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HomeMy WebLinkAboutIMPV-03-2023-192258.TIF i -cr 405: • CATAWBA COUNTY Case ifIMPV-03-2023-192258 h itin ,y Public Health Department Subdivision „ '� Environmental Health Division PIN# 375307784107 PO Box 389,25 Government Drive,Newton,NC 28658 LP 2 w Site Address: 2752 COMMUNITY RD, CLAREMONT NC 28610 Name on Permit: *NELSON DELLINGER BUILDING COMPANY Property Size: Acres 1.39 Directions: 40 E to 16 N, right on Shook and left on Community Rd Owner/Authorized Representative Acknowledgement of Permit Receipt KI certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. li As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service EHPR-02-2023-43404,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) 7- Electronic Image Transmittal/E-mail (Return receipt required) ‘t 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: 03/27/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) (4-E Signature Date/Time qh-f) ) 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 youPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService h2iai4n 501 e 44/.e A 03'-° ehpemiit 03/28/2023 11:40 f Catawba County Environmental Health EHPR ea •aa3 c3y0 o - 4 JflPV O3- a - ,qs33 • L6� g W�yar y ^lei�/ •' krr eLSed e2710 '� /MrC ss� s %c 4rtti sir sar :W2752. 6170 -140 Rp 6$ (295) Parcel:375307784107,2710 COMMUNITY RD 1in=100ft CLAREMONT,28610 This mapfrepo t product was prepared from the Catawba County,NC Geospatlel 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 verification 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 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 2023 Catawba County NC 03/27/2023 • , v ‘ 1!of I DEPARTMENT OF IIEAI.III ANT)HUMAN tiliI2VICl:S Slue DIVISION OF PUBLIC 111?ALT11,I:NVIRQN\IIiNfAI,l II:ALTI l SI CT10N PROPERTY ID III: O, 1VATLR I RO ItC11UN BRANCI I COUNTY 4 SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete ill fields In I1JI1) APPLICATION DATE Wks QlSOPI � r r DATE EVALUATED: ADDRESS: -'�7 PROPOSED FACILITY: .rL / POP Ep DESIGN FLOW(.1949):.�� PROPERTY SIZE: 1i 4. LOCATION OF SITE: Z 7.T_ Cop.r I)» �f PROPERTY RECORDED: �� WATER SUPPLY; date 0 Public cIl D Spring 0 Other EVALUATION? ETHOD: 0 Auger Boring Pit 0 Cut TYPE OF WASTEWATER: Sewage 0 Industrial Process 0 Mixed • • - P R SOIL 111ORPIIOLOGY OTHER 0 E (.1941) PROFILE FACTORS 1 .1940 1 g LANDSCAPE HORIZON PROFILE POSITION! DEPTH I .1942 r SLOPE% (1N) .194I .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURFJ CONSISTENCE) WETNESS! SOIL SAPRO RESTR &LTAR I TEXTURE MINERALOGY COLOR DEPTH CLASS 110RIZ A0-`q Sr Li- t ' i 1 �� lc:s?-tif cosbcci_ Join / ve / ( 4 , i s6A-ct- tom- / / .2s- . i2 G a0-4 G�.sbLcc Fr 20i / G A`a -7 5 ►-cL fir- Z / ( Ps 3 iki" $ "73z r3 3 , v - 3z.yi�sAe f- fr l Fl SL ,i 4 © -,S" qrc - Fp- Fs G '52(1 ‘bit a�- Fr, id /S 4 I� a z i-(4( olkt cc-- r,--yori c_y / cif �� ,3r c. `(f 48 s P - r, l 3L 7 DtS RJPRON INrrIAL SYS1' .d REPAIR SYST• OTHER FACTORS(.1946): i^ LV SITE CLASSIFICATION(.1948): PS Available Spode(.1915) Syslao Typc(s) ;7,-Q (7S-L EVALUATED BY: 9, G r ; 01.j , OTHER(S)PRESENT: Site LTAR c , r c. COMMENTS: Updated Febzuory 2014 ---