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HomeMy WebLinkAboutEHPR-08-2016-24508.TIF A •G THIS IS NOTA PERMIT Case # EHPR-08-2016-24508 41 G CATAWBA COUNTY HEALTH DEPARTMENT EWE!v s PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES y EWE! _ / CO842 sM Environmental Health Plan Review - OSWP •3• o o IMPROVEMENT '• Applicant CHUCK FULP, 118 TIMBER RD, MOORESVILLE NC 28115 C:7042237140 Contractor CAROLINA SOIL& SEPTIC CONSULTING, PLLC (ADRIAN PRUITT), PO BOX 1703, MOORESV NC 28115 C:704202579I Land Owner KRISTA HUNTER,4516 KISER ISLAND RD,TERRELL NC 28682 NAME TO APPEAR ON PERMIT Chuck Fulp SITE ADDRESS: 4508 KISER ISLAND RD, TERRELL NC 28682 PIN # 461602577837 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet 20,908.80 Acres 0.48 DIRECTIONS: Hwy 150 East, Left onto Kiser Island Rd, Lot is on the Right before Daybreak Bay Dr. PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP Only* 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? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF Vacant Lot EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: House 40x50, Pool w/concrete 45x30 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: • YES Other described: E9-ehapplicatlon 08/16/2016 08:40 Page 1 of 4 ,r4• -,. CATAWBA COUNTY Cased EHPR-08-2016-24508 ,;Q'Art s 7, Public Health Department Subdivision < R oh, Y Environmental Health Division PIN# 461602577837 \‘..,'"44-4h PO Box 389. 100-A Southwest Blvd. Newton. NC 28658 /g.2 6 NAME ON PERMIT: (CHUCK FULP), 118 TIMBER RD, MOORESVILLE NC 28115 ( Chuck Fulp) Site Address: 4508 KISER ISLAND RD, TERRELL NC 28682 Property Size: Square Feet 20,908.80 Acres 0.48 Directions: Hwy 150 East, Left onto Kiser Island Rd, Lot is on the Right before Daybreak Bay Dr. Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,site plans or intended use changes for the proposed facility. 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 /d)abelin �f II property lines and corners and making the site accessibl- -o that a Comte.v-%.-- evaluation can be performed. Date: ?/ / 6/ / Signature of Applicant or Agent .- ..c.------ An / An Environmental Health Specialist will contact you wi working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 1,IFiEENAM.EIlri i i Pih ]l 'mmlI hgti`i lli¶P nl!I' gpi I i' [ liDATEhI 'N I 'EE AMOUNTt�"; �T 7( �, �I,wG �Ir,� h a�q.��hll�l rl..,,id.l �9��,w. �t i 1l :� ,� _u_ Improvement Permit Fee . l08/16/2016. $150.00 ILillI� , � ITOTAI FEEsplay 4llliiitL . 11DggI{'ilililllViililN dill�lh ii lliillli ] 10 "1S5O lil ft -... .l ....ulu - 7c .....w! .... '� uii uaWN .ui11LD i „ tuv'v IFtlIah 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) IN-ehapplication 08/16/2016 08:40 Page 2 o14 CATAWBA THIS IS NOT A PERMIT ma mnTi CATAWBA COUNTY HEALTH DEPARTMENT „e„ba„,umaApplication for Environmental Services Page I Improvement Permit Q Authorization to Construct❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑® Existing Facility ❑ Property Address 4508 Kiser Island Rd Subdivision Elizebeth Sherrill Bailey Property Terrell, NC 28682 Lot# 1 Acres 0.48 ac Section/Block/Phase Driving Directions to Property Hwy 150 E,Turn left on Kiser Island Rd,Lot in Right before Daybreak Bay Dr. NAME TO APPEAR ON PERMIT? ❑ Owner ❑® Applicant ❑ Contractor Applicant Contact Information Name Chuck Fulp Address 118 Timber Rd., Mooresville,NC 28115 Phone Contact Angel Caudle 704-223-7140 Cell Phone Owner Contact Information Name Krista Hunter Address4516 Kiser Island Rd., Terrell, NC 28682 Phone Cell Phone Contractor Contact Information Name Carolina Soil&Septic Consulting, PLLC Address P.O. Box 1703, Mooresville, NC 28115 Phone704-202-5791Cell Phone • WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ®❑ Contractor Description of Existing Structures on Site # of Bedrooms *t _ Structure Dimensions #of Occupants Basement ❑ Yes ❑ No Basement Fixtures Q Yes ® No 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. O Yes C3 No Does the site contain any jurisdictional wetlands? 