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vA� CATAWBA COUNTY 0 ' e7 o .1. ..i, ..i Case#• e� IMPV-03-2016-070289
.Q' Al A Public Health Department W• ti Subdivision
, —Ay,�; Environmental Health Division e PIN#
M5802675388
� y PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 _ � '� LOT# 2
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NAME ON PERMIT: BOYCE HENLEY, 20139 RAINBOW CIR, CORNELIUS NC 28031-7165
Site Address: 2697 BUD ARNDT RD, MAIDEN NC 28650
Property Size: Square Feet:62,290.80 Acres:1.43
Directions: HWY 16 S, Right onto Providence Mill Rd, Right onto Bud Arndt Rd, go about 1 mile & lot is on the right.
Improvement Permit
Facility: Primary Residence - House
Permit Category: New Septic Bedrooms 4
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration:
Projected Daily Flow 480 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP REQUIRED
Permit Conditions: `Do not drive, grade, or fill over any designated septic a
REPAIR SYSTEM SPECIFICATIONS
-----___-------------
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
PUMP REQUIRED
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.
Robbie Phelps 03/21/2016
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date:
03/19/2021
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpermit 03/22/2016 08:29 Page 1 of 3
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Parcel: 365802675388, 2611 BUD ARNDT RD tin=6Oft
MAIDEN, 28650 WILL
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy 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 2014 Catawba County NC
03/21/2016
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DEPARTMENT OP ENVIRONMENT AND NATURAL RESOURCES 1 Shed_of__
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID ii:
ON-SITE WASTEWATER SECTION COUNTY:
SOI /SIII,EVALUATION
OWNER (stC.h {�fi"I,.( for ON-SITE WASTEWATER APPLICATION Ai�SYSTED4 2 2 )os
ADDRFCS; 74 5 7 Ord In th{'- /V DATE EVALUATED: 3-17il
PROPOSED FACILITY: K 6 4- PROPOSED DESIGN FLOW(.1949):S.1.9_ _ PROPERTY Sr7F-
LOCATION OF SITE PROPERTY RECORDED:
WATER SUPPLY: B-Privare 0 Public [`)'Well 0 Spring CI Other
EVALUATIONMEIFIOD: 0 Auger Boring 0 Pit 0 Cut
TYPE OF WASTEWATER: Be Sc-wagc O lnduamal Process 0 Mixcd
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