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CATAWBA COUNTY Case# EXSY-03-2023-191398
Public Health Department Subdivision
,� Environmental Health Division PIN# 371116312445
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
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Site Address: 3689 THOMPSON ST, NEWTON NC 28658
Name on Permit: ABDIEL FLORES MONDRAGON
Property Size: Acres 1.357
Directions: Startown Rd, left onto Sandy Ford Rd, right onto Robinson Rd, left onto Thompson St, property on the left
Owner/Authorized Representative Acknowledgement of Permit Receipt
KKt certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
!d'r As the property owner or authorized representative, I have received the above referenced
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permit(s)as requested in the application for service EHPR-02-2023-43406, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
V Electronic Image Transmittal/E-mail (Return receipt required)
A�' 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 (I5A NCAC I8A.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:03/15/2023 16Ar ,:
Owner/Authorized Representative Signature
Date Lib i 4(( Z.-7j
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
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ehpennil 03/15/2023 14:03
catawba county
public health
EXISTING SEPTIC SYSTEM INSPECTION
NOT FOR LOAN APPROVAL
Case Number:EHPR-02-2023-43406 ® Reconnection to Existing System
Property Owner/Applicant:Abdiel Flores Mondragon ❑ Mobile Home Park Reconnection
Site Address: 3689 Thompson St.,Newton,NC 28658 ❑ Applicant Request
Type of Facility: ❑ House ® Mobile Home Number of Bedrooms 3
❑ Business
❑Other
Proposed Addition/Accessory Structure: N/A
®Approved ❑Not Approved Reason
❑Approval Not Required/System Location Only
Evidence of System Malfunction ❑ YES ®NO System Type/Description Gravel bed
Noncompliance Items and Notes
• Existing system inspection for a proposed three-bedroom mobile home reconnection. The original three-bedroom
home was demolished and a new three-bedroom mobile home is proposed.
• An existing septic tank and drain field (gravel bed approximately 10'x50') were found during the inspection.
• No permit is on file for the septic system. An existing system inspection was conducted on September 18,2006, for a
three-bedroom mobile home reconnection.
• Proposed house has 3 bedrooms for 6 occupants.
• Do not drive, grade, cut, or fill over septic system area.
• Noncompliance:N/A
*NOTE: this inspection does not reflect on the lifespan or efficiency of the drainfield.*
Authorized State Agent Blake Perkins Date 3/14/2023
Existing System Inspections expire 1 year from approval date
catawbacountync.gov
Environmental Health
Catawba County Government Center
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8210
MAKING. LIVING. BETTER.
Catawba County Environmental Health
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EXSi- 03- 70)3- I113(R
Parcel: 371118312445, 3689 THOMPSON ST 1 in=6Oft
NEWTON, 28658
Thls map/report product was prepared from tho Catawba County,NC Goon lntlnl Inlnnnntiun Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling Information conlnlnud on thin mop or data on this ropoit.Catawba County promolns and rest i n ends
the Independent verification of any date conloined on this map/roporl product by the user. Thu County 01 Cntnwbo,Its employees,agoras,and
personnel,disclaim,and shall not be hold liable for any and nil dnmagoa,Inns Of Ilnhllity,whothor died,indiroct or consnquontinl which arises or may
arise from this map/report product or the use lhoroof by any poraon or entity.
Copyright 2023 Cnlnwbo County NC
03/13/2023