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Home My WebLink AboutIMPV-07-2016-074150.TIF Y,• . CATAWBA COUNTY Case# I .q...2. Public Health Department Subdivision � Environmental Health Division PIN# 367804718198 � I� PO'Bov 389. 100-A Southwest Blvd.Newton,NC 28658 LOT# 1842 :w NAME ON PERMIT: DWIGHT FOWLER, 5577 BROOKWOOD LN, HICKORY NC 28602 Site Address: 3210 RANT DRUM RD, MAIDEN NC 28650 Property Size: Square Feet: 326,700.00 Aeres:7.5 Directions: Hwy 16 S, turn right on Rant Drum Rd, property on Left f Owner/Authorized Representative Acknowledgement of Permit Receipt TAMt certify that I am the owner or authorized agent (owner's authorization required) representing the owner of the property described above. �pT (As the property owner or authorized representative, I have received the above referenced permit(s) as / requested in the application for service RBPR-06-2016-24071 by the following method(s): �,,}'ceceived in Person Facsimile Transmittal (Return form with signature required) yy�� Electronic Image Transmittal/ E-mail (Return receipt required) _ rTAS 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 susply well permi -a. Permit Issue Date: 07/01/2016 - Owner/Auth riz d Representative Signatude' // A Date 74116 / 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 dim nnit 07/01/2016 15.41 yA CATAWBA COUNTY 0 • 0 Case*I IMPV-07-2016-074150 .Q [y:9� Public Health Department _ Subdivision G ieto �;I Environmental Health Division ri: 4 ' 11: PIN# 367804718198 ' � {ni is PO Box 389. 100-A Southwest Blvd.Newton. NC 28658 } I r LOT# Tr 5L '. NAME ON PERMIT: DWIGHT FOWLER, 5577 BROOKWOOD LN, HICKORY NC 28602 Site Address: 3210 RANT DRUM RD, MAIDEN NC 28650 Property Size: Square Feet:326,700.00 Acres:7.5 Directions: Hwy 16 S, turn right on Rant Drum Rd, property on Left Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes 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: IIIG -OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 251%, 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 ISA .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 07/01/2016 AUTHORIZED SPATE AGENT APPROVAL DATE Permit Expiration Date: 07/01/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpcnnit 07/01/2016 15:41 Raft- 7-2.0(6 - o74 !rj Catawba County Environmental Health b•""• • / ■ s/ / / I i /r T h r IL s� M5 / / �ds i 11211.24 43 1/ OA rir , ;'S 'S �I i 1„S° \ • \` \ y '; C 5 O 769) S ;------...---.7 3-ti .• \...... - --) ./K:\\\\\ • • 133.66 0\t/ o • _ 1227520 ta Parcel: 367804718198, 3210 RANT DRUM RD 1in=80ft 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 I 07/01/2016 DEPARTMENT OP ENVIRONMENT AND NATURAL RESOURCES Shea/oJ e— DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID it ON-SITE WASTEWATER SECTION COUNTY: SOIIJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: 0i''- foww •POCATION DATE ADDRESS- 9S'(v41 DATE EVALUATED: 6-Z4-/! PROPOSED FACILITY: 4 PROPOSED DESIGN FLOW(.1949): 4 PO - PROPERTY SIZE: LOCATION OF SITE PROPERTY RECORDED: WATER SUPPLY: Titivate El Public tS rWtT�eu, O Spring 0 Other EVALUATION METHOD: 0 Auger Baring rim 0 Cut IYPE OF WASSEWATER msewage O ItalP,uceaa U NExed :-::_ .