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Home My WebLink AboutIMPV-07-2023-200847.TIF Imo• CATAWBA COUNTY t~ 11,, Public Health Department Subdivision L A CARPENTER �� Environmental Health Division PIN# 364609052428 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 5 1;42 w Site Address: 233 GOLF COURSE RD, MAIDEN NC 28650 Name on Permit: TRAVIS LAWING Property Size: Acres 0.57 Directions: Hwy 321 Turn Rt on South Main, Lot 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. ?(' X As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-04-2022-40614, 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 )C 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: 07/25/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Li. '' 07/) 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 yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService lyd pi •S )4,,u,.,, ptialotice ADbgba (21 ehpennit 07/27/2023 07:27 CATAWBA COUNTY Case# IMPV-07-2023-200847 Public Health Department,, ,,,m, . .,, ) Subdivision LA CARPENTER Environmental Health Division PIN# 364609052428 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 5 Site Address: 233 GOLF COURSE RD, MAIDEN NC 28650 Name on Permit: TRAVIS LAWING Property Size: Acres 0.57 Directions: Hwy 321 Turn Rt on South Main, Lot 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? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Public Water 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? _ ..._. ^ -._... _� �.. _.._ .�. �. �� W ..-..- -....., �� W W ..._... _._. .�_ -......_� __ Required Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump 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' (I SA NCAC I 8A.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. 34,(ite- °/14r\ 07/25/2023 Authorized State Agent Permit Issuance Date 7/25/2028 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpennit 07/27/2023 07:27 L Catawba County Environmental Health .rA 4 -Itv1Pv- 07 -1013- 2oo 810 ai w 4tA4,v,-07 - 1023- 700Fil 67' Qr°P 3Bf7 I 0 �;r s IbV �� 0 A/e4 o •. ot.k Q•X •Z33 5 8 red tot X ?3 �br ti� R v V 1.7-4 . ti, \) O , (.29 614 / h .. Parcel: 364609052428, 233 GOLF COURSE RD lin=4011 MAIDEN,28650 nle raasdiaitwt MOM ass propene from the Catawba County,NC OaoapaWl Information Services. Catawba Count'has made aubahmiel efforts to arratw lira aeaaaoy of isoaSan and 1s0�n�Informpn aon(ak►ad on Was map or data on this report,Catawba County promotes imd r.00nwnw,ds ha independent aanleseen of wry dela ODntalnadw an this map/report product by Ma uwr.Tna County of Catawba.Its employer's,. iis and r its a rot mid M «Y WI many and al demise.lose or liability.whether diraot.Mired or oonsa usn5ai vrtld arissa or may by any)anon or entity. Copyrtaht?OY]Catawba County NC 07/25/2023