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HomeMy WebLinkAboutRBPR-03-2016-23460.TIF .0A • THIS IS NOTA PERMIT Case # RBPR-03-2016-23460 s 41I G 1 CATAWBA COUNTY HEALTH DEPARTMENT `.; 47.9 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES L84� ^� Residential Building Plan Review - Building New o • •o ra •< � \ .! AUTHCONST- 11E�✓ WELL) ° o 0 1 9pAbn? 1 auwJJ ,m 7711 Applicant *LAKE DOCK AND DWELLING LLC (NICK SPEED), 7181 CALEY LN, DENVER NC 28037 C:704775085I NSPEEDI979@GMAIL.COM Contractor OLD HICKORY CONSTRUCTION, INC, 5881 E 150 HWY SUI•I'E 104, DENVER NC 28037 B:704-489-8989 C:8283125103F:704-489-8990 OLDHICKORYLOGFIOM@BELLSOUTH.NET Owner BRUCE DANIEL, 7958 TOTTENHAM DR, HARRISBURG NC 28075 NAME TO APPEAR ON PERMIT Bruce Daniel SITE ADDRESS: 1437 KALE RD, CATAWBA NC 28609 PIN # 470002973672 NAME of SUBDIVISION: KALE CORNER Lot# 5 Section/Block PROPERTY SIZE: Square Feet Acres 1.62 DIRECTIONS: Sherrills Ford Rd from Hwy 150/right Long Island Rd f left Kalke Rd 1 corner lot PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: Revised 7/27/16 -Added additional Well Permit 2 story dwelling w/attached garage w/finished bonus room & unfinished basement SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? - - No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 63 x 80 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO li`)-eliapplication 07/27/2016 15:29 Page 1 of4 �\A \ CATAWBA COUNTY case n RBPR-03-2016-23460 ^ 618 E Public Health Department Subdivision KALE CORNER 4 �i Y Environmental Health Division PIN# 470002973672 4"4t-,, PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 /8 42 NAME ON PERMIT: ( BRUCE DANIEL), 7958 TOTTENHAM DR, HARRISBURG NC 28075 ( Bruce Daniel) Site Address: 1437 KALE RD, CATAWBA NC 28609 Property Size: Square Feet Acres 1.62 Directions: Sherrills Ford Rd from Hwy 150/right Long Island Rd /left Kalke Rd /corner lot Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am =slely r:sponsible for the proper identification A and abeli t1all pro y lines and corners and making the sit- - - - s . -te site eval ation =n be performed. Date: 0 ' ( " _ Signature of Applicant or Agent _� An Environmental Health Specialist will contact you wit to 5 worl.ine says of applicatio date. If you need further information or assistance please call 828-466-7291 AREA1 Trf ...._r..'._l.l �i , 'ua!!1 4llpll'l�Il i Iut,7 , ;ithflp {.• .N2� EENAME 'LI �#Clibi +,A wliq - Nt1;L( f�� n ,�.t' DATES �iw,FEE.AMOUNT Authorization to Construct Fee (New/Expansion) 03/23/2016 $300.00 Fee Well Permit & Inspection Fee 03/23/2016 $300.00 Well Permit& Inspection Fee 07/27/2016 $300.00 I r1nl`1tii' 'r'TOTAL FEESI,lttrii, itir ;l'hII l'lllp.miil�}l��,w nlilit( alllliljr;�. " $90000 1i 1 1 A� t w� .t. i�1 4 LLllll Itllm r,ib,! a iIIW i" 1� pp�� • "!,.,r1;1,1 ,IIi d i IJ�O. 4WNW!brir%...l56,1L!I iiIIIN(Nh1d '• lt.w.t'wflai 9fl i9I!Ilwt,.:44IIMS ' 16, FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 69-ehapplication 07/27/2016 15:29 Page 2 of 4 A CATAWBA COUNTY !