HomeMy WebLinkAboutEHPR-02-2022-40181.TIF L/o181 P
Catawba County Environmental Health
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Parcel: 460903111848, 7135 SHERRILLS FORD 1 in=60ft
RD SHERRILLS FORD, 28673
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Copyright 2023 Catawba County NC
4 0/18/2023
DEPARTMENT OF HEALTH AND HUMAN SERVICES l of/
DIVISION OF PUBLIC HEALTH ENVIRONMENTAL HEALTH SECTION PROPERTY ID#:Sheet
ON-SITE WATER PROTECTION BRANCH COUNTY:
SOILISITE EVALUATION Ltd(a'(
for ON-SITE WASTEWATER SYSTEM ((
(Complete all fields in full)
OWNER: At-1."c) CJosS _ APPLICATION DATE
ADDRESS: DATE EVALUATED: rf2,f/2'Z
PROPOSED FACILITY: fir PROPOSED RESIGN FLOW(.1949): Y7o PROPERTY SIZE:
LOCATION OF SITE: 713 t ',(& l'+'4 fc PROPERTY RECORDED:
WATER SUPPLY: ❑Private [ iblic ❑�Well� ❑Spring ❑Other
EVALUATION METHOD: ❑Auer Boring LI'Pit ❑Cut TYPE OF WASTEWATER: ❑Sewage ❑Industrial Process ❑Mixed
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; DES INI CRIPTION TIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): ,
ti ' SITE CLASSIFICATION(.1948):
Available Space(.1945)
EVALUATED BY:
System Type(s) OTHER(S)PRESENT: ------
Site LTAR i
COD N'S:- 4)
Updated Febary 2014 - -
- -