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HomeMy WebLinkAboutRBPR-03-2016-23525.TIF ,4 ,A •G� THIS IS NOT A PERMIT Case # RBPR-03-2016-23525 ET Ma CATAWBA COUNTY HEALTH DEPARTMENT 0 • ;r"1 0r � {l�"� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 84� sM Residential Building Plan Review - Building New o ro 0 b. AUTH CONST - NEW WELL ' o o r v_oHi Applicant �YTON HOMES (VINNIE NATHANIEL),2026 NORTH SIDE DR, STATESVILLE NC 28625 H:7048732547 C:7046778903 HOME:7048732547 VINNIEN26 @YAH00.COM Contact Person CLAYTON HOMES (VINNIE NATHANIEL),2026 NORTH SIDE DR, STATESVILLE NC 28625 H:7048732547 C:7046778903 HOME:7048732547 VINNIEN26 @YA1100.COM Contractor *CLAYTON HOMES OF STATESVILLE, 2026 NORTHSIDE DR, STATESVILLE NC 28625 B:704-873-2547 C:7046778903 Owner) AARON SHOOK, 1928 SIGMON DAIRY RD, NEWTON NC 28658 C:8284463765 NAME TO APPEAR ON PERMIT *CLAYTON HOMES OF STATESVILLE SITE ADDRESS: 1853 DISNEY LN,NEWTON NC 28658 PIN # 363914236941 NAME of SUBDIVISION: MRS EMMA L KILLIAN ESTATES Lot of 37-40 Section/Block PROPERTY SIZE: Square Feet Acres 0.34 DIRECTIONS: 321 Business South, Right on Hwy 10 West, Left onto Lutz DR, Left on Disney RD lot on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK 56 x 25 Modular off frame w/decks: front& back 6x6 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? Yes 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 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: Modular 56x25, Decks: front& back 6x6 Desired system types (Improvement Permit orAuthorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO Fs-cliappl lcriliou 03/31/2016 17:00 Page 1 of d CATAWBA COUNTY Case# RBPR-03-2016-23525 .7 P:: Public Health Department Subdivision MRS EMMA L KILLIAN ESTATE Q Environmental Health Division PIN# 363914236941 ® PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 /842 sm NAME ON PERMIT: *CLAYTON HOMES OF STATESVILLE ( ),2026 NORTHSIDE DR, STATESVILLE NC 28625 *CLAYTON HOMES OF STATESVILLE ( ) Site Address: 1853 DISNEY LN, NEWTON NC 28658 Property Size: Square Feet Acres 0.34 Directions: 321 Business South, Right on Hwy 10 West, Left onto Lutz DR, Left on Disney RD lot on left 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 accessible so that a complete site evaluation can be performed. Date: 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 vlil1 S 1 1st J f'4WIs: 4 r 3: c sap - pill# i1 3M I r i r.1 ,,.FEENAME%�,`�e x 41, „SLLi k r£ g.4.3q."'';'f '� - DATE '': �FEEAMOUNTIgn Authorization to Construct Fee (New/Expansion) 03/31/2016 $150.00 Fee Well Permit & Inspection Fee 03/31/2016 $300.00 s,F t n� j f i Wei "TOTAL FEES z � r u 1E V x$450 00 f ._et.n:fiat.,_vita._uL.h(t .,L. .,r..-«u.iU"'K',4 °'?;it4 i:',.?,-,?..i:Stas l..r.s,u 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 03/31/2016 17:00 Page 2 of4 ���, THIS IS NOT A PERMIT Case# RBPR-03-2016-23525 '� ^"t^ CATAWBA COUNTY HEALTH DEPARTMENT Q f": ;OYR'I o b. Sao \7; � PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ¶� ' ' ti 18422 ,AI Residential Building Plan Review - Building New o ra' ` ta. AUTH CONST - NEW WELL -d "' Applicant CLAYTON HOMES (VINNIE NATHANIEL),2026 NORTH SIDE DR, STATESVILLE NC 28625 H:7048732547 C:7046778903 HOME:7048732547 VINNIEN26 @YAHOO.COM Contact Person CLAYTON HOMES (VINNIE NATHANIEL),2026 NORTH SIDE DR.STATESVILLE NC 28625 H:7048732547 C:7046778903 HOME:704873'2547 V1NNIEN26 @YAHOO.COM Contractor *CLAYTON HOMES OF STATESVILLE, 2026 NORTHSIDE DR, STATESVILLE NC 28625 B:704-873-2547 C:7046778903 Owner AARON SCOTT, 1928 SIGMON DAIRY RD,NEWTON NC 28658 NAME TO APPEAR ON PERMIT *CLAYTON HOMES OF STATESVILLE SITE ADDRESS: 1853 DISNEY LN,NEWTON NC 28658 PIN # 363914236941 NAME of SUBDIVISION: MRS EMMA L KILLIAN ESTATES Lot# 37-40 Section/Block PROPERTY SIZE: Square Feet Acres 0.34 DIRECTIONS: 321 Business South, Right on Hwy 10 West, Left onto Lutz DR, Left on Disney RD lot on left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: 56 x 25 Modular