HomeMy WebLinkAbout IMPV-12-2022-185481.tif Wit+ it% CATAWBA COI rNI'1'
�. ti Public Health Department tip"Isom
tili(.vR. tit Envrrumnental Itcaltlt Division PING 460701271312
lig,/� PO Box 3W,25 Government Drive,Ncoton,NC 25(5t I t I'1 r1 A
Stt,Address: 3546 MT PLEASANT RD,SHERRILLS FORD NC 28673
Name on Permit: JOHN PRIME
Property Size: Acres 3.73
Directions: Hwy 16 S to Hwy 150 East,Left on Little Mountain RD,Right Mt Pleasant half mile lot on the right.
Owner/Authorized Representative Acknowledgement of Permit Receipt
_I certify that I am the owner or authorized agent(owner's authiariiation rtrquiredt representing the owner of
the property described tt'.xt‘e.
Je As the property owner or authorized representative,I have received the above referenced
permits)as requested in the application for service RBPR-09-2021-3g904,by the following methotl(s):
_ Received in Person
Facsimile Transmittal(Return form with signature required)
7 Electronic Image Transmittal:E-mail (Return receipt required)
J4)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(I5A NCAC I8A.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: 12/02/2022
J
Owner/Authorized Representative Signature L/ >~ 't't"
Date_1 'J__.7 ._a-
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
l'ermit transmitted by frame raj person sending permit)
/t' .
Signature f _. DaterTime IJ 'Method: Fax vl 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 yoiPlease ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EittusttomerService
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44 . CATAWBA COUNTY Case# IMPV-12-2022-185481
• .f. Public Health Department Subdivision
d '� Environmental Health Division PIN# 460701271312
PO Box 389,25 Government Drive.Newton,NC 28658 LOT# A
I• 2 .
Site Address: 3546 MT PLEASANT RD, SHERRILLS FORD NC 28673
Name on Permit: JOHN PRIME
Property Size: Acres 3.73
Directions: Hwy 16 S to Hwy 150 East; Left on Little Mountain RD; Right Mt Pleasant half mile lot on the right.
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION
Permit Category: New Septic Wastewater Flow 480
g.p.d
Type of Facility: Primary Residence- New House
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Pump Required
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 50%REDUCTION HORIZONTAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator Required
Permit Conditions:
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 for any given period of'time,
Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit
modification.Please notify Environmental Health of this change prior to system installation.
fli,),(„
12/02/2022
Authorized State Agent I'ennit Issuance Date
12/2/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ehlnrmit 12/05/2022 16:55
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3780-0677
FILED Catawba County
on Nov 15,2022 at 12:17:00 pm
Ii
ExeI e Tar $0.00 (ML)
INST. #24382
DONNA HICKS'NCER,
Regiatet of Deem
RS 03780 Pg 0677-0684
✓(HB) ?ohn Pr-,rne
NORTH CAROLINA
CATAWBA COUNTY
NORTH CAROLINA DISTRIBUTION ENCROACHMENT AGREEMENT FOR
NITRIFICATION FIELD ENCROACHMENTS
THIS North Carolina Distribution Encroachment Agreement for Nitrification Field
Encroachments("Agreement"),made this 20"day of October,2022,by and between
EnergyUnited Electric Membership Corporation,a No • " •lina Corporation
("EnergyUnited"),and Timothy M Donnelly("G
WITNE SE i'4
WHEREAS,Grantee is the owner of a 3.730 acre to land situated in Sherrills Ford•
' Township,Catawba County,North Carolina.and being tlit land described in a deed from t)
JASON J.LEWIS and wife,MICHELLE L.LEWIS to JOHN D.PRIME and wife,CAROLYN
J.PRIME,dated 7/12/2021,and recorded in Deed Book 3672,Page 0568 of the Catawba County
• Registry and being 3546 Mt411tPleasant Rd,Catawba,NC 28673(the"Property");
WHEREAS,EnergyUnited has previously acquired a fourty(40)foot wide easement area
over the Property on which easement area EnergyUnited maintains and operates electrical
facilities(the"Easement Area");and
• WHEREAS,Grantee desires to use a portion of the Easement Area for the construction,
• installation,operation,and maintenance of a nitrification field(the"Encroachment").
