site other than domestic sewage?
12/yes �/
0 N Is the site subject to approval by any other public agency?
❑ Yes LAS No Are there any easements or right of ways on this property? Describe
Existing water supply In use ❑ Individual Well ❑ Community Well ❑ Semi -Public Well
■❑ County/City/Township Water Line Is a public water supply available? ii ❑ Yes ❑ No
If applying for an Improvement Permit or Autborization to Construct, 'Please Indicate Desired System Type(s):
(systems can be ranked in order of your preference)
❑ Accepted ❑ Alternative ❑ Conventional 0 Innovative 0 Other H Any
Jun. 28. 2013 2:2411Ni No.3964
CATAWBA. TMS IS NOT A PERMIT
COUNTY CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services
Proposed Facility Type
Q Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *t
Project Description
Structure Dimensions 20449#of Occupants 2
Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑E No
❑ Accessory Structure(s) Describe f )On I
# of New Bedrooms rt if applicable Structure Dimensions �)O X LA 0
# of Occupants Accessory Dwelling ❑ Yes ❑ No
Plumbing ❑ Yes ❑ No Describe Plumbing Needed
❑ Multi -Family Residence # Units #Bedrooms per Unit* j
Total # Bedrooms *'I Structure Dimensions
❑ Food Service Specify Type
# Seats Floor Space -Entire Food Service Facility (Sq Ft)
# Employees per Shift # of Shifts Dining Area (Sq. Ft.)
❑ Business Specific Type of Business Retail Floor Space
# of Employees per Shift # of Shifts
❑ Other Facility Type Specify
If Church # of Seats Kitchen ❑ Yes ❑ No if Daycare Specify Occupancy
Application for Well Construction/Abandonment/Repair
Proposed Well Type ❑ Individual Well ❑ Semi -Public Well ❑ Community Well
Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown
Well Repair Requested ❑ Yes ❑ No Describe
P. 2
Page 2
Calculated Design Flow, Commercial t Additional information may be required to determine
design flow from certain facilities. This value will be determined during consultation with on-site staff.
-Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and
counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time
of building permit issuance This may proven[ the need for septic system size increase in the future_
j If structure is plumbed but no bedrooms, calculated design flow is required-
** If No, swell permit must be issued with the Authorization toConstruct
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE)
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified
conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not
transferable: Improvement Permits and Well Permits are transferrable, Permits may be revoked if the information on this application,
site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state
officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I
understand that I am solely responsible for the proper identification and labeling of all property lines and comers and making the site
accessible so that a complete site evaluation can be performed.
Signature of Owner or Agent Date 6 /02?_/90/ 3
Printed Name of Owner or Agent
e�010 n 1 Q 1--,1L5e�`
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Catawba County, North Carolina
This map product was prepared from the Catawba County, NC, Geospanal Information Svstem
N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information
contained on this niap Catawba County promotes and recommends lire independent verification ofany
data contained on this map product by the user The Counts 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 product or the use thereof by any person or entity
Selected Parcel Number: 2699-18-31-2066
1 inch = 60 feet
Prepared for:
THIS IS NOTA LEGAL DOCUMENT
/Date: 6/28/2
CATAWBA COUNTY NC - Parcel Report
Information Regarding
Selected Parcel(s)
Parcel ID
2699-18-31-2066
Name:
WALKER THOMAS E
Name2:
WALKER ROBIN H
Address.
5808 W NC 10 HWY
Address2:
City:
HICKORY
State:
NC
ZIP'
28602-9731
Account
Calc Acreage:
1.31
Tax Map:
LRK:
101020
Deed Book'
3052
Deed Page'
0520
Subdivision Name
Subdivision Block:
Lots:
2
Plat Book.
63
Plat Page:
4
Building Number.
5808
Street Name:
W NC 10 HWY
Site Zip:
28602
Township:
BANDYS
Fire Dist:
PROPST
City/Tax:
State Road
Total Bldgs Value.
$185,300
Land Value:
$14,600
Total Value:
$199,900
Year Built:
2011
Year Remodeled:
Last Sale Date:
4/14/2008
Last Sale Amount:
$80,000
Neighborhood:
89
Watershed:
WS -III Protected Area
Watershed Split:
NO
Voter Precinct:
P2
E911 District'
COUNTY
Zoning:
R-20
Zoning2.
Zonmg3.