off frame 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? Yes 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 EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 56 x 25 Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-chapplication 03/31/2016 10:55 Page of �A CATAWBA COUNTY Case# RBPR-03-2016-23525 t G Public Health Department Subdivision MRS EMMA L KILLIAN ESTATE 2 ---- Environmental Health Division PIN# 363914236941 �a PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 J • NAME ON PERMIT: *CLAYTON HOMES OF STATESVILLE ( ), 2026 NORTHSIDE DR, STATESVILLE NC 28625 *CLAYTON HOMES OF STATESVILLE ( ) • Site Address: 1853 DISNEY LN, NEWTON NC 28658 Property Size: Square Feet Acres 0.34 Directions: 321 Business South, Right on Hwy 10.West, Left onto Lutz DR, Left on Disney RD lot on left 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 sole y-responsible for the proper identification a labeljng of all property lines and corners and making the site accessib so.th- -o •..I-te s.e e� on can be performed. Date: 3//Za<<a Signature of Applicant or Agent / — An Environmental Health Specialist will contact you within 5, •orkine days of appli tion-dateT If you need further information or assistance please call 828-466-7291 . AREA1 FEENAME DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 03/31/2016 5150.00 Fee Well Permit & Inspection Fee 03/31/2016 5300.00 TOTAL FEES 5450.00. 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 03/31/2016 10:55 Page 2 of 4 CATAWCATAWBA THIS IS NOT A PERMIT co YY unt BA CATAWBA COUNTY HEALTH DEPARTMENT ao.mn:Drzi Application for Environmental Services Page I Improvement Permit n Authorization to Construct' Septic Repair ❑ Septic Malfunction n Septic Expansion ❑ New Well Permit Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction n Existing Facility ❑ 'Property Address /I$S3 V;s.Jey dG _ Subdivision /6G.,l}o,. `'At- 2$(6yvg Lot# Acres �/ Section/Block/Phase 1 'Driving Directions to Property 1 32( pus;desS So“,e, t dg•r'1 o.a �e.�y. /o L,)eCr LeSr{- C'gs�,o�J pairy ,€ k tee-f 01.374 La& Dr (44- oO b t cy p 1 hal is itte J/A e-.ip Al .9.0 ASK. NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant Contractor Applicant Contact Information Name )7,,,,:e. /1/44A4;t( Address to7 e—■51'...' .p/;,,c-- -i4 so I !0G it 286z.0 Phone 70 yL /373- 2.5 Y7 Cell Phone 704-6677 - 84m3 Owner Contact Information Name ,q/o.., sho,A 'n Address (qjg 5y...,.o.,.. £-, XI SJfo.r/ .t.L. zS65-3 Phone Cell Phone 8as_444, -nor Contractor Contact Information 4'' A Name 6/0, s./e e fR��J,'L�C License# Address 2o2 6 /!/vi} S 4o(C Q�;.rC Phone 7ot/, ¢373 - Zfy7 Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner Applicant ❑ Contractor Description of Existing Structures on Site � �' # of Bedrooms *'r Structu s n # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ Yes Et/No Does the site contain any jurisdictional wetlands? ❑ Yes CFNo Does the site contain any existing wastewater systems? ❑ Yes 121/No Is any wastewater going to be generated on the site other than domestic sewage? (4'c/es � o Is the site subject to approval by any other public agency? ❑ Yes 114 Are there any easements or right of ways on this property? Describe Existing water supply in use Pr Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** n 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 Cd Conventional ❑ Innovative ❑ Other ny CATAWBA THIS IS NOT A PERMIT \counry 4 CATAWBA COUNTY HEALTH DEPARTMENT r dO «on„,-;a;;na Application for Environmental Services Pag f ^�� Proposed Facility Type 1j 2(Jx`( 39-Primary Residence [New Residence ❑ Additionn to Residence H of New Bedrooms *t I U/ Project Description Structure Dimensions, ,Sl+x zs # of Occupants 3 yl Basement ❑ Yes 'No Basement Fixtures n Yes Ro ❑ Accessory Structure(s) Describe H of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes [ No Plumbing ❑ Yes n No Describe Plumbing Needed ❑ Multi-Family Residence #Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area (Sq. Ft.) ❑ 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 Construction/Abandonment/Repair • Proposed Well Type n Individual Well FT Semi-Public Well n Community Well Abandonment Type n Drilled n Bored ❑ Dug n Unknown Well Repair Requested IT Yes n No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will 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. j 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 corners and making the site accessible so that a complete site evaluation can be performed. .Signature of Owner or Agent f' Date -3/0/4-410 Printed Name of Owner or Agent c-t e! te_4 "(A1 n c- Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 363914236941 Owner: SHOOK AARON SCOTT Parcel Address: 1853 DISNEY LN Owner2: DESSERT DEANNA MICHELLE City: NEWTON, 28658 Address: 1928 SIGMON DAIRY RD LRK(REID): 39188 Address2: null Deed Book/Page: 3327/1028 City: NEWTON Subdivision: MRS EMMA L KILLIAN ESTATES State/Zip: NC 28658-8606 Lots/Block: 37-40/J School Information: Last Sale: School District: COUNTY Plat Book/Page: 10/96 Legal: LOT 37-40 37 40 J PL 10-96 PL 10-96 Elementary School: STARTOWN Middle School: MAIDEN Calculated Acreage: .340 High School: MAIDEN Tax Map: 076N 10005D Township: NEWTON School Map State Road #: null TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: NEWTON County Fire District: NEWTON RURAL Zoningl: R-20 Building(s) Value: $0 Zoning2: null Land Value: $7,200 Zoning3: null Assessed Total Value: $7,200 Zoning Overlay: null Year Built/Remodeled: null/null Small Area: null 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 #: 3710363900J Building Details 2010 Census Block: 2054 WaterShed: null 2010 Census Tract: 011701 Voter Precinct: P34 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 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. ©2016, Catawba County Government, North Carolina. All rights reserved. 4 Lso naivw ■ 3 1111207 3w g01 loco http://gis.catawbacountync.gov/nomap/parcel_report.php?key=363914236941&typ=P 3/31/2016 . Catawba County Environmental Health JhPV- 3 -2o/ b -07°6°7 , . \ s \\ \ • v 3 li- t y 150° 0 ri ci (3 4 y \ . Ail; 4 R'a ® S <z \ ci d r '2A" nisi e \ ��"' yPP 1 s So } `) 92 s° i1' S° \ IL A `N •(t l \ � 4i • S \ / \ I t2- 'o w4 tl ��� Parcel: 363914236941, 1853 DISNEY LN 1in4Oft NEWTON, 28658 This map/repor product was prepared from the Catawba County,NC Geospadal Information Services. Catawba County has made substantial efforts to ensure Tie accuracy of location and labeling information contained en this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this mapeeport product by the user,The County of Catawba,its employees,agents,and personnel,disclaim,and shall riot be held liable for any and all damages,less or liability,whether direct,indirect or conseguemial which arises or may arise from this map/report product or the use Hereof by any person or entity. Copyright 2014 Catawba County NC 03/30/2016 • Catawba County Environmental Health • e r r r - r r r / r - r r r / r el ....° " 0 O r r p r r I\2: 1yD. ...•-....'°r r r r l r - / r O r ..-°' O .--°' q9$J - r p r r 1r r ,- r r r r r r „...rW r r - - J / I - / - y„ - I - / - / J r r e - r lye,' / .- J / -.. , r / s - • - , 9 . - 04 -- jd(' �. r Z' r 1 - r - r r r !p r - r r r - 0 r r - \-- 0 r p / O l-- r r — r r r -- ../.r r r r 1513 o� r r „- r we r e - I C7 / r .a — I r O ../. - ' 1yo a° .r r 4.°°. r — /r .-r r 97`1 .