NOW,THEREFORE,in consideration of the premises and of the mutual covenants
herein contained,EnergyUnited,insofar as EnergyUnited's rights are concerned,hereby
authorizes Grantee,his heirs and assigns,ingress and egress to construct,install,operate,
I
f
5
3780-0678
monitor,repair,and maintain the Encroachment within the Easement Area upon the following 0678
terms and conditions:
1. Grantee shall construct,install,operate and maintain the Encroachment within the
metes and bounds as shown on a map,dated 10/06/2021,and entitled"Prime,"
which is attached hereto as Exhibit A and incorporated herein by reference(the
"Map"). Other than removing the Encroachment,Grantee shall not alter or add to
the Encroachment in any way without receiving prior written consent from
EnergyUnited. Should Grantee perform any work in the Easement Area without
the prior written consent of EnergyUnited,should it fail to perform the work in a
manner consistent with the specifications approved by EnergyUnited,or should
the Encroachment threaten any EnergyUnited facility,then Grantee shall be liable
to EnergyUnited for any costs EnergyUnited incurs while remedying actual or
potential threats to EnergyUnited's facilities arising from such work.
2. This Agreement shall automatically terminate upon complete removal of the
Encroachment by Grantee. Should the encroachment no longer be required for
the facility it is designed to serve,this Agreement shall be terminable by
EnergyUnited upon ninety(90)days written notice of EnergyUnited's desire to
terminate.
3. EnergyUnited shall have the right to install at any time additional structures for
the support of its present or future electric lines within the Easement Area.
EnergyUnited agrees to locate these additional structures,if reasonably possible,
so as not to obstruct use of the Encroachment and in compliance with 15A NCAC
18A.1950.
4. Grantee may plant low-growing shrubbery on and around the Encroachment,
provided that EnergyUnited sash have necessary access to its structures for
maintenance purposes. Any*ees or shrubs in the Easement Area shall not be
permitted to reach a height of more than velve(12)feet.If any such trees or
shrubs do reach a height of more than t +61ve(12)feet,then EnergyUnited shall
have the right to rere them without removing the stumps if removal could
damage system.
5. Grantee shall not 084ritALcause to be placed,a septic tank or any related device,
constructed of any made type,in EnergyUnited's Easement Area other than
inert piping for septic draining purposes.
6. Grantee shall,upon request of EnergyUnited and at no cost to EnergyUnited,erect
barriers around the Encroachment area or existing facilities owned or operated by
EnergyUnited. Barriers shall be of an acceptable size and construction to
EnergyUnited. Once installed to EnergyUnited's specifications,Grantee shall not
be liable for the costs of relocating or replacing any barrier that is later determined
by EnergyUnited to hinder its access to the facilities or Easement Area.
2
3780-0679
7. Grantee shall not utilize any equipment within EnergyUnited's Easement Area in
0679
such a manner that any portion of said equipment would come any closer than
fifteen(15)feet from any conductors of its electric lines. Grantee's operation of
equipment and use of materials within EnergyUnited's Easement Area shall
adhere to applicable federal,state,and local laws,rules and regulations,including
the guidelines set forth by the National Electrical Safety Code(NESC),the OSHA
Standard for equipment minimum safe working distances,and the North Carolina
Overhead High-Voltage Line Safety Act(OHVSA).
8. Grantee shall be liable for,and shall indemnify,protect,and save harmless
EnergyUnited from any taxes or assessments which may be levied for or as a
result of the Encroachment.
9. EnergyUnited shall not be liable for any damage to the Encroachment resulting
from EnergyUnited or its contractors in the construction,reconstruction,
replacement,maintenance,or removal of EnergyUnited's present or future
facilities.
10. Grantee shall not do any digging,grading,or filling nearer than fifteen(15)feet to
any of EnergyUnited's structures or anchors and any slopes within the Easement
Area shall be no greater than a one to four ratio.
11. Grantee shall not do any filling or piling of earth on EnergyUnited's Easement
Area unless shown on the Map and approved by EnergyUnited. The surface of
the Easement Area shall be properly graded,raked,and seeded after construction
of the Encroachments is complete.
12. EnergyUnited may have facilities(e.g.counterpoise wires)buried in the vicinity
of the Encroachment. Grantee shall exercise diligence to avoid damaging any
underground facilities,will,diitify EnergyUnited immediately if any damage does
occur,and reimburse EnergyUnited for the costs of any repairs made necessary by
such damage.
13. The Encroachment is subject to the paramount right of EnergyUnited at all times
to make use olrgyUnited's entire Easement Area for the construction,
maintenance,reconstruction,and operation of electric lines. In the future,
EnergyUnited may require,within the N.C.G.S. 130A statute and the 15A NCAC
.1900 rules,the relocation or modification of the Encroachment,and Grantee shall
comply with the demand at no cost to EnergyUnited within ninety(90)days after
receipt of the written demand.
