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Home My WebLink AboutRBPR-06-2016-24107.TIF • $A THIS IS NOT A PERMIT Case # RBPR-06-2016-24107 `7 gill CATAWBA COUNTY HEALTH DEPARTMENT a; . o t 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • . I842 5M Residential Building Plan Review - Building New en •a a AUTH_CONST n. ; .o' • .iii Applicant 1' ENO PRICE,4697 LAMA LDG, LINCOLNTON NC 28092 H:7047355483B:7047355483 C:7047367575 HOME:7047355483 Owner GENO PRICE, 4697 LAMA LDG, LINCOLNTON NC 28092 H:7047355483B:7047355483 C:7047367575 HOME:7047355483 NAME TO APPEAR ON PERMIT GENO PRICE SITE ADDRESS: 3955 BURTON ST, SHERRILLS FORD NC 28673 PIN # 460703443901 • NAME of SUBDIVISION: CRESCENT LAND AND TIMBER Lot# 23 Section/Block PROPERTY SIZE: Square Feet Acres 0.64 DIRECTIONS: East Hwy 150 from Hwy 16, Turn Left on Burton ST, Property on Left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: building new 3 bedroom single family dwelling 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? 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 House-to be Removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 20x20 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 38x54 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: F9-chapplication 06/15/2016 15:41 Page 1 of4 SB' • CATAWBA COUNTY Case# RBPR-06-2016-24107 CAI 2 Public Health Department Subdivision CRESCENT LAND AND TIMBE i'L ��, k Environmental Health Division PIN# 460703443901 'r';' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 18.2 :M NAME ON PERMIT: (GENO PRICE), 4697 LAMA LDG, LINCOLNTON NC 28092 ( GENO PRICE) Site Address: 3955 BURTON ST, SHERRILLS FORD NC 28673 a Size: Square 0.64 Property uare P S Feet Acres_ Directions: East Hwy 150 from Hwy 16,Turn Left on Burton ST, Property 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 SETBACKS: 30 r.; Ill�l�ll` t4N;ItyThl, lyl + iS x- , ir r-.5 1Il vllll r rf�� IIIil�IIIIINIb. ti .r, r u a .°a"- n;':» i � FEENAME �?4� INill)p -flAr ijll11F "t si� Wn i IDATEIIHi�11 FEEVAMOUNT Authorization to Construct Fee (New/Expansion) 06/15/2016 $150.00 Fee II� : II�llll'ht TOTALFEES�� ullf�� ti eh� lf) ?. f l�� i'I�ry��gpt� �{�� n�N�C�� E�� i1 N�S so oo5 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 06/15/2016 15:41 Page 2 of 4 THIS IS NOT A PERMIT Case # RBPR-06-2 0 1 6-24 1 07 � CATAWBA COUNTY HEALTH DEPARTMENT m ;,�+�'''`-'��•s m agv, ' ' r— *" PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 184 su Residential Building Plan Review - Building New y .* AUTH_CONST m �3Y �F�•-•�: Applicant GENO PRICE, 4697 LAMA LDG, LINCOLNTON NC 28092 H:7047355483B:7047355483 C:7047367575 HOME:7047355483 Owner GENO PRICE, 4697 LAMA I.DG, LINCOLNTON NC 28092 H:7047355483B:7047355483 C:7047367575 HOME:7047355483 NAME TO APPEAR ON PERMIT GENO PRICE SITE ADDRESS: 3955 BURTON ST, SHERRILLS FORD NC 28673 PIN # 460703443901 NAME of SUBDIVISION: CRESCENT LAND AND TIMBER Lot# 23 Section/Block PROPERTY SIZE: Square Feet Acres 0.64 • DIRECTIONS: East Hwy 150 from Hwy 16, Turn Left on Burton ST, Property on Left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: building new 3 bedroom single family dwelling 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? 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: 2 #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 38x54 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: E9-ehapplication 06/15/2016 14:59 Page 1 of 4 ew CATAWBA COUNTY Case RBPR-06-20 1 6-24 1 07 a AY Aft 2 Public Health Department Subdivision CRESCENT LAND AND TIME C �T ,'� Environmental health Division PIN# 460703443901 PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 1842 c. NAME ON PERMIT: (GENO PRICE),4697 LAMA LDG, LINCOLNTON NC 28092 ( GENO PRICE) Site Address: 3955 BURTON ST, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.64 Directions: East Hwy 150 from Hwy 16, Turn Left on Burton ST, Property 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 SETBACKS: 30 , FEENAME r DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 06/15/2016 $150.00 Fee TOTAL FEES ,i ' „ , _ ,. S150.00,r•�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-chapplication 06/15/2016 14'.59 Page 2 of4 a LI 1 o7 CAr"AWB 'PHIS Is NOT A PERMIT `� CATAWBA COUNTY HEALTH DEPARTMENT — .-� �, Application for Environmental Services Improvement Permit Li Authorization to Construct V 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 ❑ S 7/ ae7 /t/ J_7 Subdivision__— LG�T 2-1 Property Addres��--- ---� U--.� ,54,-/ Mks li-_` /17C--- Lot it-- 23 Acres - 60 470_ -2 Cc.7� Section/Block/Phase___ _. Driving Directions to Property (.--.-27.9s-r- /1/4-- / O / d dtt „A/C./ /� T1 G/✓ /711 f/L--IoivT A// _ r Y/Di_`/ / 7Z (-2 / NAME TO APPEAR ON PERMIT? owner /❑ Applicant ❑ Contractor Applicant Contact Information • Address 1,/(C 7 JAn4ii 1/aA,e - 'z C n A /v_C- �Oa—7- [Phone 70 y 73 S S-c/F13 -- 1 Cell Phone 7v r/ --74... 7e-- Owner Contact Information —._ , --i ( Name . /PA/6- ns __,li 0 e, — —� 1-Address ---- ------- ---- I Phone Cell Phone _-_— - — Contractor Contact Information —� Name .- ---- - - - ----- -Address _---- -- Phone --- --- -- -- -- tl Cell Phone WHO WILL BE THE PRIMARY CONTACT?><Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site 2/9 iQ�/7t-LT NOC S(- S71 SD �(�1'l(j. II of Bedrooms *'(_ Z Structure Dimensions 20 K 0.0 dI of Occupants Basement ❑ Yes 121"-No Basement Fixtures arYes El No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in uestion. lithe answer to any question is '`yes", applicant must attach supporting documentation. O Yes o Does the site contain any jurisdictional wetlands? iglus E2 No Does the site contain any existing wastewater systems'? Ci Yes F24 Is any wastewater going to be generated on the site other than domestic sewage? Iles tro Is the site subject to approval by any other public agency? 0 Yes t'o Are there any easements or right of ways on this property? Describe Existing water supply in use PrIndividual Well ❑ Community Well 0 Send-Public Well ❑ 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 Vonventional ❑ Innovative ❑ Other_ X Any f THIS IS NOT A PERMIT�� CA'I'AWBA COUNTY HEALTH DEPARTMENT N--"yam Application for Environmental Services •Page 2 Proposed Facility Type ,� ❑ Primary Residence I� New Residence ❑ Addition to Residence II of New Bedrooms *j 3 Project Description</7005 /LT Nu c-- Structure DimensionsSe S271 r #of Occupan • Z Basement ❑ Yes [�No Basement Fixtures ® Yes No LJ Accessory Structure(s) Describe #of New Bedrooms `j if applicable_ Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed_____ ________ __ ❑ Multi-Family Residence # Units _ #Bedrooms per Unit*t Total R Bedrooms *j Structure Dimensions ❑ Food Service Specify Type ii Seats_ _ Floor Space-Entire Food Service Facility (Sq Ft) Li # Employees per Shift # of Shifts T Dining Area (Sq. Ft.) L_i Business Specific Type of Business Retail Floor Space _ it of Employees per Shift # of Shifts ❑ Other Facility Type Specify 4_ If Church it of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested [1:1 Yes 0 N Describe_Afr// 43 (-7/(5-77.,_5( Otis-/TL= Calculated Design Flow, Commercial t _ _Additional information may be required to determine design flow front certain facilities. This value will be determined during consultation with un-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 (low 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 p •'urn . . Signature of Owner or Agent(- , __ _ Date ke Printed Name of Owner or Agent_____ ic..-••'....-# .7 Jl �/ p / x yti� 140.90 ,.-' V l'i) t 2 /4 r rl ` ,t ----r--.- x,8ft /�,r l� c' J _ ... ._.,� 23.26 / / le / !. 1,10.‘"� r r" w" 20.83 J /f I s i, �l II �llf e f t tr t 1 1111 / 2a 0'/ t:.` ` 1;11 iGl, � ' �I 1i�►1{ll I i i� P ` f i 125.95 / / e� r it I �i ill n �3 % 0� rti t S. a 1 Ii �ilpt"�'�,Cht7ilN'/it I y�r"1IH, r• ya;�) 11�u I .' \x ��i q i�� itji :,rai.:wt u..