The URL can be used to link to this page

Home My WebLink AboutIMPV-05-2016-072229.TIF CATAWBA COUNTY Case P Subdivision ( 11 Public Health Department GEORGIA PARK Environmental Health Division PINT✓ 366703321831 `+� PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOTA 18 NAME ON PERMIT: KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650 Site Address: 3532 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Feet:20,037.60 Acres:0.46 Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16 South/turn right on Buffalo Shoals Rd/turn right on Meldonna/lot on right 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 roperty described above. As the property owner or authorized representative, I have received the above referenced pennit(s) as 7uesIed in the application for service RBPR-03-2016-23370 by the following method(s): _ Received in Person Eacsimile Transmittal (Return form with signature required) lectronic Image Transmittal/ E-mail (Return receipt required) k iAs 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: 05/10/2016 j /J - Date Owner/Authorized epresentative Signature /,l (r Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transm' ed .y . �rl'� I IS fly. (Hume of persaon•nd'ngper/nC.,.) Signature ,, ,I isli�l ) LEI A A Date/Time ' I 1 W 6p 30 Mcthod: _ Fax \y'rtnailUS Mail Other Owner's request o send by the ahoy indicated method of transmittal in lieu of signature O IZQC r. QsQa We want to hear from you. Please 'ake a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/alCustomerServIce clipcunit Ui/I(/2016 10:04 Page 3 or] lit 9LOZ—L1—SO 'wrd OV':LV:VD 2 LL)HVJ LOEVV9V 4c,th —c--tor 6 - 0-7221!1 Catawba County Environmental Health ,,1,jo I -5-2016- of 22_30 11111:0 1 , Cr, O 1 •yI 20- /A3 i N, /s 72 ns i - A Kt w - 3o- pr Isla- Lo 4. °C- tc °� zy NN-N-NN *411 eG 4 ei M/-- 5 it F400 et/ NN O— • 4. r// re Parcel: 366703321831, 3532 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. Copyright 2014 Catawba County NC 05/10/2016 " Case � CATAWBA COUNTY 0° i 0 IMPV-05-2016-072229 er T Public Health Department k . Subdivision GEORGIA PARK G ��„, Environmental Health Division r • • PIN 366703321831 13 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 _D 9 - " LO h# 18 842/SM ., •� ._ -11'I io NAME ON PERMIT: KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650 Site Address: 3532 MELDONNA DR, MAIDEN NC 28650 Property Size: Square Feet:20,037.60 Acres:0.46 Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16 South/turn right on Buffalo Shoals Rd/turn right on Meldonna/lot on right Improvement Permit Facility: Primary Residence - Mobile Home 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 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR 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 Sewaue 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 05/10/2016 AUPHORI%ED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/10/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpernEt 05/11/2016 10:04 Page 1 of3 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOUErFS Shea_4/— DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID M: ON-SITE WASTEWATER SECTION COUNTY: SOIL/sac EVALUATION /J for ON-SITE WASTEWATER SYSTEM OWNER: A, W VI*rA.tf - 'PLICATIONDATE ATsti — '23g7o ADDRESS: 'Sf A I hA< R- DATE EVALUATED: 4-6_4 6 PROPOSED FACILITY: E ' PROPOSED DESIGN FLOW(.1949): 34o PROPERTY SUE: LOCATION OF SITE:_ PROPERTY RECORDED: WATER SUPPLY: Er Rivate 0 Public -01-Wel 0 s, ng 0 Other EVALUATION METHOD: 0 Auger Boring a-Pit U Cut TYPE OFWASTEWATII2: ? Sewage 0 Indurnial Process 0 Nfuted SFFii -S... O1...t_-..:._._._...._......t7Y...[......Y.._..._.................___.__._ Tfittin , O g: ( :==E:::e .-.._:.:•-_:::........_=pH'= - €it `ir=_ ::e:::::: =:ills-a :CPI.Iii::=::: ::_:=-v:a :::-::::':::::c:: ;POF aTORS:: ;_............ ..... +nh -.6.,"=i i . 3 . Fiii-iiiiiiiii�8=a- � ` �� `iiiiiE; ' i?3 '__......._ „ � _ [ _ [_... .. : {iH_tt .... . 41Jit_:_:::::::c:::::___ 4 :a=_s::a_t: S- .,.. . _�= ::::r� ii ��t:�lhiiri _" 2 :f -_ OStg& Errili: ,_,_5iCTRt .COH5I3F3Ckd . W t SOIk $ARktx : RL .irimiSS: APR : X` :. M1 tat,OCY._s O' PPYLa CS OYL 11-17- 5C l w,rbh ft CID 12-Z4 C J-Lk . rr rjrt, 1 21-4' L-Fr4 • -4h (', rs•re , 3 till-i serr • rAl rr es- I 6-1. . CI . - ._ I.. 0,4 A s'(t t- if C A'k 1'; s'. ,.8 cm...it/ (A 2 (2 -s) c sdk 1.5`12 2_1 6/ ,225 itLd01 o—b ICI- ,,,-b it Cr Awl fN 3 2c-lfa e 4 rip VA fr Fr prrj ft) n 4 DFSOUPfON DCTtALSYSTEM AFFAIRsr1ZFx OTHER FACTORS(.1946): Available Span(.1945) ,s 5 SITE CLASSIFICATION(.1946): tY SyttemTy'pae) 2s'4 S.°7� E�TEDFBY: '�-•u,i 04,j;./- Site LIAR t '1 t .3 COMMENTS: iliha Catawba County FrAhronmentai 'Heatr, m N r� I 7ss 9 V;d J A P Aati 9 's' N • Q8 7 n' _Pr 3 ---__________ 41, 411,® , o .1 ,vs s ekF CG °o / . \ 72 N \� Parcel: 366703321831, 3532 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. Copyright 2014 Catawba County NC 05/10/2016