HomeMy WebLinkAboutIMPV-07-2022-175263.TIF Catawba county
public health
July 16,2024
Dana Overcash
110 Aqua Dr
Mooresville, NC 28117
Subject: Notice of Intent to REVOKE the Improvement Permit and Authorization to Construct
for 3543 Jefferson St,Sherrills Ford,NC 28673. PIN 369702873564
Catawba County Permits:IMPV-07-2022-175263 and AUTH-07-2022-175264
Dear Dana Overcash:
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
IP/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 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
Catawba County Government Center
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 July 16,2024.
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.
spectf ,
an vans, REHS
Environmental Health Specialist
Catawba County Public Health
•
catawba county
public health
VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS
Date prepared: 6/12/2024
Owner(s): DANA QVI3RCASI'l
Mailing Address: 110 AQUA DR
MOORESVILLE,NC 28117
Property Jopatinn/site legal description: 3543 JI3PFERSON.Sf,SHlRR1LLS FORT)NC
PIN: 3697132873564
Improvement Permit(It') IMI'V-07-2022-275263 Date issued 7/102SI22
Authorization to Constrict(AC) AUfll-07-2022-175264 Date Issued 7/82022
l DvIL.L Dit ( ,voluntarily relinquish my rights to pursue a fonnal appeal through the North
(print full name)
Carolina Office of Administrative Hearings pursuant to NC General Statute I30A-24 and I5013-23 and all other applicable
provisions of Chapter 15013 for the above referenced pennit(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
25%reduction
(System description)
will be revoked immediately by the authorized agent/local health department.
I understand that the local health dcoarunem'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 liar
the local health department to issue another IP and AC that the current II'and AC must be revoked. I understand that the local health
department's revocation of:m IP or CA is not effective until 30 days from the revocation or,if the revocation is appealed,at the tint:
that the Office of Administrative Hearings issues a final decision. 1 understand that by signing this Lorin and relinquishing my right t4
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 1 urn not required to relinquish my appeal rights but that this is an option available to me so 1 do not have to wait 30
days for the revocation of the Hermit to take effect.
Signature of Property
Owner: A t'--U Cli"4"`c-
Date Signed: 1— (.a
NCDHHS/DPH/EHS/OSWP Revised May 2015
catawbacountync.gov
Environmental Heaitn
Colowbe County Government(enter
25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8210
MAKING. LIVING. BETTER.
r
CArAw8A COUNTY
tIlLPublic HealthfkplcWnent SubJn coon
"," Itt:nvironroemal Health Division F'I Na 369702873564
0 PO Box 389,25 Government tkrve.Newton,NC' 28655 t.1 f to
Site Address: 3543 JEFFERSON ST,SHERRILLS FORD NC 28673
Name on Permit: TIMOTHY COLUNS
Property Size: Ades 0.94
Directions: NC 16,Left Buffalo Shoals RD.Right onto UM Mountain RD,Letat on Little Mountain RD, Left onto Jefferson
ST
,(�/� Owner/Authorized Repreentativc AcknowledgerncnI of 1'ermit Receipt
2[��i ccrtitj that I am the owner or authuriied agent(owner's authoriratitm required)representing the owner of
fe
the property described above.
tAs the property owner or authorized representative.I have received the above referenced
permit(s)as requested in the application for service RBPR-04-2022-407332,by the following method(s):
Received in Person
Facsimile Transmittal(Return farm with signature required)
I Electronic Image Transmittal/E-mail (Return receipt required)
4�As the property owner or authorized representative I have reviewed and understand the specific conditions
t/(
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(I5A NCAC 18A.1900),
and/ur 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:07/06/2022
Owner Authorized Representative Signature
'Mt Date 7?Z.9a _...
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ frame of person sending permit)
Signature _-- E Daterlimc I i 1/4 Z
Method: Fax f:mail �`t;s Hail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wentt tto hear from ywPlease ttake a few mornentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
f,I in . I%•W°r310,4. 1'g r,n
07.l '4122 elk 11
�yib 4 . CATAWBA COUNTY Case# 1MPV-07-2022-175263
.I. ,y Public Health Department Subdivision
Q ,111)"1 Environmental Health Division PIN#
111.9 l.0'[ 369702873564
PO Box 389,25 Government Drive,Newton,NC 28658 #
!g4_ sr
Site Address: 3543 JEFFERSON ST, SHERRILLS FORD NC 28673
Name on Permit: TIMOTHY COLLINS
Property Size: Acres 0.94
Directions: NC 16 , Left Buffalo Shoals RD, Right onto Little Mountain RD, Lefet on Little Mountain RD, Left onto Jefferson
ST
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 d
9.P.
Type of Facility: Prim Res/Acc Dwelling
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well 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: 50%REDUCTION VERTICAL
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Pump Required ***** Operator 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.
**PLEASE NOTIFY Catawba County EHS of the scheduled septic installation date, at least
one week in advance, so a pre-installation site visit can be made. Call 828-851-6547.
*The septic drain lines must be flagged in by the system designer(LSS),before the septic
installation can begin.
*The water line must be at least 10 feet from any part of the septic system.
:Iq,rmnd 07/13/2022 08:46
.41 • CATAWBA COUNTY Case# IMPV-07-2022-175263
i• tNIL ., Public Health Department Subdivision
d '" Environmental Health Division PIN# 369702873564
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
8' 9,
Site Address: 3543 JEFFERSON ST, SHERRILLS FORD NC 28673
Name on Permit: TIMOTHY COLLINS
Property Size: Acres 0.94
Directions: NC 16, Left Buffalo Shoals RD, Right onto Little Mountain RD, Lefet on Little Mountain RD, Left onto Jefferson
ST
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 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 Yaws and
Rules for Sewage Treatment and Disposal Systems' (I5A 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.
,f(........................ 1)0q4 Et,4,1 S
07/08/2022
Authorized State Agent Penult Issuance Date
7/8/2027 .
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
rhprnnit 07/13/2022 0R:46
z. I Site Plan SFo s
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ole
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-iocrOteebe
rompovsd
y
Existing Septic
`ST 81 ': System to be
$CZ _ Q Q s Abandoned ,.
30 •.Ace.o ,hip k ``/
36.
0 \
ex0poh • ' 0
Tii. Op lr �. g .......
— ilits,
Wooden stake
egond: (represents front
• Soil Eveluatlon Locatl•
Jefferson St right comer of
'Y
MN house envelope)
<all other values), eopey ...,.
Ae Type Wood'take Is at
BO'from front right
%/I Initial Area prop.corner and 30'
WM
Repek Area from edge of
rAit Potential Well Area right of way.
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Scanned with CamScanner
K. Joe Johnson Soils and Development Consulting
_ em _. . __ ..
Monday,July 4,2022
Dana Overcash
dowest529@yahoo.com
Re: Licensed Soil Scientist property evaluation and wastewater system design/layout for Catawba County Parcel # 369702873564
located at 3543 Jefferson St. Sherrills Ford,NC.
To Whom It May Concern,
This Licensed Soil Scientist Evaluation is bein2 submitted pursuant to and meets the requirements ofSL 2018-114 Section'11.(c).
A soil/site evaluation and wastewater system layout/design was performed on the above referenced 0.94 acre parcel to serve a 2 bedroom
accessory dwelling+a 2-bedroom residence(maximum 8 occupants)with a total peak wastewater flow of 480 gallons per day. Work
was conducted in accordance with the NC .1900 Rules for Sewage Treatment and Disposal Systems.
Soil was evaluated on this property with a hand auger. Detailed soil horizon descriptions are included in this report with corresponding
boring locations shown on the attached maps of the property. All borings were located using a Trimble Geo7X GPS unit. Existing
wells were not observed within 50+feet of the approved septic system area.
This report requests permitting installation of a gravity fed 25%reduction trench wastewater system with 440 linear feet of nitrification
line to serve a 2 bedroom accessory dwelling+a 2 bedroom main residence per the attached design criteria and conditions spelled out
in this report. Repair for this site is designated as PPBPS(Vertical)trench at 0.275 LTAR.
This report is a total of 4 pages and must not be used or interpreted without the entire report available.