0 Yes El 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? ® Yes 0 No Is the site subject to approval by any other public agency? ® Yes No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well I Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** D Yes KNo 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) O Accepted ® Alternative ❑ Conventional 0 Innovative 0 Other 0 Any CATAWBA THIS IS NOT A PERMIT cou�rs CATAWBA COUNTY HEALTH DEPARTMENT N.h1 Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑$ New Residence ❑ Addition to Residence #of New Bedrooms *t 3 Project Description New Stick Built House Structure Dimensions 40'x50' # of Occupants 6 Basement ❑0 Yes ❑ No Basement Fixtures 10 Yes ® No Accessory Structure(s) Describe nQ>rJ«LligtI(tiZ � #of New Bedrooms *t if applicable _ Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes 0N Plumbing ❑ Yes in No Describe Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions LJ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area(Sq. Ft.) H Business Specific Type of Business Retail Floor Space # of Employees per Shift #of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen E Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug E Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *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 house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms,calculated design flow is required. ** If No.a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 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 property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent 1 ( Date t / Printed Name of Owner or Agent / (' , Pw e ( t- ` Catawba County Environmental Health y 43.40 1 W l G I 32.60 ,� (310) 11� htr.ii 'G' A ' HT, IYe CI I\�� utai a CP tr : 'Ilk 14 I tlri'lilb las 65 11 I; l�' 1 it ik I�t "fe l(; I"� l rolb ll 66 68 �"'irtern �dl l it f^ t� f a l i te I i I z lit tcccit '� x{!�hr II tr „�hl„ly, cc cn w R 1485 765----. .._: iir 7770 -8 21.80 ri' f cy "bb, (110) s 66.:7 Parcel: 461602577837, 4508 KISER ISLAND RD lin=50ft TERRELL, 28682 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 2014 Catawba County NC 08/16/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461602577837 Owner: HUNTER KRISTA H Parcel Address: 4508 KISER ISLAND RD Owner2: City:TERRELL, 28682 Address: 4516 KISER ISLAND RD LRK(REID): 14004 Address2: Deed Book/Page: 3069/1334 City: TERRELL Subdivision: State/Zip: NC 28682-9769 Lots/Block: 1/ Last Sale: $108,500 on 2011-03-23 School Information: Plat Book/Page: 22/199 School District: COUNTY Legal: LOT 1 22 199 Elementary School: SHERRILLS FORD PLMiddle School: MILL CREEK Calculated Acreage: .480 Tax Map: 013 X 04010 High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 1841 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $0 Zoning2: Land Value: $106,500 Zoning3: Assessed Total Value: $106,500 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2008-03-18 Building Permits for this parcel. Firm Panel #: 3710461600L Building Details 2010 Census Block: 5016 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P41 Agricultural District: 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. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=461602577837&typ=P 8/16/2016 • Carolina Soil & Septic Consulting, PLLC P.O. Box 1703, Mooresville, NC 28115 Phone: (704) 202-5791 Email: adrianpruett@yahoo.com NC Licensed Soil Scientist, SC Professional Soil Classifier, Certified Septic System Operator. Licensed Septic Installer, Certified Septic Inspector Attached is a proposed design for a PPBPS Septic System with PRESSURE MANIFOLD distribution for a 3 bedroom single family residence on Lot 1 of Elizebeth Sherrill Bailey Property, 4508 Kiser Island Rd, Catawba County, North Carolina. Contents: Page Installer Information 1 Design Information Install Specifications 2 Field Layout Specifications 3 Pressure Manifold Tapsheet 4 Typical Pressure Manifold Diagram 5 Site Plan/System Plan 6 Dosing Calculations 7 Profile Descriptions 8-9 August 7,2016 Job Number: 2016-035 Design By: Adrian L. Pruett LSS 1 INSTALLER INFORMATION: - The permit should be read very carefully prior to submitting bid. The following are details that must be considered along with all other considerations. - Tanks shall be approved by NC DHHS, and certification supplied by the manufacturer. - All tanks shall be properly back filled and compacted to prevent slump at a later date. - The installer is responsible for final grades and returning that grade to original, with exception of added structural features. - The supply trench shall be compacted to eliminate any cavities left during initial fill placement. - Installation of the system shall be during dry conditions in order to protect the soil structure. - All fittings shall be pressure rated fittings. - All joints shall be cleaned with PVC pipe cleaner and a heavy bodied glue applied to weld all joints. - Where required by the county health department, post installation inspections by the designer must be scheduled 5 week days in advance. - Trenches shall be carefully excavated so the bottom has no more than 1/4"fall in 10 feet with no high or low areas within. If high or low areas do exist after trench excavation, high areas should be removed rather than filling in low areas. Do not over excavate trenches! Any fine grading should be completed by hand with a rake and shovel, leaving no loose material. - All pipe openings in the tanks shall be properly grouted. This also applies to the joints around the riser. - Earth dams, constructed of relatively impervious material, shall be installed at the beginning and end of each lateral to prevent unwanted lateral water movement. - No heavy equipment shall be used on the field during or after installation. The use of a small loader (i.e. Bobcat) or a trencher (i.e. Ditch Witch 2300/2310) may be used for installation. - Elevations at pin flag locations should be checked by the installer prior to beginning trenches to insure accuracy. - Pump tank riser should be 6" above grade, control panel should be 12" above grade. - If septic tank risers are used they should be a minimum of 6" above finished grade or within 6" of final grade if buried. - Backfill minimum of 6" of material (County Approved) over panels, rake trench walls, lime side walls, install trenches 24" wide. - System is specified as a PPBPS with PRESSURE MANIFOLD Distribution. - Repair is specified as LOW PRESSURE PPBPS system installation - Where Supply Line crosses under the driveway 30" depth must be maintained and it is suggested it is sleeved in larger diameter PVC pipe for ease of repair if need in the future. 2 PRESSURE MANIFOLD SYSTEM DESIGN SPECIFICATIONS LOT 1 ELIZEBETH SHERRILL BAILEY PROPERTY 4508 KISER ISLAND RD. Drainfield Design Flow(gpd): 360 Loading/Soil Application Rate(gpd/R=): 0.3 Depth of Gravel in Trench: NA(PPBPS) Gravel Size: NA(PPBPS) Total Lateral Length From Layout: 200 Total Lateral Length Required: 200 Trench Depth: 36 in. Trench Width: 24 in. Trench Bottom Area: 600 Trench Spacing on Center: 8 Septic Tank Size: 1000 Pump Tank Size: 1000 Estimated Supply Line Length: 221 Supply Line Diameter: 2 in. SCH 40 PVC Supply Line Volume: 38.45 Dosing Volume: 162.00 Pump Tank Draw Down: 7.7 Supply Manifold Size: 4 in. SCH 80 PVC Supply Manifold Length: 4 ft. (minimum) Supply Manifold Volume: N/A Recommended Dosing Controls: Float Control Switches as Required for Control Panel or County Approved Equivalents Recommended Control Panel: NEMA 4X Control Panel or Equivalent, County Approved Control Panel. Pressure Head: 2 ft. Friction Head: 1.78 Elevation Head: 0.00 Total Dynamic Head: 7.12 Threaded Union: In Tank Gate Valves: 1 in Tank 1 at Pressure Manifold Check Valves: In Tank Anti-Siphon Hole: NA Additional Comments: Soil suitability was performed by Adrian L. Pruett, LSS Owner: Krista Hunter Address: 4516 Kiser Island Rd Terrell, NC 28682 Buyer Chuck Fulp Contact Angel Caudle Telephone Number: 704-223-7140 'Pump tank draw down based on an industry standard volume basis of 21 gallons per inch. Draw down may vary among pump tank manufacturers. 760 Contour Lake Norman JOEL H. PATTERSON III, PLS Per actual Field LICENSE NUMBER: L-3717 Location S3SSK66'' ' ea Wall North Based on: / 2j,� Ma Bk:22 P :199 f// 50' BFro n\ }IEEE 0., 70 Contourufter CO so CO E:�I C U ?P.a. in-1.,2. S.T.I oSa \ O rriZ Proposed p \ • �__ -Pool o ra �_ N A \W: 2t1 :4-9.---- \ Lot 2 /0 Proposed House 4. 0 hd o \ a Lot I iv O 15.5' 50.0'hi N N J V lo O SO99Ci 0 role ms C4,.I se Y 5 P 40' O P3 e A \ g0' :31 Y 31' \ .. leo, 3 B 54' 2 P4 PV.M A �� 2 P 58' \\\ Y Ao, 1 Y 57' \ \ R/R/-� __ 11 \ —___- NO2'57'40"W NO1'55'54"E N05'02'34"E 33.00' 60.05' 38.88' 1) This property may be subject to any Easements, Rights—of—way, and/or Restrictive Covenants. KISER ISLAND ROAD 2) Boundary information based on Mop Book 22 at (60' R/W) LEGEND Page 199 as recorded in the Catawba County Register of Deeds. R/W = Right—of—way 3) This is a preliminory survey and is not intended I.P.S. = ,§'4 Rebar Set for recordation, conveyances or soles. 4) No N.C.GS. or U.SGS. Monuments —"r = Not to scale could be located within 2000'. PLOT PLAN SURVEY = Telephone Pedestal 5) Area by coordinate method. ca.) = Utility Pole 6) 760 Contour based on information os supplied by Duke OF Q = Coble Pedestal Energy Lake Management Lake Level on '-26/16 750 LOT 1 eOFw S"ELIZEBETH SHERRILL BAILEY PROPERTY" Na = Water Meter SCALE 1 = 40 MOUNTAIN CREEK TWSP., CATAWBA CO., NC FIELD BOOK: Fu r. 1ROOR 7 CALCULATIONS Location 4508 KISER ISLAND RD ELIZEBETH SHERRILL BAILEY PROPERTY Lot No: 1 No. of Bedrooms 3 Design Flow 360 gal/day LTAR 0.3 BPd/f? PPBPS RED.? (YES OR NO) YES Supply Line Length 221 ft. Supply Line Volume 38.454 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 200 ft. 2" SCH 40 PVC Amount of Line from Layout 200 ft. GPM f 20 0.84 Gallons per Minute 27.4 gal/min -0.88 25 1.27 Required Septic Tank Capacity 1000 gal. -1.28 Minimum Standard Tank Size 1000 30 1.78 -1.76 Panel Volume 3.6 35 2.37 Number of Panels 45 -2.25 Dosing Volume 162.00 gal. 40 3.03 Note: Dosing Volume based on 100%of# 43.07 3.48 of panels times 3.6gal/panel 45 3.77 48.14 4.28 50 4.58 57.11 5.89 60 6.42 Tank Draw Down 7.7 Generic Draw Down of 21 gal.per in. Pump Run Time 5.91 minutes Elevation Head ft. Pressure Head 2 ft. Friction Factor 1.78 ft./100 ft. (From the interpolates) Friction Head 3.93 ft. Total Dynamic Head (+20%) 7.12 ft. DEPARTMENT QF HEALTH AND HUMAN SERVICES Sheet 1 of 1 DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 5: N6itd2-n3'3 ON-SITE WATER PROTECTION BRANCH COUNTY:Xe,-I-e. A,E SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: /. v^, S A_ in _ APPLICATION DATE 6----/6.-/e ADDRESS: ('/6 LC,` ( l..- Dr eir I it -4:,(r 2_ DATE EVALUATED: 8----/-/O PROPOSED FACILITY: ? 13,'4.1 PROPOSED DESIGN FLOW(.1949): 3 - C c . PROPERTY SIZE: 6 .3(13.4".C. LOCATION OF SITE: (1C-0).c- 1(,Se'.a c 1,,d 44 /fr2 1-0"Fi • PROPERTY RECORDED: Ve) WATER SUPPLY: , Private U Public 0 Well 0 Spring U Other EVALUATION METHOD: 0 Auger Boring 4 Pit U Cut TYPE OF WASTEWATER: Sewage 0 Industrial Process U Mixed w n P a P x D SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON E POSITION/ DEPTH .1942 PROFILE 0 SLOPE% (IN•) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR & LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ p [-SS #0 -3 DeCi.—k,6444I-- 5Se5Rktl 1/61` N//-1- N/4 1J 3 ,30 (.(. )r�G6c r-crsssesC,k:i 61 1 �7 )0-� l l�. GsQ[; SS S FsrAo , s 0, 3 , O�s, _ Je p t ss 0-ti r ct_wno4 ss srsi•;xA iIF �.�� A, fid�f 15 61-3 gcIli rsciz FrcS sPNCxP S 2 S / 33- �L R 6.4. 1✓4-304 Firs sPss;�d-c3°z csiP 0,3 cy,..)Q1Afi .514 7 lArsLs4� /ti Fr- S sss� �3A-A 9 LSS o ._ ; eco is 4 ��scs?) A-1 N/% /�// �S 1 c• "3' P.C. m;—& `l/ jrss SPS�xn 3 .27-.r tZto-,,ccat< o�� sSSP5 tet° Coni f) ®,33. /st1c7c•; Sv—Z,2 (/_-:r$L �7p/2/ l 5ss'Ps A—P • LSS 0 -"L/2 gcthrsl'l. /;^ SSCec f NAC. , 4 O�1 �h QCT 73.0tl �l SSSi 5S ° Com ki 6,3eadm_ff-: DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): /V ,, �. e- n SITE CLASSIFICATION(.1948): P S Available.Space(.1945) Ps S Y it- System /- Systemi cs 1� MPS 3 I EVALUATED BY: ik r(„ PIL-� G� 7p O e f! gP 5 LSP PP al 5 OTHER(S)PRESENT: JU1,.-, e- Site LTAR 0 1 3 0, 3 _ COMMENTS: Updated February 2014 CATAWBA COUNTY Case ft IMP V-5-10-7695 7. Public Health Department Subdivision Gats11 ,�'9 {, Environmental Health Division My.$' 'v PO Bos 389, 100-A Southwest Blvd,Newton,NC 28658 Lot# Wcs PIN# 461602577837 Applicant/Owner JEFFREY BAILEY Site Address: 4508 KISER ISLAND RD,,NC Property Size: SF 0.479 ACRES Directions: HWY 16 S-TURN LEVI'ONTO HWY 150-TURN RIGHT ONTO KISER ISLAND RD- 11/2 MILE ON LEFT Improvement Permit INITIAL SYSTEM EXISTING - IP FOR REPAIR SYSTEM ONLY Facility: House Permit Category: New Septic Bedrooms 3 WATER SUPPLY: Well Type: Individual Well Basement? No Basement Plumbing? No INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: X_ No Expiration: Projected Daily Flow 360 g.p.d Proposed Wastewater System: 50% REDUCTION Type: **** no system class assigned '*** () 0 Pump Required?: Yes Operator Required?:YES Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IVA -ANY SYSTEM WITH LPP DISTRIBUTION Pump Required?: Yes Operator Required?:NO 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 approved, and may result in failure to approve the initial system installation,or the suspensioNrevocation 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/propeny 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 Ru/es for Sewa^e Treatment and Disposer/Systems' (ISA NCAC 184 .1900). Neither Catawba County nor the Environmental Ilcalth Specialist warrants that the septic tank system will continue to function satisfactorily Luke Sears 05/27/2010 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 05/26/2015 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. • 05/27/10 10:00 E� lay - \G -))(i3 IPt . 5-l0 - `i695 v hoc M°a ✓ —A 6,3 4 A�oY�d Accu. 5D% 4 fit -r �r et 50 3Seacoan 45 5, �1o55�k /moi Atw k;sa VA Department of Environment,Health,and Natural Resources Sheet: Division of Environmental Health ' Property ID: On-site Wastewater Section Lot#: SOIL/SITE EVALUATION File#: for ON-SITE WASTEWATER SYSTEM AppID: Owner: Jeffery Bailey Applicant: Address: 4508 Kiser Island Rd Date Evaluated: 2/22/2010 Proposed Facility: Design Flow(.1949) Property Size: 0 Location of Site: Property Recorded: Water Supply: [ j Public [ )Individual [X Well I I Spring ( ]Other Evaluation Method: [ ]Auger Boring [X ]Pit [ ]Cut Type of Wastewater: [X]Sewage [ ]Industrial Process ( ]Mixed 1 .Fx r \ L i O * ' SOIL MORPHOLOGY , .