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HomeMy WebLinkAboutEHPR-04-2016-23583 (2).TIF > _C THIS IS NOT A PERMIT Case # EHPR-04-2016-23583 ° .zt,b CATAWBA COUNTY HEALTH DEPARTMENT CI r . a •'. . 0 'C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES �y��� 1842 sM Environmental Health Plan Review - OSWP ;13 3. D g o , �7- � • 4 1.41 REPLACE WELL •��r Ian- Eli Owner SEVEN HAVEN LLC (ROBERT TATE JR .), PO BOX 1581, HICKORY NC 28603 C:8287816380 NAME TO APPEAR ON PERMIT Seven Haven LLC (Robert Tate Jr.) SITE ADDRESS: 5045 16TH ST DR NE, HICKORY NC 28601 PIN # 372515546611 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Peet 81,892.80 Acres 1.88 DIRECTIONS: Right off Sandy Ridge Rd, Turns into 16th St Dr NE it will dead-end into a single lane asphalt road, 5045 is 3/4 mile on the Left. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Replacement Well* Short in the pump- No Water going to home currently. Home is currently vacant. Wanting to keep existing well for irrigation. 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? Yes 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: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF House, Bldg EXISTING STRUCTURES ON SITE(IF ANY) i DIM EXISTING STRUCTURE: House 52x56, Bldg 10x10 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: YES IN-eh applieaiio n 04/06/2016 08:27 Pace 1 of 5 �pA CATAWBA COUNTY Cased EHPR-04-20 1 6-23 5 83 • Jars c...? Public Health Department Subdivision 1=44., ` Environmental Health Division �^ �.c IINk 372515546611 PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 rg.2 di NAME ON PERMIT: SEVEN HAVEN LLC ( ROBERT TATE JR.), PO BOX 1581, HICKORY NC 28603 Seven Haven LLC ( Robert Tate Jr.) Site Address: 5045 16TH ST DR NE, HICKORY NC 28601 Property Size: Square Feet 81,892.80 Acres 1.88 Directions: Right off Sandy Ridge Rd, Turns into 16th St Dr NE it will dead-end into a single lane asphalt road, 5045 is 3/4 mile on the 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 a l l property lines and corners and making the site accessible s t t a - mplet site evaluation can be performed. Date: -P194 ( (p I ' y ct (0 Signature of Applicant or Agent /1 PAn Environmental Health Specialist will contact you within 5 working days of a placation date. If you need further information or assistance please call 828-466-7291 AREA2 thpK i nr ur , nrti t,I A FEENME t:-14610-' P' 441R:: DATF x ! r 'FEE�AMOUNTE1 Well Permit& Inspection Fee 04/06/2016 $300.00 I tilt: i a A r r -P # F I, d # - TOTAL FEES SI`' ''vl �" t P d" I ;r' r��; teffiIpr _ $300 UB a l i a lda 13 _` 2ilis,' "• ..u.er.:.MIRE=_. :v A a a9 ii@ iii a ".//til: ,Bart ..L- lii"s el.,la.i,.,» 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-chapplicaticm 04/06/2016 08:27 Page 2 of 5 CATAWBA THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct❑ Septic Repair❑ Septic Malfunction❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address 5045 16th St Dr NE Subdivision Hickory, NC 28601 Lot# Acres Section/Block/Phase Driving Directions to Property 16th St NE(Sandy Ridge Rd)turns into 16th St Dr NE dead-ends into a single lane asphalt road,5045 is 3/4 mile on left. NAME TO APPEAR ON PERMIT? n Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Seven Haven, LLC Robert Tate Jr Address p 0 Box 1581 Hickory, NC 28603 Phone 