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HomeMy WebLinkAboutIMPV-6-11-18500.TIF �aA CATAWBA COUNTY � G Public Health Department Q � Q 2 Subdivision .: Environmental Health Division "�oa `�' PO Box 389, 100-A Southwest Blvd, Newron, NC 28658 Lot # lg 2 w PIN# 372118425084 ApplicantlOwner Travis Cromer Site Address: 2476 STARTOWN RD, Newton, NC Property Size: SF 9.989 ACRES Directions: STARTOWN RD/ LFT ON VALLEY VIGW DR/ I ST HOUSE ON Right Owner/Authorized Representative Acknowledgement of Permit Receipt _ I certify that I am the owner or authorized agent (owner's autllorization required) representing the owner of the properiy 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-4-11-10705 , 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: 06/O1/2011 Owner/Authorized Representative Signature Date ----------------------------------------------------------------------------------------------------------- Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitte (name of person sending permit) Signature '��Z Date/Time l ! 1 -'�� Method: Fax �Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature acknowledges the conditions and statements above. -��v� sGrom�r IL C�'�c�du �c� O6/O l/ l 1 12:49 �qA CATAWBA COUNTY Case # IMPV-6-11-18500 d - � � Public Health Department ` Subdivision .; Environmental Health Division ""` �`�' PO Box 389, 100-A Southwest Blvd, Newton, NC 286�8 Lot # Ig 2 �� PIN# 372 1 1 8425084 ApplicantlOwner Travis Cromer Site Address: 2476 STARTOWN RD, Ne�vton, NC Property Size: SF 9.989 ACRES Directions: STARTOWN RD/ LFT ON VALLEY VIEW DR/ lST HOUSE ON Right Improvement Permit Faci�ity: Primary Residence Permit Category: New Septic 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: 25% REDUCTION Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP PUMP REOUIRED Permit Conditions: ------------------------------------------------------------------------------------ - --------------------------------------------------------------------------------------------- REPAIR SYSTEM SPECIFICATIONS ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS PUMP 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 suspensioNrevocation 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 rin�! Ru/esjor Sewnge Treatment nnd Disposal Svstems' (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 06/O1/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: OS/30/2016 No grading or construction activiry is a[lowed in areas designated for system and repair without approval of the Health Department. 06/O 1/ 11 l 2:49 ���� �IPR `��il- lo�a5 2`}76 S-��h �. ��ll �I�oa �I s ���� � �' P�'� � �' _ Y � h� ia -}�,�., �, � prr� I� �sgo ; 3- Ib�� -���'• � � �I�S�itn d� (.6tn��x. � ����Ye� ,ra�e, c�-� o r .F � aJ c,Y �,. ov rc �r. � � � �1K.Me�K b'^ '�v�b�h,�v �� � _�• �� ��- , 3� = ox� � t7 M 'i•. � �_ � � � ± c+�p' \� ,� ,i i ,i y -- ,,__.. - _ .._.._. / ,�+' , ; �.�`�r ZS�b � / ��� oox �.5 : � V* ,��. � �� � ' � w c � ��;� �' `g �/ �t� , A �i / `� c,� `J� 3 � �� � � � � � , � ' �.`'�� �' / . M�,� � � �o ��� � I'-�o�� DEPABT�iFNr OF F1�IVIRONMENT A1VD NATURAL RESOU�ES • Shed _ oj DNLSION OF IIZVIR�IMENTAL MEAi.TIi PROPERTY ID #: ,ON-SIIE WASTEWATFBSECTION COUNIY: SOII.ISTrE EVALUATTON , /+ � for ON SITE WASTEWA'I'ER SY,�STE� � OWNER;TYCI�IS l Ih� APPLICA?ION DATE 7 z�- EN.P�-�l-ll -1a7a5 ADDRESS� DATE �VALUATED: 5'� `w i r2l 1 PRUPOSID FAC�IY: ti- 0 L PRQPO D GN FLAW (.1949): 360 . P80PERTY SIZE: q•9 $9 aL�'t.s I.00ATION OF SITE: � �+ r• f2L- : PROPEBTY RECORDID: w� suP�,Y: �) rri� r� 6 w�n 0 s p� • S 0 or�a EVALUATTON MEIHOD: O Auger Bauag � Pii U Cut . . 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