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Home My WebLink AboutIMPV-08-2016-075814.TIF v 6A \ CATAWBA COUNTY Case# T � Public Health Department Subdivision WYNSWEPT PH 1 4 : .o: '�cl Environmental Health Division PIN# 367803414205 ''47:46- PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 LOT# 4 !8 2 NAME ON PERMIT: MODLIN CONSTRUCTION, INC., 2382 SHINY LEAF DR, DENVER NC 28037 Site Address: 3315 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet: 56,628.00 Acres:1.3 Directions: Hwy 16 S, left on Cayton Dr, Lot on left Owner/Authorized Representative Acknowledgement of Permit Receipt 04 ta, certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the eropertyyddescribed above. �s the property owner or authorized representative, I have received the above referenced permit(s) as requested in the application for service RBPR-07-2016-24250 by the following method(s): Yceived in Person Facsimile Transmittal (Return form with signature required) 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: 08/17/2016 Owner/Authorized Representative Signature I �, Date 0- 17- (co 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 ehpermit 08/17/2016 09'.03 ,' CATAWBA COUNTY e❑'f ❑e Case# IMPV-08-2016-075814 jai!'.i'9�QGA Public Health Department f , ` 3' Subdivision WYNSWEPT PH 1 S r 6 .mow + '" Environmental health Division r `{ti " •r PIN# 367803414205 PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 ' C " LOT# 4 /8 '2. ,. �:��t = _ r NAME ON PERMIT: MODLIN CONSTRUCTION, INC., 2382 SHINY LEAF DR, DENVER NC 28037 Site Address: 3315 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet: 56,628.00 Acres:1.3 Directions: Hwy 16 S, left on Cayton Dr, Lot on left Improvement Permit Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? No Basement Plumbing? No 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: 1116 - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED Permit Conditions: See AC for permit conditions 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 a..rove the initials stem installation or the sus.ension/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 Tar 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. Jason Boyd 08/17/2016 AUTHORIZED SPATE AGENT APPROVAL DATE Permit Expiration Date: 08/17/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. clrpei mit 08/17/2016 09:03 BpPermit# RBPR7-16-25250 • � c, CATAWBA COUNTY . n 2 Public Health Department Name Modlin Construction INC25:ma 'rola H Environmental Health Division Address 3315 Cayton Dr Maiden NC ' ��' `c PO Box 389, 100A Southwest Bl 'd,Newton NC 28658 PIN# 367803414205 ,7� /842 sw (828)465-8270 Fax (828)465-8276 T D(828)465-8200 I S y , ecs ' Site Plan thorization to Construct l° - �a q g ID p -m r' I-a it; i- 5 et, at) i 5 ' 200 — iI 1, ' vC L 7Qfr7 crUr [71— Hs 2, —t, - 2° f. - i' SS ' '58 4 iaaM4- 1 \21#14 . 55 � � RI ' S 70 , 60 ' 4`I q9 C Q y 1- 0 -, D (Thy R- • D Scale _ DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet I of ' • DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID 0: ON-SITE WASTEWATER SECTION COUNTY: ct✓ SOIL/SITE EVALUATION / for ON-SITE WASTEWATER SYSTEM OWNER: G( � i '/�o�S/ 6F9 APPLICATION DATE ,k'! or ADDRESS: U p DATE EVALUATED: ic S-r PROPOSED FACILITY: �'/'� PROPOSED DESIGN FLOW(.1949): eI" c` PROPERTY SIZE: LOCATION OF SITE:�I— • , _ / PROPERTY RECORDED: WATER SUPPLY: ❑ Private 0 Public B'We 0 Spring 0 Other EVALUATION METHOD: 0�,A�uger Boring Pit 0 Cut TYPE OF WASTEWATER: e Sewage 0 Industrial Pruxss 0 Mixed SOILMORPI.IOLOGY i OTAER ._ F ;;:;;;;;: E: (1'941) PROFILE FACTORS Ht: ::1940 -... :.. .. .1912.� ,i SCAPE `7AN 1941i'::::::',494!„:„ SOIL: :::::''719.9:::::: .1956 .1944" e ,.POSITION`! DEPT11 STRIJC1'URE! CON'SISTENCE:! WETNLSSL SOIL SAPRO RESTR PROFILE. '. SLOPE b: {IN) ;--TEA"FURE= MINI-MIDDY.... COLOR DEPTH GLASS HOK17, .:CLASS::,. ... .......:.. .-: ..:&":LIAR:: SS 1 55 ,� S ,. 1 • 35 a r 0 `f8 �Blf (r_ S f _ `-f _ 2 0 - 1 3 1 • 4 i DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): S • Available Space(.1945) S S / SITE CLASSIFICATION(.1948): S 1' S' e , EVALUATED BY: /��` d_ e System Type(s) (1-" OTHER(S) PRESENT: Site LTAR . S • 3 i COMMENTS: