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Home My WebLink AboutIMPV-08-2016-076274.TIF X15 CATA\\'BA COUNTY Case N _ rjl y Public Health Department Subdivision NELLIE S HAYNES PROPE o t ; Environmental Health Division FINN 363708985048 /8—_ PO Box 389. 100-A Southwest 13h-d. Newton,NC 28658 LOT# 15 & PT 14 NAME ON PERMIT: MEADOW RIDGE CHURCH TRUSTEES OF, PO BOX 597, MAIDEN NC 28650 Site Address: 1173 ZEB HAYNES RD, MAIDEN NC 28650 Property Size: Square Feet: 295,772.40 Acres:6.79 Directions: Business 321 south to Zeb Haynes road church is 3/10 mile on zeb haynes road Owner/Authorized Representative Acknowledgement of Permit Receipt 4I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. p771 As the property owner or authorized representative, I have received the above referenced permit(s) as requested in 7____ the application for service CBPR-07-2016-24265 by the following method(s): v_ Received in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) gAs 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: 08/30/2016 Owner/Authorized Representative Signature _� y 2 `%� %n/ > Date ?/2// , 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/ENCustomerService clipamil 09/01/2016 09:21 �� _ . CATAWBA COUNTY a do's ;6�e Case# IMPV-08-2016-076274 .T 42 111 i, Public Health Department i � r Subdivision NELLIE S HAYNES PROPE i.53- t ti Environmental Health Division r . • PINd 363708985048 �� t PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 O -O O r LO'h# 15 & PT 14 12 :w F = pt-- t ❑' ' NAME ON PERMIT: MEADOW RIDGE CHURCH TRUSTEES OF, PO BOX 597, MAIDEN NC 28650 Site Address: 1173 ZEB HAYNES RD, MAIDEN NC 28650 Property Size: Square Feet:295,772.40 Acres:6.79 Directions: Business 321 south to Zeb Haynes road church is 3/10 mile on zeb haynes road Improvement Permit Facility: Public Assembly - Church with no food service or daycare Permit Category: Expansion Bedrooms WATER SUPPLY: Private Well Basement? No Basement Plumbing? INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 800 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REQUIRED 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 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' (ISA NCAC I8A .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 08/30/2016 AUTHORIZED STATE AGENT APPROVAL DATE 08/30/2021 Permit Expiration Date: No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermit 09/01/2016 09:21 Acfb- g-2016- 07627s- Catawba County Environmental Health we,kl 1 1 , �t're4 tit Baa,+t.n /R, 1g p9k,� . p Z&A i v�,� i Ph Jy-i W. Ia L{ I i yoO_ 9 6 0S 13 r, to nM Jr " I - o 4 's, 'I a ,-I \\` _ o, '3 . \ .o J 2 9. \N \N r 2� ,,O U‘ o \\\��N h N 14 '"• � CoG ?r I Parcel: 363708985048, 1173 ZEB HAYNES RD lin=60ft f MAIDEN, 28650 1 I 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 personae!,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 08/26/2016 F4 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES At,/ I of- DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID M: ON-SITE WASSEWATERSECIION COUNTY: SOn S1aEVALUATION �� / for ON-SITE WASTEWATER SYSTEM OWNER A" 4 (5 v z;4 APPLICATION DATE ADDRESS- )1 7S 7 ,.0 lfnAi/ /W DATE EVALUATED. .f-5--/6 PROPOSED FACQTrY: G A vrc h 3 PROPOSED DESIGN FLOW(.1949): 600 PROPERTY SIZE: LOCATION OF SITE PROPERTY RECORDED: WATER SUPPLY: Et—Private 0 Public Er-wen U Seting 0 Other DIM-TRITON MEIHOD: 0 Auger Boring B'PIt 0 Cut TYPE OF WASTEWATER: a-Sewage D 1ne:zbial Process 0 Kx.ed t[SCYL�IFLLS iS;t�SCirl'= __.........._.=.tt'::. .....:. .._..=e:c.::r - isii..[iii; iiis-a'ii:[;�= ':ia::::: -' . ::ail4YI_J[-=a::::s s -::__: _:_:r_ :'i €P2 IIRtF'A5st:x:: :7:. ......_............s=c[[[iii:i: 1 ='=,=.9'Xd�=e, .. .... ... ............_.............._..._....._........_..._.::c_:5::_:_.._::::s : �: - s. : 161 _c_- : _:—:��_;'°[i_ 9.::im:PlLk- cE! 111.F`.=c=I:__ [p__–NSY t1 3=. tRStC =iojfiStS1ENCF1 : -n -=STAPtG- `...r ;P�`I7 ::::::::: ::::::_ , krY =`;;!;' 0.k..: :::tPBTir [.5 _ 6-1,3 F t/ 23-1-11 C L ,d) . r� rr,g If 1 2y G-16 C J bi . f 5-) i� 2 � �-'Z C-Frt� .fg�C Fre sr7r I rip _ 'y .'Kr el 'flap N-rLk 1 i Ir it, o S L • 9 S-LI C ,rb h rr ft,,, 3 2-1-uS rt l-f% -7 7s _ I 0 4 L . 6" '20 CL J6K Fr Jt t0 e1: 1f 4 To-Lit C v-Mt F; srn • mammon INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Availably San(.19e5) f( S J Slit CLASSIFICATION(.1948): fr »emTYPxs) Zs env 1- To EVALUATED BY: arU;4), P4 OTHER(S)PRESENT: Site LTAR 'Ll S 12-1 COMMENTS: . .; ate. - t •'c ��' a' "'' �; t� -''" fi o - ;V�:; . t? " n (¢ i'k_ DEPABn•MENT OF ENVIRONMENT AND NATURAL RESOURCES •nom 2°I 2 DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ON-SIZE WASTEWATER SECION COUNTY: SOIL/SIfl EVALUATION // rl for ON-SITE WASTEWATER SYSTEM OWNER: /''y4alsw I\ (IiVrc 4' APPLICATIONDATE ADDErcc-. II7S 9J,LP_Atit• Kc DATE EVALUATED: I' 94/ PROPOSED FACILITY: (Auer 4 PROPOSED DESIGN FLAW(.1949): 100 PROPERTY SIZE LOCATION OF PROPERTY RECORDED: WATER SUPPLY:Private 0Public $'wen 0 String, 0 Other EVALUATION METHOD: 0 Auger Boxing a PEE U Cut 1YPEOFWASTEWATER: crSewage Q SnclustiaiPmcess 0 ?wed• _._.. .. ff„trf ......____.- .....m u::unu:—' :u_xu -........__. .,..___..._:—._.. :iiiii'r':=,.E iiv.. ::�- vnii::rnri`rs•_• e^':C.-.... :P^.mpmt;'� �yy�yy��q p�{ �yy�y��y/+�y {� �y p _;:-sc_._.. :....._ _ =Sv:oE� iiJMSaa.cMYfRGIIVL1i1a:1__c!'''T:�9: ici=::::r:::...`f.�FA:4FT.F?:: :�C =.`.:: _EeiiS":ii?iFci.-e-�-'S!-3= F_iE ceC�Ei-iiS�eiatErii:�? 4F- _.._._:z .::::::::c::==':: EEE::E :: :....................._.-.:.:_._...._.._-•.:::::::::i-:::-o==:::::_:_:::_......_...__._--........... == �::c::�:r —i::::::::: ??�==:ze::: ii94I :_iii_-�:::_ii�=ie:::::::::�:_::::::: iPR�3i+I �F3�Tf3T€5ici :_:i5__::_:::-i�:::::_' fiat;:_ ::::::::::::::. ::::=:=.xx=::a:=:� -- _.__. __ . . ...._ ... .-. .._........_....._..._.._:x:: :__:::__:::==_:s:�:<__::::�::._-=::. �:::-_ :::-__:_=t-E:s[ '[:-:___� :_€_i;€<[iiii i--==:: ix tiiiis -. [t ::=:::::::::::_:_::__ = aE:e =::_ =..-:_ _::-,: ::_,.C..A_;.(.�.� .__ ._.._ :...........x..._.......-. : _.. ._ a..n EF_ E.:.::.........._19d'L=_2_EEE_:=[S E-_i tft=-:iE?E EFS:n;EA:.?:1Mxav`_ !::-?6' =a v-dL n.. _yE. 44.•r;6i... . -kOSCTI.OHE:. �rvrH- - S`I tlf t'(!R -;COHSl,4"('E9<'Ev t't' ++ " ,:: ,:a ?TI:`.=:' 'i' 7.1P $L`• :ra aeS 3 Egg ....._ 1#J`CX'1la Ml�bLl 1-5 ; L. slit . l sJ t' U 6 a Z, C roti T c - ,f-fl GZ +Jho wbk • r? TI r( 14 ) DESCRIPTION DZMAL SYSTEM REPAD[SYSTEM OILIER FACTORS(.1946): SITE CLASSIFICATION(.1948): r:S Available Space(.1945) SYsteo Typxs) 24_16 (r EVALUATED BY: �21Sk- OTHER(S)PRESENT: • • Site LIAR . 'Z•7r L75— COMMENTS: S-Frrn„ (4,44_ jju ka a f Gb It 3— : Catawba County Environmental Health }. - .y .i.; ..I ter__ y. .-_4 } q -- "00,e- .' L-s •' r ' • '.t. �1L ' { • 1- 4P Y .- s- . 4 M1 - , ,,..: - l �. . "r t 1 - s , ;7, T,'��,?, - _ L• �- tip" _ h ifIr-5 . t -— __ - - - _- f -- - .. . JJJjff///}}} Al NV -. , . l Oct • j'- J 890 1, Parcel: 363708985048, 1173 ZEB HAYNES RD 1 in=60ft MAIDEN, 28650 1 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 08126/2016