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HomeMy WebLinkAboutEHPR-03-2016-23366.TIF „Thin y,A THIS IS NOT A PERMIT Case # EHPR-03-2016-23366 CATAWBA COUNTY HEALTH DEPARTMENT D 5�0. f D In Lie a _ PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ': v •• 1842 Environmental Health Plan Review - Septic Malfunction al ro f to - - •I) g AUTH_CONST- SEPTIC_MALFUNCTION oo, f Owner DONALD& EUNICE COPLEY, 1921 DAVENPORT ST, NEWTON NC 28658-8340 C:8283228068 NAME TO APPEAR ON PERMIT Donald & Eunice Copley SITE ADDRESS: 1921 DAVENPORT ST, NEWTON NC 28658 PIN # 371120925180 NAME of SUBDIVISION: SANDY FORD DEVELOPMENT Lot# 1-5 Section/Block C PROPERTY SIZE: Square Feet 18,295.20 Acres 0.42 DIRECTIONS: From North side of Startown Rd, Right onto Robinwood Rd,4th St on Right-Hileman at bottom of St, Right onto Davenport(dirt road) 2nd house on left. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Tank Only Replacement* A large tree fell & crushed part of the tank. Currently covered by plywood. 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 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 53x41 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION 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: 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 accessple so that a comppllete site evaluation can be performed. Date: /92orc-clz 7020/6 Signature of Applicant or Agent L-jc-ce_ 62, e`r 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 AREA2 IN-ehapplication 03/09/2016 16:23 Page 1 of 8 s$ CATAWBA COUNTS' Case a EHPR-03-2016-23366 .0(ie.,t.11 Public Health Department Subdivision SANDY FORD DEVELOPMENT G „�, Environmental health Division PIN// 371120925180 Y PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 I: sii NAME ON PERMIT: ( DONALD& EUNICE COPLEY), 1921 DAVENPORT ST,NEWTON NC 28658-8340 ( Donald & Eunice Copley) Site Address: 1921 DAVENPORT ST,NEWTON NC 28658 Property Size: Square Feet 18,295.20 Acres 0.42 Directions: From North side of Startown Rd, Right onto Robinwood Rd,4th St on Right-Hileman at bottom of St, Right onto Davenport(dirt road)2nd house on left.iv� FEFNAME`,14„;is`gaii; sr, rlire I DATEwIni �'FEEAMOUNT sw�.�.+taxl bran,. ]Ga�d t '- � c,.,�Vm6.a3C..t.:,£.- i,9� .Iad Authorization to Construct(Repair) Fee 03/09/2016 $150.00 L � r tTOTALFEFS M1 rc - `itliti 1 '” tit ` _5150008 „'77� ��, tl t , z. dr ,s i s ,sYt } L a z 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) L'9-ehapplication 03/09/2016 16:24 Page 2 of 8 CATAWBA THIS IS NOT A PERMIT `couNTL lY S CATAWBA COUNTY HEALTH DEPARTMENT ,,,,ti , ,* Application for Environmental Services Page 1 Improvement Permit In Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction, Septic Expansion ❑ New Well Permit n Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Req fired) ❑ Application is for New Construction ❑ Existing Facility ;'Property Address / 7c..;19/ (PC-Wet-7,0 £1— S f Subdivision Akte)/( n A) C- .? 8 658 Lot# Acres K y Section/Block/Phase Directions to Property K 7 0�/`4 S/Cr-e_ 0 S,/zc&a4 ,-, 2& Fenn / y s/O2 Ro67.i 1000 de RC tee - o xi / s hit ic" ..0-2�`/ ?