I am pleased to be of service in this matter and can be reached at your convenience if additional services or information is needed to
ensure the successful completion of this project.
✓�
� ° sou so��
Kerry Joe Jo nso ,LSS Go y sQE Jpy �
North Carolina Licensed Soil Scientist#1264 • o,sT, . 11,p ,.►
0
Itiqryg
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+9� 1264
� NORTH CP'
Kerry Joe Johnson
NC Licensed Soil Scientist
Subsurface Wastewater System Operator
3311 Old Liberty Rd
Franklinville,NC 27248
(336)953-0763
kjoejohnsonsoils@gmail.com
K. Joe Johnson Soils and Development Consulting
Job Name: Overcash-Jefferson St-PIN 369702873564-Catawba County,NC
Owner Information:
Owner Name: Tim Collins&Dana Overcash
Owner Address: 151 Capital Ave Apartment 3213 Mooresville,NC 28117
Owner Phone#: (704) 880-8649
Property Information:
Property Address: 3543 Jefferson St.Sherrills Ford,NC
Property Parcel Number: 369702873564
Proposed Use: 2 Bedroom Single Family Residence+2 Bedroom Accessory Dwelling
Bedroom Number: 4(2 in main dwelling+2 in accessory dwelling)
Design Flow: 480
Max.Occupancy: 8 persons
Site LTAR: Initial=0.275_Repair=0.275
House Setback/Setup:30'setback from front property line to porch of home as shown on site plan
House Offset: 84'offset from front right property corner to front right corner of home
Tanks:
Septic Tank Size: 1500 gallon
Pump Tank Size: N/A
Pump Tank2 Size: N/A
Pump/Supply Specifications:
Pump Requirements: N/A
Supply Line Length &Type: N/A
TDH Calculation:N/A
Drainfield Specifications:
Trench Type:25% Reduction Trench
Line Length: 440' Linear Feet
Line Depth: 26"MAX trench depth—recommend 22"-26"depth
Line Spacing: 9'on center min.
Special Notes/Conditions:
- Plumb out high and shallow to left side of home and set septic tank shallow to surface(at natural grade)at location shown on site plan.
- Run 3"(min.)sch 40 pvc supply line to beginning of drainfield(White-86'on Layout Diagram).
- Install 440'of 36"wide chamber trench product in approved initial system area per layout,on contour,and at proper trench depth.
- Property lines and corners shall be clearly and accurately(survey)marked before system installation begins.
- Construction materials and equipment(vehicles,etc.)must remain off of system area during all phases of construction.Install construction
fencing around approved septic system area to protect area during home construction.
- Establish vegetative cover over entire system area immediately after installation approval.Use accepted erosion and soil cover stabilization
practices for septic area during establishment period of vegetative cover(straw,tar tacking,erosion matting,etc.)
- Avoid clearing approved septic area or installation of system while soil conditions are wet.Unapproved grading and/or filling of approved
soil area may result in permit revocation
- Divert all excess water away from septic system area.Route all gutter downspouts and foundation drains around and away from septic
system.
- Well area shown meets required setbacks,however permitting of well must meet approval of Catawba County Environmental Health.
Kerry Joe Johnson
NC Licensed Soil Scientist
Subsurface Wastewater System Operator
3311 Old Liberty Rd
Franklinville,NC 27248
(336)953-0763
kjoejohnsonsoils@gmail.com
Fiii ==,i ;" Site Plan EO SOIL Se
C ,��&�JOE J06, ';
� 4
F G
n�oaM
k
/
3
. ,__}
2 ib...
Repair.Area
� 4�\ ...:. :::::::::::.:: : . PRBP$'Vert:
Red>ys._` Wh/r :f?':-.•a :. \c f
e./47 4s.
power pole
W Ini\\a, •• - (to be removed)
hite 88' 25%Reduction _
4zEed oom :,.
6276sgft N s :::\:.....•.•'.
5 a4
` O. .\, \ It‘ ".