}� 100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT -7770615 PHONE: 828.465.8399 U `� 4.jjit Wednesday, July 27, 2016 /842 sM www.catawbacountync.gov PAYOR: Daniel, Bruce PAYMENTS TRANSACTION NUMBER: TRC-754037-27-07-2016 PAYMENT DATE : 07/27/2016 PAYMENT TYPE: Check 2155 INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-330944 Well Permit & Inspection Fee $300.00 TOTAL PAYMENTS : $300.00 RBPR-03-2016-23460 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 1437 KALE RD, CATAWBA NC 28609 Applicant *LAKE DOCK AND DWELLING LLC, 7181 CALEY LN, DENVER NC 28037 C:7047750851 NSPEED1979@GMAIL.COM Owner BRUCE DANIEL, 7958 TOTTENHAM DR, HARRISBURG NC 28075 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Contractor OLD HICKORY CONSTRUCTION, INC, 5881 E 150 HWY SUITE 104, DENVER NC 28037 B:704-489-8989C:8283125103F:704-489-8990 OLDHICKORYLOGHOM@BELLSOUTH.NET receipt 07/27/2016 15:29 Page I of I ,v-$A 0G THIS IS NOT A PERMIT Case # RBPR-03-2016-23460 'alma CATAWBA COUNTY HEALTH DEPARTMENT ,,v % PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES NiThil • S• 1842 5. Residential Building Plan Review - Building New 7 U ro U 1 1 AUTH_CONST- NEW WELL 0 0,- 10. Applicant LAKE DOCK AND DWELLING LLC (NICK SPEED), 7181 CALEY LN, DENVER NC 28037 C:704775085I Contractor OLD HICKORY CONSTRUCTION, INC (PAUL NORMAN), 5881 E 150 HWY SUITE 104, DENVEI 28037 B:704-489-8989 C:8283125103F:704-489-8990 OLDHICKORYLOGHOM @BELLSOUTH.NET Owner BRUCE DANIEL,7958 TOTTENHAM DR, HARRISBURG NC 28075 NAME TO APPEAR ON PERMIT Bruce Daniel SITE ADDRESS: 1437 KALE RD, CATAWBA NC 28609 PIN # 470002973672 NAME of SUBDIVISION: KALE CORNER Lot# 5 Section/Block PROPERTY SIZE: Square Feet Acres_ 1.62 DIRECTIONS: Sherrills Ford Rd from Hwy 150/right Long Island Rd /left Kalke Rd /corner lot PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 2 story dwelling w/attached garage w/finished bonus room & unfinished basement SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 63 x 80 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-ehapplicaion 03/23/2016 12:40 Page 1 of 4 • 48A • CATAWBA COUNTY Case# RBPR-03-201 6-23 460 fi 2 Public Health Department Subdivision KALE CORNER , ,'%,`Y, Environmental Health Division PIN# 470002973672 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /8.2 w NAME ON PERMIT: (BRUCE DANIEL),7958 TOTTENHAM DR, HARRISBURG NC 28075 ( Bruce Daniel) Site Address: 1437 KALE RD, CATAWBA NC 28609 Property Size: Square Feet Acres 1.62 Directions: Sherrills Ford Rd from Hwy 150/right Long Island Rd/left Kalke Rd/corner lot Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessibl- • that a omp�te evaluation can be performed. Date: - 3—llo Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 FEENAME.,. DATE FEE AMOUNT':,; Authorization to Construct Fee (New/Expansion) 03/23/2016 . 5300.00 Fee Well Permit & Inspection Fee 03/23/2016 5300.00 TOTAL FEES $600.00 FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) • E9-ehapplication 03/23/2016 12:40 Page 2 of 4 CA'TAWBA THIS IS NOT A PERMIT c� v vim CATAWBA COUNTY HEALTH DEPARTMENT „,,,.e.,v,h Application for Environmental Services Page 1 ce Improvement Permit [ Authorization to Cons ruct II Septic Repair ❑ Septic Malfunction n Septic Expansion n New Well Permit Replacement Well Ti Well Abandonment❑ Well Repair Ti Existing System Inspection (Pre-Approval Required) Ti Application is for New Construction 2( Existing Facility n Property Address t l`\S ) i-CA• ( , Subdivision ,11 ' a,\' •s ' _ , 7 *0 Lot# Acres 1 .