- /75 477 -r, of S (J,ec� Rr a de2C-- -s-740,. O.tie�AZ)u.ce a-7 ZePic NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Informatioon / Name Do,vw%Q d- G-, �1-y Address /7.2/ On, roo;zit■ St ( „„i A) C Phone >7 1!202 _ FL')(`-; R Cell Phone Contractor Contact Information Name License# Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? [ Owner Applicant ❑ Contractor Lpescription of Existing Structures on Site '_ „. .e ., 6 .V , a i , —132/e't d 14 ter of Bedrooms *1' 3 `ic)( Structure Dimensions "I i # of Occupants f/ j` Basement ❑ Yes 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 i uestion. If the answer to any question is"yes", applicant must attach supporting documentation. ❑ Yes L3 No Does the site contain any jurisdictional wetlands? Yes "Io Does the site contain any existing wastewater systems? ❑ Yes .. Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes a../..,------ d'N o Is the site subject to approval by any other public agency? ❑ Yes o Are there any e)sements or right of ways on this property? Describe Existing water supply in use ' -individual Well ❑ Community Well ❑ Semi-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) I' ❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other Any CATAv 7 BA THIS IS NOT A PERMIT �coc� rr� VV 1� CATAWBA COUNTY HEALTH DEPARTMENT „ Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence n New Residence ❑ Addition to Residence # of New Bedrooms *t Project Description Structure Dimensions # of Occupants Basement ❑ Yes H No Basement Fixtures ❑ Yes H No ❑ Accessory Structure(s) Describe #of New Bedrooms *I- if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing Yes ❑ No Describe Plumbing Needed H Multi-Family Residence#Units #Bedrooms per Unittt Total# Bedrooms *t Structure Dimensions H 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 7 Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes H No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well n Community Well Abandonment Type ❑ Drilled Bored ❑ Dug ❑ 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 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. e� AL Signature of Owner or Agent ;o �p Date fike4.464 ! c?d/E Printed Name of Owner or Agent Ge_ Catawba County Environmental Health r 1 I I 1 1 1 I 1 J I 1 II 1 I 1 L. I Ig f41 � :; a 1 I 1 1 1 I I 1 I 1 I t I 130,64 I I g30 I I I 1 I f I r -=�.m. 216,80 I I I I 4 LAMPERT ST 104,00 1 I 1 (66) q(*PS Y." lab i I I I 1 I 1 60 i 1 ) 1 1 I t i I I I 1,) 1 j . / I (160 ti I I Ai s,{ I , I. 6 9S 13 I I; 5 i I I I t )4 1 I \ \ 1 1 \ V \ ..... l 9 _ \ r I 10 \ (350) 1 2 \ v I ii Parcel: 371120925180, 1921 DAVENPORT ST 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 03/09/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 371120925180 Owner: COPLEY DONALD Parcel Address: 1921 DAVENPORT ST Owner2: COPLEY EUNICE D City: NEWTON, 28658 Address: 1921 DAVENPORT ST LRK(REID): 57932 Address2: Deed Book/Page: 2550/0577 City: NEWTON Subdivision: SANDY FORD DEVELOPMENT State/Zip: NC 28658-8340 Lots/Block: 1-5/C Last Sale: $66,000 on 2004-02-04 School Information: Plat Book/Page: 12/66 School District: COUNTY Legal: LOT 1-5 1-5 C PL 12-66 PL 12-66 Elementary School: BLACKBURN Middle School: JACOBS FORK Calculated Acreage: .420 Tax Map: 169H 05009 High School: FRED T FOARD Township: HICKORY School Map State Road #: 2503 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: HICKORY RURAL Zoningl: R-20 Building(s) Value: $86,100 Zoning2: Land Value: $8,700 Zoning3: Assessed Total Value: $94,800 Zoning Overlay: Year Built/Remodeled: 1969/ Small Area: MOUNTAIN VIEW Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710371100J Building Details 2010 Census Block: 3027 WaterShed: 2010 Census Tract: 011102 Voter Precinct: P35 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. ©22015, Catawba County Government, North Carolina. All rights reserved. 8Q1- � l VVV0 CaI • cod , Im • http://gis.catawbacountync.gov/nomap/parcel_report.php?key=3 7 1 120925 1 80&typ=P 3/9/2016 `p6 • CATAWBA COUNTY D p' ' -1.1 Q Case H IMPV-06-20I3-039332 /C 2 Public Health Department �1 ti! ;A-+ r Subdivision SANDY FORD DEVELOPM C Environmental Health Division f :• • ! PINK 371120925180 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 al f LOTH 1-5 •D• Roek-os-2o,3- 17389 NAME ON PERMIT: DONALD COPLEY, 1921 DAVENPORT ST, NEWTON NC 28658-8340 Site Address: 1921 DAVENPORT ST, NEWTON NC 28658 Property Size: Square Feet 18,295.20 Acres 0.42 Directions: Robinwood Rd/right on Hillman/right onto DavenporUhome on left Improvement Permit INITIAL SYSTEM EXISTING Facility: Primary Residence - house Permit Category: Other 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: CONVENTIONAL Type: [IA -CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Permit Conditions: Do not drive, grade, cut, or fill over septic system or septic repair area. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG -OTHER NON-CONV TRENCH SYSTEMS PUMP *MAY BE* 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 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 applicandpropeny 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 I SA.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. Megen McBride 06/26/2013 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 06/26/2018 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. E9-chocnnit 06/26/2013 08:16 Page I of3 1? M'' 05-20(3-173% 1921 Daiu'tpor{ s{. 1kv1oh 4 Exis-(i Sys+e.it- Wag visuall'y�{fv,c1I641/1 6(II Ill (nouie>lev ho 5uavor�iee (ay 1pC G; en a5 4, I-b (ON c 1 1 J '' Ei' v, s step^• Ma Ce uraercizrd 12 evrrtvd size`\ S�aVetavets {av 3 �dwa)r H�t✓e,, �ovJ eY Prar sect arc �v1Ik1 rod i ro.redst flaw a�-d a full 3 l eclYOGM vt?a + areo, 0,5 \,e.e v. dPS iD bc.-a,ra . AtaTosed 10x27 auk W;11 io rhexe el\sl;rD CohcFe}e, Akio is . I A\\ b(eck cos-\s aAd Soffoc-1 Qiel3 m�`Iil lx ocl 1IH 5 -CI -Corn. AIi edcys o-( vi\-is—a c. 71( 6(II Il} rS 01, cI-k „J,\ . AccIIL -C°11 11�inlck ?oif. - 1)4 will 110A ha.VG *\06�Er5- IA v4Ak 54 o� 01ocks co- iv _ .v_, olyo,,,,A1\ovjuici Mt• YOt.✓ Vexi{ie;��\i1 is (\exk v�}oold be. Cah{ leweci oo.a Ior cuppo(k ,Fo* Yecolcic,UreA SO a} -itie,I arc. 5Th -frwA ',r.r}Ic -le,,,,K . J• (1A(5 IQ e inA floes vkol vIfe c1 ` 0( o-q ror.e. moods -�o( keck cuPPot-� ov Cal/Q6keJel.\rG) W61,- YCC(XC1 1V tpvikJcv` Dote), (�r,}ne✓I (oh-Arc..c : hlv5L cor�}�.ck' 1,k,da;, Sngitrs Yeo�mrdlnl approved Y rl„oas -�ov deck C sin,cd:ioh, — Zf cleciL Cc,vW6t 9C, Yeror{iDurcrk ko h^ek 54 c(cc kv Se iCz 4ar�, a V\ew Ronk cco- be Sek. OK ?eyin■ {ee5 G I1cot)L- -do• (6$s . QP m;R E L� n —1°q10"' -- k ball MUCA be e cry . ° m a� IeuS- Yo(k• fwr. sp _ % 0, we11 k °Ate�fiOh c. q 74 I rax0 —_______ ,7anK So. o r, Exfttta naiad 3 6R E(w5L Deli . IGO' 1 -ti p. LAS IVe SA. ir fig• CATAWBA COUNTY Case# IMPV-I-11.14462 Public Health Department Subdivision SANDY FORD DEVELOPM: G r,1. Environmental Health Division F IQ w PO Box 389,100-A Southwest Blvd,Newton,NC 28658 Lot# I-5 �����` PIN# 371120925180 Applicant/Owner Donald & Eunice Copley .F}PR-1-11 _�1lF4 Site Address: 1921 DAVENPORT ST,Newton,NC Property Size: SF 0.419 ACRES Directions: Robinwood Rd-Right onto Hileman Street-Rt onto Dirt road Davenport-2nd house on left Improvement Permit _ INITIAL SYSTEM EXISTING - IP FOR REPAIR SYSTEM ONLY N Facility: Primary Residence Permit Category: Other Bedrooms 3 — WATER SUPPLY: Private Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years:_X_ No Expiration: Projected Daily Flow 360 9.P.d Proposed Wastewater System: CONVENTIONAL Type: IIB -CONV SYSTEM WITH <750 LINEAR FEET OF LINE Pump Required?: No Operator Required?:NO Permit Conditions: IP for as built for existing septic system for enclosing a deck. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS Pump Required?: No Operator Required?:NO 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 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily Susan Bumgarner 01/18/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 01/17/2016 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. 1 01/18/11 11:55 Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health Property ID: On-site Wastewater Section Lot#: SOIUSITE EVALUATION File#:10R —`8 GL U(4)b for ON-SITE WASTEWATER SYSTEM App1D: Owner: Applicant: Address: Date Evaluated: I—I I—1 I Proposed Facility: Design Flow(.1949) Property Size: Location of Site: / ,,(' Property Recorded: Water Supply: [ I Public ("�individual [57well [ ]Spring [ ]Other Evaluation Method: (.1/Auger Boring [ ]Pit [ ]Cut Type of Wastewater: [V]/Sewage [ I Industrial Process [ ]Mixed P i. ��.r�"4—•T'• 11 N .Jkfin.t I ^r 4 V kh F i'. l+ ;Y t $� t 'g +i.ii 'N .f t I .Yk 5 . r 6 .p, yv1 ti f c 1 r � e t � , i[ t li • L i• OO t . f. MORP OLOGYS t ;5 ,* c D .' , ` tr� h" it r 1. "T 9�J:S9 ' PRO ILE PAC ORS .. �r F� tsi `.t', )ry. i: n 1942 ) `. G„" i i. 6 La.scape h273]a 9Q50 9 X19 iit cg i 90Ffl 90y3; �a i I . Position/° oJ. 1 i.fift tbbRJJt Consist n ;;x n1 )*10,) .'. §0 .01?K7 G i11=` ` inerao .t., . Color.. 7 :C D_e__lh ,_ Q:•,... ��� RN) .:SIC�fLrID.�+e ,.t.. `.; r;, p Q "(� 4' .n{)' . .��31�`I�(%�`�^ , PC 0 35 Description Initial System Repair System Other Factors(.1946): 1 c Available Space(.1945) rF S J Soil Evaluation By: C�, atutp■g4J'Jrti� System Type(s) Dc".cn 4 Others Present: m, ([ .Br Dirt 6a c. Site LTAR • 3 C Site Classification(.1948): I7 S Site Evaluation By: S. ea.t tig 0.41#..✓ Others Present: Uk.JAc Bride Sheet: {n�1 �,p� COMMENTS: FILE#:awn- CVVlOb 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 Mots( SEXP-Slightly Expansive VFR-Very Friable NS-Non-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky ER-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations O O a • (y.,..A. CATAWBA COUNTY IOOA SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT d ,, Vp PHONE: 828.465.8399 \N„.„..\ 4 - 'C Wednesday, March 9, 2016 842 sM www.catawbacountync.gov PAYOR: Copley, Donald& Eunice PAYMENTS TRANSACTION NUMBER: TRC-634651-09-03-2016 PAYMENT DATE : 03/09/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 03-16-326008 Authorization to Construct (Repair) 5150.00 Fee TOTAL PAYMENTS : $150.00 EHPR-03-2016-23366 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 1921 DAVENPORT ST,NEWTON NC 28658 Owner DONALD& EUNICE COPLEY. 1921 DAVENPORT ST, NEWTON NC 28658-8340 C:8283228068 **NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 03/09/2016 16:23 Page I of 1