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Home My WebLink AboutIMPV-08-2016-075581.TIF 7.4tCATAWBA COUNTY Case# 1MPV-08-2016-075581 • . .:712.t] f Public Health Department Subdivision BRADFORD ESTATES QEnvironmental Health Division PIN# 365801477058 G� �. . PO Box 389. 100-A Southwest Blvd.Newton,NC 28658 LOT# 1,2,3 111 NAME ON PERMIT: MELVIN ELROD, 101 E TRACE DR, NEWTON NC 28658 Site Address: 2593 BRADFORD LN, MAIDEN NC 28650 Property Size: Square Feet:64,904.40 Acres:1.49 Directions: Hwy 16 South, Right onto Providence Church Rd, Right onto Bud Arndt Rd, Left onto Bradford Ln, Lots are on the 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 lk 74:\ property described above. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-06-2016-24186 by the following method(s): _ Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/E-mail (Return receipt required) lit- 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 (1SA 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 Represe.tative Signature Date e. - /6 Documentation of Permit(%) Transmittal (permit tr:nsmitted by electronic or other means) Permit transmitted by J l ' % aiS (name of person sendinglpermit)(litre Signature Y�� i �9Afi_ ` K Date/Time J/�//kc Method: Fax 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/EHCustomer$arvice chpermit 08/16/2016 08:09 CATAWBA COUNTY 6e :41;"o } El Case# IMPV-08-2016-075581 Public Health Department Subdivision BRADFORD ESTATES S� Environmental Health Division p PIM/ 365801477058 842 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 �_ _ LOT# 1,2,3 ,y~L 8 - ro 0 ❑! • . NAME ON PERMIT: MELVIN ELROD, 101 E TRACE DR, NEWTON NC 28658 Site Address: 2593 BRADFORD LN, MAIDEN NC 28650 Property Size: Square Feet:64,904.40 Acres:1.49 Directions: Hwy 16 South, Right onto Providence Church Rd, Right onto Bud Arndt Rd, Left onto Bradford Ln, Lots are on the Right. Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? No Basement Plumbing? 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: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED Permit Conditions: *The repair system will require a curtain drain. *Do not grade, fill or drive over any septic area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: 111G -OTHER NON-CONN TRENCH SYSTEMS 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 _ 08/10/2016 AUTHORIZED STATE AGENT APPROVAL DATE 08/10/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 08/16/2016 08:09 .TA1PV- 0753-3 ( V \ e “dc Vrk0 W�l I "VD 2o7 ,q3" 1/4;:,_10 ° / \ J \ • 48 ' \ 1 •E c'> 5 Y (1.\\:.'-4 .:, 5,, -\ i f F "7 ` �5 P r � al a tzt ism s y � 3r i 1 r ‘ V �� loo et( \ \--------. '\.r. ... ...-- . 6.. . . . . . -7,1,6 , .. \ \ \ . - \ Parcel: 365801477058, 2593 BRADFORD LN 1 in=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 an this map/report product by the user.The County of Catawba,its employees,agents,and porsmnnel,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. Copyrght 2014 Catawba County NC 08/15/2016 DSPARTMENT OFENVIRONMENT AND NATURAL RESOURCESSped(v of y DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID 0: ONSITE WASIEWATERSECAON COUNTY: SOIL/UP EVALUATION for ON-SITE WASTEWATER SYSTEM OWOWNER: • i1 rt m F 1*(,,av` - 'PLICATION DATE ADDRESS-, Ar q DATE EVALUATED: 7-21-14 PROPOSED FACILITY: N hp- PROPOSED DESIGN FLOW(.1949): N PJ - PROPERTY SIZE: LOCATION OF SITE:� PROPERTY RECORDED: / WATER SUPPLY: RI private 0 PR,btir R'Well 0 Spring 0 OthG EVALUATIONMEIHOD: 0n Auger Boring 8'Pit 0 Cut TYPE OF WASTEWATER• l4/Sewego O Industrial Process U }Extd .._� ......---- 3 : ___. ._..........._ m:::: : -- :::x::::oee:::=:xe:_ =:r :r..::::rove=::=_:. ._v o_:::. .... . ... .,ems,... . .. i ,s ... ' nnn nn *i .:. .-9' _7.- _:..........._ [E 5 _EEiii €iSVYL€Ie'IURLHt� ==iiii:::::: : _ -::: T, .,,,_'__iffiflf_F.[I°:Ci![;;[ I;; _' ___ fii :[cr([I:�:::::_. . .g_ _ ......_._. 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Fr Jiff G&rw. 11 L 0-(9 JCL 4,5k L fr` ,l 5 8'�, (91-'SZ CL ti,Sh Fr JJJ Y '�1-1t6 c - sbk Fr JJ J Is • I 7r M4 4 4 ( 7o--- L ' DESCRIPTIo9I I.7ITALSYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.194S): p.5- Available Space(1945) vr S SWer Tyx(s) ei r62,r0(4, EVALUATED BY: )�(S:� Phi OIHhS(S)PRESENT: • Site LIAR t S /2-5- COMMENTS: ZSCOMMENTS: 1 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Ace i afic DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID it: .ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER /1 APPLICATION DATE ADDRESS. 2-y-5 17 6,444 t DATEEVALUAT7:D: U-!6 PROPOSED FACILITY. 4 15 IL PROPOSED DESIGN FLOW(.1949): If go . PROPERTY C177- LOCATION OF SITE:/ PROPERTY RECORDED: WATER SUPPLY; Pairuc CrPublic U Well 0 Siting U Other EVAWATIONMETHOD: 0 Auger Doing 8'Pif U Cut • TYPE OFWASTEWATFR: rSownge Q Industaal Prows U Maxed _'_ ::_ :• :,:� .. ... .. - ...::._.;-.t;,:- ':i'.-::iiid:�E-::.iiii r: ........::::::::: ... ---r:iiia::°_ :._iiia E-s.:c_ . .. �-_i'iii. 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Fr rr'p .g 6 148 , 3 6 p -`I L ( Fr ,S- I 7_17a L L ,.,-r k Fr 7 re . 7 50-"lc- L sbkPr Jr PO strS l~,, '7,r 'Z Y L 3r-4y c 31,k Fr rt Jg Oirrill- . pp ®-2-2 C-L ft- _ 9t.-L. : C (-(-r )! 4 6lr,n,5 3 Y3-SV ( Fr sr e c 4f oast z ti 3 a 2 S— • Dm:Tarnow INITIAL SYSTEM QEPAIR SYSTEM OTHER FACTORS(.19,4 Available Space(1945) ,r S SITE CLASSIFICATIOI"(.194S): Pr- �.ra) 2--o6 '7. i EVALUATED BY: r-✓b�� P�'Lc. OIHER(S)PRESENT: • Site LIAR , '5 ,.23- . COMMENTS: .2J- OOMMENTS: 4 q) o -L 7 c Fr "rbk ,/ (2__co c_ L .AL-.r(t-t F" 1rrp Y8 t C6Towba l ,ounty Envirnnment i Hc,aith v V v � � \\ \ LUQ \� • \, ` l\ \ , \ \ o I ' I, i • ` 86 \ osiJ i vt l r. p � • r` ,t 8� rt `� ` !r �-- 11\ 1111--.k • I i i \ r O i iil L i i I , to 3 : 1 . . \ 3I Parcel: 365801477058, 2593 BRADFORD LN lin=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 08115/2016