Zoning Split:
N
Zoning Overlay: WP -0
Zoning District:
COUNTY
Split Zoning Dist:
N
Split Zoning Dist(1):
0
Split Zoning Dist(2): 0
School District
COUNTY
Elementary School: BANOAK
Middle School:
JACOBS FORK
High School.
FRED T FOARD
School Split:
NO
P&Z Case Number:
SU2008-006
Census Tract 2010' 011802
Census Block 2010:
2000
Small Area Plan'
MOUNTAIN VIEW
Agricultural District:
Proximity
Printed, Friday, June
28, 2013 03:12 PM
CATAWBA COUNTY
Public Health Department
= Environmental Health Division
" o PO Box 389, 100-A Southwest Blvd, Ntwton, NC 28658
Applicant/Owner THOMAS WALKER
Site Address: 5808 W NC 10 HWY, I-lickory. NC
Property Size: SP ACRES
Directions:
Case OP -3 -II -16222
Subdivision
Lot #
PIN# 269918312066
Catawba County Health Department Operation Perinit
System Type: IIIG - OTHER NON -CONY TRENCH SYSTEMS
(In accordance with Table Val
Description: 25% REDUCTION
U
4
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration for permit renewal.
System Installation Comments
PERMIT CONDITIONS:
1. All maintenance, monitoring, and performance requirements shall be in accordance with
15A NCAC 18.1900, Rule .1961
2 Operation & Maintenance Specifics
Subsurface system operator required? Yes_ No_a_
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage
Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization.
Shane Jarrett (/1851
SYSTEMINSTALLER
Megen McBride - 42246
AUTHORIZED STATE AGENT
03/23/11 09 27
03/18/2011
INS'T'ALLATION DATE
03/22/2011
DATE OF OPERATION PERMIT ISSUANCE Form F
I
OPN�R it-�� 9091
5 909 w NC IU VW J
` f i i56o I JR�IUsoj *S20og-oom)
dor i
CATAWBA COUNTY
Q: 4 Public Health Department
f Environmental Health Diwsron
PO Box 389, 100-A Southwest Bhd, Newton, NC 28658
Applicant/Owner THOMAS E WALKER
Site Address: 5808 W NC 10 H WY, Hickory, NC
Property Size: SF 1.309 ACRES
Directions: IOW PAST 127 APPROX 100 FT
Case 9 AUTI-1-12-10-13548
Subdivision
Lot #
PINK 269918312066
Authorization to Construct Permit
Authorization to Construct Wastewater Svstem (Reouired for Buildina Permit).
See site plan and number of additional attachments ()
Proposed Wastewater System: 25% REDUCTION Wastewater Flow 600 g p d
Type: HIG - OTHER NON -CONY TRENCH SYSTEMS
Soil LTAR: 0.35 a.p.d./ft2
Permit Category: New Septic
Type of Facility: Prim Res/Acc Dwelling 3 bedroom house and detached garage with I bedroom apartment
Basement? No Basement Plumbing? No Bedrooms: 4
Wastewater Svstem Reauirements
Tank Size: Existing Tani: 1,500 gal Pump Tank gal Grease Trap gal
Dosing Volume gal Pump Specs: GPM @ TDH
Pressure Head ft Draw Down
Drainfield: Total Area: 1,285 sq ft Total Length
Aggregate Depth in
Minimum Soil Cover 120 in
Number of Drain Lines 5
Distribution: Serial
Additional Specifications:
in
428 ft Maximum Trench Depth 36
Trench Width 3.0 ft
Minimum Trench Separation 9.0 ft on center
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.
Proposed Reoair
System Class: IVA Proposed System: 50% REDUCTION Distribution Type:: LPP
Soil LTAR: 0.35 g.p.d./ft2
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicanr/property owner to insure that all Catawba County Planning/''/_onmg and Building Inspections requirements are met This
Authorization to Construct Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are
altered. The Authorization to Construct 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 Disnosal Svvienrs' (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.
