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$A Cpl THIS IS NOT A PERMIT Case # EHPR-10-09-2434
CATAWBA COUNTY HEALTH DEPARTMENT
v ~C Plan Review Application for Environmental Services
1842 5M Environmental Health Plan Review - OSWP
i~tsed
REPAIR
APPLICANT OWNER CONTRACTOR
STEVEN LANE STEVEN LANE
9298 LEGRAND DR 9298 LEGRAND DR
TERRELL NC 28682 TERRELL NC 28682
704-746-8237 704-746-8237
NAME TO APPEAR ON PERMIT STEVEN LANE Pin#: 462701371418
SITE ADDRESS: 9298 LEGRAND DR, Terrell, NC
DIRECTIONS: HWY 150 E/ RT ON GREENWOOD/ LFT ON LEGRAND/ ON LFT 1/2 MILE
NAME of SUBDIVISION: CRESCENT LAND AND TIMBER CORP Lot # 92 Sect i on/B I ock/Phase
PROPERTY SIZE: Square Feet Acres 0.65 Date Platted/Recorded
TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3
Basement: Yes Water Using Fixtures in Basement:Yes No. in Family 1
Whirlpool Tub : Gal. Capacity:
MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms
DAYCARE: Number of Children
RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space
TYPE OF BUSINESS: Number of Employees 1st 2nd 3rd
OTHER: (Specify)
Do you aniticipate any additions to Facility?
If so, describe: garage will only have 1/2 bath, sink and toilet only. no living quarters allowed
Has any grading, removal, or addition of soil been done to this property?
If so, describe
Are there easements/right-of-ways recorded on this property? NONE
Type of Water Supply: Individual Well X Community Well Municipal Semi-Public
understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal
system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for
evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is
transferable and may be eligible for a non-expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility.
A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or structure
location should conform to applicable setbacks.
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of application date.
If you need further information or assistance please call 828-466-7291
AREA 1
(FOR OFFICE USE ONLY)
Zoning Approval: Yes No Zoning Approval UDO Zoning Form A
Minimum Setbacks
Front 30 FEE NAME DATE AMOUNT
Side 10 Authorization to Construct Fee (New[ 10/30/2009 $150.00
Rear 30 Improvement` Permit Fee 10/30/2009 $150.00
Max Hght $300.00
TOTAL FEES
*If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge
1 l /20/09 11:41
_ CONSTRUCTION For Office Use only
1~ _ ( *CDP Fite Number
AUTHORIZATION 3 6 3 1
Catawba County Public Health Department County ID Number: EHPR-fo-09.2434
- - ' Environmental Health Division Evaluated For: REPAIR
P.0 Box 389, 100-A Southwest Blvd g . O q
Township:
Newton NC 28658 PERMIT VAL UNTIL
Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ 1 9 a 0 1 4
Applicant: Steven Lane Property Owner Steven Lane
Address: 9298 Legrand Dr. Address: 9298 LeGrand Dr.
City: Terrell City- Terrell
State2ip: NC 28682 State/Zip: NC 28682
Phone (704) 746-8237 Phone
Property Location & Site Information
Address/Road 4: Subdivision: Crescent Land And Timber Phase: Lot 92
9298 Legrand Dr.
Terrell NC 28682 Directions
Structure: SINGLE FAMILY
w of Bedrooms 3
of People:
Water Supply. EXISTING WELL
s em ect Ica Pons
Minimum Trench Depth: 1 8 ~
Inches
'Site Classification* PS P.linimum Soil Cover;
0 6 Inches
Design Flow: 3 6 0 Maximum Trench Depth: 3
G ~ Inches
Soil Application Rate. 0 4 Maximum Soil Cover:
1 8 Inches
'System Classification/Description'. Q `Distribution Type: PRESSURE MANIFOLD
TYPE Ill B. SYSTEM WISINGLE EFFLUENT PUMP exiA
Septic Tank:
Gallon
"Proposed System: 25% REDUCTION 1-Piece: O Yes O' No
Nitrification Field Pump Required: *Yes ONo OMay Be Require
a 1 6 Sq. ft. Pump Tank Gallons
No. Drain Lines
1-Piece:OYes ONo
Total Trench Length: 7 a
ft. GPPvt -vs-- ft. TDH
Trench Spacing: Inches 0 C.
Feet O.C Dosing Volume Gallons
_ -
Trench Width: 3 Inches
Feet
Aggregate Depth: Grease Trap: Gallons
inches
Pre-Treatment: ONSF OTS-I OTS-II
Septic Tank Installer Grade Level Required: 01 QI I 0111 ON
Pagel of 3
CDP File Number 36312 County ID Number: EHPR-10-09-2434
❑ Open Pump System Sheet
Repair System Required:OYes 0- No ONo, but has Available Space
/Repair System
r Trench Spacing: (Inches O.C.
'Site Classification - _)Feet 0 C.
Trench Width Inches
Design Flow. - Feet - 8 :
Soil Application Rate Aggregate Depth inches
Minimum Trench Depth:
`System Classification/Description Inches
F:Unimum Soil Cover
Inches
Maximum Trench Depth
'Proposed System. Inches
Maximo n Soil Cover.
Nitrification Field Inches
Sq. ft.
No. Drain Lines *Distribution Type.
Total Trench Length ft Pump Required Oyes ONo OMay Be Required
Pre-Treatment: ONSF OTS-1 OTS-II
'Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department
This permit is issued to relocate drainfield that is underneath an existing driveway and garage. Drainfields must be at least 5 ft. from garage foundation
and driveway. Installer must disconnect enough drainfield to maintain this setback and fit in the new pressure supply tine and set the pressure manifold
box. Once drainfields have been 'cut air, eliminating the portion under the garage and drive, clay must be heavily packed all along this 'headerditch-.
This permit does not address the existing septic tank or existing pump tank. It appears that the existing pump tank does not meet the required 5 It.
setback from the existing garage deck footers.
Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible forchecking with appropriate governing bodies in meeting theirrequirements.
The existing garage is NOT PERMITTED to have living quarters or bedrooms of any kind. A half bath (sink and toilet) is permitted. Only under these
conditions is the structure permitted to be connected to the existing septic system.
A new pressure supply line must be installed as well as a pressure manifold. The existing pump may be used so long as it can maintain 2 ft. of head
pressure at the manifold. If this cannot be obtained, a new pump will be required. The new drainfield is to be installed between existing drainfields.
Installer is to set 2 drop boxes at the ends of 2 trenches and install 2 lines of 25% reduction (each36 ft. long). Seethe attached site plan for exact
system layout. Install 2 3l4 inch taps for the long lines and 2 112 taps for the shorter lines.
New drainfield must be at least 10 ft. from property lines, 50 ft. from wells, 50 it. Irani lake. 5 ft. from structures, 15 U. from drainage ways, and out of
utility easements. Do not drive, grade, cut, or fill over septic system. Install on contour. Installer is to call this office prior to installation if any of these
This Authorization forWastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit* not
to exceed five years, and may be issued at the sametime the Improvement Permit issued (NCGS 13oA-336(b)). If the Installation has not been
com pleted during the period of validity of the Construction Permit, the information submitted in the application for a permit or Construction
Authorization is found to have been incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall become
invalid, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting and repair
(1938(b)).
Applicant'Legal Reps Signature Requir s ON
ApplicantlLegal Reps. Signature Date.
'Issued By 2246 - Mogen Mc6ride Date of Issue: 1 1 / 1 9 / a 0 0 9
Authorized State Agent Malfunction Log OYes
0Hand Drawing Olmport Drawing Total Time (HH MM)
**Site Plan/Drawing attached.**
Hours 0 t.€inutes
Page 2 of 3
CDP File Number: 36312 County ID Number: E"PR-10-09-2434
Drawing Type: Construction Authorization Date:
Inch
Dra~vin~ Scale: QBiock = ft. 10, N /A
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Page 3 of 3
Environmental Health Additional Fee Collection Notice
The following additional fees as checked below must be collected prior to further
action by our department
Repair Permit Application
Permit revision (re-draw)
L~ Well Permit
Authorization to Construct (system upgrades, etc)
l~ Other (please explain below)
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EHS Date JOY
EHPR-10-09-2434
Lane
TRACKING INFORMATION
Date Calls
11/3/2009 1" Contact - Discussion Only ...Ob) Called and spoke Steven Lane. Told Mr. Lane that we
were very short staffed this week and would probably be out early next week.
11/3/2009 Site Ready to be Flagged ...(mm)
Site Flagged ...(mm) Met on site with Mike Cash. The builder and Mr. Lane were also present.
We flagged an area behind the garage to evaluate. While on site we attempted to locate the
existing system for the house. We were able to find the 4 drainfields, however we could only
11/9/2009 locate about 75 feet on each trench; the original permit showed 4 - 100 ft. trenches. We
deduced that approximately 25 ft. on each trench was either under the paved driveway or the
existing garage. Without knowing for sure exactly where the trenches ended we told Mr. Lane
that he had to dig up the ends of all 4 trenches so we could verify their lengths. We also told
him to dig us the 2 test pits behind the garage.