828-781-6380 cell Cell Phone Owner Contact Information Name Robert(Toby) 0.Tate Jr Address 5040 16th St Dr NE Phone Cell Phone 828-781-6380 Contractor Contact Information Name Hickory Well Address Phone 828-324-0035 Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site single family home 3 bedroom/3 bath # of Bedrooms *j 3 bed rooms Structure Dimensions 1500 sq ft #of Occupants LL Basement ❑ Yes ❑ No Basement Fixtures 0 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 0,,�No Does the site contain any jurisdictional wetlands? ,Yes ElkNo Does the site contain any existing wastewater systems? 0 Yes u No Is any wastewater going to be generated on the site other than domestic sewage? El Yes d No Is the site subject to approval by any other public agency? ® Yes 0 No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi-Public Well [l County/City/Township Water Line Is a public water supply available? ** 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 IN Conventional ❑ Innovative ❑ Other ❑ Any THIS IS NOT A PERMIT CATAWBA CATAWBA COUNTY HEALTH DEPARTMENT counrt �\� Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence H Addition to Residence # of New Bedrooms *t Project Description Structure Dimensions # of Occupants Basement H Yes H No Basement Fixtures ® Yes ® No Li Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling rl Yes n No Plumbing n Yes rl No Describe Plumbing Needed LJ Multi-Family Residence # Units #Bedrooms per Unit*j' 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.) U Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts T1 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 0 Individual Well ❑ Semi-Public Well H Community Well Abandonment Type ❑ Drilled H Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ 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. 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 corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent /7(, t 0-1V\ Date OA& Printed Name of Owner or Agent e •i 1 \ rA 17 Catawba County Environmental Health xa `�.'-S ::+g tr��,y wh S�r #s":.'� s'�"2� 3 � e"'£; ' b°,",� $ `Y�'� '7,- .. $ .. M ;. ;.,4 ---44 0'1 v4;ss; 'k -,403`i4t's p t `t z 0 y q. fi ty¢ t e �5, wdr ® ,xpa g W 'oink v.:::44:44,4,.„,„:,-.)1.6,0 .tl,3s`� & Y f' i 2" -0't 5 .s..: 1 f 5 } "k, .'k yn 5y R744ef'i.,t ^ �akl"" s �- � �t ,F ' S sc`:r4F, ��„���wr." r �'. ,�g� i m � �s .�'' � x'r�� t���,tk a. s. W"�"'�'ff .d 1 i �^ a X..x- vd F M v N ' `'' F sY >5 '�§ ,t{typ�¢ {tp° r rx =� G s .�t x t fsk n" ,cears'k,+'• '. FS :„.too. •s'�' `.;' rt ! ' a 4 i'i. P"Ysk 1<,; :2,50P10'3 3" a '"'Y �� F2.: §^s.,..“4 E �,,:`„, :. `1 . ".t, a' f s .is t,. "'"� it � � � a. e � An c' ., u.. Yam- N. .s � t le-V.:4' ..p �gW;. + . f } c J � ^G �•.4fy by yy 3p t• @P IK- "�hYh 3 Mi %: `� 9 �!. r N HIk# v ! 6 9'Y „„„4:20, �r� Mj rtc. xg i Y iv z : st,a g § IP S . ' l 4d 0 4..) 9Y1, ,1, r ,2 : +,Yrr >iG ,v '? i';. yje.,--: as eklt, �sl IV”"'' ° �.k' y °€e 'HEM `i*i t e.4'§'"` ,,;� cal� . ° E „° t2, ,.. X5'1 a. F� �a.,,x' =d& '� . `4 A a ti # r 5 �f c ^k° b . '' ' , x X. lu"c 56 c v 5 i >�m N -k � � ufi x/ � .y-r d�'k. i. ad 0.g b '§ �, n".�sN --'74 ti 'iv,' N ��ppt n r y ' i 4 a s z qM sr x -'S' # L'ly y 4 _,. .. :u`r� a s `�iae '' ir4 ' $!sd''4§ : "t'CIS,P�,r4.RF?'_ 4k:7"4. , �9�„„ 4-'`�.._'V,,,y,, 940 *, ... + ..� - , : y ... f� j ...w ._.._.. __. _. __ \\1/4.0/ / 11111r1111 . it$011.1111010. 11010 IIIIIIIIMI ( , '''''''—'''''—'14 o. 5 + r I ` Qy�0 I - � ' j _ — 4'36 � / — (46 „--"------7. — .cm,,,, . 0000 (15► .. 30) re° ....4„, (18 Parcel: 372515546611, 5045 16TH ST DR NE 1in=100ft HICKORY, 28601 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 04/06/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372515546611 Owner: SEVEN HAVEN LLC Parcel Address: 5045 16TH ST DR NE Owner2: null City: HICKORY, 28601 Address: PO BOX 1581 LRK(REID): 65074 Address2: null Deed BooWPage: 3262/0904 City: HICKORY Subdivision: State/Zip: NC 28603-1581 Lots/Block: / Last Sale: School Information: Plat Book/Page: School District: COUNTY Elementary School: SNOW CREEK Legal: null Middle School: ARNDT Calculated Acreage: 1.880 Tax Map: 222H 01060 High School: ST STEPHENS Township: HICKORY School Map State Road #: TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: HICKORY County Fire District: ST STEPHENS Zoningl: R-1 Building(s) Value: $134,300 Zoning2: Land Value: $178,900 Zoning3: Assessed Total Value: $313,200 Zoning Overlay: Year Built/Remodeled: 1955/null Small Area: null Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-12-18 Building Permits for this parcel. Firm Panel #: 3710372500K Building Details 2010 Census Block: 1001 WaterShed: null 2010 Census Tract: 010302 Voter Precinct: P38 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/riornap/parce! report.php?key=3725 1 554661 1&typ=P 4/6/2016 f:ATA\V3%A COUN'T'Y • ,••/•, I'-..A'. `'uutieltalih Dcp:mincni CascN VVLS2003-00697 `�\ i�/-I Envi¢innrcm:d Iic:J�h Division Subdivision \ .._ PO Box 1s9. 1011-A Southwest Blvd.Newton.NC 28655 Scct/BUPh/Lul k 11 -•---./• (52281465-4270 FAX(8281 45-8276 TDD(S2$)465-82110 PINN:? 372515546611 Applicant/Owner: DANIEL THOMPSON 6 1 I ; o 'DC Site Address: 5045 IUTI-I ST DR NF HICKORY NC (J1 Property Size: SI: 1.87 ACRES Directions: COOL PARK RD TO RT ON SANDY RIDGE/GO TO END AND GO STRAIGHT ON POINTE DR/HOUSE ON LT Catawba County Health Department Operation Permit IbnfL j+ 1r STBj33 ( - /a6o 0 I Y a t- I (] � (--r-, to • `3J l� '1'^c, vI 11w F-1 1..,1 Tin 6 Ci • . _ - — — — I Svslent Code t 0 u ' System Type: 4Ll •` 1q Description: 985 U " ° • F. cA•F. L T Types V and VI systems expire in 5 years. (In accordance with Tabb e Va) Owner must contact health department 6 months prior to exiration for permit renewal. PERMIT CONDITIONS: 1. Performance: System shall perform in accordance with Rule .1961. II. Monitoring: As required by Rule. 1961. III. Maintenance: As required by Rule . 1961. Other: Subsurface system operator required? Yes No -Vt,If yes, see attached sheet for additional operation conditions, maintenance and reporting. • IV. Operation: _ This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and All con itions of the Improvement Permit and Construction Authorization. 