HomeMy WebLinkAboutAUTH-09-2022-181542.TIF 1
L .
13' CATAWBA COUNTY Case# AUTH-09-2022-181542
n(...........).1..n � Public Health Department
Newton,NC 28658 Subdivision JOHN F CARPENTER 3745
d (. PO Environmental
2S Health DivGovernmentisionDrive, P[N# 374501497077
VA LOT# PT 4
Site Address: 1473 WEDGEWOOD DR, CONOVER NC 28613
Name on Permit: HERBERTAND MELISSA PEARCE
Property Size: Acres 0.32
Directions: Hwy 16, left on St.peter Ch Rd, lefot on Valwood, left on Wedgewood,2nd house on left
Owner/Authorized Representative Acknowledgement of Permit Receipt
I 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 EHPR-06-2022-41272,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
7 Electronic 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
1(
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:09/30/2022
Owner/Authorized Representative Signature
Date
ALLT
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature (6 Date/Time /n ihll)Z-
Method: Fax Y 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 yosPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
rn
Wet .pearet_bg0 i'douS,lcm
0
,hpennrt 09/30/2022 16:44
,
Catawba County Environmental Health
EI, H7s..g6_,....piU-7- �� ,o. � a ai s LI a
_ J
Ea° 07
L
CC
4
u)
N
SO
CF
153.2r358.0 A, `y00
_ pS0r \k(il
T Q'P
1459
hAmo.... �� pm
ad
ro
�1
o
-1
st '< 896.56
L
it
b C .1473
r• /1ome
: B193 7236
� , .. t131 ' r�e�nc- I�ep It
I
(rjr n 36`
544T fylgn! y01‘
.1463
p4n6 t3tacks
E �� 8 eQc-\•
• E
0311 *7PV do
Canker
0541
Parcel:374501497077, 1473 WEDGEW00D DR 1 in=40ft
CONOVER, 28613
This map/report product was prepared from the Catawba County,NC Geospalls'Information Services. Catawba County has made substan;lal efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
Use Independent verlflostkin of any data contained on this maphalort product by the user.The County of Catawba,Its employees,agents,and
personnel,disclaim and shall not be held liable for any and.11 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
09/30/2022
DEPARTME1NIT OF ENVIRONMENT AND NATURAL RESOURCES Ace, / of /
=SION OF ENVIRONMENTAL liEALTII PROPERTY ID W:
,014-SITE WASTEWATER SECTION COUNTY:..1.4,41kIti
SOIL/SITE EVALUATION
Ai i for ON-SITE WASTEWATER SYSTEM
owNER; dr.ber u pull ss pee APPLICATION DATE -6-
ADDRESS; /Y7 2 f rieet4 r DATE EVALUATE?:, •ze!›-z
PROPOSED F.ACILITY: FY) PROPOSED DESION FLOW(.1949): zqo , • PROPERTY SUZ: oSZ
LOCATION OF SITE ,S A IA Os PROPERTY RECORDED:
VATER SUPPLY: 0 rtiV*ta 41.Pablic 0 Well 0 Siring 0 Other
EVALUATION METHOD: ,Q1uger Bering 0 Pit U Cut •
TYPE OF WASTEWATER:-.41-Tewage 0'Indurtiel Proems a Pfixed
.......... ..........................
toiglY
11109,44ArliE !.ZaIqf .I.b..TRP•3:;'HPPb16ihtlilii51010.1112.1742!!!!!.111E-L11460.10.11111111iiirfZiVEllitriliEl:911n.Slitr,
.).11AcT .
ftE,,-F-inr.--mim Ltp.o1.11:i!!!!
............................. ........ .....
P.ETAN); !EPO?unil .... 77c-rz::
k=-E itzs-aft.--72
reZ rittfltiONN. ..................... ;:;;;;TM.PRENCEE 'AVET'NE$94-4 ... tsggVil .RES'raiff;7.7
EffitXTra. „
. ............................
#14 siVe Fr- P-S
/
1
e*Oc tv bk
Li 6 q •
•
2 •
. •.•
•
3
•
4 •
•
, -
Di
OTHER FACTORS(.1946):wkin"X 12111,8fEN' SI ELASSIP1CATIOJ(.1948): _PS
Mollible Spats 0045)
SYLI=0 7)1mM ; V/r/j Of EVALUATED BY: V E114rt
t w MEOWS)PRESENT:
Site LTAR
• bammEnTs: