HomeMy WebLinkAboutIMPV-08-2022-177713.TIF $' • CATAWBA COUNTY
.e' '.ki
L Public Health Department Subdivision Fernwood Acres Sub Phase 2
.p-3 Environmental Health Division PINtt 363917009078
PO Box 389,25 Government Drive,Newton,NC 28658 I,01-q
/z, . _ w
Site Address: 1906 APRILS WAY, NEWTON NC 28658
Name on Permit: NDM KENNEDY TRUST
Property Size: Acres 2.36
Directions: -
Owner/Authorized Representative Acknowledgement of Permit Receipt
XI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-01-2022-39795,by the following method(s):
Received in Person
_ Facsimile Transmittal (Return form with signature required)
JElectronic Image Transmittal/E-mail (Return receipt required)
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 (15A 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: 08/15/2022
Owner/Authorized Representative Signature
.- 'n
Date
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name gf'person sending permit)
Signature C Date/Time S'a7`7/i Z 1)"
Method: Fax v/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 yoaPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
P �6SeirVt toQ Dolp®1QAroc.c
Ri'
elipennit 08/16/2022 10:01
Catawba County Environmental Health
TA,pv—og -7ro71— 1 ? /3
ski, .: •rAte �°i. 4cM,-06- b71 - 14 . -j5
Ie .
a� 5°I. r
lao
1.4.?
Dso � ��
'F ' � �a "�p if�
.a O
I '
r °-
`0
o - . 9
c_ •1886
t t L.
'
k
6 i
F�34ti•190•
\\�
..T
4.
/ 1\\
\� TO
X
w PQ
.1•s.61 _ 1roti
'L• ■
•0 ..
C`
f--t
Parcel: 363917009078, 1906 APRILS WAY 1 in=80ft
NEWTON, 28658
This map/report product was prepared horn the Catawba County,NC Geospallal Information Services, Catawba County has made substantial efforts
to ensure the accuracy of location end labeling Information contained on this mnp or data on this report Catawba County promotes and recommends
the Independent verification of any data contained on this map/roport product by the user.Tho County of Catawba,Its employees,agents,and
personnel,disclaim,and shalt 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 2021 Catawba County NC
08/02/2022
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet of iI
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: i 14'00 f0?$
ON-SITE WATER PROTECTION BRANCH COUNTY: _kj A
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
i -� (Complete all fields in full)
OWNER: IV t)M J.ken'iet�r� 1/+5T _ APPLICATION DATE 1//I o l rZ
ADDRESS: DATE EVALUATE9: wZ f
PROPOSED FACILITY:4cce sor,J L '/1 tROPOSED DESIGN FLOW(.1949):3b0 6�[� PROPERTY SIZE: Z•3b afros
LOCATION OF SITE: )f OG hpfilf Way, NCL✓b" /VC zr4,5-g PROPERTY RECORDED:
WATER SUPPLY: (Private 0 Public ?Well 0 Spring 0 Other
EVALUATION METHOD: ❑Auger Boring L�Pit ❑Cut TYPE OF WASTEWATER: ( ewage Cl Industrial Process 0 Mixed
• • • •
P
R
O SOIL MORPHOLOGY OTHER
F i (.1941) PROFILE FACTORS ,
L .1940
E LANDSCAPE HORIZON _
POSITION/ DEPTH PROFILE
.1942
to SLOPE% (IN) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
•
0—8 C AOK 6,5, S1'f w
5-z8 C .56)( Ff, 5,40,s Z P5
1 ' ' �8"-5Z aBC Fr Sf s S 5
L v. 3
0-3V C 56K c; S► 5 , $ cf
i'
3 y-53 aBC pstg. f rr SS j Se1 SQ� �' �S
2 j 58
L 0. 3
li 0-30 C. 56r Fr+S,4, AY.?
,.
3o-SZCt +6C FrSS r 55 ps
3 wCer �1 5 Z
I 03
I
4
DESCRIPTION INITIAL SYSTEM RNPAIRSYSTEM OTHER FACTORS(1946): .5
Available Space(.1945) r
4 J` n 5 SITE CLASSIFICATION(.19.18): VS
+
System Type(s) Z 5 o�v ad 50° r(d EVALUATED BY: _C A: (.1 11 7( (_ Lu1_ ii(,fVn5
OTI IER(S)PRESENT: U (044.0tLir(,)
Site LTAR D, 3 O..
COMMENTS:
Updated February 2014
Catawba County Environmental Health
Zo72_ 31795
„stPv-o8"-2.7Z- iFi3
oS - 7,07, -137715
iiptA
36e as
AD
•
CP
3 �
CP
•1886
•1906
t T ,4p1
•
•2585
La I
•
•
•
TN. � Qom\ �P
in.11t.
' •
L016
0
qt.%
...rti
Parcel: 363917009078, 1906 APRILS WAY 1 in=80ft
NEWTON, 28658
This map/report product was prepared from the Catawba County,NC Geoeputlal information Services. Catawba County has made substantial efforts
to ensure the accuracy of location end labeling information contained on this map or dale on this report.Catawba County promotes and recommends
the Independent veri0cation of any data contained on this map/report product by the user,The County of Catawba,Its employees,agents,end
personnel,disclaim,and shall not be hold liable for any and all damages,loss or Ilublllly,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 2021 Catawba County NC
08l02l2022