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�\ Yj CATAWBA COUNTY
�� Public Health Department Subdivision DOUGLAS CORNERS
s Environmental Health Division PINS 268701251378
'® t�. PO Box 389,25 Government Drive,Newton,NC 28658 t.OT# 20
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SibAddrese: 3777 AMBER DR,VALE NC 28168
Name en Permit •CMH HOMES,INC./DBA OAKWOOD HOMES//712(NEWTON)
Properly titter Acres 0.54
Okeceons: ,Turn Right onto West C ST,Turn left Banoak RD,West Lee DR,Right onto Amber DR
, . .. _
Owner/Authorized Representative Acknowledgement of Permit Receipt
3p,catity that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
Do As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-02-2022-40106,by the following method(s):
_ Received in Person
—_/Facsimile Transmittal(Return form with signature required)
/ Electronic Image Transmittal/E-mail (Return receipt required)
ILO As the property owner or authorized representative I have reviewed and understand the specific conditions
of the permit issued, and further understand that all applicable regulatory requirements specified under the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900),
and/or Well Construction Standards(1SA NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted.
Permit Issue Date:07/05/2022 /
Owner/Authorized Representative Signature -_7 le d20dt"-
Date-7- /3- Z 2
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by. (name of person sending permit)
Signature C e . Date/Time 7f 1301
/
Method: Fax J Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yea:leese ttake a few moments tto complette our custtomer service survey art
http://www.surveymonkey.com/s/ERCusttomerServIce
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Department of Environment, Health,and Natural Resources Sheet: 1 of 1
Division of Environmental Health Property ID: 268701251378
On-site Wastewater Section Lot#: 20
SOIL/SITE EVALUATION File#:
for ON-SITE WASTEWATER SYSTEM AppID: RBPR-02-2022-40106
Owner: CMH Homes,Inc/dba Oakwood Homes#712 Application Date: 2/25/2022
Address: Date Evaluated: 6/23/2021
Proposed Facility: 3 BR MH Design Flow(.1949) 360 GPD Property Size: 0.54 acres
Location of Site: 3777 Amber Dr,Vale,NC 28168 Property Recorded:
Water Supply: [X]Private Well [ ]Public Water [ ]Spring [ I Other
Evaluation Method: [X]Pits [ ]Auger Boring [ ]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 Color Depth(IN.) Class Horiz <AR
1 L 0-19 C/SBK FR,SS,SP,SEXP 36" PS
10% 19-36 C BC/wSBK FR,SS,SP,SEXP 0.275
2 L 0-19 C/ABK FR,SS, SP,SEXP 29" PS
10% 19-29 C/wABK FR,SS, SP,SEXP 2.5 Y 6/4 @ 16-20" 0.25
29-42 Rock+BC FR,SS, SP,SEXP
3 L 0-5 CL/G FR,SS,SP,SEXP 40" PS
10% 5-21 C/ABK FR,SS,SP,SEXP 0.275
21-40 C BC/wABK FR,SS,SP,SEXP
4 L 0-5 CL/G FR,SS,SP,SEXP 40" PS
10% 5-18 C/ABK FR,SS,SP,SEXP 0.275
18-40 C BC/wABK FR,SS,SP,SEXP
Description Initial System Repair System Other Factors(.1946):
Available Space(.1945) PS PS Soil Evaluation By: Eric Price
System Type(s) IIIB-25%Red IVA-50%Red Horizontal Others Present:
Site LTAR 0.275 0.25 Site Classification(.1948): PS
Site Evaluation By:
Others Present: