The URL can be used to link to this page

Home My WebLink AboutIMPV-05-2022-172386.TIF Catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: 2/27/2023 Owner(s): Erica Frazier Mailing Address: __ 1316.Mollys Backbone Rd Catawba,NC 28609 Property location/site legal description: 1316 Mollys_Backbone Rd,Catawba PIN: 461901094974 Improvement Permit(IP) IMPV-05-2022-172386 Date Issued 5/26/2022 Authorization to Construct(AC) AUTH-QS-2022-172389 Date Issued 5/26/2022 Erica Frazier ,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 150B 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 —lllg4fi..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 revocation of the permit to take effect. fYi Signature of Property Owner: caraAllu^ 2/27/2023 Date Signed: NCDHHS/DPH/EHS/OSWP Revised May 2015 catawbacountync.gov Environmental Health (ttcwba County Govcrnmerit (enter 25 Governs ent Drive I PO Bcx 389 Newton N( 28658 I 878.465.8770 MAKING . LIVING. BETTER . (1:1 ) catawba county public health February 27, 2023 Erica Frazier 1316 Mollys Backbone Rd Catawba, NC 28609 Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct for 1316 Mollys Backbone Rd PIN 461901094974 Catawba County Permits IMPV-05-2022-172386 and AUTH-05-2022-172389 Dear Ms. Frazier: The Environmental Health Division of Catawba County Public Health intends to revoke your Improvement Permit and Authorization to Construct 30 days from the date of this notice. If the permits are revoked,you must apply for a new Improvement Permit and Authorization to Construct(IP/AC)and meet the requirements of the current laws and rules necessary to obtain a new I P/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 htto://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 (ctcwbo County Government (enter 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 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 2/27/2023. 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 1508-23)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. Respectfully, 4,/,./..- f14.....„ Robert Phelps, REHS Environmental Health Supervisor Catawba County Public Health k I oorr CATAWBA COUNTY --- �. nr, Public Health Department Subdivision Z� ' _ �s`' Environmenl�l Health Division PINS 481901094974 �� PO Box 389,25 Government Drive,Newton,NC 28658 LOIN 2 Bits Adds.'s,: 1318 MOLLYS BACKBONE RD,CATAWBA NC 28809 Name on Permit: ERICA FRAZIER Property Stu: Acres 1.23 Directions: NC 10 Left 2nd Ave SE,Right 2nd ST SE,Right Rhyne RD,Left Husdon Chapel RD,Left Long Island RD, Right Monbo RD,Left Lowe ST,lot on Right Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of e property described above.th . - Z...... Aepermit(s)the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service RBPR-03-2022-40526,by the following method(s): _ Received in Person Facsimile Transmittal(Return form with signature required) V-- Electronic Image Transmittal/E-mail (Return receipt required) pAs the property owner or authorized representative I have reviewed and understand the specific conditions a.--- 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:05/26/2022 n, PA - Owner/Authorized Representative Signature l ""r/L, -7 Date (2 i IS i'DP'' Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature 411 Date/Time l/)f 15/)) Method: Fax J Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want!tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att http://wwwsurveymonkey.com/s/EHCusttomerServlce ei • n Zito lc,.8Peg iteuLsi, erty% 05/2712022 15:31 CATAWBA COUNTY Case# IMPV-05-2022-172386 ti -t. Public Health Department Subdivision Environmental Health Division PINK 461901094974 ') ( . PO Box 389,25 Government Drive,Newton,NC 28658 �I�42 w LOU 2 Site Address: 1316 MOLLYS BACKBONE RD, CATAWBA NC 28609 Name on Permit: ERICA FRAZIER Property Size: Acres 1.23 Directions: NC 10 Left 2nd Ave SE, Right 2nd ST SE, Right Rhyne RD, Left Husdon Chapel RD, Left Long Island RD, Right Monbo RD, Left Lowe ST, lot on 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 360 g p d Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 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: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required Permit Conditions: This permit issued pursuant to Section 11.