HomeMy WebLinkAboutIMPV-11-2022-183743.TIF T • r ,
1. . CATAWBA COUNTY Case# IMPV-11-2022-183743
�, .t.. Public Health Department
Newton,NC 28658 Subdivision PINEHURST VILLAGE
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,25l HealthGovernment DivisionDrive, PIN#LOT# 362908870749
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Site Address: 2230 LITTLE JOHN TR, NEWTON NC 28658
Name on Permit: ZUYITSA DIAZ
Property Size: Acres 0.46
Directions: NC 10, left onto Nottingham Dr, right onto Littlejohn Trail, at the end
Owner/Authorized Representative Acknowledgement of Permit Receipt
piI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
t.
._9t As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service EHPR-09-2022-42231,by the following method(s):
V Received in Person
Facsimile Transmittal (Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required)
'TAs 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 Treatme and Disposal Systems(15A NCAC 18A.1900),
and/or Well Construction Standards(15A NC 2C 0), shall apply to the issuance of this permit and
the construction of the wastewater system and/or ater u p well permitted.
Permit Issue Date: 11/07/2022
Owner/Auth rized Representative Sign e
Date I ")
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 yoiPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
thpennil 11/07/2022 16:37 r
('ATA BACOtINTI Case! IMPV-11-2022-I83743
�.t. .j Public Health Department Subdivision PINEHURST VILLAGE
.,�o 't Environmental Health Division 1'INt 362908870749
PO Box 389.25 Government Drive,Newton,NC 28658 out 10
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Site Address: 2230 LITTLE JOHN TR, NEWTON NC 28658
Name on Permit: ZUYITSA DIAZ
Property Size: Acres 0.46
directions: NC 10, left onto Nottingham Dr, right onto Littlejohn Trail,at the end
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: New Septic Wastewater Flow 360
g.p.d
Type of Facility: Primary Residence-New House
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water 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: VA-SAND FILTER PRETREATMENT
Pump Required ***** Operator Required
Permit Conditions: 'Permit for IP only.
*Do not drive,grade, cut or fill over any part of the initial or repair septic areas.
'All parts of the septic system area(including repair) MUST remain 10 feet from property
lines and water lines, 50 feet from existing wells, and 15 feet from building structures
including decks.
'Do not grade behind house box location
'Divert surface water down eastern property line(shown on drawing).
chlrmui 1113121123 1422
CATAWBACOUNTY Case# IMPV-I1-2022-183743
(pc-
U Public Health Department Subdivision PINEHURST VILLAGE
t�'?,mint Environmental Health Division PIN# 362908870749
\_ / PO Box 389.25 Government Drive,Newton.NC 28658 LOT# 10
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Site Address: 2230 LITTLE JOHN TR, NEWTON NC 28658
Name on Permit: ZUYITSA DIAZ
Property Size: Acres 0.46
Directions: NC 10, left onto Nottingham Dr, right onto Littlejohn Trail, at the end
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 i'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 pennit was issued in compliance with the provisions of the North Carolina'Laws and
Rules for Sewage Treatment and Disposal Systems' (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.
Any permit issued for a conventional system may he used for an accepted system without Environmental I lealth authorization or permit
modification Please notify Environmental Health of this change prior to system installation.
01/30/2023
Auihori.ed State Agent Pennit Issuance Daic
1/30/2028
Pennit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
elipennrt 01/31/2023 14:22
Catawba County Environmental Health
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Parcel: 362908870749, 2230 LITTLE JOHN TR
NEWTON, 28658 1 in=40ft
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Copyright 2021 Catawba County NC
01/26/2023