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.Iy$ • CATAWBA COUNTY Case# IMPV-04-2023-193274
7.111m y Public Health Department Subdivision BLACKBURN RIDGE PH 2
Environmental Health Division PIN# 361702565719
,
PO Box 389,25 Govemment Drive,Newton,NC 28658 LOT# 30
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Site Address: 3438 SWEETGUM LN, LINCOLNTON NC 28092
Name on Permit: PETRICA STOIAN
Property Size: Acres 0.46
Directions: Startown Rd, right Blackburn Bridge Rd, right Woodgreen Dr, right Sweetgum Ln property 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 EHPR-02-2023-43486,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: 04/10/2023
Owner/Authorized Representative Signature
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending t)
permi
Signature E Date/Time 61117,3
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 youPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
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ehpennit 04/10/2023 12:27
4.1 * CATAWBA COUNTY Case# IMPV-04-2023-193274
H rfiJi y Public Health Department Subdivision BLACKBURN RIDGE PH 2
L Environmental Health Division PIN# 361702565719
PO Box 389,25 Government Drive,in Newton,NC 28658 LOT# 30
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Site Address: 3438 SWEETGUM LN, LINCOLNTON NC 28092
Name on Permit: PETRICA STOIAN
Property Size: Acres 0.46
Directions: Startown Rd, right Blackburn Bridge Rd, right Woodgreen Dr, right Sweetgum Ln property on 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 360 g.p.d
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION VERTICAL
System Classification: IIIE-PPBPS GRAVITY DOSED SYSTEM
Permit Conditions: *IP only for property purchase.
*Do not drive,grade, cut or fill over any part of the initial or septic septic areas.
*All septic areas, MUST remain 10 feet from property lines, 15 feet from drainage(s), 50 feet
from existing culvert pipe, and 50 feet from wells(including neighboring and future proposed
well area).
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' (15A 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 be used for an accepted system without Environmental Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
aVirrnit. i)17.
04/10/2023
Authorized State Agent Permit Issuance Date
4/10/2028
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehpennit 04/10/2023 12:27
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Site Plan For: Pete Stolen . _ 0 30 60
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Jacobs Fork TOwnshIpt Catawba County,NC ... ......miew. .
Current Owner:Ronald D.Bonfield
Deed Book 2721 Page 30 I k pl _ott-)o)3-19 3g7`t .�a'�4�
Lot 30 of n 2 '� ra '' i N
Plat Book 47 Pages 39 '
Parcel ID:38170 719 -
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DEPARTMENT OF 111 ALTll AND HUMAN SERVICES Sheet of_
DIVISION OF PUHLIC IIEALTII.ENVIRONMENTAL 11IiALTH SECTION PROPERTY ID 0: 4 _
ON,srffi WATER PROTECTION HRANCII COUNTY:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: Ps.r. A S IQQ� _ APPLICATION DATE ill Lk
ADDRESS: 2/y3 plast; JAr a( iViA)aty All 9gb02 DATE EVALUATED:
PROPOSED FACILITY:_1veI, � PROPOSED DESIGN FLOW(.1949): 3bo 6i0 PROPERTY SIZE: D. yG acid
LOCATION OF SITE: i Li/Am in L C9 W LI ncoln,6 A/C 9Q? 9 Z PROPERTY RECORDED:
WATER SUPPLY: Private ❑P lic ell 0 Spring 0 Other //
EVALUATION METHOD: 0 Auer Boring 0 Pit 0 Cut TYPE OF WASTEWATER: Sewage ❑Industrial Process 0 Mixed
► - • •
P
o SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
t .1940
E
E LANDSCAPE HORIZON
POSITION/ DEPTH .1942 PROFILE
p SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE! WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
Ls 0-39 c L S k Fr! S,spi cof
31-50 C WABK r�,S IS
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DESCRIPTION INMAI.SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): i
Available Space(.1945) EC
e5 SITE CLASSIFICATION(.1945): (15
System Type(s) 5v'// ad 501, ✓ if EVALUA PD BY:_ .� �lAn
OTIIESite LIAR 0. 29S O. Z?5
COMMENTS:
updated February 2014
Catawba County Environmental Health
ERN-oZ-1012-41g84,
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Parcel: 361702565719, 3438 SWEETGUM LN 1in=40ft
LINCOLNTON,28092
This map/report product was prepared from the Catawba County,NC Geos aUal Information Services. Catawba County has made substantial efforts
to ensurethe nt fic of location and labeling Informationall contained onr thi
s map or data on this report.Catawba County promotes andrecommends
the Independent verification of any dale contained on this map/report product by the user.The County of Catawba,Its employees,age
nts.and
personnel,disclaim,and shall not be held 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.ay County NC
04/10/2023