� _ ,; b ':, ;- _-�- F ,v � ] ." ; _-.. �,.,;, . 1941W,. " • -- ,. •_ PROFILE FACTORS. �.... f 19+ Y L '� �" Landscape Horizon 19411 �e 1941 � �- Soil1:" � 1943 1956 1944 Profile E Position/ . 'Depth Structure/ Consistence Wetness/ RSoil Szpro �, Reslrre ;Class # Slope% r— M](IN:) Texture% �Mineralogy - Color Imo.. Depth(IN) Class= Honz ' ,%-&LTAR 1 FS 0-48 SCL/SBK FR/SS/SP 48" PS 18 .3 2 FS 0-50" SICL/SBK FR/SS/SP 50" PS 18 .3 3 FS 0-30 SCISBk Fi/FR/SS/SP 50" PS PS 17 30-50 SL/GR/SBK Fr/NS/NP .3 Description Initial System Repair System Other Factors(.1946): Available Space(.1945) Soil Evaluation By: System Type(s) Others Present: Site LTAR Site Classification(.1948): Site Evaluation By. Others Present: • Sheet: COMMENTS: FILE#: Landscape Position Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2-0.8 SG-Single Grain 5S-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Foot Slope II SL Sandy Loam 0.8-0.6 OR-Granular NS-Nose Slope L-Loam SBK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silly Clay PR-Prismatic T-Terrace Loam FP-Flood Plain CL-Clay Loam SCL-Sandy Clay Loam IV SC-Sandy Clay 0.4-0.1 SIC-Silly Clay C-Clay Consistence Consistence Mineralogy Moist Wet SEXP-Slightly Expansive VFR-Very Friable NS-Nan-Sticky EXP-Expansive FR-Friable SS-Slightly Sticky Fl-Firm S-Sticky VR-Very Firm VS-Very Sticky ER-Extremely Firm NP-Non-Plastic SP-Slightly Plastic P-Plastic VP-Very Plastic Sketch of Soil Evaluation Locations Department of Environment, Health,and Natural Resources Sheet: Division of Environmental Health ' File 4: On-site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM CONTINUED R. $ .0 - o: w. - SOIL MORPHOLOGY F -. .1941(tr..--_ i ' PROFILE=FACTORS% F1 I .1940r' a� _ 1942' r<: L Landscape Horizon 1941. 'f{'1941Soil : i 1943 1956 .1944':4 - • Profile tune E r PosltioN 'i Depth Structure/ Consistence Wetness/ `:Soil Sapro';, Restr -_Class • 4. .° `Slope% -�(IN:)'- iTexture Mineralogy ' • Color - • ,Depth(IN) ClassHoriz i = "''&LTAR Sheet: COMMENTS: FILE#: Landscape yosition Group Texture .1955 LTAR Structure R-Ridge I S-Sand 1.2 -0.8 SG-Single Grain SS-Shoulder Slope LS-Loamy Sand M-Massive LS-Linear Slope CR-Crumb FS-Food Slope II SL-Sandy Loam 0.8-0.6 GR-Granular NS-Nose Slope L-Loam SEK-Subangular Blocky HS-Head Slope ABK-Angular Blocky CC-Concave Slope III SI-Silt 0.6-0.3 PL-Platy CV-Convex Slope SICL-Silty Clay Loam PR-Prismatic T-Terrace CL-Clay Loam FP-Flood Plain SCL-Sandy Clay Loam IV SC-Sandy Clay OA-0.1 SIC-Silty Clay C-Clay Consistence Consistence Moist Wet Mineralogy VFR-Very Friable NS-Non-Sticky SEXP-Slightly Expansive FR-Friable SS-Slightly Sticky EXP-Expansive FI-Firm S-Sticky VFI-Very Firm VS-Very Sticky EFI-Extremely Firm NP-Non-Plastic SP-Slightly Plastic \ P-Plastic Il/a' VP-Very Plastic Sketch of Soil Evaluation Locations J � 5`� I /5 „(0—A- Co CATAWBA COUNTY G IOOA SOUTHWEST BLVD Aiii Y NEWTON,NORTH CAROLINA 28658 RECEIPT 9r ,;s�►e PHONE: 828.465.8399 U 11 , l e Tuesday, August 16, 2016 \II � 184'L sm www.catawbacountync.gov PAYOR: Carolina Soil & Septic Consulting, PLLC Carolina Soil&Septic Consulting, PLLC(Pruitt, Adrian) PAYMENTS TRANSACTION NUMBER: TRC-784291-16-08-2016 , PAYMENT DATE : 08/16/2016 PAYMENT TYPE: Check 1067 INVOICE NUMBER FEE NAME FEE AMOUNT 08-16-331628 Improvement Permit Fee $150.00 TOTAL PAYMENTS : S150.00 EHPR-08-2016-24508 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 4508 KISER ISLAND RD,TERRELL NC 28682 Applicant CHUCK FULP, 118 TIMBER RD, MOORESVILLE NC 28115 C:7042237140 Land Owner KRISTA HUNTER, 4516 KISER ISLAND RD, TERRELL NC 28682 Contractor CAROLINA SOIL& SEPTIC CONSULTING, PLLC, PO BOX 1703, MOORESVILLE NC 28115 C:704202579I ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 08/16/2016 08.39 Page 1 of I