Megen McBride 12/08/2010
AUTHORIZED S'I ATE AGENT APPROVAL DATE
Permit Expiration Date. 12/07/2015
No grading or cmtsn uction activity is allowed at areas designatedfor system and r epair without approval of the Health Department
12/08/10 1108
Ir
CA%CAIVRA COUNTY
�y7� Eix\ PuM1I1c Health Dupart.ment
�> Environmental Health D,vtston
PO Box'38�). IUD -A Southwest Blvd, Newton. NC 28658
(8'28) 365-82 i0 FAX (828) 465-8276 TDD (828) 365-8200
Applicant/Owner: THOMAS WALKER
Site Address: 5808 W NC 10 HWY. HICKORY NC
Property Size: SF 1.01 ACRES
Directions: 10 W/ THRU PROPST X RDS / 100 YARDS ON LEFT
Case #
SubdivlSton
SecUBUPh/Lot #
PIN#
Cathwba dountV Health Department Operation Permit
I i r
t i
1 �
�X;Sr•
WLS2008-00386
2
269918312066
Al
tra n..l.3
y I zo /Oti r
A I o a r v r
y �� c3 0R .
System Code
c
System TypeDescription: as �2� '' `-�""'�^f' Types V and VI systems expire to 5 years.
(In accordance with Table Va) Owner must contact health department 6 months prior to exiration for permit renewal.
PERMIT CONDITIONS'
1. Performance. System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule 1961.
III. Maintenance: As required by Rule 1961. Other: /
Subsurface system operator required? Yes—No
It yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and
Disposal, and All conditions of the Improvement Permit and Construction Authorization.
Amax M;Il4r 5.17 t' fr
System Installer Installation nate
Uf Ay nonzea atate Agent Date of Operation Permit Issurance
1 ' Furan P
\Trtrn,ur4 V i�nnNlVLSnm, r,n
Applicant/OwnerTHOMAS WALKER
Site Address: 5808 W NC 10 HWY HICKORY NC
Property Size: SF 1.01 ACRES
Directions: 10 W/ THRU PROPST X RDS / 100 YARDS ON LEFT
Improvement Permit
Permit Valid For: Five years No Expiration
Facility (Residential): House
Case fk
Subdivision
Sect/BL/Ph/Lot #
PIN#
W LS20os-00396
2
269918312066
powd z
I Louse X , Mobile Nome Multi -Family_ Bedrooms 5 New's _ Addition?
Projected Daily Flow g.p d Water Supply Private Well? Public? Semi -Public?
Basement. N Basement PlumbingN [lot Tub/Spa __LL_� Special Fixtures (explain)
Proposed Wastewater System: Type:
Proposed Repair:
Permit Conditions:
Owner or Legal Representative Signature: Date:
Authorized State Agent: Date:
The issuance of this pernut by the Health Depailment does not guarantee the issuance of other permits It is the responsibility of the apphcanUproperty
owner to insure that all Catawba County Plammmp/Zoning and Budding 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 it change in
ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewace Treatment
and Disposal Swrems' (15A NCAC 18A .1900). Neither Catawba Count.) nor the Environmental Health Specialist warrants that the septic lank
system will continue to function satisfactorily for any given period of time.
Authorization to Construct Wastewater Svstem (Required for Buildinq Permit)
* See site plan and additional attachments I—).
Proposed Wastewater System: Type:ffrq Wastewater Flow &00 g.p.d
New Repair `/ Expansion Soil LTAR: / r 35 g.p.d./ft2
Type of Facility: qA2 N� A ,X +r.,r-4uri
Basement: N Basement Plumbing N HoITUb/Spa N Special Fixtures (explain)
Wastewater Svstem Requirements
Tank Size: Septic Tank V 5 ° J jycJ gal Pump Tank gal Grease Trap gal
Drainfield: Total Area: �t"�° sq it Total Length: q30 It Maximum Trench Depth 16 to t
6
Trench Width 3/ it Minimum Soil Cover 1 2-" in Minimum Trench Seperation it
Distribution: Distribution Box Serial Distribution _.i.� Pres ure Manifold , LPP Other
Add' ('onalSp+ecificatt%'''� s: *' 12 <Y.5* -,r..,... 1. e o, r>'�
jr>M 61J.,� F•�nd�}.un YT�.i'e11 jl\C� oq G+e.I•a./f
Authorized State Agent: 6Y Date: $ 113/18
Permit Expiration Date: /23/2013
/ have read and accept the specifications and all conrhnons of this permit as indicated.
Owner or Legal Representative Signature: /� — _ Date: s//ss-/,;�8
Form B
r.\TuLenniN£nnmNvls.�nn rnr
CA'TAWBA COUNTY
II ,tic Health Department
Environmental Health Division
PO Box 389, 100-A Southwest Blvd Newton. NC 28658
(828) 465-8270 FAX (828) 465-8276 TUU (828) 465-8200
Applicant/OwnerTHOMAS WALKER
Site Address: 5808 W NC 10 HWY HICKORY NC
Property Size: SF 1.01 ACRES
Directions: 10 W/ THRU PROPST X RDS / 100 YARDS ON LEFT
Improvement Permit
Permit Valid For: Five years No Expiration
Facility (Residential): House
Case fk
Subdivision
Sect/BL/Ph/Lot #
PIN#
W LS20os-00396
2
269918312066
powd z
I Louse X , Mobile Nome Multi -Family_ Bedrooms 5 New's _ Addition?
Projected Daily Flow g.p d Water Supply Private Well? Public? Semi -Public?
Basement. N Basement PlumbingN [lot Tub/Spa __LL_� Special Fixtures (explain)
Proposed Wastewater System: Type:
Proposed Repair:
Permit Conditions:
Owner or Legal Representative Signature: Date:
Authorized State Agent: Date:
The issuance of this pernut by the Health Depailment does not guarantee the issuance of other permits It is the responsibility of the apphcanUproperty
owner to insure that all Catawba County Plammmp/Zoning and Budding 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 it change in
ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewace Treatment
and Disposal Swrems' (15A NCAC 18A .1900). Neither Catawba Count.) nor the Environmental Health Specialist warrants that the septic lank
system will continue to function satisfactorily for any given period of time.
Authorization to Construct Wastewater Svstem (Required for Buildinq Permit)
* See site plan and additional attachments I—).
Proposed Wastewater System: Type:ffrq Wastewater Flow &00 g.p.d
New Repair `/ Expansion Soil LTAR: / r 35 g.p.d./ft2
Type of Facility: qA2 N� A ,X +r.,r-4uri
Basement: N Basement Plumbing N HoITUb/Spa N Special Fixtures (explain)
Wastewater Svstem Requirements
Tank Size: Septic Tank V 5 ° J jycJ gal Pump Tank gal Grease Trap gal
Drainfield: Total Area: �t"�° sq it Total Length: q30 It Maximum Trench Depth 16 to t
6
Trench Width 3/ it Minimum Soil Cover 1 2-" in Minimum Trench Seperation it
Distribution: Distribution Box Serial Distribution _.i.� Pres ure Manifold , LPP Other
Add' ('onalSp+ecificatt%'''� s: *' 12 <Y.5* -,r..,... 1. e o, r>'�
jr>M 61J.,� F•�nd�}.un YT�.i'e11 jl\C� oq G+e.I•a./f
Authorized State Agent: 6Y Date: $ 113/18
Permit Expiration Date: /23/2013
/ have read and accept the specifications and all conrhnons of this permit as indicated.
Owner or Legal Representative Signature: /� — _ Date: s//ss-/,;�8
Form B
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Applicant/Owner THOMAS WALKER
Site Address: 5808 W NC 10 HWY HICKORY NC
Property Si SF 1.01 ACRES
Directions: 10 W/ THRU PROPST X RDS / 100 YARDS ON LEFT
® Improvement Permit [3 Authorization To Construct
SITE PLAN
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Case #
Subdivision
Sect]BL/Ph/Lot #
PIN#
WLS2008-00386
2
269918312066
E3Well Permit
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CATAWBA COUNTY
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PphOc Health Department
Environmental Health Division
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PO Box 389. 100-A Southwest Blvd, Newton, NC 28658
(828) 465-8270 FAX (828) 465 8276 -rDD (828) 465-8200
Applicant/Owner THOMAS WALKER
Site Address: 5808 W NC 10 HWY HICKORY NC
Property Si SF 1.01 ACRES
Directions: 10 W/ THRU PROPST X RDS / 100 YARDS ON LEFT
® Improvement Permit [3 Authorization To Construct
SITE PLAN
I1
Jr l I Zo' N, y. IoI.J
Case #
Subdivision
Sect]BL/Ph/Lot #
PIN#
WLS2008-00386
2
269918312066
E3Well Permit
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5/71-0E
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Scale
System components represent approximate contours only. The contractor must flag the system prior to beginning the
installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of
revocation it the site plan or site conditions are altered.
�'d S/13113�
Au h ized State/Agent Date Form C
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