14. This Agreement is effective only insofar as the easement rights of EnergyUnited
in the Easement Area are concerned;and Grantee shall obtain from others such
permission sand permits as may be necessary from third parties.
3
3780-0680
15. Grantee assumes all risks incident to the Encroachment and does hereby release
and shall indemnify,defend,and save harmless EnergyUnited,its officers, 06£30
directors,employees,contractors,and agents from and against claims,damages,
demands,legal or administrative actions(formal or informal),expenses(including
reasonable attorney's fees and court costs),and liability(whether or not such
liability has been judicially determined)for loss of or damage to property of
Grantee,EnergyUnited or others,(including environmental damages and
hazardous or toxic waste cleanup)and injuries to or death of all persons,
howsoever resulting,by reason of Grantee's use of the Encroachment.
16. The recitals set forth at the opening of this Agreement are incorporated herein as
if fully restated in this Section 16.
17. Should Grantee desire or be required to contact EnergyUnited for any reason
related to this Agreement it shall contact EnergyUnited's customer service center
and request to speak to the land services group.
18. This Agreement shall be governed by the laws of the state of North Carolina
without regard to the conflicts of law provisions therein. The parties agree that
the proper venue for any dispute related to this agreement are the courts located in
county in which the Property is located,and the parties hereby submit to the
jurisdiction thereof.
19. This Agreement contains the complete understanding of the parties and shall •
supersede any prior and contemporaneous communications,agreements,and •
assurances related to the subject ma 's Agreement. Any modification of
this Agreement must be agreed to' ting and-signed by the parties. The
parties agree that the Easement skill remain in full force and effect. The only
modifications to the terms thereof,caused by the Agreement,shall be those which
are expressly stated in this Agreement.
20. The failure of EnergyUnited in any one or more instances to insist upon
compliance with ant-provision or covenant herein or to exercise any right or
privilege herein shall:not constitute or be construed as a waiver of such or any
similar provi s.,,,,,,,,,,k
r covenant.
21. This Agreement shall be recorded at Grantee's sole expense.
[Remainder of Page Left Intentionally Blank)
4
3780-0681
IN WITNESS WHEREOF,EnergyUnited and Grantee have caused this Agreement to be
signed under seal in their names,as of the date first above written. 0681
ENERGYUNITED ELECTRIC
MEMBERSHIP CORPORATION (SEAL)
Witnesses: a North Carolina corporation
By: (SEAL)
Name: Ty/e.- Grbha.m
Name: Title: Res on I mr,e fitwnwgp— -L i N
Name:
STATE OF NORTH CAROLINA
COUNTY OF M IOC ltr,601
The foregoing document was acknowledged before me this ill day of
November ,20)1 ,by? ler OI.ACIw ,as l e5:.«, "14Afr,c1, of
EnergyUnited Electric Membershii5Corporation,a North Carolina corporation,who is personally
known to me or who has produced °P:VV., 4.c it s41 as identification.
Notary Public: My Commission Expires: 2/a V/al
Printed Name: •L to Q l�Je:7/ [Affix Notary Seal Here]
("4ih.
_ f
NOr'yP}
o Luc
5
4
3780-0682
;USE THIS SIGNATURE PAGE IF GRANTEE IS A PERSON}
0682
IN WITNESS WHEREOF,EnergyUnited and Grantee have caused this Agreement to be
signed under seal in their names,as of the date first above written.
•
(art-VW"Nis--P (SEAL)
Witnesses: ;NAME}
;4„/„.t_v_z_e_z_
—
Name: Sam neit Prim I m e
itc,kua otqi
Name: M a1 r 'raids
STATE OF NORTH CAROLINA
COUNTY OF f/AICtC
The foregoing document was acknowledged before me this Z,C) day of
CK'ZC' ,20z'Z ,by ho is personally known to me or who has produced
kc bL CA 4 tification.
Notary Public:_ ���_� IAA . ion Expires: 6.-8-tO2-d
Printed Name: IPPr [Affix Notary Seal Here]
11/4 ^r' M
`\ SC"RQiije�'
�`�r OTARp fb �•'.
— tocomurom .. =i
* R PUBLIC v:
,i�� COUTIZ`l•�\\
///it+11111\\
6
1
3780-0683
06f
(USE Fills SIGNA HIRE PAGE IF GRANTEE IS A PERSON I
IN WITNESS WHEREOF,EnergyUnited and Grantee have caused this Agreement to be signed under
seal in their names,as of the date first above written.
tSEAL)
Wi nesses: ' AMEI
Name:
Name:Lam, r m f.7 e
STATE OF NORTH CAROLINA
COUNTY OF L.rfelc0/�'I
The foregoing document was acknowledged before me this Z f day of U C.4 ,20 ZZ
by I NAME;,who is personally known to me or who has produced /V C dr/0.e r I1 e4.4.1.e as
identification. :SO Nu / ,/ 'i IE
Notary Public:Llgrt� sy Commission Expires: C"8/p 9 Ia 0.a p-
Printed Name: i a 1),.'7 m• 5anpO»04-74te/' 'Affix Notary Seal Herr,
,�,,,,,utI, Is,,
0 ,s 0
x=
=0 fed •1=
SA1 A,
trntttttt
;USE TI IIS SIGNATURE PAGE IF GRANTEE IS AN EN Uri:
l y l
IN WITNESS WHEREOF,EnergyUnited and Grantee have caused this Agreement to be signed under
seal in their names,as of the date first above written.
6
3780-0684
IRIS MAP MAY NOT BE A CERTIFIED SURVEY AND HAS NOT
BEEN REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR
COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT
REGULATIONS AND HAS NOT BEEN REVIEWED FOR4684
CpiFIpUANCE WITH RECORDING REQI)IRfMExrsFOR Pu,Is- PRELIMINADRAN OR REVIACTUAL LEW ONLY
RVEY•
NCGS 47.30(n) .
THIS PLOT PLAN WAS DRAWN FROM EXISTING PLATS AND/OR DEEDS AND A FULL SURVEY `
I WAS NOT PERFORMED AT THIS TIME.ACREAGES AND DISTANCES ARE SUBJECT TO AN
ACTUAL SURVEY.A FULL TITLE SEARCH HAS NOT BEEN PERFORMED. \.
/ /
REFERENCE: 7 i
BEING ALL OF PARCEL -RECOMBINATION SURVEY OF THE JASON J. i '
LEWIS PROPERTY•AS RECORDED IN P.B.82,PG.79.-CATAWBA
COUNTY REGISTRY. THE SUBJECT PROPERTY IS IN A"SPECIAL i
7 / HAZARD AREA-AS SHOWN ON HUO/FIA a
PROPERTY IS SUBJECT TO ANY AND ALL ZONING AND PLANNING 1 FLOOD INSURANCE RATE MAP
ORDINANCES.EASEMENTS,RIGHTS-OF-WAY,AND RESTRICTIONS Qa COMMUNITY PANEL NUMBER 3710460700.1 t
OF RECORD �°j EFFECTIVE DATE 09N52007.
Q Q� N=
677,823.320
,. e0. E.-1,101,879E8) Total Area:
Qe` n 162,504.07 SF.
• / \ 3.731 AC. i
• �V \ llIIl1t lSi Tl:re�19F1V!2C:#
•
IRE \ S L��fi3YSSiriraITItIt1�
I,MATTHEW I.GRANT.CERTIFY THAT THIS PLAT WAS PREPARED UNDER i \ \ O a;•C!'i1liFdikllliEL19Eliini L
MY SUPERVISION FROM AN ACTUAL FIELD SURVEY OF DESCRIPTION(S) \ N f- Kill L 71CCiIEr1411.
AS RECORDED IN DEED BOOK 3672.PAGE 588N
THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS SUCH \ \ F
;
AND WERE PLOTTED FROM INFORMATION AS REFERENCED HEREON'THAT '' \\ \\ )
•
THE RATIO OF PRECISION AS CALCULATED WAS 1:25.880 AND THAT
THE GLOBAL NAVIGATION SATELLITE SYSTEM(GLASS)WAS USED TO Q,0 N\ ls.`i_ yly
PERFORM A PORTION OF THIS SURVEY AND THE FOLLOWING INFORMATION Ss {p \ .6,,.,
WAS USED: W Sy, \ \ E
CLASS OF SURVEY:CLASS A N \
' POSITIONAL ACCURACY.001' r \ \
TYPE OF GPS FIELD PROCEDURE:RTK 9& \ \ II
DATES OF SURVEY:10-24-2022 ,0• \ \DATUMfEPOCH.NADBS(2011) \\ \N I
PUBLISHED/FIXED-CONTROL USE-VRS
GEOID MODEL:20128 R�` \
COMBINED GRID FACTOR:0.9998654 / 4 ' > .
UNITS:US SURVEY FEET /
(FURTHER CERTIFY THIS IS A SURVEY OF AN EXISTING PARCEL OR PARCELS •
,1'i -. / r RF
OF OtNrMad 0FI'a�' fir' 1
LAND OR ONE OR MORE EXISTING EASEMENTS AND DOES NOT CREATE A FEW
STREET OR CHANGE AN EXISTING STREET. �LIP7 .' LRF / 1 M
THAT THIS PUT MEETS THE REQUIREMENTS OF THE STANDARDS OF g1�� / 1 m
PRACTICE FOR LAND SURVEYING IN NORTH CAROLINA(21 NCAC 56.1600) • 161 91'1 I
AND THAT THIS PUT WAS PREPARED IN ACCORDANCE WITH O.S.47-20 I
• AS AMENDED.WITNESS MY HAND AND SEAL THIS 28TH DAY OF OCTOBER. Pro y` Power p.1,5'supplyC 3
•
2022. 15 SY'L P•b Line T
c
' z` e' I o
,' ;D.F �IJ Alt1
16 ! c Unh y po1., ~
PROFESSIONAL LAND SURVEYOR L-5208 tie, -.-',./ .R / '' tek k,� `
MATTHEW I.GRAN;rrrrlrr lrlHfr r .
•o.. CARo�" fts I ,i
• Qp ' INF
l 127.T t- /
\ ' A
' _ r. L-5208 \ y/ 3tiyy
i. 1 <5
•
'"rrfflu unl`"r�s`"` ---B.taka s- //
100 Year flood Line . \ \ 1
Field /' \ `--
Located \
760 RF
Contour Ll
APPROXIMATE STRUCTURALJIMPERVIOIJS COVERAGE:
L2
TOTAL PROPERTY AREA:162,504.07 SE,3,731 AC.
Lake PROPOSED DWELLING AREA:3.040 SF.0.070 AC.
Norman PROPOSED DRIVEWAY/SIDEWALK AREA:8,192 SF,0.188 AC.
APPROXIMATE STRUCTURAL COVERAGE:3,040 SF,0.070 AC,1.87%
APPROXIMATE IMPERVIOUS COVERAGE:11.232 SF,0.258 AC.691%
SETBACKS:
1 PROPERTY CURRENTLY CURRENTLY ZONED R-30(CATAWBA COUNTY) 0 80 160 240
1 so mu mom mmumia
me um in
PROPERTY SUBJECT TOA 30'FRONT YARD(FY).15'SIDE YARD(SY)AND
30'REAR YARD(RY)AS PER P.B.82.PG.79.
Plot Plan For:
PROPERTY LIES WITHIN WATERSHED OF LAKE NORMAN/CATAWBA RIVER
"INS-IV CA'. Prime
LEGEND DRAWN BY:IDV CHECKED BY:AVE SCALE:I'• BO'
FY FRONT YARD SETBACK L I J O R DA N DEED REF:3672.568
PIN NO:9607-01-27-1312
RY REAR YARD SETBACK *T}JV�I GRAN T
3
SY SIDE YARD SETBACK
1. NJ RIGH OF WAY ENGINEERING•SURVEYING•PLANNING DATE OF MAP:10-06-21 SURVEY DATE,10-24-27
R
1 P.B. PLAT BOOK JORDAN GRANT&ASSOCIATES,PLLC REVISION:11-04-22 DRAWING FILE:2U21U977_11-09-22
i P.O.BOX 151"STATESVILLE,NC 28687
1 D.B. DEED BOOK Malt.Granl@jordan-grant.0om (704)928-7919 3596 Mt.Pleasent Rd.,Sherrills Ford,NC 20673
3 FIRM#P-1227 Morntaln Creek Twsp.Catwhe County-North Carolina
I PG. PAGE
1
71----- _ ,
i
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Sheet I of
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#:
ON-SITE WASTEWATER SECTION COUNTY:
SOIL/SITE EVALUATION
for ON-SITE 'VASTEWATER SYSTEM
OWNER: ?r�6 :tit- 1.11 ;tin r APPLICATION DATE
ADDRESS: T e414 Pr: DATE EVALUATED: 7-(X/7-2,,-2'2_
PROPOSED FACILITY: 4 61- PROPOSED DESIGN FLOW(.1949): us G PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: Private 0 Public PrWell 0 Spring 0 Other
EVALUATION METHOD: 0 Auger Boring -QrPit 0 Cut
TYPE OF WASTEWATER: glewage 0 Industrial Pro:ess 0 Mixed
:::::::: ......
