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HomeMy WebLinkAboutIMPV-04-2023-193786.tif ,..17fi► CATAWBA COUNTY +J i li Public Health Department Subdivision il&1/ Ma `11 ,pt ss Environmental health Division I'INN 365606386118 �\/flitOP PO Box 119,25 Government Drive,Newton.NC 2*651 LOT# Site Address: 2357 E MAIDEN RD. MAIDEN NC 28850 Name on Permit LANEY BEARD Property Stec: Acres 0.99 Dtnctloas: Right off of Jim Beard Rd onto E Maiden Rd. Empty lot on right. Owner/Authorrced Representative Acknowledgement of Permit Receipt l certify that I am the owner or authorized agent(owner's authorisation required)representing the owner of the property described above. xIs_ As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-11-2022-42740, by the following method(s): Received in Person / Facsimile Transmittal (Return form with signature required) _I Electronic Image Transmittal/ E-mail (Return receipt required) JLk 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 18A.1900), and/or Well Construction Standards(I SA 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:04/18/2023 Owner/Authorized Representative Signature E'- - i,/{ . .._ . �j r Date___4±/2 / Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time Iti�5I)5 Method: Fax �Finail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoaPlease flake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService Ju,- ui, i beatdQ g , 40,6lfllL TjblA-t !dei5 jahao. 6A-A o4/tttno23 t237 , a • CATAWBA COUNTY Case# IMPV-04-2023-193786 / .i.it Public Health Department Subdivision h d '-1 Environmental Health Division PIN#114 365606386118 PO Box 389,25 Government Drive,Newton,NC 28658 LOTH $, 1. w Site Address: 2357 E MAIDEN RD, MAIDEN NC 28650 Name on Permit: LANEY BEARD Property Size: Acres 0.99 Directions: Right off of Jim Beard Rd onto E Maiden Rd. Empty lot on right. Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS TIIIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 360 d 9P• Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Public Water Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25% REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required _ _ _ _ _ REPAIR SYSTEM SPECIFICATIONS _ _ _-_.. _____ -__.. ____ .___. ___.. _aRepair System Required? Required Proposed Wastewater System: DRIP IRRIGATION System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required Permit Conditions: 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 l lealth authorization or permit modification.Please notify Environmental Health of this change prior to system installation. 04/17/2023 Authorized State Agent Permit Issuance Date 4/17/2028 Pennit Expiration Date No grading or construction activity is allowed in areas designated Jar system and repair without approval of the Ilealth Department. chprrnufi 04/18/2023 12:37 16 P /iOc2u1? 1h/O m PV-Os—;>?_3 — H37 Catawba County Environmental Health0 er71...... 44414N\f 1\44'1\ . 23 -3 (2 -- NO 12, _...„ / r , • b v • 1((11:22)P 45- en-45, I''?T'vr _:.;`="-- \ TA0 C r• -b t: . 97tx U 1� a v. .9 -3i, `t / Parcel: 365606386118, 2357 E MAIDEN RD 11n=50ft MAIDEN, 28650 This import product was prepared from the Catawba County.NC Geospatiel Information Sales. Catawba County has made substantial efforts to enmity the accuracy of location and labeling Information contained on this map or dab on this report.Catawba County the stdepand.M verification of any data contained on this mapheport product by the user.The County of Catawba,w promotes inn and recommends personnel.disclabn.and sh.M not be held liable for any and aN damages.bins or liability.whether direct.indirect or agents. arise horn Ihla mspJreport product or the use thereof by any person or entity. which orient or may Copyright 2021 Catawba County NC 01/23/2023