The URL can be used to link to this page

Home My WebLink AboutIMPV-04-2016-071597.TIF ,p CATAWBA COUNTY Case# __ _ _ Vii. �L� Public Health Department Subdivision GEORGIA PARK < - ro4. ,y, Environmental Health Division PIN# 366703233105 AI,. PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 8 NAME ON PERMIT: CLAYTON HOMES, PO BOX 132, TAYLORSVILLE NC 28681 Site Address: 3453 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Feet:20,037.60 Acres:0.46 Directions: Hwy 16/left Buffalo Shoals Rd / right Meldonna Dr/ lot 8 on left Owner/Authorized Representative Acknowledgement of Permit Receipt �/ ►J' I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. I Dr As the property owner or authorized representative, I have received the above referenced permit(s) as l requested in the application for service RBPR-02-2016-23282 by the following method(s): 'Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) piAl As the property owner or authorized representative I have reviewed and understand the specific conditions "F., 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: 04/26/2016 Owner/Authorized Representative Signature ;tit' L/ s• 6 Date 1Df( LP • 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 chrome 04/26/2016 13:19 Page 3 of3 r' ,pA CATAWBA COUNTY • o .1 0 Case# IMPV-04-2016-071597 .� �GG Public Health Department y11 • • �.:+' Subdivision GEORGIA PARK a) Environmental Health Division r + I'IN# 366703233105 / 0 o Ig.2 ,„ PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 _I i LOT# 8 NAME ON PERMIT: CLAYTON HOMES, PO BOX 132, TAYLORSVILLE NC 28681 Site Address: 3453 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Feet: 20,037.60 Acres:0.46 Directions: Hwy 16 / left Buffalo Shoals Rd / right Meldonna Dr/ lot 8 on left Improvement Permit Facility: Primary Residence - House Permit Category: New Septic 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: 50% REDUCTION Type: 111E- PPBPS GRAVITY DOSED SYSTEM Permit Conditions: --._.._-- REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IIIE- PPBPS GRAVITY DOSED SYSTEM 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 Ru/es for Sewage Treatment and Disposal Systems' (I5A 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 04/26/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/26/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 04/26/2016 13:19 Page 1 of3 N Avth- Lf- 2o/6 - 67ftop k.cll- '1- 2016 - '7/ Sh8 4. 4,,e, --„ U w.t\1 �4y4 . Me" "' in iiiii it in e v >� IN e// TT\ / : :?JT y \ ti 4, t- ? F '0 net �y 5 o I b-e C '' ti \r , aciF: t Z_ D flu old si/ c �-�hk b t , fi, t c (Pirfiv4tror / D t' !.c /n oL,lJt 1.1 oM./. ir.15,-n.I. Parcel: 366703233105, 3453 MELDONNA DR 1in=40ft MAIDEN, 28650 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. Copyrpht 2014 Catawba County NC 04/25/2016 DEPA1TMENf OP ENVIRONMENT AND NATURAL RESOURCES sheet—°J- DMVLS10N OF ENVIRONMENTAL HEALTH PROPERTY ID it: ON-SITE WASIEWATERSECIION COUNTY: SOIL/SITE EVALUATION �L� for ON-SITE WASTEWATER SYSTEM OWNER: y I tnj. Aac( �rtafa— APPLICATION DATE ADDRESS; S4 S 3 /1 a-I Jinn, Pr DATE EVALUATED: PROPOSED FACIlITY: 1 O a— PROPOSED DESIGN FLAW(.1949): )I° - PROPERTY SGT LOCATION OF SITE: 1.1' 4 PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public {'Well g [I Omer EVALUATION METHOD: 0 Aug::Baring [i-Pit U Cut TYPE OF WASTEWATER Bic-wage CI Tadustrid Promo 0 Mued --:- : '.H4- Eiliff :_:S.i...__4,"n f3pPtY> `3 :,5:E:::::: ::::::€i ; K=::::,.=„, =eta : ;-___;v_g__a:::::-_=::-ta_- -_ ....._ Mil'..".:1-:t _fie :r. : :::e:::c-?r_.._...__?ec__r._ac-::..: =....._-_ _._.";..._--..—.-:.:: ?5 : 3 [[:'.__: ...::E;'EE:_�:E _T=____ . �:_ :[:?_ii;__: 942 :[,_- _'j=FF:eE:E EPRI;IF7L_`_isF#iT4TL4_.�_:[s_.._..e- : __nnli`.::.-5 __:.„ --___ ._:__: --_... _... ._.._. ._z _...._..-.__. _ _ - -- -- _ __..� fig_._ xHR�!!E"v'`:= : :: i:::r: e—_'__ �Ei[:_r. ;_i Ei?Ei ESF'a .'il7T'E_ =5i_— _ • _ _—_ _ _.....__ _. :L. �-=:.—iif_ !d _---" .��^T iv .._.. PY,.t�F=aaF sj.:- _ ^!_.;■__..__ u.'y`..�[b :;'a::^�1Gr_c r.-�__..__ :,.'n..t. .. ..L---^=:a:T.'_— '_....�E•�-.:.._F v:v � .. iGc €: rkle= sAr?� _; :::T = ::_r-_AEI; <_solgil i_neevr :_ i1. ; Era ' o-13 C 44k F; rsJ4 • 1, 13-31. w TO\ • fr JJ,n . 1 ¶Of 31-` 0 ycLArR I/ iP 60 3 PS- 13 4Lk..t. I., F 0- . C .N iP I3-3g it ilk Jr JJJ'd I 3 2 5E54 Jc, + J.,j, rdk Fr 11105 _•- Rc_ o -'S9 G nA pht., 4 F; A Nu I '11-/11 /C rail lc tF i ^,elx.l°d7 (,( 3 bT fSO Sdh L r,,n• / N Z - 011,4 9run 0-3 ( C MS-y M fx r,' 31-4 LI t- r, ft C. 1,4,,,,1 /9 4 4 ti4-k , 1 P- , I,r, 2raI • SIIIIMIL DESCRIPTION DCTIAL SYSTEM! REPAIR SYSTEM OfR FACTORS(.1946): I SITE CLASSIFICATION(.19413): Pr Available Spare(AM) S 3- S}YmT eco 59•/ SD R(4, EVALUATED BY: (Lol��a. Pjc� ° OIH£R(S)PRESENT: At vn A, h.,46 , J-44,, Pr,y_ Site LIAR , 3 , 3 COMMENTS:• - Catawba County Environmental Health : ,. t ' . . : t .�, , • sir ._ e,� _ _ tic ce v' .:i 'Lj4 _ . / -.‘ ‘`k-.1.0' 1111111111101111— . PP i_ �i.e.,- a ~Ai m ,' i 4i - •� . 0. _ .. S -, - - . -="-- -fir_ .. l _ r t - : -4 • r Ir ate. ' .. ., 3r 1 s G 4 a a .A ` i jS��q� c , — ..fY7t--Al �t2 �. ,ir f— - fir .6 .{ . ` • 1 4 * fir;.' ' • t. lc " - }, a s%J -r �s 4 4 ''..--.:41.7* 414. # R r y w ,. . !•te . . ._Parcel: 366703233105, 3453 MELDONNA DR 1in=40ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,NC C:ospatial Info :ton Services- Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained this map or d. a on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report uct by the -r.The County of Catawba,its employees.agents,and personnel,disclaim,and shall not be held liable for any and all damage loss or liabih whether direct.indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or ntity. Copyright 201 Catawba Cou y NC i 04/25/2016