// Existing Septic
`s?', 8x ch System to be
'� Abandoned
�s7'
30x••Acc.D : Iing E J --•..
o
36' 0 Z�
%
0 M
•
8x 0 po ch ;1 "• O
r` m 10•14 8
well area
d m ? -',..
v CI
wooden stake
Legend: (represents front
• Soil Evaluation Locations30'Jefferson St rightcorn6rof
<all other values> house envelope)Wood stake is at
Area_Type 80'from front right
Z3 Initial Area prop.corner and 30'
__T_____ from edge of
Repair Area right of way.
/./ii Potential Well Area
r
ilia AkIr )�I
,601 u sca, K. Joe Johnson,LSS $01I11,44.
NC Licensed Soil Scientist
��`?µ �'� ,.
�� G� `- 3311 Old Liberty Rd � �1a
.I ( o� �.r•
Franklinville,NC 27248 ":4
^gr'.�,,,,! ,.a (336)953-0763 ?r iz --
Owner: Debra P.Herman Evaluation Date: 2/5/2022
Owner Address: 114 Riverview Acres Ln.Taylorsville,NC 28681 Property Location: 3543 Jefferson St.Sherrills Ford,NC 28673
Proposed Facility: Single Family Residential Water Supply Type: Private Well
Property Size: 0.94 acres Evaluation Method: Boring
Parcel ID#: 369702873564 Wastewater Type: Domestic Strength
Subdivision Name/Lot# Proposed Design Flow: asp GPO
Evaluation Method Boring Boring Boring Boring Boring Boring Boring Boring Boring Boring
Boring/Pit Number 1 2 3 4 5 6 7 8
Landscape Pos. Linear Linear Linear Linear Linear Linear Linear Linear
Slope% 12 10 10 18 14 12 12 12
Horizon 1 Depth(Inches) 0-6 0-21 0-11 0-8 0-5 0-8 0-15 0-6
Horizon 1 Texture SCL SCL SCL SCL SCL SCL C SCL
Horizon 1 Structure wBk wBk wBk wBk wBk wBk Bk wBk
Horizon 1 Consistence Fr,SS,SP Fr,SS,SP Fr,SS,SP Fr,SS,SP Fr,SS,SP Fr,SS,SP Fi,S,P Fr,SS,SP
Horizon 1 Mineralogy SEXP SEXP SEXP SEXP SEXP SEXP SEXP SEXP
Horizon 2 Depth(Inches) 6-33 21-48 11-48 8-28 5-24 8-30 15-22 6-25
Horizon 2 Texture C C C C C C CL(BC) C
Horizon 2 Structure Bk Bk Bk Bk Bk Bk wBk Bk
Horizon 2 Consistence Fi,S,P Fi,S,P FI,S,P Fi,S,P Fi,S,P Fi,S,P Fr,S,P FI,S,P
Horizon 2 Mineralogy SEXP SEXP SEXP SEXP SEXP SEXP SEXP SEXP
Horizon 3 Depth(Inches) 33-48 28-45 24-41 30-48 22-48 25-38
Horizon 3 Texture CL(BC) CL(BC) CL(BC) CL(BC) L(SAP) CL(BC)
Horizon 3 Structure wBk wBk wBk wBk M wBk
Horizon 3 Consistence Fr,S,P Fr,S,P Fr,S,P Fr,S,P VFr Fr,S,P
Horizon 3 Mineralogy SEXP SEXP SEXP SEXP SEXP
Horizon 4 Depth(Inches) 38-48
Horizon 4 Texture L(SAP)
Horizon 4 Structure
Horizon 4 Consistence
Horizon 4 Mineralogy
Wetness(Depth/Color)
Saprolite(Depth/Inches) 45" 41" 22" 38"
Suitability PS PS PS PS PS PS PS PS
LIAR 0.325 0.325 0.275 0.275 0.275 0.30 0.10 0.275
Comments: low value Drip-PS SAP
lithochromic Need Pit for
colors @ 44+, Saprolite
Date 2/5/2022 2/5/2022 2/5/2022 2/5/2022 2/5/2022 2/5/2022 2/5/2022 2/5/2022
Sitewide Comments:
Initial Trench Type: 25%Reduction Others Present: Donnie Newton,REHS
Repair Trench Type: PPBPS(Vertical) Dana Overcash
Initial System LIAR: 0.275
Repair System LTAR: 0.275