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Site Address: 2162 CORDIA CIR,NEWTON NC 28658 I.t>la 19
Nam on Permit: KEY BUILDERS, INC.
Property Size: Acres 1.13
Directions: Radio Station Rd to Southwest Blvd.take WB St and NC-16 S to Cordia Circle,left onto Cordia
Owner/Authorized Representative Acknowledgement of Permit Receipt
(m I certify that I am the owner or authorized agent(owner's authorisation required)representing the owner of
the property described above.
gMH As the property owner or authorized representative, I have received the above referenced
permil(s)as requested in the application for service EIIPR-07-2022-41635,by the following method(s):
Received in Person
_J Facsimile Transmittal(Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
MH 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
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North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900),
and/or Well Construction Standards(ISA NCAC 2C.0100), shall apply to the issuance of this permit and
the Llonstruction of the wastewater system and/or water supply well permitted.
Permit Issue Date: 10/20/2022
Owner/Authorized Representative Signature N .
"Date 10/26/2022 ,•" _ _
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by
-- (name of pc rsorr sending permit)
Signature
Date/Time
Method: Fax JEmafl US Mail
Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yoLPlease hake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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CA'lAWBACOUNTY Case# IMPV-102022-182702
Public Health Department
e1.111 Subdivision BARRINGER WOODS PH 1
R Environmental Health Division PIN# 366903216591
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 19
Site Address: 2162 CORDIA CIR, NEWTON NC 28658
Name on Permit: KEY BUILDERS, INC.
Property Size: Acres 1.13
Directions: Radio Station Rd to Southwest Blvd,take WB St and NC-16 S to Cordia Circle, left onto Cordia
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING; PERMIT'S
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: New Septic Wastewater Flow 360 d
9P
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: DRIP IRRIGATION
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions: *DO NOT CUT OR FILL OVER ANY PART OF SEPTIC SYSTEM AREAS
*DESIGNED FOF A CRAWL SPACE FOUNDATION
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' (I5A NCAC I 8A.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.
Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
/ 'me, E✓4NS
10/20/2022
Authorized State Agent Permit Issuance Date
10/20/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
elmeirtit 10/21/2022 08:29
Catawba County Environmental Health
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Parcel: 366903216591, 2162 CORDIA CIR 1in=50ft
NEWTON, 28658
This map/report product was prepared from the Catawba County,NC Geospatlal 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 end 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,whethor diroct,Indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2021 Catawba County NC
10/20/2022
•
DEPARTMENT T OF ENVIRONMENT AND NATURAL RESOURCES Stud / aj Z
DIVISION OF ENVIRONMENTAL TAL HEALTH PROPERTY ID M:�� j�
ONSITE WASTEWATER SECTION COUNTY: L.
SOIL/SITE EVALUATION
Q . for ON-SITE WASTEWATER SYSTEM
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OWNER:
ADDRESS [�/4 L 4-
PROPOSED FACILITY: P 0 3aG1 DATE IyALUA �
PROPOSED DESIGN FLOW(.1949):. PROPERTY SIZE /'L
LOCATION OF SITE: /6Z. (orc)rt. G r'+^ PROPERTY RECORDED:
WATER SUPPLY.efPrivate 0 Public -k$'WeIl Q S, °g 0 Other
EVALUATION METHOD 0 Augcr Boring -.a rit U Cut
TYPE OF WAS1tWAT'ER:),i'tev agc 0•Indastrial hixess 0 M1xed -
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PFsc LI?T1oN INITIAL SYSTEM..REP srD4 OTTER FACTORS(.194 6):
Maid&Space(1945) SITE CLASSIFICATION(.1945): VS
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n/ jj r 0 EVALUATED BY: �V';' S
�7 1 OTHER(S)PRESENT:
• Site LTAR a 3 0• j
COMMENTS:
SSOIL/SITE,EVALUATION Sheri ° 1
(Corr/lnuaflon Sheet-Comp/tie oilfield ION)
PROPERTY ID IY: L
DATE OF EVALUATION:
COUNTY: !
t •
R SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
1 .1940
ELANDSCAPE 11O113Z .1942
POS171ON/ ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE
w SLOPE% DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO ' RESIR CLASS
} TEXTURE MINERALOGY COLOR DEPTH CLASS 110R1Z <AR
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COMMENTS:
Updated February 2014
Catawba County Envlronm ntal Health
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Parcel:366903216591, 2162 CORDIA CIR 1in=50ft
NEWTON, 28658
This map/report product was prepared from the Catawba County,NC Geospatlal Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location end labeling Information contained on this map or data on this report.Catawba County promotes end recommends
the Independent venflcatlon of any data contained on this map/report product by tho user.The County of Catawba,Its employees,agents,and
personnel,disclaim,and shell not be he id 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 2021 Catawba County NC
10/20/2022