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HomeMy WebLinkAboutEHPR-06-2023-44541.tif A . $ I THIS IS NOT A PERMIT Case# II-IPR-06-2023-44541 `� ' CAI•AWRA ('(LINTY I IEALTh DEPAR1'MFAT PLAN REVIEW APPLICAT ION FOR ENVIRONMENTAL SLRVICLS 842 sM Environmental Health flan Review- OSWP IMPROVEMENT Applicant KEY BUILDERS (MANDI I IOLLIDAY), 1459 N ASPEN ST,LINCOLNTON NC 28092 C:7047350040 MANDI@KEYBUILDERSNC.COM O%sner CARLOS COUTO, 1717 BUFFALO SHOALS RD,CATAWBA NC 28609 COUTO70�r YAI IOO.COM NAME TO APPEAR ON PERMIT Key Builders (Mandi Holliday) SITE ADDRESS: 1711 BUFFALO SHOALS RD,CATAWBA NC 28609 PIN# 367904742029 NAME ofSUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet 41,556.24 Acres 954 DIRECTIONS: S NC 16 Hwy left Buffalo Shoals Rd on left before E Bandys Cross Rd PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Public Water DESCRIBE WORK: IP only for property subdivision SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? Yes Property Easements Description: 45'ROW APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 56 x 46 �^ #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: chapphcaiion 06/06/2023 12:55 of s VA_� CATAWBA COUNTY Case tt EH PR-06-2023-4454 1 Q' .}.ii . Public Health Department Subdivision Q„� Environmental Health Division PIN/I 367904742029 42 PO Box 389,100-A Southwest Blvd.Newton,NC 28658 /R w NAME ON PERMIT: KEY BUILDERS (MANDI HOLLIDAY). 1459 N ASPEN ST,LINCOLNI'ON NC 28092 Key Builders (Mandi Holliday) Site Address: 1711 BUFFALO SHOALS RD,CAI'AWBA NC 28609 Property Size: Square Feet 41,556.24 Acres •954 Directions: S NC 16 Hwy left Buffalo Shoals Rd on left before E Bandys Cross Rd Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,complete and correct, Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all properly lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent _ If you need further information or assistance please call 828-465-8270 AREA4 ********************************************************* ::k *..,*****$* ************************************ FEENAME DATE FEE AMOUNT Improvement Permit Fee 06/06/2023 $150.00 TOTAL FEES S150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) chapplicatiou 06/06/2023 12:55 Page 2 ol'3 t DocuSign Envelope ID:2335EEBD-8C63.4978-B82D-E6BA97A234F0 catawba county Public heal li W5II/ Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: 0 New Construction 0 Existing Facility Improvement Permit ❑Authorization to Construct ❑New Septic ❑Septic Repair/Malfunction ❑ Septic Relocation 0 Septic Expansion ❑ Existing System Inspection or Reconnection f ❑ New Well '} ( � ❑ Replacement Well i ; ❑Well Abandonment r 0 Well Repair Property Addre s Buffalo Shoals Road Catawba Parcel#367904742029 Lot is being sub divided Acres 1.231 Subdivision Lot# 2 Driving Directions to Properly 321 Bus N TR onto Springs Fast Road TL onto Buffalo Shoals Rd_ Describe work Single Family Reside=- Framing- Flectrical-Plumbing - Mechanical Applicant Name Key Builders, Inc Applicant Address 1459 N Aspen Street Lincolnton _1C 28092 Phone 704-735-0040 Email man.diQkeybuildersnc.corn Owner Name Carlos Couto Owner Address 1717 Buffalo Shoals Road Catawba NC 28609 Phone 704-685-0292 Email Couto70@yahoo.com Contractor Name Key Builders. Inc Contractor Address 1459 N Aspen Street 1 incolnton NC 28092 Phone 704-735-0040 I Email mancli4keYbuilders❑c.com Name to Appear on Permit? ❑Owner Applicant Contractor Who will be the Primary Contact? 0 Owner ®Applicant ®Contractor Proposed New Construction-Residential Primary Residence ® New Residence ❑ Addition to Residence #of New Bedrooms*1 3 #of Occupants 6 max Project Description New Single Family Stick Built Structure Dimensions,also specify dimensions of decks&porches 56x4.6 (Choose One) ❑Basement ❑Crawl Space ® Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ® No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes 0 No Multi-Family Residence #of Apartments #Bedrooms per Apartment*'t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) ❑ Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested 0 Yes ❑No Describe Will Certified Well Contractor Install Water Linc or Electrical Line from Well Head to Pressure Tank?❑ Yes ❑No Environmental Health Catawba County Government Center,25 Government Drive I PO. Box 389,Newton, NC 28658 Phone: (828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov DocuSign Envelope ID:2335EEBD-8C63-4978-B82D-E6BA97A234F0 GAibtssog Ou uCluM CJ Oil Our Describe Structure Dimensions #of Bedrooms* #of Occupants Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Existing Water Supply 0 Individual Well ❑ Shared Well—Number of Connections 0 Community Well ®County/City/Township Water Line Is a public water supply available?** ® Yes 0 No Commercial ❑ Proposed New Construction ❑Existing/Change of Use ❑Repair Food Service Specify Type #Seats Dining Area(Sq. Ft.) # Employees per Shift #of Shifts Church #of Seats Daycare❑Yes ❑No #of Children #of Employees per Shift _ #of Shifts Commercial Kitchen 0 Yes ❑No Residential Kitchen 0 Yes 0 No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions _ Retail Floor Space #of Employees per Shift #of Shills Other Information Calculated Design Flow,Commercial t (This value will be determined by EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is"yes",applicant must attach supporting documentation. ❑Yes 0 No Does the site contain any jurisdictional wetlands? ❑Yes ®No Does the site contain any existing wastewater systems? ❑Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes El No Is the site subject to approval by any other public agency? ❑Yes la No Are there any easements or right of ways on this property? Describe If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑Accepted 0 Alternative ❑ Conventional ❑ Innovative ❑ Other 0 Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. ** If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Environmental Health soil/site evaluations require digging,augering,and/or probing into the ground.Property owner/applicant is responsible for marking all underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities. Completed applications are valid for a period of 2 years. Improvement Permits are valid:with complete site plan=60 months(5 years); with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct, issued for septic repair is valid for 60 months(5 years). Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes.Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Signature of Owner or Legal Agenrfiuies loud. Date 6/1/2023 Printed Name of Owner or Legal Agent Carlos couto 60uiro Catawba county Geospatial Real Estate Search CUING LIVING. HIM. Information Services bpit �,sc+A 0 2.08A 1.47A 6.` ti (378) 367.40 (326) o Z ' Sio/ ' (336) y�. • /4? ret,„ t I OJ 312r9 31 ••9 a 1.16A I W+E Parcel: 36790 4742029. 1717 BUFFALO SHOALS RD CATAWBA, 28609 Owners: SOARES MARIA ESMERALDA, SOARES MARIA COUTO Owner Address: 1717 BUFFALO SHOALS RD Values - Building(s): $311,300, Land: $80,000, Total: $391,300 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 05/31/2023 • i�E368i'(4p DEED R/w PLAT 28-22 -- _� �O \g,, /�\ //iai S 70 4 3'35" E d� / , • --=:. Y€L A, LOT • . at 1.231 AGES LOT fl it AC. 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'AL...2... 1$ :4 Ai RUYg.At IQ'w'7y/,-F-.=a C� Sf'.PIA1 NpSEltill - tp En `o1 ZiZ n b «• y5 f m u .Tl z 9 o pF 0 O�° �4� 1 Z x = f°n m� �y �o 00 om It � m0omg= aMIP ;po >smo ;o�m R— msayimns6 A zmmf r �< �myN �_� m 3 b 5 _ 6�m c ; -� rm �ommo` c p 's,o 7i�F A rnZZS� D O bymy °p — mmD to d0 Zu°y ..Jn r : mom v 4p�' c,ypoz , "s. s m o - _° c mP V Z 5fg °mc $ . 4-'4Ir, gal 3EIg gl`a wo > , N6op io hS "� . Fa H I Is0m z Catawba County Environmental Health r CI il r, , l 1703 r ow) z--r '`+./ 4' R ( .ss) •1701 h "'s b� Ley as h �- r32t;t o t?•1,717 i 1699 `-, 'it . 96 •1709 •1711 R 0 ra O� y .I . O s, . Q d: a ` r j ■� r a.,8 1 r 45 4774 3 `? , 700 °0 . 60 g 8o0 • It Qt) c9 L . 1.779 Ga ♦4771 • 1�3 - 1g ~ Parcel: 367904742029, 1717 BUFFALO SHOALS 1in=200ft RD CATAWBA, 28609 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 verification of any data contained on this map/report product by the user.The 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 map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 06/02/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 367904742029 Owner: SOARES MARIA ESMERALDA Parcel Address: 1717 BUFFALO SHOALS RD Owner2: SOARES MARIA COUTO City: CATAWBA, 28609 Address: 1717 BUFFALO SHOALS RD LRK(REID): 2631 Address2: Deed Book/Page: 3383/0064 City: CATAWBA Subdivision: State/Zip: NC 28609-8027 Lots/Block: / Last Valid Sale: $65,000 on 2006-04-24 School Information: School District: COUNTY Plat Book/Page: Elementary School: BALLS CREEK Legal: Middle School: MILL CREEK Calculated Acreage: 10.120 High School: BANDYS Tax Map: 003 K 01017 Township: CALDWELL School Map State Road #: 1003 TaxiValue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-40 Building(s) Value: $311,300 Zoning2: Land Value: $80,000 Zoning3: Assessed Total Value: $391,300 Zoning Overlay: WP-O,FPM-O Year Built/Remodeled: 2007/ Small Area: BALLS CREEK Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-465-8436 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710367900J If available, Building Permits for this parcel. Septic 2010 Census Block: 4014 links are not permits. 2010 Census Tract: 011402 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details WaterShed: WS-IV Protected Area Voter Precinct: P1/Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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 verification of any data contained on this map/report product by the user.The 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 map/report product or the use thereof by any person or entity. ©2023, Catawba County Government, North Carolina.All rights reserved. /, C.ATAWBA COUNTY HEALTH DEPARTMENT v�� o Telephone: (828)465-8270 DD: (828)465 WLS #A006-60 Si/ lmproveme�',t Permit 1-, AC }r; Repair Permit. Operation Permit. /� System Type. — Well Pcrrnit.x Replacement Well Owner/Agent __.._....0 i - ij 5 $ . S'a isf.ems jjj Phone 2O V - 3O 7- 3s-"..2 9 Address . /91 9 [3l4 F�rg.(,p . n,¢i,s Q0A121 Subdivision GA-1,4ru�CU; / Al. C., Q 9' ,0 Section/Block/Phase Lots Lot Size erections: ...../ 5 0 b tq F.-. A-LO S /9_4„ 120. . _ P�5._s rAmp& i (r1 w.L) £O r 6 APoil4 /O o Gar a ti ____ Property ddress /7/ Q A6 ci IS�4t•U $ S t201A1? Facility: House X Mobile Home Business Multi-family Other: Pin Number 3 j2? 0 9' ao,R, Other . Zoning Approval# #Bedrooms - #Seats #Employees . Application Rate _ GPD Flow Hot Tub or Spa yes0Special Fixtures Basement yesZ) . 100% Re air Area yes/no c."' Basement Plumbing ye Water Supply: Private Well A Public Semi Public c. Type of System: Trench Bed — Pump Pump/Panel — Panel —LPP Other ,O y Qc,,7u,c.110,v S/.S Septic Tank Size /OOD Pump Tank Size — Nitrification Field: Total Square Feet Depth of Stone ptJ//9- Bed Size ----- Trench Width 3 ' Total Length of Ali Trenches Von Number of Trenches 44 Trench Length/d U//o v//o p/JOa I--- I Feet on Center 9 z Maximum Trench Depth _ Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* *WELL t ;CORD REQUIRED AT COMPLETION* ************************************* ******************************************* *************************************** Topo % Slope Texture " k Structure , er 1 Clay Min. o J Soil Wetness /tp�C' ,P>j • Soil Depth /Q- t; ., Restric. Hoz. at " `\ � � /Available space yes/no \ 4�/ / Overall Class S PS U �, p1 Comments: /' / ,A-1407 )O1)ka e6r 1), Ocikhscni COnne n5 p 64j t.va+r( • Bret � dUSC \ *' ...1 !elf, I ad (/Ja S cl r . r> e&oa. P. Filter Required t 'CO `//s���� Riser required when �/ tank is more than 6 inches deep. **NO GUARANTEE OR WARRANTY IS I PLI D I R GIVEN AS TO THE PERFORMANCE t1R LENGTH OF TIME THIS SYSTEM WILL FUNCTION** . ,*** *** ************************************ ************************************ An Authorization to Construct is valid for(5)five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at any site by the Health Department. Permit Date /-' Y-, add'6 EIIS C.- rR. s- Owner/ nt •.) A 7 Septic Tank Installed By , /-- (O/ Or Date L/t0-7 EHS Well Installed By 't.r- w2tL,Well Grout Approval Da •_ —Well Head Approval to Date Sample Collected Date of Results Results EHS _ While-Office Yellow-Owner/Agent Pink-Building Inspection Authorization to Construct CATAWBA COUNTY Case# IMPV-10-2022-182068 FY ...fl Public Health Department Subdivision d . _� Environmental Health Division PIN# 367904742029 PO Box 389,25 Government Drive,Newton,NC 28658 LP 1 [r . . Site Address: 1711 / 1709 BUFFALO SHOALS RD,CATAWBA NC 28609 Name on Permit: ESMERALDA SOARES Property Size: Acres 10.12 Directions: 321 N Bus/Maiden Hwy, bear right onto Car Farm Rd, left onto Buffalo Shoals Rd, property 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: Multi-Family-duplex Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Public Water Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION • System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS .._..{.,,, Permit Conditions: *Do not cut,drive,fill,or grade over septic or repair areas. `This is an improvement permit only and is not intended for septic installation purposes. 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 pot eooroved,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 Sewaxe Treatment and Disposal Systems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental I Icalth Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. :0%;.: " 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. . -. iz:5 —, --4 10/11/2022 Authorized State Agent Permit Issuance Date 10/11/2027 • Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. zhpcnnit 10/1I,2022 16:30 l P CAN Dr 24 2Z- 41108 Catawba County Environmental Health IA 'v /V_zozZ_ jt2o(r$ IIV ■ .1701 to • (378) �7''� 10 tn aSN • .171 j*N 71-c:t t 'Yo• s►'tea sue' 1, � /0,, le• 4— h 312.79 le S 3T0 rn o 8 V. a 60 ?74 '0 . b? i I w I 70 F174 17/f Parcel: 367904742029, BUFFALO SHOALS 1 in=100ft RD CATAWBA, 28609 This mop/report product was prepared from the Catawba County,NC Goospetial lnform.tlon 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 ma consequential product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and alldamages,loss or liability,whether direct,Indirect or corquential which arises or may arise from this mapireport product or the use thereof by any person or entity, Copyright 2021 Catawba County NC 10/17/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet 1 of Z DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 0: ON-SITE WATER PROTECTION BRANCH Littar COUNTY: Catawba SOIL/SITE EVALUATION far ON-STTE WASTEWATER SYSTEM (Cocapictc all Edda at full) OWNER LL, APPLICATION DATE ADDRESS: DATE EVALUATED!'T/Wee PROPOSED FACIL17Y: iir PROPOSED DESIIØ4 FLOW(.1949): Wei PROPERTY SM. LOCATION OF SITE: VI /44.Is ^Oda 4 PROPERTY RECORDED: WATER SUPPLY: OPIIVatC Public DWcU 0 Spring 0 Other EVALUATION MECIMOD: Autir Boring [ Pit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Indaistrial Process 0 Mixed • • :SOIL.ARORPEIOLOGY OTREJt : . PROFILE FACTORS INø LANDSCAPE HORIZINt • . : . 7 IPtOIILL o: "PI% 194 SDEL ' I04S LAS6 1944 • °Age.: STINVITMW; CCEDESTENCE/ WETNESS/ SOIL *WE°• RESTIE:, IT#, • SONIEALOGY coLoa DESIE; CLASS . . TA 2 .s:. • ...!g 3 , • • -t2;.•": •. 4 - DESCRIPTION DETIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1943) i5 SITE CLASSIFICATION(.1948): SYstam TYPe(s) 2St ) EVALUATED BY: ge1/44. OTHER(S)PRESENT: Site LTAR 0 25— D. 23— CON1MENTS: Updated February 2014 '• : ; --. • • 1 . A . ` �� SOIL/SITE EVALUATION.. (Mgr "Sheet "...of2 - (Cont6watlon sheet-Conmplete all field in full) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROIRTY ID#: DIVISION OF PUBLIC HEALTH DATE OF EVALUATION: 7,aj fy� ENVIRONMENTAL HEALTH SECTION COUNTY: ON-SITE WATER PROTECTION BRANCH .r �.. - 1 • o \SOIL MORPHOLOGY OTHER y, R .ri, G1441) :1940 PROFILE FACTORS . LY' E LANDSCAPE HORIZ. .1942 1 • ,POSITION/ ON .1941 .1941 SOIL Al43 1956 : .1944. PROFILE M rOPE% 6FP1 H STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO `RESTR CLASS W,;;;+ , ) TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ . &LTAR t� o-/ k re s'G S 3 t PS w�- IA,/ qh'j 14 . /- z? Sk c by e . S sP 2 ,' '., S't 17-31 WAIL L F12 SE 4 nc�„1.,; co,zzs ,' 3s is Afy/l-1 , r • c-r silk- cc n/4 4 ,,.,.4. �s t_s s- z sift .c /-4 r�,,,, s .x, , � :1, i. Z- / 28-t2 '%- cc.w/ +t K:iSe- k .1. r;;,. ; .' r °`:3 Fe C g- �3 Pikfi- S si e__ - 3`` lob z)-,, ''sai. .c. �� $ sr I tm-S-� _D....z • - 36 liz-te/Sr tri-t • ... ' .- 31t /02 � _ '.. I �< , v • w S .f` ,. d r/ at'c f3 1 �". �� t ., $ 6- z3 sak G. - S sP Q 01. -/ - 1 ex "LS-414. 14:Cis re CL "it4 fit ,re--4071* 144-0-- w / , o-7 S.4 c-c �. _re Nei I'.. ;Se' - 1—_,S7-L3 , 34f c : . S .ff K f z3 3A '"sir C hi . SC' ,C • '`1 IZ,E�lYAl s/ T r 211 COMMENTS: . s;r .'`, J ' Updated Fabtowy 2144 _. { 1: 1, r Lill 0g 9. `;-._.. . .. Catawba County Environmental Health ////::/// . ., , 0/71.--,-, "fir ••1683, c .,,', i . ct SY h1.,, .3,.,,6 Aripp,. . ' --,...,f • • t ' kir P3 Ia • .J • i• 071 i ‘ ,, . , ..7.,..i..,i, ' 1 . N oPitr• H - f Ilk ),. CO I `•-•.. 'lit.. , • i 4141111110.P. 44401, 1 1 � _ • 1 sn 1.. •4TT4 .! .. 7 i i r f !!74 Parcel: 367904742029,4747 BUFFALO SHOALS 11n=100ft RD CATAWBA, 28609 i This map/report product was prepared from the Catawba County,NC Geospetial Information Services. Catawba County has made substantial Oka, 4" k! to ensure the accuracy of location and Labeling Information contained on this map or date on this ropoit Catawba County prorates and reoomrhehdt{'; t the Independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and r;,• ' ' .. 1 personnel,disdaim,and shall not be held liable for any and all damages,loss or Belay,whether direct,Indirect or consequential which arises or May,,..., f: . arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 1 al 1/202 �$A • CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT V 7 PHONE:828.465.8399 Tuesday,June 6,2023 1$4'Z sM www.catawbacountync.gov PAYOR: Key Builders Key Builders(Holliday,Mandi) PAYMENTS TRANSACTION NUMBER: TRC-65722629-06-06-2023 PAYMENT DATE: 06/06/2023 PAYMENT TYPE: Credit Card 306436670 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 06-23-423628 110-580200-663000 Improvement Permit Fee S150.00 TOTAL PAYMENTS: $150.00 EHPR-06-2023-44541 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1711 BUFFALO SHOALS RD,CATAWBA NC 28609 Applicant KEY BUILDERS, 1459 N ASPEN ST,LINCOLNTON NC 28092 C:7047350040 MANDI@KEYBUILDERSNC.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner CARLOS COUTO, 1717 BUFFALO SHOALS RD,CATAWBA NC 28609 COUTO70@YAHOO.COM receipt 06/06/2023 12:50 Page 1 of 1