(Q`o 0 C Section/Block/Phase _ cv Driving Directions to Property J c�\�S LOf� �'• f;;,A �,,NI Vb 0 ( OA 0 -nt6 1S k f0■ NAME TO APPEAR ON PERMIT? downer Ti Applicant I'i Contractor Applicant Contact Information Name Lo • v—it-W. I\'ckS ., ” Address ')1�� ( w�e n, �e.ni c./ is - r4Ct"�� Phone `3 Cell Phone r)3 flc 17< \ Owner Contact Information Name l�('�`'� tire\ Address ic\ 1 v Hen i\a 1]f Phone vi c hAl s Cell Phone Contractor Contact Information 4 Name 1\ SZ2Pv�l- Address M\e“ Cc& 1 A. OerVJ AG. p2gju � Phone Cell l one 'lt.);\ -iRS —OYS1 WHO WILL BE THE PRIMARY CONTACT? Owner Applicant T l'Contractor Description of Existing Structures on Site 1k(A- # of Bedrooms *t Structure Dimensions # of Occupants Basement ❑ Yes _ No Basement Fixtures n Yes ❑ No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property yn question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Yes al No Does the site contain any jurisdictional wetlands? ❑ Yes e' Does the site contain any existing wastewater systems? 0/Yes C7 No Is any wastewater going to be generated on the site other than domestic sewage? R Yes 0 NN Is the site subject to approval by any other public agency? ❑ Yes 2'No Are there any easements or right of ways on this property? Describe Existing water supply in use Ti Individual Well ❑ Community Well n Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** Ti Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any CATA�'�j]j�A THIS IS NOT A PERMIT • C0��1 VV 1J CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ` 1 n Primary Residence New Residence ❑ Addition to Residence # of New Bedrooms *t L1 Project Description 3 rvc _t , \k3w Structure Dimensions (03 k \ # of(ccupants �- Basement IF Yes ❑ No Basement Fixtures fYes ❑ No ❑ Accessory Structure(s) Describe #of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes ❑ No Plumbing _ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*t Total# Bedrooms *t _ Structure Dimensions n Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) I Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen n Yes ❑ No If Daycare Specify Occupancy Application for Well Const uction/Abandonment/Repair Proposed Well Type I/I Individual Well ❑ Semi-Public Well IT Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug n Unknown Well Repair Requested n Yes n No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This valve wili'be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent' ` ' Date 5'2-b-, WSJ Printed Name of Owner or Agent (VAL `y-,Q%- Catawba County Environmental Health 4 — 92.51 j ti� / L. -111 41 I Ilree- "I el • Rd 707. .4" 101100111112a cn c-i 232.28 \ . # 86. CP a 7 41. ---,.. 7, 368.26 (itTh . LONG VsiAND RD 135.75 — v::,..e y 1.69 3eln 1 ..53 Parcel: 470002973672, 1437 KALE RD 1 in=60ft CATAWBA, 28609 This map/report product was prepared from the Catawba County, NC Gecspatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba, its employees,agents,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. Convrioht 2014 Catawba County NC Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 470002973672 Owner: DANIEL BRUCE H Parcel Address: 1437 KALE RD Owner2: DANIEL CAROLYN G City: CATAWBA, 28609 Address: 7958 TOTTENHAM DR LRK(REID): 301934 Address2: null Deed Book/Page: 3328/1756 City: HARRISBURG Subdivision: KALE CORNER State/Zip: NC 28075-8356 Lots/Block: 5/ Last Sale: School Information: Plat Book/Page: 65/25 School District: COUNTY Legal: LOT 5 PLAT 65-25 Elementary School: CATAWBA Calculated Acreage: 1.620 Middle School: MILL CREEK High School: BANDYS Tax Map: null Township: CATAWBA School Map State Road #: 1832 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $45,800 Zoning3: Assessed Total Value: $45,800 Zoning Overlay: WP-O Year Built/Remodeled: null/null Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710470000J Building Details 2010 Census Block: 1007 WaterShed: WS-IV Critical Area 2010 Census Tract: 011503 Voter Precinct: P21 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and at 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. ©2016, Catawba County Government, North Carolina. All rights reserved. L 0,/,,,) seh� DO A gag ei o g pd / pea ' $ 300 1Tttp://gis.catawbacountync.gov/nomap/parcel_report.php?key=470002973672&typ=P 3/23/2016 CATAWBA TA\ BA COUNTY � t r' b Case NV-03-2016-070345 ":`"' e rya► Subdivision Kale Corner y, Public Health Department •;r:- • -+}3: } ) Environmental Health Division v • r3 } PINT/ 470002973672 ' a � PO Box 389, 100-A Southwest 131ed.Newton. NC 23658 r LOT4 5 u K• NAME ON PERMIT: LAKE DOCK AND DWELLING LLC, 7181 CALEY LN, DENVER NC 28037 Site Address: 1437 KALE RD, CATAWBA NC 28609 Property Size: Square Feet:70,567.20 Acres:1.620 Directions: Sherrills Ford Rd from Hwy 150, Right onto Long Island Rd, Left onto Kale Rd (Corner Lot) Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: X No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIB - SYSTEM \1'/SINGLET EFFLUENT PUMP PUMP REQUIRED Permit Conditions: to not grade, fill, or drive over any designated septic area. REPAIR SYSTEM SPECIFICATIONS _ Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: I VA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED 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 cr 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 or the applicant/property owner to insure that all Catawba County Plunr.ingg-,/Loning and Building Inspections requirements are incl. 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 'Lincs.nail Rides fop Sent, e Treatment and Disposal Slsrenu'' (ISA NCAC I8.A .19110). Neither Cnl ■rba County nor the Environnenial Heald, Specialise warrunls That the Septic lank system will continue to function satisfactorily for any given period of time. Robbie Phelps D3/22/2015 AUrHORizEP STATE ACENr APPROVAL DrcrE 03/22/2021 Permit Expiration Date: A'o grading or colts/ruc tion activity is allowed in areas designated for system rum repair u'illroul approval of the Health Deparntrem, ehpernii 03/23/20(6 09:52 Page 1 of 3 Catawba County Environmental Health kit_ \_,., , a7oyt1s // 11256 42.24 * Is 92.51 • . i i. }�f /\\ j <F< 90 70 fi^ 7 •..>9 , - t 1,2•Y___ I �, \C- 1St \ 4 S7il S a t a _'ksort- # Q f N tr r\� � p.. •3 IV •Eck~"�i �/ \\3; . (`lk11' i. •4� �+ �1yo IVa\e � ti �t�`5 cote V 4 1.7 • V p_IW LONG ISLAND RD 135.75 00.60 84.37 21.69 100.53 1 \ 1\ Parcel: 470002973672, 1437 KALE RD 11n=6Oft CATAWBA, 28609 this map/report product was prepared from the Catawba County,NC Goospabal Information Services, Catawba County has made substantial efforts to ensure the secnracy of location and labeling infnnation contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by tho user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any end all damages,loss or liability.whether direct,indirect or wrsequerndal which arises or may arise from this map/raker,product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 03121/2016 I tiDD3APTMENI OF ENVIRONMENT AND NATURAL RESOURCES .Reef of? DIVISION OF ENVI$QNMFNCAL HEALTH PROPERTY ID k: .04-SITE WASTEWWATERSECTION COUNTY: SOIIJSI I'E EVALUATION Na // for ON-SITE WASTEWATER SYSTEM / ow (L+ 7'1L�° Co:,• APPLICATION DATE rel/5I 5b ADDBFCS; j t• r DATE EVALUATED: 11 J PROPOSED FACILITY: 11 PROPOSED DESIGN FLAW(.1949): it OIL PROPERTY cT7F- LOCA77ON OF SITE PROPERTY R_.CORDID: WATER SUPPLY: P'Pdratc 0 Puhllo 13IWe11 0 Spring 0 Other EVALUATION METHOD: 0 Auger B®g R'?ii 0 at • TYPE OP WASIEWAIEQ B�Scwagc a I '•t Press G Mixed + OTLM4IsIIt7TUG4_ OTYLETt. I t [..... YZtOFL EFACT{)ItS ,cc°e 713N 4NI X941 5131? ; y]EPCIi. 5Y7tUGTURF3 (y33$IS'Y'ETvC ! a [�. S933f= 5711' S>: : , _YA).. _M4�F,��AI.t?&Y' G¢fx5k IlP.YTI N4ht, : . cs.AS ?. /0-15 :rL // r[ � (r�. 1 X1-12 (c y5-92, /Lich • 3 3 3 I � • I 1 0-6. ;rat .,4;.h..... 1..�f / -L4 -c_ A-L ft 2 1'l2°f° 24.47 Sttsv 1,4-4 PI • Fr 4g 3S . _ I o-Z). Fr, 3 41-�1111 2 I 4S C- w.rl h (� Jr • '�8 ' 3 0-7 5C-L t(Lk 1 C r- 3(0 7-zy ( 5-Lk Fr Jr I'I Y 3 4 2z Lit r rr r� • Jl IDEso -nON Aniwr..SYSTEM P.E"AIR SYSTEM OTHER FACEOKS(.1946): I As�lit5➢xe 61941) SITE CLAS SIFICA:TON(.I94S): Far S3 TypXs) { EVALUATED BY: P ' ,' f- Pht I1r OTHERS)PRESENT: S'fsVn. 0O ' - . �Sne LTAR COMM.".MS: i,.?s; '+ jh ) .r iiiag,{i i,Pe 4 Y >7 t. Zy C.54 �f+r t t Y r DTI ! t'4A 4v 4/2r4' vt%1�i 7 'S.r r a Y� ..�i h UM1f K:„y1XN ��Ci�t N. '+ it ]rt}Z jJ +6743,gi yil2Mc �,d'tI[&y1C` X. .7 - t£ r :e.;_a .�.:1�+6 rtp., Ti3 +.�...�1' i P.v:;�dk,a-, K"`.a-. C.c,1 Crtt'F'" '3f'��c`�`. u.v'G MP A:T126Nf OF r7.vt6ONMENF AND NATURAL Essoup $ S& 2 f 2 DM56oN OF D MRONMENLAL I IFALTIL PROPERTY ID is ON-SITE WASTEWATER SEC ION COUNTY: son siTE EVALUATION for ON-SITE WASTEWATER SYSTEM 2 f 3 OW TER Oft-L J.FPLICATION DATE ADDRESS: l tf}'1 ■l - DATE EVALUAITD: 3"I Y-1l PROPOSED FACILITY: t1JS1:-- _ PROPOSED DESIGN FLOW(.1949): N . TY LO^,AtON OF Sit PROPF87Y PROPER Rc17F•ILOROID: _ WATER SUPPLY; B�rriretc 0 public 3-wen 0 sing 0 other EVALUATION METHOD: 0 Anger S®x:g Er Pit U Cut . TYPE OF WA.°IEWAIIIL _fl Scwng _O Indusithi Pmars_::._._0 ;;i[::<:_ac :_=:[_: _ ;;5--:__.; = [ . !.._..... ..:..� SO1tMGn?ROYAGI OTyEx - 4p� r. ta9dx ST20FILEB4exPAS - - .13Ar Ixoxr ([ .iPSr Cfl- wx , ; M4[- dstl I SO[L., T9t1 _ kn4 . ;; ...1 '4 - ,;prods. � ' zrogtior�t L'F.k7IL i trut sfisstrt'ENCri M' £ S� d _ KrAta= sc ._ �A� 9A— .li': Nl- : -.,, , ' y` - tbK LeY'iZC_ Ct.i='S- :lii) -.-- o-7 •Sc 1 -0-3-1, Fr Lid Y IZ`t I7-43 C s4""h��'' . pr so 4-, L L '1 • I • m- 6. I. stL i�alk I Fr —1'1, Id 6 l4 J� yak I FYI 5 I4-54 sc_ +-rte Ark • Fr Sk 3 • I I . • - a6CRiPr7o77 u.•nuc,SYSTEM REPAIR n'sTrl+ O1TiQt FACTORS(.1946): SITECLASSIPICATION(.194F): (�.S m sp. S 1 ma Syctso y,xn 2 g Dia S`p EVALUATED BY: i1, a You�'r OTHFP.(S)PRESENT: Site LIAR • fil) , ri . WMMA'IS:, :p. sb , :45,,`,`.oitzk a++ =.ix 0.itte"..C. tk`S.vj*ii,,11 ; ka,W; w ?, o ,, ` fS`9.e'Y M1R Sa. ?'3d k'' i5 .¢= e'ti.Z` ,aEii:3. '.t,ux' .r.YZ ,._ . j Catawba County Environmental Health 7. -11''''----,_ .---1.—"■,,,,,,. e j ---- -�92.s1 - -._ --- - , - N. t-7- J •- -- et /------'..--- ,\ele--. A ►i 23 •' \ \ 1 \ c, - \ `� 1�l 1 \ o,/„.) l .-- 36820 1 is ___1 . LONG tSLK° RO f f \ 135.75 } n.00 t 7V-816--- rig -/ 1(?5 53 ( t t \�e. // \ / ! . l4 �) e„ w — v V� Parcel: 470002973672, 1437 KALE RD 1in=60ft • CATAWBA, 28609 TMs map/report product was prepared from the Catawta County.NC Cerwriatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the Independent verification of any data contained on this rnadreport product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and stall nut 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. l Copyright 2014 Cadwba County NC 0211072016