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Home My WebLink AboutAUTH-05-2022-170833.TIF ( ) catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 9/1/2023 Owner(s): Jeffery Cornette Mailing Address: 3705 Buffalo Shoals Rd Maiden, NC 28650 Property location/site legal description: 3705 Buffalo Shoals Rd, Maiden PIN: 366704648018 Improvement Permit (IP) Date Issued Authorization to Construct (AC) AUTH-05-2022-170833 Date Issued 5/6/2022 I, .leffery Corvette , voluntarily relinquish my rights to pursue a formal appeal through the North (print full name) Carolina Office of Administrative Hearings pursuant to NC General Statute 130A-24 and 150B-23 and all other applicable provisions of Chapter 150E for the above referenced permit(s)(which includes the IPs and ACs) in order for the authorized agent/local health department to issue the applicable permit (new IP and/or AC)for the site. I understand by completing this form that the permit(s) for a Illb—25% Reduction (System description) will be revoked immediately by the authorized agent/local health department. I understand that the local health department's revocation of a permit can be appealed to the North Carolina Office of Administrative Hearings within 30 days of the revocation pursuant to the North Carolina Administrative Procedure Act. I understand that in order for the local health department to issue another IP and AC that the current IP and AC must be revoked. I understand that the local health department's revocation of an IP or CA is not effective until 30 days from the revocation or, if the revocation is appealed, at the time that the Office of Administrative Hearings issues a final decision. I understand that by signing this form and relinquishing my right to appeal the permit revocation at the Office of Administrative Hearings that the local health department's permit revocation will become effective immediately. I understand and agree that the revocation of a permit that takes effect immediately is in my best interest. I understand that by signing this form that I agree that I do not want to appeal the permit revocation. I understand that I am not required to relinquish my appeal rights but that this is an option available to me so I do not have to wait 30 days for the revocat' n of the permit to take effect, Signature of Property Owner: Date Signed: &3 NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health Cctcwbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 I 828.465 8270 MAKING. LIVING. BETTER. catawba county public health September 1, 2023 Jeffery Cornette 3705 Buffalo Shoals Rd Maiden, NC 28650 Subject: Notice of Intent to REVOKE the Authorization to Construct for 3705 Buffalo Shoals Rd, Maiden PIN 366704648018 Catawba County Permit AUTH-05-2022-170833 Dear Mr. Cornette: The Environmental Health Division of Catawba County Public Health intends to revoke your Authorization to Construct 30 days from the date of this notice. If the permit is revoked, you must apply for a new Authorization to Construct (AC) and meet the requirements of the current laws and rules necessary to obtain a new AC. You have a right to an informal review of this decision. You may request an informal review by the environmental health supervisor at the local health department. You may also request an informal review by the NC Department of Health and Human Services Regional Soil Scientist. A request for informal review must be made in writing to the local health department. You also have a right to a formal appeal of this decision. To pursue a formal appeal,you must file a petition for a contested case hearing with the Office of Administrative Hearings 1711 New Hope Church Rd, Raleigh, NC 27609. You may write the Office of Administrative Hearings, call the office at (984) 236- 1850 or get a copy of the petition form from the OAH web site at http://www.oah.nc.gov . The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 150E-23 and all other applicable provisions of Chapter 150B. North Carolina General Statute 130A-335 (g) provides that your hearing would be held in the county where your property is located. catawbacountync.gov Environmental Health Cetcwhc County Government Center 25 Government Drive PO Box 389 I Newton NC 28658 I 828.465 8270 MAKING. LIVING. BETTER. If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is 9/1/2023. Meeting the 30-day deadline is critical to your formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are required by law (NC General Statute 150E-23) to serve a copy of your petition on the Office of General Counsel, NC Department of Health and Human Services, 2001 Mail Service Center, Raleigh, NC 27699- 2001. Res ectfully, ames R. Ross, REHS Environmental Health Specialist Catawba County Public Health _03 fie CATAWBA COUNTY Case IIAUTH-05-2022-170833 ry t ii .Z Public Health Department Subdivision Q . EPOnvBoxironment389a ,25l HealthGovernment DivisionDrive, PIN# 366704648018 Newton,NC 28658 LOT# /8. s. Site Address: 3705 BUFFALO SHOALS RD, MAIDEN NC 28650 Name on Permit: JEFFERY CORNETTE Property Size: Acres 1.09 Directions: 16 S, right Buffalo Shoals Rd, 1.8 miles on right just past Laney Rd Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Basement? No Basement Plumbing? NO Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soil LTAR: 0.3 g.p.d.lft2 WASTEWATER SYSTEM REOUIREMENTS Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: New Tank: 1,000 gal Pump Tank 1.000 gal Grease Trap_gal Dosing Volume 137 gal Pump Specs: 23.3 GPM @ 13 TDH Pressure Head 2 ft Draw Down 6.5 in Drainfield: Total Area: 900 sq ft Total Trench Length: 300 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 34 in Minimum Soil Cover: 12 in Minimum Trench Separation: 7 ft on center Number of Drain Lines: 4 Trench Width: 3 ft Distribution: Pressure Manifold Pre Treatment: NONE Pump Required Additional Specifications: *Do not cut,drive, fill, or grade over septic or repair areas. *Septic system must be 10 ft from property lines, 50 ft from wells, 5 ft from building foundations and appurtenances, and out of right-of-ways and easements. *Install a 1,000 gallon septic tank(risers required if top of tank is greater than 6 inches below land surface)and 1,000 gallon pump tank with risers. *Existing septic tank should be pumped out, crushed, and filled in with soil. *Trench depth must be installed between 30 inches(due to fill at pit 1)and 34 inches deep. *Install 300 linear feet of 25% reduction system, proposed 4 lines total to be used and fed by pressure manifold with 3 sch 40''/2"taps. *Laid out 4 lines in the field on 15 ft centers with inferred lines in between, *Full layout: line 1 36 ft(green flags), line 2 42 ft(inferred), line 3 58 ft(red), line 4 98 ft(inferred), line 5 102 ft(g reen), and line 6 48 ft(white). *Tap 1 will feed lines 2 and 3 via connected via stepdown. Tap 2 will feed line 4, and tap 3 will feed line 5. *Lines laid out in the field and are longer than the lengths listed above. *Trees may need to be removed. *Final grade of septic area must shed surface water off and away from system. *All gutter drains must be routed away from the septic system. ch,n rndl 05/06/2022 16:4R vsy,' • CATAWBA COUNTY Case# AUTH-05-2022-170833 t I Public Health Department Subdivision d . Environmental health Division PIN# 366704648018 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 8, sw Site Address: 3705 BUFFALO SHOALS RD, MAIDEN NC 28650 Name on Permit: JEFFERY CORNETTE Property Size: Acres 1.09 Directions: 16 S, right Buffalo Shoals Rd, 1.8 miles on right just past Laney Rd See also attached site plan. 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 not approved, and may result in failure to approve the initial system installation, or the suspension/revocation of existing permits. >>>>> Do not install system under wet conditions <<<<< PROPOSED REPAIR Repair System Required? Not Required Soil LTAR: 9•P•d.tft2 Proposed System: System Classification: The issuance of this permit by the Health Department does not guarantee the issuance o1'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 Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct 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 Sewage Treatment and Disposal Systems'(I 5A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. 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. , i ^� 05/06/2022 Authorized State Agent Permit Issuance Date 5/6/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. cl i pr n n i t 05/06/2022 16:48 AC '"f lag 63-2022— £}o c44 Catawba County Environmental Health os- 2c zz— 170833 C+�S� ?f \ *.r.„ tAXA 1/4 .V'1O_ r ■ 010p 6,-:51s-V pQm t 1 P fc ManNu 4 • 14 1111111",. 4411 % 11/2://s. ........ \ Sler,,--::`,"_....-- ,l3 Parcel: 366704648018, 3705 BUFFALO SHOALS 1 in=40ft RD MAIDEN, 28650 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 Isbell rg information contained on this map or data on this report Catawba County promotes and recommends the frependent verification of any data contained on this maplreport product by the user.The County of Catawba,its employees,agents,and personnel,disdain,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 2021 Catawba County NC 05/05/2022 (-1o'RV? 6 SYSTEM Lint/ Ste[ eigri111211 LAth 11218.1118 [Mao lily IttnclAna Lime LTAR 100 SCH 40 1/2 7.11 120.00 300 0.40 2 98 SCH 40 1/2 7.11 120.00 294 0.41 3 102 SCH 40 l/2 7.11 120.00 306 0.39 total teat a 300 gal/min- 21.33 D. Row 360 Pump Rum 18.88 sob LTAR 0.3 (EZLAY(tar+5%) 0.315 LIAR with INNOV.+5% 0A LTAR with I1NOV. 0.42 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheer J ol, DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH � COUNTY:_Catawba [ _ SOIL/SITE EVALUATION 7iJif,f9 for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: J44 ' Coi. 4.+ _ APPLICATION DATE ADDRESS: DATE EVALUATED: Vif/xZ PROPOSED FACILITY: 3ter' PROPOSED D .SIGN FLOW(.1949): 3`. PROPERTY SIZE: LOCATION OF SITE: 3 )_r 3...04 I. - ib•-ii MCA PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public C}Well ❑Spring 0 Other 4 EVALUATION METHOD: 0 Auger Boring [.Pit CICut TYPE OF WASTEWATER: ❑Sewage 0 Industrial Process ❑Mixed • • • • P R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS .194U E ipSCAPE HORIZON P,.. 4 / DEPTH .1942 PROIrILE o SLOPE.4 (IN•) 1941, .1941 SOIL .1943 .1956 .1944 CLASS ss STRUCTURE! CONSISTENCE/: WETNESS! SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR :: , , ' s. DNTH CLASS :HORIZ . 0-if -lilt c+.c_ R , /$.jam "6' tI JCL fit se 1 n.'3� S•L 3 - gr ,ssrr- c ;-,e se y -s, wjak c.r ri2 .se= ief -- ,tom. • o-/..S ""Cr s t- Pt I E e 'i"- y--L iv♦ ,,.1q- fr rtS l3-3 L s4 E. c fi se` / a s 2 3L_5'a ' ,saE c/ SC /fiv.r 3 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): 1445 '��;�� II S SITE CLASSIFICATION(.194B): fil Available Space(.1945) System Type(s) i 2�'1 K A,�� EVALUATED BY:OTHER(S)PRESENT: ' Site LTAR COMMENTS: ry 2014 , 'l o V`(g ,0.43 Catawba County Environmental Health ; -...s-s-.N11\41)\\\ weA( L,.o Tip a it 3705 •3605 � , ■ 0,11111 \ t 40. _44161 w-44 00•04P4911) hos. Parcel: 366704648018, 3705 BUFFALO SHOALS 1 in=40ft RD MAIDEN, 28650 - 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 shal 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 2021 Catawba County NC 05/05/2022 go(PM 20 CALCULATIONS Location Project Number Lot No: No. of Bedrooms 3 Design Flow 360°s/ew LTAR 0.3°"/edy EZ-Lay?(YES OR NO) YES Supply Line Length 100 ft. Supply Line Volume 17.4 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 300 ft. 2"SCH 40 PVC Amount of Line from Layout 300 ft. GPM f 20 0.84 Gallons per Minute 21.33 9"4„1„ 25 1.27 Required Septic Tank Capacity 1000 gal. ' `��'E ATO S Minimum Standard Tank Size 1000 30 1.78 arigagaran Lateral Line Volume 195.9 gal. 35 2.37 Dosing Volume 137.13 gal. 40 3.03 Mots: Dosing Volume Dosed on 7016 tattgfit+ Mit of the lateral tine volume. 45 3.77 ''II 50 4.58 Tank Draw Down 6.5 Generic Draw Down of 21 gal.per in. Pump Run Time 6.43 minutes Elevation Head 8 ft. Pressure Head 2 ft. Friction Factor 1.27 ft./100 ft.(From the interpolator.) Friction Head 1.27 ft. Total Dynamic Head(+15%) 12.96 ft, 1