=_ ___-- x::iu::::.-:::__::_____-::::-a:--::_::-::: :::.:::::::::v___ :_.::.-:__r._t::__=:-_::::__:: =_ ::o EEE_ :: ... ::S( T: hICRL$O�.. GSA �77rR_=iii I[r ::-.. :iiiii' =°;;;;i. 4 `..... ,,.,. ................_ _ ..... . ,,,.. 'TIWFLEFAC TOIS.,.,. _: ..,.,., s : . Ern= _.._ :: '=HOBt2 s:�_�.::..:::.::::::.:.::_::;:-::::::_::_-;;__. s: ..- � - - _ -- �_- _-..,....,...,4iL_ a_z :s: -z=_:. =iS 1FN =__::x =° 00 7 - :■ POST{T,p1aTf: �TtF.P11T: I1C't'EJRt:J EAN$151'J:N[rP1 iT'ETi+fSSf: SQ1If S�.PH{>: kta�' �7APG _ : . Tana PPP�RAfG S-0G4A DEPfff rcSS QR[ S o-c F:' f 5-28 C ,rdh . 1 iv-3‘ C 01-0( RYJWilw,in•/r4 3l I ZS d4-"J� Ct,ern.:Z /Jr e-s. FCl/ . - zt L 5-sP1 12s 2 24 4/ tP 14( Y" —111 CL rbh fr (4-5` _ C. rbti Fr .11 ,c SZ ( 3 der o-(8 c .444 p (c-v8 c t, ,; t.,i, r )/ 8 3 4 4 l � � DESCRIPTION ID.ITIAL SYSTEM I REPAIR SVSTFN OTHER FACTORS(.1946): finable Space(.1915) SITE CL4SSIFICATION(.1948): �Tr,r(�) EVALUATED BY: OTHERS)PRESENT: Site LIAR 'COMMENTS: DEPARTMENT.OF ENVIRONMENT AND NATURAL RESOURCES Sheet L of 'I DIVISION OF ENVIRONMENLUi.HEALTH PROPERTY 10 it: .ON-SITE WASTEWATERSECTION COUNTY: SOHJSIT•E EVALUATION for ON-SITE WASTEWATER SYSTEM CNNER APPLICATION DATE ADDRESS: 3210 4Mvt Pr vin DATE EVALUATED: PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: LOCATION OF SIZE: PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public 0 Well 0 Spring 0 Other EVALIIATIONMETHOD-. 0 Auger Bating aPit 0 Cut TYPE OF WASTEWATER ES Sewage CI Industrial Process 0 Wxcd ._.:T_::_....._ P.... _...... _..........................._...._..__.............__. . F........................_._......_..."'......._.......__..._.....:::::_::::_:::•-:j ci?!:ia_:: -TE I=C:...................._..__. .. :.. sFid ;p !:::::ELE vac _a."=pc::E-..:::::!:iviiiGf[IC[v ............._..._.._..:::cc::: c::c:a::::m::::::v:::ce . ...... o.4 sum,mogpROr,()O 0 2E _ (1941) _.. ... ..... ._. e PROFTIEFACTORS : ..-. :.. _.. : .:. sWei : 41.4L ,.... $01k (tiki .2441 :1711 n e ;oscr. :- fEPau nAticYURE! t O ISTENCFI W S sow: s,Pk r fl$ K xss Mg • SLOligu4 ::.:041 'CAB MINERALOGY COkOls n - CLhS$ E60kI7,:. o-12 L. hit, re- 11-2.5- C f114. Fr Tr r, S ZS-4v C iCE h, I .r1 . 2T S t ( I 0-2— _t_ ... rl.k.... I r- ar td' 2--L{( CI-J-,52 ,,./-.0- . Fr �r rO iff 1 lir I 1 'I DESCRIPTION ATI'IAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): 1 Avulable Space(.1945) .5- SITE CLASSIFICATION(.1948): system Typt(s) 2r/' 2-0'4 EVALUATDPRESENT: �. �4h /� Site LIAR i 1 13 COMMENTS: Catawba County Environmental Health \ N ; ' I I 1 I V \----I \\ \\ \ \ ,\ ro ! • 1 I 1 1 \ ,.\ \ \` N I I l •v 1 -, �'t l I i r • .\ .\ \\ `\ I, I f{ i j 1 ' \\ •3210`` • \\ \ \\ \ \ \ l 1 \ \ \ \ \ 1‘ .l '1 •\ \ \ \\ , 1 1 1. \ 1. \ a `t x`,1 l ``l �1 1` I 1 1 f \ \\ (92$ 1 , \O- , \•, \ I\ \ \ II, ''.. A?' k 1" IT 1 11 li '----- \\ \,\ :, \ ,\ \ \\ 1 I `I \ `. ■ Cam' � N `` \ .,\ \ \ .-N 1 1 I ---N _• '`M1 \ \ \ ! I 133•86 - _ 122720 �,\ _ \ ``\ `I' \ ' ` \ \ ''� Parcel: 367804718198, 3210 RANT DRUM RD 1in=80ft MAIDEN, 28650 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba Courtly 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 yersonnal,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 07/01/2016