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HomeMy WebLinkAbout IMPV-07-2022-176664.tif 13:\P CAG WBA(Ui VI 1 (ast•rt I\IPV-117-21122.I7(664 L .r 7 f' hlir licalth I)rparunr rt `t,I ' iron MT CREEK TERRACE '' f.ncuunnrrnrrl Ilral@i I)ni 'ii PI Net 460719524089 I'(I Hui 15) 2S rnnn nt I)me,Nt '.tnn X(' ?SbiX 1.014 3 rr Site Address: 4174 TODD ST. SHERRILLS FORD NC 28673 Name on Permit: JOHN BOUNDS Property Size: Acres 0.53 Directions: 4174 Todd St. Sherrills Ford Owner/Authorized Representative Acknowledgement of Permit Receipt I certil\ that I am tht:owner or authorized agent loaner's authorization required)representing the»,trier ut• the prupert> described abot c. t�1s the property owner or authorized representative. I ha\c received the above retereneed permit(s)as requested in the application li)r service R13PR-07-2022-41639. hs the litllo.+.ing rncthod(s): Received in Person Facsimile Transmittal (Return form with signature required) JElectronic Image Transmittal/ [-mail (Return receipt required) .7:r'�As the properly owner or authorized representative I have re%ie>,ted and understand the specific conditions 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 (ISA NCA(' I8A.1900), and/or Well Construction Standards(i5A NCAC 2C .01011), shall apply to the issuance of this permit and the construction of the wastewater system and or water supply well permitted. Permit Issue Date: 07/29/2022 Owner/Authorized Representative Signature`•r'7'''.-._ t ` —;Date ,_` —, 1 P On ) Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by 9(e., //);jlt•ul f)tv.om NCHC/i t,� per•o )) )iSignature [)ate. I irate /) u/71 Method: Fax Entail US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoLPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService • b 5Zfr tunc�5ZIf yelA c.ia� ;I - o ',,• .. I: ;.t County: Catawba This Section for Local Health Department Use Only Initial submittal received: 7/15/20 by RP Date Initials Permit Number: I M PV-07-2022-176664 G.S. 130A-335(a4)states the following: 'If a local health department fails to act on an application for an improvement permit submitted pursuant to subsection(a3)of the section within 10 business days of receipt of a complete application, the local health department shall issue the improvement permit.' In accordance with G.S. 130A-335(a3)the improvement permit application is: ❑ Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: ❑ Denied (See attached report.) Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: r❑ Complete State Authorized Agent: gl44/ Date of Issuance: 7/29/22 This Improvement Permit is issued pursuant to G.S. 130A-335(a2),(a3),and(a4)using the signed and sealed LSS/LG evaluation(s) attached here. The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat,or the intended use changes,or if information submitted in the application was falsified, inaccurate or misleading. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to evaluations,submittals,or actions from a licensed soil scientist or licensed geologist pursuant to GS 130A-335(a2). Improvement Permit Expiration Date: 7/29/27 *See attached site sketch* County: Catawba IMPROVEMENT PERMIT FOR G.S. 130A-335(a2)/SL2022-11 PIN/Lot Identifier:460719524089 Issued To:John Bounds Property Location:4173 Todd Street Sherrills Ford, NC 28673 Subdivision: Lot#:3 Block:B Section: LSS Report Provided: Yes© No 0 If yes,name and license number of LSS:Steven R. Cannon #1291 New El Repair❑ Expansion ❑ System Relocation © (Partial Relocation) Proposed Structure:House (partial existing system relocation for detached garage) Proposed Wastewater System Type:Accepted (Initial) Accepted (Repair) Fill System:❑Yes ©No If yes,specify:❑New ❑Existing (when adding more than 6 inches of fill to system area please provide a fill plan) Proposed Design Daily Flow: 360 GPD Proposed LTAR(Initial):•3 Proposed LTAR(Repair): •3 Design Wastewater Strength:©domestic 0 high strength ❑industrial process Number of bedrooms:3 Number of Occupants:2 Other: Pump Required: ❑Yes ❑No 0 May be required based upon final location and elevations of facilities Artificial Drainage Required: ❑Yes ©No If yes,please specify details: Type of Water Supply:©Private well 0 Public well ❑Municipal Supply 0 Spring 0 Other: Drainfield location meets requirements of Rule.1945: Yes© No❑ Drainfield location meets requirements of Rule.1950: Yes© No❑ Permit valid for:©Five years[site plan submitted pursuant to GS 130A-334(13a)) D No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: Licensed Soil Scientist Print Name:Steven R. Cannon �o', n July 12, 2022 Licensed Soil Scientist Signature: �J ei c—•l fir Y it.t*0 Date: The LSS evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* Coddle Creek Soil Consulting 5500 Deer Run Court Davidson,NC 28036 (704) 706 4645 July 12, 2022 Catawba County Environmental I lealth Attention: Mr. Robbie Phelps 25 Government Drive Newton, North Carolina 28658 Subject: Recommended Wastewater Disposal System Parcel II): 4607195 24089 4174 Todd Street Sherrills lord, North Carolina 28673 John Bounds,Owner Enclosed you will find a copy of the wastewater disposal system proposed for John Bounds . The property is located at 4174 1odd Street described as Lot 3 Parcel II): 460719524089.Attached are sealed soil notes as well as site plans and designs tier a on-site wastewater disposal system. This design is submitted under Session Law 2022-11 (S372). Please review the enclosed document presented to you. Please contact me for concerns regarding the wastewater disposal system design. "The ESS/LG evaluation(s)attached to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2)and (a3)."t Owner: John Bounds Signature: C?F — _- to sbu se/ �G� BAN Dq< C' � , e r � 92 4 w7.Pleitl4; ; ' k` '4' ry4.- ..A,:iiN, .::;. ,.. .. ,, Iv kzifl- •. ... ‘1,."%At:QIN "The I..SS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A- 335(a2)."t Steve Cannon, I e., Signature: 6-())4 „4/.— Design Specifications for Proposed Wastewater Systems Applicant: John Bounds Cell #304-619-9850 4174 Todd Street Sherrills Ford, North Carolina 28673 Mountain Creek Township Lot: 3 Acres: .52 Catawba County, North Carolina Source of Water Flow 3 Bedroom I louse Wastewater Treatment Systems Accepted Septic'lank 1000 gallons Estimated Daily How 36(1 gallons/day Wastewater Treatment: Initial Accepted Loading Rate .3 g/d/sq.ft. 1)rainfield Size 300 feet Accepted French Bottom Depth 28 inches on downhill side Slope 4 percent Repair: I:xempt 1 Nitrification Lines Elevation and Length Applicant: John Bounds Cell ti 304-619-9850 4174 Todd Street Sherrills Ford, North Carolina 28673 Mountain Creek Township Lot: 3 Acres: .52 Catawba County, North Carolina Initial Line Flag Line Elevation Flagged Length Design Length Color 1 White 2.79' 60' 60' 2 Lime 3.87' 70' 70' 3 Orange 529' 83' 8' 4 Red 6.75' • 67' 67' 5 Yellow 7.87' 20' 20' Total 300' Total 300' Repair 4 Red 6.75. 13' 12' 5 Yellow 7.87' 29' 28' "Total 42' Total 40' Re pa i r: Exert)pt 1 7:53 PM Thu Jul 14 ... s} 85%.ii.; • Done . John Bounds Todd Street (6 of 49) 0 U 117.89 340.00 Z 49.65 \ ` \s. Cut existing line under proposed o °� garage (5') off foundation. Add tP \ ,yfre what is cut to system (40') \ \ \ ''."