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HomeMy WebLinkAboutIMPV-04-2018-098598.TIF 4k8A • • CATH BA COUNTY Case ft Ih11'V-04-2018-098598 .- rr.1 � ,, Public Health Department Subdivision FAIRWAY ACRES <�1rL'll'.S Y Environmental Health Division PINK 372018302767 �"0 1/ PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 7 184.1 NAME ON PERMIT: !CAN GHEORGHE LEAHU, 1655 20TH AVE DR NE 115, HICKORY NC 28601 Site Address: 1273 FAIRWAY DR, NEWTON NC 28658 Property Size: Square Feet:28,749.60 Acres:0.66 Directions: Startown Rd, left Sandy Ford, left Fairway, property on right before curve p Owner/Authorized Representative Acknowledgement of Permit Receipt 6-61 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 1 �vAs the property owner or authorized representative, I have received the above referenced X permit(s)as requested in the application for service EHPR-04-2018-28829, by the following method(s): _Received in Person Facsimile Transmittal (Return form with signature required) qq���� Electronic Image Transmittal/ E-mail (Return receipt required) �WC,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 (ISA 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: 04/23/2018 C // \ Owner/Authorized Representative Signature \� '1 ( Date4 -2,-/e Documentation of 1'ermit(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 wantt tto hear from youPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/ERCusttomerService el,penni, 04/232018 12:32 -: r._ t\;A CATAWB.A COUNTY ❑� #` l ■ Case k ID•I I'V-04-z01R-098598 sGEy I y Public Health Department ' `'yy� Subdivision FAIRWAY ACRES < - p•1 - Environmental Ile;dth Division r T • `'l '3 l PINtf 372018302767 " ��j PO Box 389, I00-r\Southwest Blvd,Newton,NC 28658 k _, ti r • a{r LOTk 7 ti oar • NAME ON PERMIT: IOAN GHEORGHE LEAHU, 1655 20TH AVE DR NE 115, HICKORY NC 28601 Site Address: 1273 FAIRWAY DR, NEWTON NC 28658 Property Size: Square Feet:28,749.60 Acres:0,66 Directions: Startown Rd, left Sandy Ford, left Fairway, property on right before curve Improvement Permit tgX4W130. p; r THIS`'PERMIT1S'HOT FOR SEPTIC INSTALLATION ._ tato,^o ,.. Facility: Primary Residence Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Projected Daily Flow 360 g.p.d Proposed Wastewater System: 25% REDUCTION Type: 1110-OTHER NON-CONV TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION Type: IIIG-OTHER NON-CONY'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 /properly 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'Lars and Rules for Serenee Treatment mut Disposal Systems' (I5A NCAC INA.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. 04/23/2018 AUTHORIZED STATE AGENT APPROVAL DAVE Permit Expiration Date: 04/23/2023 No grading or construction activity is allotted in areas designated for system and repair without approval of the Health Department. cl,pcnnii 04/23/2018 12:32 I- . t t .:\;.:t i`:A Nrar i M ^s,l':5 447, - `'w�_"-D.,^'., r r. ,K1...`i '4.;,r. N. v i'.'�C. .--rt '?+ ( 4 EN-fR--Out -9\0Iq_ Oo ! EA coatawba County Environmental Health ��� 1 j I I f I I , l 1 f %t\ *V Lt I I' i I i f I �I I i i 6e_iyvoi / 1 i i 1 \ \ \ \j-il\I f V.AP1-1 -44 1.z6.,.._. I A A cp 1 I 1 1 k V \ 1\ U \S I ilc \ \ \), i i +`S. \ t 34,_ \ >\ 1 • f 5 r ,I 1 ,e• \ sp 1 i 1 I 1 \ \--)r IC c?0/ 15\ \ �l 1. rt co \ \\ \ \\ `°�� \ I \ ,- ‘ ipii() \1) \. \\\ \fr \ck. \ `` 1 \' " ss xi,„ N N ,\ ° \ L \v \\:. \ \ \ ,.........__\ \ -\\ , \\ \ \ \ \ , 1 , , • ,... ._______ , , , \ N ________ , , , \ ...., et \\ \ \ ;` \ \ �_ 1 S \ NN. \ \ Parcel: 372018302767, 1273 FAIRWAY DR lin=40ft NEWTON, 28658 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 al damages,toss 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 04/23/2018 I .. Catawba County Environmental Health I � , 1 \ o .1 s1 . ( 2?„4-11• o 1E( ) P65.00 g • f ui • 2631 �a ki • . cg , \, 11. Vi , - ' [265.x ? :p u 0 T 1.9N a , 4C • • N 3 C .12 3 t3 ss 9 . 0.., 1- - .ri4 3\ii O ,� ,aft u�00 - 260. cP to0 8 q a • v •1283 N 0 03 to 275.83 iii\\. \\%%•...- Parcel: 372018302767, 1273 FAIRWAY DR lin=601t NEWTON, 28658 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/ropart 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 horn This map/report product or the use thereof by any person or entity. . . • Copyright 2014 Catawba County NC 04/06/2018 DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION Sleet of ON-SITE WATER PROTECTION BRANCH PROPERTY ID R: SOIIJSITE EVALUATION COI1NfY.-Catawba for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER__ZO n � r APPLICATION DATE _ ADDRESS: l - - -- _ PROPOSED FACILITY:-C(7S'.(I PROPOSp DESIGN FLOW 1949 : 4 ` C, DATE IZELUA7ED:�/y LOCATION OF SITE: 5 � .(�,�, 4' L(' ) 7 PROPERTY SIZE: ��� /rpt-� PROPERTY RECORDED: WATER SUPPLY: 0 Private ❑Public 11 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring IjJ)tt ❑Cut ''„ aR5TYPE OF WASTEWATER: l�wage 0 IndustrialProcess Mixed ' li; ,v i # �f hat 1 i, t +. y 5 v s t�k F •I 4'rih r t'�+� : ger a�7$,e4 7411,%4:-T-;41,14.1,4-r, yi a,.. 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Liss6 NMliParainiMiniiiS 4 ,i (6 i21011211111 J DESCRIPTION INIIAL /�SYSTEM REPAIR SYSTEM) OTHER FACTORS(.1946): Available Space(.1945) 4-1-) P5 ,Y-I SITE CLASSIFICATION(.1948): e5 System Types) EVALUATED BY: ff OTHER(S)PRESENT: ��/7��Ly� u/;.'K//''r" Site LTAR !. ! 3 COMMENTS: Upt4ail February 2014