HomeMy WebLinkAboutIMPV-04-2018-098780.TIF `�: • CATAN'I3A COUNTY � �{ ' • Case 4 IDIPV-04-2018-098780
i A , Public Health Department F' r s Subdivision
< Environmental Health Division it r 73 PIN4 368614341575
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 • a 1.0T4
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NAME ON PERMIT: LORI BURGIN, 427 FOREST DR, MAIDEN NC 28650
• Site Address: 5359 E MAIDEN RD, MAIDEN NC 28650
Property Size: Square Feet:50,050.44 Acres:1.149
Directions: NC 16 S, turn right onto Bucks Garage Rd, turn left onto E Maiden Rd, lot on the right
Improvement Permit
n,1'Sl1;.�"1 t .'� ji ' t'ti' THIS PERMIT IS.NOT,FOR`SEPTIC INSTALLATION ,*f4,;
Facility: Primary Residence - House
Permit Category: New Septic Bedrooms 3
WATER SUPPLY: Public Water
Basement? No Basement Plumbing?
INITIAL SYSTEM SPECIFICATIONS
Projected Daily Flow 360 g.p.d
Proposed Wastewater System: 25% REDUCTION
Type: IIIG-OTHER NON-CONN TRENCH SYSTEMS
Permit Conditions: *Do not grade, drive, or fill over any designated septic area. _
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25%REDUCTION
Type: 1110-OTHER NON-CONN'I'RENCI-1 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 Ilealth Department does not guarantee the issuance of other permits. It is the responsibility of the applicant
/propeny osmer 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 Dismoal%dears' (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.
04/26/2018
AUTHORIZED STATE AGENT APPROVAI.DATE
Permit Expiration Date: 4/26/2023
No grading or construction actisdn'is al/owed in areas designated for system and repair without approval of the Health Department.
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TOTAL ACREAGE i _ / r PEE
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/� ,j / JAMES SUMMERVILLE
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—_ OCTOBER 23, 2017 DB: 3326 PG: 1697 MINOR SUE3DIVISIOI'
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LORI ANN'�MAATHIS BUF
MOUNTAIN CREEK TOWNSHIP • MELISSA MATHIS BLAC
DPArMENT OP ENVIRONMENT AND NATURAL RESOURCES Shed_of-_
DM.SION OP ENVM NMD4 TAL HEALTH PROPERTY ID a:
.ON-SITE WASTEWATER SECION COUNTY:
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
OQr1,hER, 1--45462;--151.r !h PLICATION DATE_ DATE EVALUATED: L!-t 9-Ii
ADDRESS'
1 = ___IAL—' PROPERIY SIZE
PROPOSED FACRITY: 'S )54- PROPOSED 1z4Q1FLOW(.1949$ — PROPERTY RECORDED
LOCATION OF SITE
WATER SUPPLY: 0 Private,,/ 8 Pu61ie 0 Well a SpOns 0 other
EVALUATION MEIBOD: O Aug:Baring Erik U Cut
TYPE OF WASTEWATER: g Sewage 0 Industrial Protea 0 'Ed Ed _
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DESCRIPTION I INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948): I°f I
Mailable Space(.1N5) f' ,j 1
System Ty s) 2,516 2 Sv(i EVALUATED BY: /W,J 6GtP,t
OTHERS)PRESENT:
S;IeLTAR i 275- , 2`7c
COMMFNI•S:
Catawba County Environmental Health
E MAIDEN RD
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Parcel: 368614341575, 5341 E MAIDEN RD lin=60ft
MAIDEN, 28650
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personnel,disclaim,and shall not be held liable for any end all damages,loss or liability,whether direct,indirect or consequential which arises or may
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Copyright 2014 Catawba County NC
04/26/2018