*. 2-6; 5. Install chambers at 28"trench ca . Garag: `�.� bottom on downslope `w �a�0" � � k Add 20'to Red �o o �? z �,, Add new 20' Yellow i. . . '$ t„ 0 '` $ . w Scale: 1" = 40' I .o• 1e Tool ro -"' 'o Shed �3 too do i ST `k. 4!V(j m 8% , Nd�(# 1. �`N \S. 4 AO 0" r;) �fci'p#-. .9, \ \ Existing , House ‘,,,„ �i ' `so. �► : \ '''3"-> ,.." \ ,,,..."'''''''' ° \ fs . 5.-\ \----"\ r, 2 0 2022,Catawba County Government,North Carolina,All rights reserved. Disclaimer • Pnvacy;.Security Not IN, ;gigot of PttOPEkn'ID,s ' j __ : ' fnrO .�11.1;;11'it (1:1‘:1TE S1'Sfk7�t L" ilesi atriii4Ii.ID Gt111 VI (ru_: Sr _,.0 FR __ A1.06 A1lD DATE„. ADDRESS:' . .... . r -` .t' • •• . ,J7 �I�4. kittC:E`VAliUA1176:VdW .• ;ggp')clrD,,k6ci.illy '--yR(P )SI'I) T'�1�c t.ra ' 1919f1. a _ rliiil')tiv-sDr: ..,�: , . - u�cici►ttoN.ciF,sti>_�..� �_. aThb .. yE ,.:;•/ _' ,c>; ii l'xdi LRr R1 oaz aL) ATOt.i'Uii?i;Y; tL!i `t.r la 'rj ublir ~1L a 1 11 j I ini I►I P u iiiiAaAftogNEiHT : 0 AIi .iikiin_B _" . �4I•, 'Il+F:I,1 1'1t�,�$TT�% 11 ii• -'�' �agf .L trd��nd-Puces�.: l►titcd.• ,: :. � . . . • P e stiivmowlH ��PLQ NRUE11sE•�E'ACPORS :1911) lAb)SCAlt 404izO. . • 40smou 'DII.';nt'' ' • ' •`,Ship i 11_1q' :19.►2 •PROP11.t:• ' • :1941 ..I9i1_ .SOi1r. 47i! :IY36'. :1914 C1AS5 srlt ctui. .' C(i§10i.c.v! wF3S,ES SOIL: ,S;►PRO 1t sri �'1,7AR c\m.1 w �II,NGR,U:U(:11 ''(111.OR n1,TTii CL. 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'II cr '1' • may` •k'1 1 , \ •' ., 33 25' fr; \ \. • • t House • • J �� N. \\y 28' • '. 106' 'S Quick.. -4 The Quick4 " Plus INFILTRATORS Standard Chamber water technologies r--Quick4 PlusTM Series The Quick4 Plus Standard Chamber offers maximum strength through -- :" . its two center structural columns. t ° This chamber can be installed in ` , vto a 36-inch-wide trench. Like the ,, , , v ilk � .- -= original line of Quick4 chambers, i \ ' ! ` it offers advanced contouring • s, , capability with its Contour Swivel ConnectionTM which permits turns `. up to 15-degrees, right or left. It is also available in four-foot lengths to provide optimal installation flexibility. The Quick4 Plus All-in-One 12 Quick4 Plus Standard Chamber Benefits: Endcap, and the Quick4 Periscope •Two center structural columns offer increased stability and superior strength are available with this chamber, • Advanced contouring connections providing increased flexibility in • Latching mechanism allows for quick installation system configurations. • Four-foot chamber lengths are easy to handle and install • Supports wheel loads of 16,000 lbs/axle with 12" of cover p ' P Maximum Strength - 6S `k:•. W F� - 3 Quick4 Plus Standard Chamber , Specifications Size I Quick4 Plus All-in-One 12 Endcap Quick4 Plus All-in-One Periscope 34"W x 53"L x 12"H Benefits: Benefits: (864 mm x 1346 mm x 305 mm) • May be used at the end of chamber • Allows for raised invert installations Effective Length row for an inlet/outlet or can be • 180° directional inletting 48" (1219 mm) installed mid-trench • 12" raised invert is ideal for serial • Mid-trench connection feature allows applications Louver Height construction of chamber rows with 8" (203 mm) center feed, as an alternative to inletting at the ends of chamber rows 1 Storage Capacity • Center-feed connection allows for 47 gal (178 L) i easy installation of serial distribution systems Invert Height ' Certified by the International Pipe connection options include 0.6" (15 mm), 5.3" (135 mm), i Association of Plumbing 8.0"(203 mm), 12.7" (323 mm) sides, ends or top and Mechanical (1.1!) Officials(IAPMO)APPROVEDin _, _ , - Quick4 Plus"' Series Quick Quick4 Plus Standard Chamber _..._- ••.. •... .... .... ...