HomeMy WebLinkAboutIMPV-3-11-16173.TIF ,pA CATAWBA COUNTY Case # IMPV - - 11 - 16173
G Public Health Department
E Environmental Health Division Subdivision PLATEAU RIDGE ESTATES
c PO Box 389, 100 - A Southwest Blvd, Newton, NC 28658 Lot # 2
/8• 5M PIN# 269702654292
Applicant/Owner CLAYTON HOMES # 81 (�
Site Address: 5324 HOPE RD, Vale, NC v I Pk-3-11-1
Property Size: SF 0.689 ACRES
Directions: 10W/ LEFT PLATEAU RD/ LEFT SCHRONCE RD / RT HOPE RD/ ON LEFT
Improvement Permit
INITIAL SYSTEM EXISTING - IP FOR REPAIR SYSTEM ONLY
Facility: Primary Residence
Permit Category: Other Bedrooms 3
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: X No Expiration:
Projected Daily Flow 360 9-p-d
Proposed Wastewater System: CONVENTIONAL
Type: IIA - CONV SYSTEM (SINGLE- FAMILY OR 480 GPD OR LESS)
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25% REDUCTION
Type: IIIG - OTHER NON -CONV TRENCH SYSTEMS
PUMP *MAY BE* REOUIRED
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
Megen McBride 03/21/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit Expiration Date: 03/19/2016
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
03/21/11 09:01
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DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed — of—
DIVISION OF ENVIRONMENTAL HEALTH L TH PROPERTY ID *:
.ON -SITE WASTEWATER SECIION COUNTY:
SOIUSITE EVALUATION
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� APPLICATION DATE 3 II rip I Q I L, - ` �-
ADDFESS: ( DATE EVALUATED: 3 18111
PROPOSED FACILITY: : ' i k PRe ' • SID DESIGN FLOW (.1949): 360 PROPERTY SITE: D b$'`? a C �s
LOCATION OF SITE: 5 11160. ! • PROPERTY RECORDED:
WATER SUPPLY: B Private 0 • ublic W elt 0 Spng 0 other
EVALUATION ME ® Auger Boring 0 Pit 0 cut
TYPE OF WASIEWAMR: ® Sewage 0 Iaduateat Process 0 Mixed
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DESCRIPTION u.M41- * rsrEM REPAIR SYSTEM OM ER FACTORS (.1946):
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