3° System Installer Installl /llation Date . AL h nzetcJ Slat Agent 7/ Woes • Date of Ope abort Permit Insurance • Form F • ■ r:Vliluund j,.,, 'h iix,nnn t VLA I) - ' AUNTY ' Case$ WS2008-00697 1 ,i, f1bFc NrSth D'p lrtmcnt ,t.' -r -iI Environmental Health Division Subdivision . W.),' 1'0 Box 389- I00-A Southwest li MAJ.Newton.NC 78055 Sect/BL/Ph/Lot d I I 1828)165-52711 FAX(S28)a65°276 TOD 1228J 165-5200 PINE; 37251554661 I Applicant/Owner DANIEL-1.1-IOMP.SOIN Site Address: 5045 16TH ST DR NE HICKORY NC DOskd 5C Property Size: SF 1.87 ACRES Directions: COOL PARK RD TO RT ON SANDY RIDGE/GO TO END AND GO STRAIGHT ON POINTE DR/HOUSE ON LT Improvement Permit Permit Valid For: Five years No Expiration ' Facility(Residential): House House N Mobile Home Multi-Family Bedrooms 1 New? _ Addition? Projected Daily Flow g.p.d Water Supply Private Well? Public? Semi-Public? Basement: Y Basement Plumbing: Y l-IotTuh/Spa:_ Special Fixtures(explain): Proposed Wastewater System: _ _ Type: Proposed Repair: Permit Conditions: �— Owner or Legal Representative Signature: Date: Authorized State Agent: — Date:, The issuance of this permit by the Health Department does not guarantee the issuance or 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 'Lams and Rules(or Sewage Treatment and Disposal Systems' (ISA NCAC ISA .19110). Neither Catawba County nor the Environmental health Specialist warrants that the septic tank, system will continue to function satisfactorily for any given period of Inc.i Authorization to Construct Wastewater System (Required for Building Permit) See.site plan and additional attn chnle,Is( ). Proposed Wastewater System: .24-°/ y,A Type: y Wastewater Flow 360 g.p.d New Repair g' Expansion Soil LTAR: , 3 g.p.d./ft2 Type of Facility: —_—_-9 bit Basement: Y Basement Plumbing: Y Hui fub/Spa: Special Fixtures(explain): Wastewater System Requirements Tank Size: Septic Tank 1000 gal Pump Tank gal Grease Trap gal itl/ Drainfield: Total Area: �B o so ft Total Length: 3 O O ft Maximum Trench Depth 14 d"'1j�'in" Trench Width 3 ft Minimum Soil Cover (o-It in Minimum Trench Seperation 9 ft Distribution: Distribution Box Serial Distribution L/Pressure Manifold LPP Other Additional Specifications: Authorized State Agent: '/"'wt jGo,(,,.,_ Date: 7-z2-m8 Permit Expiration Date: 7—z1-., ( 3 _ / . I have rear(and accept the.specifications and all conditions pf this permit as indicated. • Owner or Legal Representative Signature: . _�� Date: 7 -; 27-043 Form U r:vnnwwu otl„rnuN%s,,,n.m, • C1TAWBA cc1UNr1' Poblic -I C1Iih Dcpan meni Cased WL.S2008-00697 Subdivision Envnm u unnud Health Division IaV r / PO Bus 389. I00-A Somhwesi Blvd.Newlyn.NC 28658 SeeV131,1P11/Lu1 M I (828)465-8270 FAX(328)165-8276 TDD(S23)165-821)0 PIN# 372515546611 Applicant/Owner DANIEL THOMPSON Site Address: 5045 16TH ST DR NE HICKORY NC Property Size: SF 1.87 ACRES Directions: COOL PARK RD TO RT ON SANDY RIDGE/GO TO END AND GO STRAIGHT ON POINTE DR/HOUSE ON LT • al Improvement Permit 0 Authorization To Construct El Well Permit SITE PLAN �U k� 111:(>110(7 - S 'lc as, IAh - }r1Do^4LT"lnt IS rm, smbae kith)1- Y rn +may AT — — —loo - /00 — — 73_-O,en 4,41 l� oo 1 3 2 ir .0-1 etr,1-11 Nt i l oel Uof'n �IJ;GtR • govTa- • t,.h • s System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revocation if the site plan or site conditions are altered. L/,�,�0' /- 22—ok --Authorized Sta a Agent Date Form C 'DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet_of_ . DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#: ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION OWNER: Q 4 a , for ON-SITE WASTEWATER SYSTEM °11 ro h APPLICATION DATE ADDRESS: DATE EVALUATED: 7-PI w 8 PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): . PROPERTY SIZE: LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public 0 Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring 0 Pit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed• • Q: ........................... ii;...............,:::SOIL.Oizr:.oLOe:..:................................. ::::: ......................... F. OTHER r .... '::. PROFILE FACTORS ......................... , - :1442 : .................... ., .:, SCAPE ZON 194L 1941 .. 