__. L.,k ` d.t. i ■ Catawba County Environmental Health a 4A � m 0 q12 S 101.16 JaION s \ la fir r b` Tim 136.5 �J n 23.26 r19 20.83 r t�t� zi I,ul ' _ a u1ju;I( 11IIt( �'q8.!4;01111� � i r 108 , 1�,Ill 1 1 a� 1 �9y4 i 1$ii ' I y 1 1 ` , �" 1{{ i ll��k r^I( `' 1 ``111I It 1•` ,I �f (itar i ( I1 !h Il` � _0,1 , it ��t`� ,,d 0 1 Itj i dtl 1 T, 7 .1�1 �pB J'I� a a � 1 t �M n� f�y�1 l � if �1 �aa. I i > R,�Jfliu {1 prys,+ I c' h ahli �' 1 rr111111 II ,91�Itl 1 ��a r " it Ct5.•�� ' �i 1' P111 II� �I'a� ' ,l�l n I 1 11 1 r I� 0 1 it Inr'1 1 � I ss i lii �4Gh 11 ll. I �II 5.! 1 I tttt I1, 1 I lit - I I �1�� "' I `I" tc �.1 �3' �� 1 N� � ,1 �FF .� I 11,�"s.�a�l P 1 � tF I i k 1 'S!. F a` 4H�1 ,,;dp! s A1'tti �) �hil% .1ii �i� �l,�,, 11, e l trig-ig-�1 1.111 Parcel: 460703443901, 3955 BURTON ST 1in=50ft SHERRILLS FORD, 28673 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 06/14/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel information: Owner Information: Parcel ID: 460703443901 Owner: PRICE GENO RICHARD Parcel Address: 3955 BURTON ST Owner2: null City: SHERRILLS FORD, 28673 Address: 4697 LAMA LN LRK(REID): 12937 Address2: null Deed Book/Page: 3148/1573 City: LINCOLNTON Subdivision: CRESCENT LAND AND TIMBER State/Zip: NC 28092-0612 Lots/Block: 23/null School Information: Last Sale: School District: COUNTY Plat Book/Page: 15/189 Elementary School: SHERRILLS FORD Legal: LOT 23 PL 15-189 Middle School: MILL CREEK Calculated Acreage: .640 High School: BANDYS Tax Map: 012 X 33023 School Map Township: MOUNTAIN CREEK State Road #: 1901 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $44,500 Zoning2: null Land Value: $152,300 Zoning3: null Assessed Total Value: $196,800 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: 1967/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 #: 3710460700J Building Details 2010 Census Block: 3023 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P31 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. c 201 atawba County Government, North Carolina. All rights reserved. S ELI �� e� 0 �,,,4 atiscit http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460703443901&typ=P 6/14/2016 CATAWBA COUNTY " Case# f� 0 [MPV-ll-2013-044109 .Q jfl'y Public Health Department Subdivision CRESCENT LAND AND TII1 2 .• m Environmental Health Division �e PIN# 460703443901 \;4' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ° ` ° �_ r Will 23• /8. •4 s D . ° : +PR�o aot 3 t�lo3 NAME ON PERMIT: GENO PRICE, 4697 LAMA LDG, LINCOLNTON NC 28092 Site Address: 3955 BURTON ST, SHERRILLS FORD NC 28673 Property Size: Square Feet 27,878.40 Acres 0.64 Directions: FAST ON HWY 150 TURN LEFT ON MT PLESANT RD TURN RIGHT DOCKSIDE LN TURN RIGHT ON BURTON Improvement Permit INITIAL SYSTEM EXISTING �I Facility: Primary Residence Permit Category: Expansion Bedrooms 3 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes 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: IVA-ANY SYSTEM WITH LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED Permit Conditions: Permit issued to allow for construction of new home in approximately same location as existing home on lot. Existing system to be abandoned by pumping and crushing existing tank with a new tank and drainfield to be installed. New home must be minimum 25' from existing well. All parts of new septic system must be minimum: 50' from any well or lake, 10' from property lines, 5' from home with tanks on low side,25' from power pole,15' from any drainage ditch. Lines to be installed on contour. Do not grade drive or fill over new proposed system or repair area or permit will be revoked. Lot to be cleared, property lines marked with string, and 50' lake buffer marked by surveyor prior to issuance of an Authorization to Construct. System will be shot in and may be revised to pump to 25% reduction dependent on available space. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: PRETREATMENT Type: VB -ANY> 3,000 GPD SYSTEM WITHOUT PRETREATMENT PUMP REQUIRED ***** OPERATOR REQUIRED E9-chpermit 11/26/2013 09:34 Page I of4 .1113. • CATAWBACOUNTY Case# IMPV-11-201 3-044 1 09 n r 9� y Public Health Department Subdivision CRESCENT LAND AND Tilt Q .. H Environmental Health Division PINit 460703443901 7 a, •' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 LOT# 23 18•2 ,. NAME ON PERMIT: GENO PRICE, 4697 LAMA LDG, LINCOLNTON NC 28092 Site Address: 3955 BURTON ST, SHERRILLS FORD NC 28673 Property Size: Square Feet 27,878.40 Acres 0.64 Directions: FAST ON HWY 150 TURN LEFT ON MT PLESANT RD TURN RIGHT DOCKSIDE LN TURN RIGHT ON BURTON 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 ISA.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. Jason Boyd 11/26/2013 AUTHORIZED STATE AGENT APPROVAL DATE. Permit Expiration Date: 11/28/2018 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. E9-chpermit 11/26/2013 09:36 Page 2 of 4 3A Permit# ' EHPR-10-13-18103 G CATAWBA COUNTY .Aga 2 Public Health Department Name Geno Price a'. `} Environmental Health Division Address 3955 Burton St Sherrills Ford V °: `C PO Box 389, 100A Southwest Blvd, Newton NC 28658 NC /842 mi (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN4 460703443901 Site Plan Improvement Permit 1 LS . I U d-5 Y o t r_.----- /o Z Y A�`tr i SyS1. t\ ell S W So 5� 25 ' i`1L-`-n i✓Lt Pc .r 3D .5IJ l4 girt. Lid IJ ire_ +rt. t' l }, e)r . F 11 co 1 ,�is E W� LA VI lt� 3 c S(- 6 4C ti3, 9D Zo, /, i'21 Kip Scale I + - �Q r Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section _ Lot#: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: EHPR 10-13-18103 Owner: Geno Price Applicant: Address: 3955 Burton Street Sherrills Ford NC Date Evaluated: 11/22/2013 Proposed Facility: 3 BR Home Design Flow(.1949) 360 Property Size: Location of Site: Property Recorded: Water Supply: pvl well [ ]Spring [ ]Other Evaluation Method: pits by Charles Beatty ( ]Cut Type of Wastewater: X Sewage ( ]Industrial Process [ ]Mixed P - R o SOIL MORPHOLOGY b F .1941 . PROFILE FACTORS 1 .1940 .1942 L Landscape Horizon .1941 .1941 Soil .1943 .1956 .1944 Profile E Position/ • Depth Structure/ Consistence Wetness/ Soil- Sapro Restr Class # Slope% (IN.) Texture • Mineralogy i Color Depth(IN) Class Horiz . i &LTAR 1 LL 12% 0-12" topsoil 48" PS.35 12-34" SCL SS,SP,SEXP, FR 34-48"+ SC 2 same as 1 3 same as and Description Initial System Repair System Other Factors(.1946): Available Space(.1945) PS PS Soil Evaluation By: ,Jason Boyd System Type(s) IVA VD Others Present: Site LIAR i .35 i .35 Site Classification(.1948): PS Site Evaluation By: Others Present: Sheet: COMMENTS: FILE#: Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silty Clay C-Clay Consistence Consistence Mineralogy Moist Wit SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VA-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations Sr ID � Z✓ yo -1-1J VS L 41 Jr i1,1./ j Y'A CATAWBA COUNTY P17ti •�i� 100A SOUTHWEST BLVD � NEWTON, NORTH CAROLINA 28658 INVOICE ECEIPT daas PHONE: 828.465.8399 U Wirt: Wednes• • une 15 r • /842 sM www.catawbacountync.gov Invoice Number: 06-16-329483 Invoice Date: 06/15/2016 RBPR-06-2016-24107 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 3955 BURTON ST, SHERRILLS FORD NC 28673 Applicant GENO PRICE,4697 LAMA LDG, LINCOLNTON NC 28092 H:70473554838:7047355483C:7047367575 Owner GENO PRICE,4697 LAMA LDG, LINCOLNTON NC 28092 H:70473554838:7047355483C:7047367575 ** NO PEOPLESOFTACCOUNTASSIGNED ** PAYOR: PRICE, GENO FEES RBPR-06-2016-24107 FEE AMT DUE AMT Authorization to Construct Fee(New/Expansion) 06/15/2016 $150.00 $0.00 Fee FEES: $150.00 $0.00 TOTAL FEES: $150.00 $0.00 PAYMENTS INVOICE NUMBER FEE NAME FEE AMOUNT TRANSACTION NUMBER: TRC-692661-15-06-2016 PAYMENT DATE: 06/15/2016 PAYMENT TYPE: Credit Card 165994908 06-16-329483 Authorization to Construct Fee $150.00 (New/Expansion) Fee TOTAL PAYMENTS : $150.00 invoicereceipt 06/15/2016 15:09 Page 1 of 1