(c)of SL 2018-114 using the signed and sealed LSS Evaluation attached here. Catawba County Environmental Health has not evaluated soils or site conditions for this property. Furthermore, CCEH has not field-verified soil descriptions submitted by the Licensed Soil Scientist. CCEH exclusively used the LSS evaluation and system design proposal to permit the septic system and future septic repair area. Catawba County Environmental Health is not responsible or liable for accuracy of soil descriptions or septic system design for this permit(s). Prior to CCEH's inspection of the system installation, all property corners must be surveyed, all property lines must be marked, and the 50 ft. lake setback, as applicable, must be surveyed. No deviation from the permit is permissible. If the system cannot be installed exactly as proposed by the LSS, maintaining all applicable setbacks under 15A NCAC 18A.1 900,the property owner is responsible for a LSS resubmittal under SL 2018-114 Section 11.(c ); new permit fees applicable. Do not drive,grade, cut,or fill over the septic system area/ septic repair area. Damage to the septic areas will result in permit revocation. 06/03/2022 16:11 CATAWBA COUNTY Case II IMPV-05-2022-172386 tr Public I lealth Department Subdivision "I Environmental Health Division PIN# 461901094974 PO Box 389,25 Government Drive,Newton,NC 28658 LO'l'# 2 4342 w Site Address: 1316 MOLLYS BACKBONE RD, CATAWBA NC 28609 Name on Permit: ERICA FRAZIER Property Size: Acres 1.23 Directions: NC 10 Left 2nd Ave SE, Right 2nd ST SE, Right Rhyne RD, Left Husdon Chapel RD, Left Long Island RD, Right Monbo RD, Left Lowe ST, lot on Right 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. The issuance of this permit by the I lealth 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 of ected 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' (15A 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 I lealth authorization or permit modification.Please notify Environmental Health of this change prior to system installation. 1 05/26/2022 Authorized State Agent Permit Issuance Date 5/26/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpennit 06/03/2022 16:11 1304 Mollys Backbone, Lot# INFORMATION FOR THE INSTALLER The permit should be read very carefully prior to bidding. The following are details that must be considered along with all other considerations. , Tanks shall be approved by DHHS, and certification supplied by the that must be considered along with all other considerations. • The installer shall be responsible to the owner for placement of the tanks and to insure that final grades are returned to the original natural grade, with exception of added structural features. • The supply trench shall be compacted to eliminate cavities left during initial fill placement. ' Installation of the system shall be during dry conditions in order to protect the soil • 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 is within 2"from the highest to the lowest , points of elevation within the trench. If the bottom elevation needs adjusting after it has been trenched, it will be done by removing high points rather than filling low points. It is extremely important to insure that trenches are not over excavated during initial trenching. All fine grading within the trench will be hand done with a shovel. No loose material will be left in the trench All pipe openings in the tanks shall be properly grouted. This also applies to the joints around the riser. * All tanks shall be properly back filled and compacted to prevent slump at a later date. Earth dams, constructed of relatively impervious material, shall be installed at the beginning and end of each lateral. 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. • Elevations at pinflag locations should be checked by the installer prior to beginning • Septic tank riser shall be a minimum of 6"above finished grade. • System specified as ACCEPTED type using GRAVITY distribution • Repair specified as ACCEPTED type using MANIFOLD distribution " System trench depth specified at 19" ' System trenches installed on 9' minimum; 3'wide trenches 1304 Mollys Backbone, Lot# ACCEPTED GRAVITY SYSTEM FOR WASTEWATER TREATMENT Contact: Erica Frazier Phone: 619 618-6500 Email: erica.nicole.f@gmail.com County: Catawba Location: 1304 Mollys Backbone Design Specifications Source of Wastewater Flow: 3 bedroom home Estimated Daily Wastewater Production: 360 gpd Drain field Size: 304 If Loading Rate: 0.3 gpd/ft.` Trench Depth: 19 in Trench Width: 36 in Septic Tank Size: 1000 gal 1304 Mollys Backbone, Lot# LAYOUT SPECS Daily Flow(gpd) 360 May 2022 LINE# FLAG BS HI FS ELEV FLAGGED DESIGN COLOR — — — LENGTH LENGTH TBM 0.0 0.0 INSTR. 1 0.0 REPAIR 1 Pink 1.2 56 56 2 Red 1.9 56 56 3 Orange 2.8 56 56 4 Yellow 4.0 56 56 5 Blue 5.4 56 56 6 Pink 6.8 56 56 SYSTEM 7 Yellow 84 76 8 Blue 88 76 9 Pink 89 76 10 Red 90 76 LINE LTAR SYSTEM REDUCTION TRENCH LENGTH GPD/FT2 TYPE TYPE DIST DEPTH SYSTEM 304 0.300 ACCEPTED 25% GRAVITY 19 REPAIR 336 0.275 ACCEPTED 25% MANIFOLD 23 Notes: "All measures in feet *"Nitrification lines are demonstrated on contour via colored pin flags "BS and FS indicate rod readings S 03 CKBD�E RD 60 R/W IF0 MOLLYS c' �- -,,, roa: of ,,, • � � _ • ,L I i _.„. .. IL 0 ,..,,,, .... ),..„,•••:.,..,,,„.., . t II n :•' a . ..: 2 : ,,,,Ii,.._ tiff• �' w 4. I. ; "; rt: k x • .' 21. r1 ,mac` . rn In%1 r. ` ., cam,•, ,b 0• ill.P.1111 ,.i. 'PED�, —LO 1 1 1 t S �°t° -- �a`z — E2 ---.--- ,'�MIL N1°�`""` r. Q Soil & Forestry Services of the Carolinas, PA ;1gdS18 Y a VSTEN,,�"'w` �«I•� i__ 813 Davidson Dr NW, Concord NC 28025 tt i 1 " —4 "'TNM m.nv,.o .....,.. `��_,�' www.soilandforestryservices.com W„� 1304 Mollys Backbone, Lot# Calculations Designer Wendell Overby Project Name 1304 Mollys Backbone Project# 22-1018 Project MM YYYY May 2022 0 Lot# (if applicable) Z Business (if applicable) Contact Erica Frazier Phone 619 618 6500 Email erica nicole f(a�gmail corn County Catawba Bedrooms 3 Daily Flow 360 System LTAR 0.3 System Type ACCEPTED System Distribution GRAVITY cn System Trench Depth 19 cn Required Feet of Line (system) 300 Repair LTAR 0.275 Repair Type ACCEPTED a_ Repair Distribution MANIFOLD Repair Trench Depth 23 Required Feet of Line (repair) 327 Sheet 1 of 2 PROPERTY ID#: 471003004052 COUNTY: CATAVVBA SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in Cull) OWNER: ERICA FRAZIER APPLICATION DATE: ADDRESS: DATE EVALUATED: 2/102022 PROPOSED FACILITY: 3 BEDROOM PROPERTY SIZE: 1.18 LOCATION OF SITE: 1304 MOLLYS BACKBONE PROPERTY RECORDED. WATER SUPPLY: riPrivate E)We1l DSpring Other EVALUATION METHOD: GAuger Boring JPit DCul TYPE OF WASTEWATER: �X�Scwage Dindustrial Process EMixed P SOIL MORPHOLOGY OTHER a (.1941) PROFILE FACTORS F LANDSCAPE HORIZON PROFILE I POSITION! DEPTH .1942 CLASS L SLOPE% (IN.) .1941 .1941 SOIL 19d3 .1956 i &LIAR E STRUCTURE/ CONSISTENCE! WETNESS/ SOIL SAPR RESTR N TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ L/8% 0-10 Y SCL WFA FRSSSP N/A 40 N/A N/A .275 10-40 R C WFS FRSSP 40- ROCK SAP 0-7 Y CL WFG FR SS SP N/A 54 N/A N/A L 10% 3-.35 7-38 R C WMS FR SS SP 2 38-54 RCLWMS FRSSSP • 0-10 Y CL WFG FR SS SP N/A 46 N/A N/A .3 L/10% 10-26 R C WFS FRSSSP 3 26-46 RSCLWFS FRSSSP 46 ROCK/SAP 0 0-9 Y CL WFG FRSSSP N/A 48 N/A 3-.35 L/10% 9-28 R C WMS FI SS SP 4 28-48 RCLWFS FRSSSP 48-60 RLWFS VFRNSNPCSAP 0-5 YCLWFG FRSSSP L/ 12% 5-32 R C WMS FRSSP N/A 48 N/A .3-.35Y. 5 32-48 RCLWMS FRSSSP 48-53 VAR SL MASS VFR NS NP r ii 4 r1 1Co fit. RS 1'J36DESCRIPTION INITIAL SYSTEM REPAIR SYSTEMa`� (Vt.414S AT ItIV(.194S): PS Available Space(.1945) 300 327 .. .-; ` r'r,14/I E A ATED BY: OVERBY System Type(s) ACCEPTED ACCEPTED 'i- 1+. t�' ._. . .• •-,,� ili, PRESENT: JOE THOMPSON Site LIAR .3 .275 ` C1• - ' z �-._ . COMMENTS: Updated February 2014 Sheet 2 of 2 PROPERTY ID 4: 471003004052 COUNTY: CATAWSA SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete alt fields in full) P SOIL MORPHOLOGY OTHER R (.1941) PROFILE FACTORS 0 F .1940 HORIZON I LANDSCAPE DEPTH L POSITION! (IN.) 1942 E SLOPE% .1941 .1941 .1943 .1956 .1944 PROFILE SOIL STRUCTURE/ CONSISTENCE! INES SOIL SAPR RESTR ,CLASS TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR 0L/24% 6 Y CL WFG N/A 'rock N/A N/A 6-32 R C WFS FR SS SP inclusion -54 6 32-54 BR SCL MS FR S5 SP C SAP 32 W .3 L/24% 0-8 Y CL WFG N/A r 40 N/A N/A 8-40 RC WMS FRSSP 7 40 ROCK .3 i L 124% 0-8 Y CL WFG N/A 32 PS N/A 8-32 RC WMS FR SS SP 8 32-60 VAR SL MASS VFR NS NP .3 L 124% 0-7 Y CL WFG N/A 52 N/A N/A 7-42 RC WMS FR SS SP B 42-52 R CL WFS FR 55 SP .3 0- .. , 0- COMMENTS: Updated February 20 14