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Home My WebLink AboutIMPV-08-2016-075580.tif ,.gA ar CATAWBA COUNTY Case# IMPV-08-2016-075580 N ;" UL Public Health Department Subdivision v 4 Environmental Health Division PIN# 365803048481 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 2 /842 5M NAME ON PERMIT: MELINDA SMITH, 7814 OLD POST RD, DENVER NC 28037 Site Address: 2043 COLONIAL TR, MAIDEN NC 28650 Property Size: Square Feet: 129,373.20 Acres:2.97 Directions: Providence Mill RD, Joe Bolick Rd, left Colonial Trail, straight ahead at in last curve Owner/Authorized Representative Acknowledgement of Permit Receipt XI certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. KAs the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service EHPR-07-2016-24211 , by the following method(s): Received in Person / Facsimile Transmittal (Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required) 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: 08/10/2016 Owner/Authorized Representative Signature ate Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitt d by // (name of person sending permit) Signature (,� K� Date/Time g/Ls- l It Method: Fax JEmail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature LYl C[i�n l a-hits/m v . Cr r✓l We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpennu 08/15/2016 15:27 E,A • CATAWBA COUNTY io ' 'o.�r ,- 0' Case# IMPV-08-2016-075580 N �!�, Public Health Department 4j• r' • Subdivision v < �� Environmental Health Division Y''� �T.' PIN# 365803048481 Ig sM PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ` LOT# 2 NAME ON PERMIT: MELINDA SMITH, 7814 OLD POST RD, DENVER NC 28037 Site Address: 2043 COLONIAL TR, MAIDEN NC 28650 Property Size: Square Feet: 129,373.20 Acres:2.97 Directions: Providence Mill RD, Joe Bolick Rd, left Colonial Trail, straight ahead at in last curve Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing?Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIB- SYSTEM W/SINGLE EFFLUENT PUMP Permit Conditions: *Do not grade, fill, or drive over any designated septic area. 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 08/10/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 08/10/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 08/15/2016 15:27 1 Catawba County Environmental Health MTV_ $-2o!4 - °77.s-go A A 156,33 132.89 \%9g1• co- , nifi'„ ZS°(q IS Aft' 0f s,w 70 Shad �, � d t°"a c) 2 ..-r g if- / ...., `t3 ip r to 00fs 5 s.N IQ 2 WIZ-l / Irut a 1 b0- cola Y , 4 P` loo 400,00 • S, 295.32 45 / T CD Q] N C� J Parcel: 365803048481, 2043 COLONIAL TR Iin=60ft 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 08/10/2016 • DEPARTMENT OP ENVIRONMENT AND NATURAL RESOUSC FC Shod I el., DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ,ON-SITE WASTEWATER SECTION COUNTY: SOILJSI'1'I EVALUATION last SM,t for ON-SITE WASPLICATION DTEWATEATE R SYSTEM AP ADDRESS: B DATE EVALUATED:_ 7-2( 16 PROPOSED FACII.TIY: 5400-- PROPOSED DESIGN FLOW(.1949): 9 G PROPERTY SITE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: Virivate 0 Public rWeII 0 Spring CI Ocher EVALUATION METHOD: 0 Auger Boring Pit 0 Cut - TYPE OF WASTEWATER: rieScwage a SadustualProcess 0 M9.x -�......._.__......_....».... .....i ::_e::i: :::s.t::,• .__._"___.....-._......._................=. «_._.._—...._.s::rz. ...._._..._r.. : .. - •---'-' - ...._..-._••:iii usv v:ur„:r.rw:u:<.,:.,mum,.,..,«�.r,..muuu,,,aur:ur,r..u::::__.. ... ............._. :::::: ........ 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MYbil I i J✓�tl . /6 ? 51 s Fr • DESCJW'TIOx INITIAL SYSTEM REPAIR SYS'TF-14 OTHER FACTORS(.1946): Available Sparc(.1945) SITE CLASSIFICATION(.1948): System Typ.*) EVALUATED BY: OTHER(S)PRESENT: Site LIAR COMMENTS: • • • DEPARTMENT OF ENVIRONMENT AND NATURAL.RESOURCES Shat?of Z DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: .ON-SITE WASTEWATER SECTION COUNTY: SOIL/SIi'E EVALUATION yi I r for ON-SITE WASTEWATER SYSTEM f",c4 Fypin c/ m i APPLICATION DATE -_(6 ADDRESS. GLt i ' DATE EVALUATED:_ ' i PROPOSED FACILITY: `t,1112.— PROPOSED DESIGN FLOW(.1949): 6 0 . PROPERTY SIZE: LOCATION OF SITE: _ PROPERTY RECORDED: WATER SUPPLY: ((Private O Public PI Well 0 Spring O Other EVALUATION METHOD: 0 Auger Boring (3'Pit O Cut - TYPE OF WASTEWATER: Er Sewage 0 Indwtria1 Proccsa 0 1rii�xed T-igi _ _ � _ 06j.. _ iii.: 3 ._. .._..._ .....__.._-..._ is t: ::Ai............___....................._.... ......................................_. ..__...,..............-..«................_......«.. i ................-.. _._. .._._«............_.._ ,....__.._...._ ......i:.r:s:s:::��e:::c:: x::::=-�:;;: =v::==:r::::::e:n:::••fii=:iiii6E:ifcifiEi;e`aiiu:n:r.....rrrrr,- ....,::.r,...:.:::rFr...::.._. ...... � 'F:Ei:ii ...___........... .._.- -ENii°----i':a70'L a ::::::::: :::::•:'ii=Eii:caiii c ii[i hi•�:::::�ea�:-..........__.._•a.:cr .. ..:.. .....:. ......._. ::.ivu<.__:•;^.tt!••-z , i v,.mi.,tt .. .. •::Wy - ....._...................... itia 1FAV O:1 'i :i•^ _ ::in — ::�•- _..._. _...._ " S ::: .......... j mil.�.o,.�7 1LA,IJ\::i:: £ dL": :'.:'..'...._. : 7M1..:.. _:: : :'.. f7 l�i ::i iiT :::.j: l T.t!!ii n r rtuti : .................:• :Mil. •5:. �7. .� �y� stskot7}Y�lukg VDR rAsi :2'i...�....1]�'.Rt� : :::::.�:Y.F.#f:.�.: ::?(ai„4;`1::i: :. ::i.:::i: . x : -I'DSf33-i?I�IE :3)EP:T>4i:: :it:t"' `•L'1:Y+ Yr :::-...- rSt,-.• - •a:°_.._.--°_...__ :a_ _......... a.a.,u.,,uP�pig............ L��y{�'�. W - :..-: :::::rx•Q.,IX....._: ____ s: :::f�.'...... E?' ±�f :?:i::,,, ..l;. 0-23 & S‘A- . rr- sr r? G ti • 5I-4 0 a-, •ti,-‘,k • Fr . 6-cl. . ,r-L.-L . k,.bh.:.:• I F 1-1,0 S c. r w r 'Gr . T ' 1.1-N( st fry Gr jr ( r > . • • D-(1- L „Lk fr` (2--`ZS St )4k _ P sr-i 24-ni3 rG i-rAe wr(,), _ PA _ /8 C 33•-'1, I c_ p-,, b h T'' e.L.,,,N-S- 13—6 l s 29 . 1 I DESCRIPTION n.TIIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) `s J SITE CLASSIFICATION(.1945): t°r- A� Sytteta TYpXt) Z S�(i n 1-'e ✓ EVALUATED BY: tax S,�,c. PIG . /P "`y' OTHER(S)PRESENT: . • . Site LIAR 7-17 t 1 . COMMENTS- . • 4 • Catawba County Environmental Health■ I �� `' ,k k t\ � \ 1 156.33 ,', , \ N. 1. 1 __. _ .•..M_... 132\q e ' 1� 9� f - �--,-. Y\ \ �\ S\ \ `� it .- 1. / f` '..,,*` \ 4t yyid ' t i / arSt" i p I 7 V 1. \ 1' ..----V r r--� \ \ \ `w, I I P ;� I O r \ t \ _ 1 1 E/,1J`L a�A \ k.A�.� 1191 { i '., "� \ r If .N` N. I N i ry1 ' r 1 .r, i' ': , f / / — s —_ r ,r r ,A' i �i �' d " Al f, ,f r -—/ / ,' ,' 400.00 , .r":' �•` rr 952--- - ;' '' 32 r' 45 s : f` , 295 �., "~ -f f/, t rr r..:0..... ,-- tr` - .+ r r / lam,/ 1�,..... ,_ rr / Parcel: 365803048481, 2043 COLONIAL TR 1i n=60ft 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 08/10/2016