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HomeMy WebLinkAboutEXSY-05-2020-132901.tif Selo CATAWBACOUNTY Case EXSY-05-2020-132901 .4-4111.11111.0 F. .f. ,z Public Health Department Subdivision Q '4 Environmental Health Division PIN 363611552444 `C PO Box 389,25 Government Drive,Newton,NC 28658 LOT# :IV sm Site Address: 604 SALEM CHURCH RD, MAIDEN NC 28650 Name on Permit: JANET TAYLOR Property Size: Acres 1.34 Directions: 321 to Maiden/left S D Ext/right Salem Church/3/10 mile on left 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 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 RBPR-03-2020-34081,by the following method(s): Received 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: 05/21/2020 Owner/Authorized Representative Signature Date 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 wantt tto hear from yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService chprtnut 12/13/2022 1129 C4:4 ) catawba county public health EXISTING SEPTIC SYSTEM INSPECTION NOT FOR LOAN APPROVAL Case Number: RBPR-03-2020-34081 ❑ Reconnection to Existing System Property Owner/Applicant:Janet Taylor ❑ Mobile Home Park Reconnection Site Address: 604 Salem Church Rd, Maiden NC 28650 ® Applicant Request Type of Facility: ® House ❑ Mobile Home Number of Bedrooms: 3 ❑ Business ❑Other Proposed Addition/Accessory Structure: I Oft.x 34ft.deck on back of house ❑Approved ®Not Approved Reason deck does not meet required setback to drainfield ❑ Approval Not Required/System Location Only Evidence of System Malfunction ❑YES // NO System Type/Description 1la gravel trenches Noncompliance Items and Notes • Existing 10x34 deck on back of house does not meet required setback to existing septic drainfield. Required minimum setback is 511 Deck is approximately 2 'hft from first drainfield trench. • Property owner can either remove the portion of deck encroaching on septic drainfield or apply with EH to determine if drainfield can be relocated.Property owner must work with EH and building services to obtain proper permits and ensure required setbacks are met. Authorized State Agent Date 5/21/2020 catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER.