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% • CATAWBA COUNTY CaseI IMPV-Il-2022-184260
N .t,mi Public Health Department Subdivision
d Environmental HealthGovernment DivisionDri PIN#LO'1'if 365709153073
rive,Newton,NC 2865R
8' s.
Site Address: 2128 WATER PLANT RD, MAIDEN NC 28650
Name on Permit: DUSTIN AND LAURA FREEMAN
Property Size: Acres 28.98
Directions: Provident Mill Rd, left onto water plant Rd, property is on the left
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 480
g.p.d
Type of Facility: Primary Residence-Replacing existing system with new due to age.
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
Pump *May Be* Required
Permit Conditions: *See AC
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 18A.1900). Neither Catawba County nor the Environmental I lealth
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 i lcalth of this change prior to system installation.
°11?4tY( 1117(
11/11/2022
Authorized State Agent Permit Issuance Date
11/11/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
:Lpri cut I I/I1/2022 15:07
Catawba County Environmental Health ziy
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Parcel: 365709153073, 2128 WATER PLANT RD 1 in=100ft
MAIDEN, 28650
This mapireport product was prepared from the Catawba County,NC Gsoe allal 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 roport.Catawba County promotes and recommends
the Indepandont verification of any data containod on this maplroport product by the user.Tho County of Catawba,Its employees,agents.and
personnel,disclaim,and shall not be hold!labia for any and all damps,loss or liability.whether dirocl.Indirect or consequential which rinses or may
arise from this map/report product or the use thereof by any porson or entity.
Copyright 2021 Catawba County NC
11/08/2022
i
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DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet nj Z
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID H: *if
ONSITE WATER PROTECTION BRANCH COUNTY: Yi.4 iii
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full) ����
OWNER: DMA, rr(erwAA _ APPLICATION DATE14
ADDRESS: 3Qry)G DATE EVALUATED: n1.25fz2
PROPOSED FACILITY: Ala, 5ySfc i PROPOSEDn DESIGN1•FLOW(.1949 : ei$D 6PP PROPERTY SIZE: Z8, Qf 6c/eS
LOCATION OF SITE: Z/Z8' (,, e riAnd- Rd, M41'dirl 4/C Zboso PROPERTY RECORDED:
WATER SUPPLY: 0 Private B'Public ❑Well ❑Spring ❑Other
EVALUATION METHOD: ❑Auer Boring B6it ❑Cut TYPE OF WASTEWATER: Sewage 0 Industrial Process 0 Mixed
P
R SOIL MORPHOLOGY OTHER
0
F (.1941) PROFILE FACTORS
I .1940
E LANDSCAPE HORIZON
POSITION/ DEPTH 1942 PROFILE
K SLOPE Y. (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ
't 5 O_ c! St_ 6 6rl S5/sei SDote 119)q ti
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35 C SP( flr, S, , S 2 Q 4�'
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DESCI(IN'ft(N lUl IlAI.SYN.!I:M NI I'AIl SYS 11.M O'I'I II{I( IA('FORS(.I')4b): - Q
Available Space(.1945) Ts _ fl SITE CLASSIFICATION (.19d8):___ _ Q5 _—_— —
0 5 p Q r EVALUA1'EI( 1)Y: y . , AAM MO��{M
System Type(.) lc ( rei 1(ei (YI'I ILt(X)1 1(LSEN'I stir`_
Sitc LIAR O. 4•5 V
COMMENTS:
___-- --------
I 1pdatc4 February 2011 _..- -
SOIL/SITE EVALUATION Sheet Z of Z_
(Contrnuatuon Sheet-Complete all field in full)
DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID ll: 657oy/550:1
DIVISION OF PUBLIC HEALTH DATE OF EVALUATION: d j
ENVIRONMENTAL HEALTH SECTION COUNTY: 4-
ON-SITE WATER PROTECTION BRANCH
• • • ► •
P
R SOIL MORPHOLOGY OTHER
r (.1941) PROFILE FACTORS
.1940
E LANDSCAPE IIORIZ .1942
POSITION/ .1941 .1941 SOIL .1943 .1956 .1944 PROFILE
% ON STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SA PRO RESTR CLASSa SLOPE DEPTH
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ <AR
(IN.)
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Parcel: 365709153073, 2128 WATER PLANT RD 1in=100ft
MAIDEN, 28650
This map/report product was prepared from the Catawba County,NC Geos etlal Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labollnp Information conloinod on this map or data on this report.Catawba County promotes and recommends
the independent verification of any dela contained on this rnap/roport product by the usor.Tho County of Catawba,Its omployoos,agents,and
personnel.disclaim,and shalt not be hold llablo for any and oil damagos,loss or liability,whether direct,Indirect or consequential which arises or may
arise from this map/report product or the use thereof by any porson or entity.
Copyright 2021 Catawba County NC
11/08/2022