Site Ready to be Evaluated... (mm) Mr. Lane called Mike and said that the ends of the trenches
were uncovered. At this time he told Mike that he didn't want to do the "office-like" room and
11/16/2009 the full bath in the garage, because of the possible issues with the house system. Mike said that
is was fine but that the bath in the garage must be a "half-bath" and there is to be no bedrooms
or living quarters. Mr. Lane agreed.
Site Evaluated... (mm) Met on site with Mike and Wayne Clontz (septic installer). We
examined the ends of the trenches and measured backwards. Starting with the line closest to
the house (going towards the road) we were able to find 84 ft in the first trench, 82 ft. in the
second, 82 ft. in the third, and 73 ft. in the fourth. This means that approximately 79 ft. of total
11/16/2009 trench is either under the driveway or existing garage. Once you take into consideration the
required setbacks, about 95 ft. of drainfields needs to be relocated. Mike and I explored the
possibilities of resolving this and came up with a "game plan", see the issued permit for details.
(mm) Spoke to Julia about revising the application and transferring the fees.
11/19/2009 Approved for Issuance ...(mm)
Other
Date Comments/Field Notes
11/3/2009 (mm) This application was received as an IP & AC. Mr. Lane has built a garage and now wants
to put a full bathroom and an "office-like" room above it. Per Mike Cash this is to be sized as
240 gpd.
11/19/2009 (mm) Received revised application.
06291
***Op. Permit and/or Cert. Op. Required (Must be completed prior to final)
C A T AW E3 A C O U N T Y H E A L T H D E P A R T M E N T
(704) 465-8270 ~yg
Lot Eval. improve. Permit~~tepair Permit Cert. of Comp. Permit1~~1"p r. Permit
Owner/Agent n7f~~' - Phone
Address L7 Subdivision
Section/Block/Phase Lot#
Lot Size . Rt'_ Di ections•
S?,~m G - A.UD 0Z
Facility: House obile Home Business Other: Tax Map # 4 X -3 b--!u
Multi-family Other Zoning Approval # ~9,3o108'x_
Bedrooms Seats Employees Application Rate V_ GPD Flow__Z0_
Hot Tub or aio Special Fixtures 100% Repair Area yes/no REPAIR NOTICE:
Basement Basement Plumbing ye . REPAIRS MUST BE WITHIN 30 DAYS OR
Water Supply: Private_~/ Public DAYS FROM DATE OF PERMIT.
Type of System: Trench '13ed Pump_ie:~Irump/Panel Panel LPP Other.
Tank Size: Septic Tank /Dob Pump Tank /1200
Nitrification Field: Total Square Feet /PkCDepth of Stoned " Bed Size
Trench Width 3 Total Length of All Trenches yQ 4 Number of Trenches
Individual Trench Length /!cc , c c Feet on Center Maximum Trench Depth may'
Distance of Nearest Well :t ' Lot Evaluation: Approve& o (Void After 24 months)
Topo % Slope Sketch of,-1-6t Evaluaf -on Slte ~ em Design - Final
Texture_ r-,r4%E!V--
Structure k 70 A;CT ct.S-t
l~c.Oc
Clay Min. /I /
Soil Wetness _
Soil Depth w
Restric. Hoz. at C. sa•~
Available space no ~I 'mac
Overall Class S PS <
Comments: sa, ion
a~
-c
.._.~r
Septic Tank Cont4actor
MUST contact the
Sanitarian BEFORE
changing permit
**NO GU E OR WARRANTY IS IMPLIED OR GIVEN0 ISSUANCE OF THIS PERMIT**
*+rw•.*w***~r**,~***ww*k,~►*.ww,t~r~****~rrs~tst►~►s*****x**:*****,~*:,~**~,s*~►**xs*.~r*::sue***rr***,~*****
Permit Date '5~4 / 1993 (Improvement Permit void after 60 months)
KAY
Owner/Agent' Sanitarian„2-
Installed y Dated - 9'~ Sanitarian_ ' ' - 4,11_Z'
(Note any changes/information in red or by sketch on back)
*******IF'~A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS HARE TO THE PROPERTY. THERE********
IS, AN ADDITIONAL $25 CHARGE.
White-Office Blue-Bldg. Insp. Comp. TelloW-Owner/Agent Green-Bldg. Insp. I.P.