HomeMy WebLinkAboutIMPV-12-2022-185896.TIF 1
• CATAWBA COUNTY
r. ,z Public Health Department Subdivision HOUSTON
.'i
Environmental Health Division PIN# 374409064829
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 12
Site Address: 5523 BUDDY ST, CONOVER NC 28613
Name on Permit: OMAR MONARREZ CARDOZA
Property Size: Acres 0.34
Directions: Springs RD, cut on to HOuston Mill RD, Take first left into the park circle arond on Buddy ST. Lot is 12th on
the left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
K0 I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
x,c9M As the property owner or authorized representative, I have received the above referenced
permit(s)as requested in the application for service RBPR-10-2022-42573, by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Y Electronic Image Transmittal/E-mail (Return receipt required)
QIl1a _ 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: 12/08/2022
Owner/Authorized Representative Signature
Date 3^ 2 3- ao 23
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name ofperson sending permit)
Signature Date/Time
Method: Fax 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/EHCusttomerService
elipermit 12/08/2022 16:01
Dl'I'ARTMI:NPOFIILALIII AND IIIJMANSIiRVICIiS Sheet lo!i 6
DIVISION OF PU131.IC[MAID I,ENVIRONMENTAI.8IIiAl.TI SECTION PROPERTY ID a: ST ONs(TI:WATER PROMCTION URANCI0 COUNTY:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYS'1'EN'
/---- (Crnnplcic all(clds In full)
OWNER: �f r r �rwi S _ APPLICATION DATE 0- L tC
ADDRESS: DATE EVALUATED: /( �.5'. 1G
PROPOSED FACILITY: ro PROPOSED DESIGN FLOW(.1949): Zqd PROPERTY SIZE: •,3c/A-
LOCATION OF SITE: SS?3 dc)i IV— PROPERTY RECORDED:
WATER SUPPLY: ❑Private ,'Public ❑Well 0 Spring 0 Other
EVALUATION METHOD: ❑Auger Borocig .B'1'il 0 Cut TYPE OF WASTEWATER:• .. cwagc ❑Industrial Process ❑Mixed
r
It
o SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
1
1. .1940
E LANDSCAPE HORIZON
POSITION/ DEPTH1942 PROFILE
a SLOPE% .. (IN.) .1941 .1941 SOIL .1943 .1956 .19-1-1 CLASS
J STRUCTURE/ CONSISTENCE/ WETNESS! SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS IIORIZ
7-30 6R „so.- Fr / J3
1 6i0 s0-�8 rank �� �� / ' /
1 11
yl
• 0_iy r9 rcSLL _ PS
2 10(0 /y JO 6A /
C rr / 1 3
0 -17 grSl Fr PS
)7-- yo , s6,i_L Fr
3 yD-q8 I task£L rr / 1 /
13
lib
n
1
4
DESCRIPTION INvrlAL EM SYST REI'AIRSYS' :M OTIIERFACTORS(.1946): '�-
ES
SITE CLASSIFICATION(.1948): ii$
Available Space(.1945)
System Typc(s) ZL.S---l� 561E. EVALUATED BY: i V465
OTHER(S)PRESENT:
Site LTAR . Z ,3
COMMENTS:
Updates]February 2014
\, Catawba County Environmenta\ 1.1 -.. ,,,,, l Health
\.. 1i, YE, 4 \..
0 \ (\ l`l I
1048
S• e 1050�—
1
!te • 1062 �060 1056 10�` 2�—
•o 1064 1054
a, 7O 105 `1056-1
'O sB 8_~ 105`
O>O 68 �002 1060� 106
\ft"
78e\
i5 --_,______________
0 -�
jo> ,
! Y
. 9-4:111.1.11(718.4.6.""h.- -- -----
^" //U 43.01 op
0 \
— t
'o \'o
• 511 O,tr
y , ' ry
•
0
\ -- 'r
'd Y ` - . -;,4—'
..,q .5535
as
10
o 10.36
10T4
'o \ —1074
150,45 ��
'o..x
E a,
\ uoovsi
80.00
m
N
o
80.OQ 'cr..,
m 125.00 '��o
0
P.
1Q7 4i 60.00
. i cO
0
i co)
•5528 /�
Parcel: 374409064829, 5523 BUDDY ST 1 in=40ft
CONOVER, 28613
This map/report product was prepared from the Catawba County.NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling Information contained on this map or data on this report.Catawba County promotes and recommends
the independent vorification of any data conlainod on this maplroport product by the usor.Tho County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this maplreport product or the use thereof by any person or entity.
Copyright 2021 Catawba County NC
11/23/2022