^ - O r ,Dt0 t I y - I - -- ' p P , r s Q / r o Parcel: 363914236941 , 1853 DISNEY LN 1in=50ft NEWTON, 28658 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 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. Copyright 2014 Catawba County NC 03/31/2016 CAT,avtSACOUNTV D' r -: •,..g,nom Case pi l 1PV-03-2016-070609 {1 Ji�t�,al Public Health Department ; , + +} e:U1' Subdivision MRS EMMA L KILLIAN EST l "t Environmental Health Division i'1+', t `: } PINiI 363914236941 • 'e"tr� PO Box 389, I(ID-A Southwest Blvd, Newton, NC 28658 y '. LOP/ 37-40• NAME ON PERMIT: CLAYTON HOMES, 2026 NORTH SIDE DR, STATESVILLE NC 28625 Site Address: 1853 DISNEY LN, NEWTON NC 28658 Property Size: Square Feet: 14,810.40 Acres:0.34 Directions: 321 Business South, Right on Hwy 10 West, Left on Sigmon Dairy Rd, Left onto Lutz Dr, Left on Disney Rd, Lot is the 3rd empty lot on Left. Improvement Permit Facility: Primary Residence - House 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 g.p.d Proposed Wastewater System: 50% REDUCTION Type: IIIE - PP13I'S GRAVITY DOSED SYSTEM Permit Conditions: to not grade, drive, or fill over any septic area. 'Pipe all gutter down spouts away from the septic drain field and repair area REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA- ANY SYSTEM \VITI-I L.PP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED Landscaping or other site alterations that potentially divert groundwater cr 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:he initial system installation. or the sespensionfrevocation of existino permits. The issuance of this permit by the Health Department clues not guarantee the issuance of other permits. It is the responsibility of the applicant/propene 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 properly. This permit was issued in compliance with the provisions of the North Carolina 'Laois and Aides for Sewa2e Treatment and Disposal Systems' (I5A 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. Robbie Phelps 03/30/2016 AUTHORIZED STATE AGENT APPROVAL DATE 03/29/2021 Permit Expiration Dare: Au grading or constrricrolr aetiviry is allowed in areas de.signater/lor system and repair•,ritlrout approval of the Health Deprurtment. ehpsnnit 03/302016 I I:I I Page I of • DEPAILTM MF OF VI1[ONMENT AND NATURAL RESO'BC!S Ph' Shot_of DIVISION OP ENVIRONMENTAL HEALTH PROPERTY ID th ON-SITE WASTEWATERSEC ION COUNTY: SOI1J5i1E EVALUATION ) for ON-SITE WASTEWATER SYSTEM 2,5 2‘4 OWNER Aaron 3 'i 00(4 APPLICATION DATE ADDRFSc_ 1 3 17 S-n Ln DATE EVALUATED: 3-i, PROPOSED FACILITY: •) r5 2 PROPOSED DESIGN FLAW(.1949): }15 0 • PROPERTY 517F• LOCATION OF SITE:/ PROPERTY RECORDED: f! WATER SUPPLY: POValt 0 Public (rWcf 0 Spring 0 Ota EVALUATTONMETHOD: 0 AugerBoring reit 0 Cut TYPE OF WAST7.wATER: incwa8e Industval Pcoccss Mixed _._....... I. _-- Y .......:_ __. 'fi 5. _ . .. :e ....�:- � , ..... _ - ._.. .. ._ : ._. . . __.. _.:—- - r33 _. _ . . ..... _ . . . _ `.. (141 _ " ROFGEFACTOI€ -_ - r- 95 _ . m s4 , L?�'�`%i- - soap ii i 1:, L`1CPC Y01 14dL` ._.�9�i1 &Plel; i I9#E - 4.M L94J „p :- - ` OS'tlT t TIEPTa :!,..,:sit, uctu1 ....nvt rd : '# '',ES,V Sou.-= SAPBOi.; .RkST1 - r�flit ts'i<'.G= '+� 1' 1C'C''' -. :111f ' AG�" COLQK >?PYT}I tL-FSS= s -.-'LY'AR-; O-24 _ C L JSj^ F. ,J/r, ,,y-4S (tint s.11e( ' Fr I/r 1 L 5P'° ' . 4 S` • :5 • • r F . .. pr I I 6- 5 . .L r11," L F. ° `7— 'S-1 C Eli.. . T ,, ,f, ? G S ° 17-SL C +' "C kflh F- rr , S 2 i i er o�-3 0 C L -ri•A F- ri ,/ 3 L -iv 30-4R C -lc h Fr p ,g . < for • 4 • 1 IESa IYTTON , N7:1AL SYSTEM 1 kSPAJR SYSTEM OTHER FACTORS(.1946): AnDahk S9ax(.1945) I ,f� s- SITE CLASSIFICATION(.1948): P.3- �.n�S:, � �r i-Y�TY?t(1) So °/ EVALUATED BY: OTEFR(S)PRESENT: . Site LIAR . 1 ,-1 COMMENT'S: 1 i s.• ,fi - - v. Catawba County Environmental Health ,°-A-°° N .., \ • • Do r\- 1 out-1 \ G �• • r ? • • S -. • 5 p �� • ti �0 \ • A ' 43•00 • • /, • • g \ I Parcel: 363914236941, 1853 DISNEY LN 1 in=40ft NEWTON, 28658 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made sub 4hn" : ' to artsure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and',l` r- the independent verification of any data contained on this map/report product by the user.The County of Catawba.its employees,agent id,- personnel,disclaim,and shall not he held liable for any and all damages,loss or liability,whether direct,Indirect or annsequential which--.a' _ -, arise from the may/report product or the use thereof by any person or entiy. Copyright 2014 Catawba County NC • • 0