. .....................:::::::::::::.....
--.--.-.----•-:::.J, SO € tOItrn:OLoG' :: :::4a i:LER. ••---------------------
ici• €i (1941) I k t 3:FILR 'ACTORS .-•
19 tD•.....•, y.• ....
•t:lr:n iff . BORI-•............................................... 1942
'
::":' E• -.•zoN ':: ::::::.::!19AI:::::::'-'':' 194_1 -......SOIL ::::::4941 _:!":::196:::::: .-....19.44....'..::1'
--R--O-----.FiI:E..------
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iiEi: irosI'mC)1C ::DEPTH::.........StktUC"TURE COA'SISTE31CR1.••- W TN'PSS! SOU.-•-• ..::SAPRO::::: ii8t5T1t::.. ::. :.
--SLOP 'E:f :) , TEXTURE::::::::::: M11ERAL ( Y COLOR DEPTilii :•••cLA*S ::::HORIZ---.:::::4 T:'ASs-.-.
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DESCRIPTION 1 D%'TTIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): _
Available Space(.1945) r f SITE CLASSIFICATION(.1948): P
System Type(s) �S U j l 1 J;1 y t,69 EVALUATED BY: b,I- r�c ,--
P OTHER(S)PRESENT:
Site LTAR , 3 , Z 5-
COMMENTS:
Vi-id le, tr '� , (4 t`-S
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SOIL/SITE EVALUATION Sheet 2 of 2
(Continuation Sheet-Complete oilfield in full)
PROPERTY ID#:
j ) 'II Ni r f l j k rk o f f dt DATE OF EVALUATION:
COUNTY:
P
R SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
1 .1940
ELANDSCAPE HOW .1942
POSITION/ ON .1941 .1941 SOIL, .1943 .1956 .1944 PROFILE
# SLOPE% DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTA CLASS
(IN.)
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ <AR
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COMMENTS:
Updated February 2014
1
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Department of Environment,Health,and Natural Resources Sheet.
Division of Environmental Health Property ID
On-site Wastewater Section Lot a
SOIUSITE EVALUATION File a
for ON-SITE WASTEWATER SYSTEM AppID FHPR-2_21.366.92
Owner. Jason Lewis Applicant
Address 3546 Mt Pleasant Rd Date Evaluated 3/25,4113.4/14/21
Proposed Facility 4 BR Home Design Flow(1949) 360 Properly Size
Location of Site Property Recorded
Water Supply: public water ( )Spring [ I Other
Evaluation Method pits by Jason Lewis I )Cut
Type of Wastewater X Sewage [ I Industrial Process I )Mixed
R. "
. A: .' � . SOIL MORPH`OLOGY b
F.:.- ., ' -, ,- i194! , . PROFILE FACTORS
1942
t. .1941 V1g41 Soli . . .1943
taps „ Hot�2on �� ,, .i9Sa ,1844 Profile
E Poaatloni-' Depth Strydur& ' Cants et>,oq • wetness/ • SoN Sapro Restr Class
* Stope%. QN.) Texture • •Mineralogy Color Depth(IN.) Class Hartz &ITAR
1 LL 10 12% 0 6" C/w ABK SS SP SEXP F I
6-21" C/SBK SS SP SERXP FI os 3
21-38" CU w SBK SS SP SEXP FR some yellow brown 21-53 5--3
38-53' CU w SBK+sap SS SEXP SP FR
2 1.1 10-12% 0-7" C/w ABK SS SP SEXP VI
7-22" Cl w SBK SS SP SEXP Fl yellow brown sap mix PS 3
r
22.41" CU w SBK, SS SEXP SP FR 41-58 J
41-58" tL/w SBK+ sa(; SS SP SEXP F R
3 LL 10-15% 0-9" Cl w ABK SS SP SEXY FI
9-27" I C/ABK SS SP SEXP F 1 6 i PS 3
27-44" CU w SBK SS SP SEXP FR
44-61" CU w SBK+sap SS SP SEXP FR
18" US
4 LL 10-15% 0-18" Cl w ABK SS SP SEXP F I
18"+ ROCK
Description Initial System Repair System Other Factors( 1946)
Available Space(.1945) PS PS Soil Evaluation By Jason Boyd
System Type(s) IIIB 50%red hor IIIB 50%red hor Others Present Jason Lewis Steven Price
Site LTAR .3 .3 Site Classification( 1948) PS
Site Evaluation By:
Others Present:
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