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Home My WebLink AboutIMPV-04-2016-070968.TIF ,v,A CATAWBA COUNTY Case# IMPV-04-2016-070968 Public Health Department Subdivision t®? 4 ' Environmental Health Division P1194 368903348087 �®P YY PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT# 3 `84%'^ NAME ON PERMIT: THOMAS & NELL PRICE, 147 HILLBILLY LN, STATESVILLE NC 28677 Site Address: 5418 MELANIE LN, CATAWBA NC 28609 Property Size: Square Feet: 338,896.80 Acres:7.78 Directions: 16S/ left Buffalo Shoals/ right Bandy's Cross Rd/ right Old Beatty Ford Rd/ left Melaine Ln/ 3rd Drive on left go to end Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the nproperty described above. ih As the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-01-2016-23032 , by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) n 4 I - 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: 04/08/2016 Owner/Authorize//d Representative Signature 7 - — ate /7/7(r1 Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService chpermit 04/0812016 10:49 Page 3 of 3 `.ygA CATAWBA COUNTY 0• 1 0 Case# IMPV-04-2016-070968 7.7( Public Health Department 7.4 n.-Idue.Ct Subdivision .C,) Environmental I lealth Division , 7 PIN# 368903348087 \$4 PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 4 —� _ • LOT# 3 • } 1:1 C V NAME ON PERMIT: THOMAS & NELL PRICE, 147 HILLBILLY LN, STATESVILLE NC 28677 Site Address: 5418 MELANIE LN, CATAWBA NC 28609 Property Size: Square Feet:338,896.80 Acres:7.78 Directions: 16S/ left Buffalo Shoals/ right Bandy's Cross Rd/ right Old Beatty Ford Rd/ left Melaine Ln/3rd Drive on left go to end Improvement Permit { k vur°+ f. ire p as --.T t a'`S:?S "' i .3 r a n u {4'ca y'# nr� �. r tmmwrt � °A�.�>t� INITiALSYST�EM I�XIST�NG Facility: Primary Residence - House Permit Category: Other Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: CONVENTIONAL Type: HA-CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: *All parts of the new house must be built at least 5 feet from any part of the existing septic system. `The water line has been relocated as shown on permit. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS PUMP *MAY BE* 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 Rides low Sewage Treatment and Disposal Systems' (I5A NCAC I8A .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 04/08/2016 AUTHORIZED STATE AGENT APPROVAL,DA'Z'E Permit Expiration Date: 04/08/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 04/08/2016 10:49 Page 1 of N Catawba County Environmental Health i IP°V- q -to( - o7ogtg TS r o Cr - e J ? c 7 �z X t ? • % ti° �-- CO __.__/ h-a bl 0..—V _ Ji ` ` wtx Linl ( w 1/ r Q cn o o C Z., C r b5 �k Parcel: 368903348087, 5418 MELANIE LN 1in=60ft CATAWBA, 28609 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 04/07/2016 DEPARTMENT OFENVIRONMENT AND NATURAL RESOURCES Sheer 0.1 DIVISION OP ENVIRONMENTAL HEALTH PROPERTY ID X: ON•SLTE WASTEWATERSECTION COUNTY: SOIIJSITE EVALUATION for ON—SITE WASTEWATER SYSTEM OWNER: S6+� P N.c I APPLICATION DATE 2 3 O 1 Z ADDRFCC: S4/ • 4 hi In DATE EVALUATED: '-I/-/6 PROPOSED FACILITY: "S I, v PROPOSED DESIGN FLAW(.1949): ' 63 R . PROPERTY SIZE: LOCATION OF SISE: PROPERTY RECORDED: WATER SUPPLY: rPdvate 0 NM, 0 Well 0 Siring 0 Omer EVALUATION METHOD: 0 Auger Boring 13"Pit U Cut TYPE OP WASTEWATER: a-Seaago 0 lud�ntrial Pmuu 0 Afvled• •: -...:::::_:: ^:e:iii ii.. ... ITIiLIIWLVN: ::_:::C ::::: _.�•{.�.y..y.I�+✓��y°w":ry� /�/��y(a ••::• :iie::':e ��.[i194LJ_g°ii_i_iiEi2 7_.::......._...", iS1tOCILlkPACtOjVII:.-:a...c::ee:::_••:...._ ` : : ... € 1941 = _ _) ::ZfiN - 194L._..= [ I SOLI, 194,€ =_ -X4sy - 044 i ,_ •i. PASLiiONf. ._ ... GOflSI$7'F31Cr1 I't' v}�/- �$OTi.� $,�PffQ[__ .B�C'Yik 3 sa3r> x= -etn}. . 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' . • . • . . • . • ... . . . • . • • • . . ..- • . • ' . : . , „ • i ii . •. . . . . . . . . . • • • . • • . . . .. , . . . • . . • ; .. , . . • : , .• . . , . . • • . • - . . . . : •• . • .• . , • .. , . , . „ . .... .,. . • • . . . : • • • . • ,..,. , . • • • . . . , . . ....... -\-: ' • . • ..; . . .. ..,,. . . . • . . ... . . . f . . .., ..,., , . . . • . , ., . . , . , .. • . ., .,., . ; • . • • • . . . , . . , .• • . . • , . . , • , . . , • . ; . ; •• , . . i . . , . . • , t‘i ,s ' . •, • . . • . • , , . , . . . . . • . . • , . • • .• . . . • , . , .• . . . • . . , , . . . . .• • . • —1 • . . . , . 1.17 , - . . . • . . . • . . . ' . . . ' . . , . . , . . . . . • , : • . , . • • . • ' • : , . • : ., t9 : . • • ' . Parcel: 368903348087, 5418 MELANIE LN 1in=60ft CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geospalial 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 0.4/0712016 . . . . . . . . • . • '- -• • . - ...- ... -_