5011 1943 .1956 1944 . . ::#61: POSITIONT: DEPTH STRUCTURE/ ,:CONSISTE\CE! .t4ETNESS/ ...SOIL .S4P.R0... ...RESTR... .PROE{1s£:: CLASS:•::i SLOP£l i ( � .. .........TEXTURE MINERALOGY .....COLOR.... :::CLASS FORIZ,,, .,.. is-W4 c AS!- • 401 fi- . 1 yy• s-v c z dti 1 I • . . ° /•r Li.f. . .. . . ...... I. • )f—IQ LSD% racf 2 /4 . • • 4 • IDESCRIPTION INITIAL SYSTEM I REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) SITE CLASSIFICATION(.1948): System Type(s) EVALUATED BY: OTHER(S)PRESENT: Site LTAR COMMENTS: • LEGEND use the following standard abbreviations _ SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR• .1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 12.0.8 0.6-0.4 NELP(Non-expansive) G(Single Gram) CV(Convex Slope) LS(Loamy Sand) SEXP(Slightly Fvp*ncive) M(Massive) EXP(Expansive) CR(Cnmob) D (Denage Way) 0.8-0.6 OA-03 GR(Granular) FS(Flood slain) II L(Loam) Loam) SBK(Subangu)arBlocky) FS(Flood Plain) L(Loam) ABK(AngularBlocky) H(Head Slope) It . SCL(Sandy Clay Leant) 0.6-03 03.0.15 PR(PrismePL(Platy) L(Linear Slope) Sit(Silt Loam) N(Nose Slope) CL(Clay Loam) MOIST WET R(Ridge) Sfl-(Silty Clay Loam) S(Should=Slope) Si(Silt) VFR(Very Friable) NS(Nmal�ky) T(Terrace) 0.4-0.1 0.2.0.05 FR(Makin) SS(Slightly Sticky) IV Si (Sandy lay) plOff) S(Sticky) C(Cla ) clay) VFl(Very Finn v.Very Sticky) VS(Very Sticky) C(Clay) None EFI(Exucmely Finn) NP(Noe-pleeie) D(Organic) SP(SSgbtiy Plank) *Adjust LTAR due to depth,consistence,structure,soil wetueac Landscape,position,wastewater flow and quality. VP(Very Pl P®d ) NOTES HORIZON DEPTH In inches below normal soil surf= DEPTH OF FILL In inches from land surface RESTRICTNEHORIZON Thickness and depth from land surface SAPROL(TE S(suitable)or U(umsuitablc) SOIL WETf$SS Inches barn land surface to five warm or inches from land sulfa to soil colon with chroma 2 or less-record Munsei color chip dedgnauon CLASSIFICATION S(Suitable),PS(Provisionally Suitable),art)(Unsuitable) • Evaluation of saprolite shall be by pits. Long-roan Ace eplance Rate(LTAR):galday/fl' Show profile locations and other site features(dimensions,reference or benchmark,and North). • 9...._ e < • DENR(041 Review( h • • �'A CATAWBA COUNTY I OOA SOUTHWEST BLVD E_! a NEWTON, NORTH CAROLINA 28658 RECEIPT +aa s►a a PHONE: 828.465.8399 O ]!'),,IA '� Wednesday, April 6, 2016 \/84Z sM www.catawbacountync.gov PAYOR: Seven Haven LLC Seven Haven LLC(Tate Jr. , Robert) PAYMENTS TRANSACTION NUMBER: TRC-650309-06-04-2016 PAYMENT DATE : 04/06/2016 PAYMENT TYPE: Check 1135 INVOICE NUMBER FEE NAME FEE AMOUNT 04-16-326912 Well Permit& Inspection Fee $300.00 TOTAL PAYMENTS : $300.00 EHPR-04-2016-23583 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 5045 16TH ST DR NE, HICKORY NC 28601 Owner SEVEN HAVEN LLC, PO BOX 1581, HICKORY NC 28603 C:8287816380 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 04/06/2016 08:26 Page 1 of 1