• .... .... ..•• iwri 12' rH. ! 1.. Ii I � 4f Pi k I ll ` ' . - I ) � >, I J ► — 34" ---}) 4B'� l EFFECTIVE LENGTH Quick4 Plus All-in-One 12 Endcap — —__ . .__—_ _ PRESSURIZED PIPE DRILL ' POINTS LOCATIONS (2 PLACES) 18' elarit 19' 1iT INVERT 33' FRONT VIEW SIDE VIEW INFILTRATOR WATER TECHNOLOGIES,LLC("INFILTRATOR") Quick4 Plus All-in-One Periscope ---- Infiltrator Water Technologies,LLC STANDARD LIMITED Drainfield WARRANTY (a)The structural integrity of each chain bur,or dcap,[Plow expanded polystyrene and/or other accessory manufactured by Infiltrator("Units"),when installed and operated ill a leachfield of an OUICK4 PLUS ensile septic system in accordance with Infiltrator's instructions,is warranted to the original pur. ALL-IN-ONE PERISCOPE chaser("Holder")against defective materials and workmanship for one year front the date that the (380°SWIVEL) septic permit is issued for the septic system containing the Units;provided,however.that if a septic permit is not required by applicable law,the warranty period will begin upon the date that installa- tion of the septic system commences.To exercise its warranty rights.Holder must notify Infiltrator j in writing at its Corporate Headquarters in Old Saybrook.Connecticut within fifteen(15)days of I the alleged defect.Infiltrator will supply replacement Units for Units determined by Infiltrator to be I 12.7'INVERT covered by this Limited Warranty.Infiltrator's liability specifically excludes the cost of removal and; or installation of the Units. I) I l (I))THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE EXCLUSIVE.THERE ' ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS,INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE (cl This Limited Warranty shall be void if any part of the chamber system is manufactured by anyone other than Infiltrator. The Limited Warranty does not extend to incidental,consequential,special or indirect damages.Infiltrator shall not be liable for penalties or liquidated damages.including loss of j. production and profits,labor and materials,overhead costs,or other losses or expenses incurred by the Holder or any third party. Specifically excluded from Limited Warranty coverage are damage to 6" the Units due to ordinary wear and tear,alteration.accident,misuse,abuse or neglect of the Units: .�. the Units being subjected to vehicle traffic or other conditions which are not permitted by the instal- !___..,. lation instructions;failure to maintain the minimum ground covers set forth in the installation instruc- 5" 1 "'" g,. ; Lions:the placement of improper materials into the system containing the Units;failure of the Units or the septic system due to improper siting or improper sizing.excessive water usage,improper grease disposal,or improper operation;or any other event not caused by Infiltrator. This Limited Warranty shall be void if the Holder fads to comply with all of the terms set forth in this Limited Warranty.Further,in no event shall Infiltrator be responsible for any loss or damage to the Holder. the Units,or any third party resulting from installation or shipment,or from any product liability claims of Holder or any third party.For this Limited Warranty to apply,the Units must be installed in accordance with all site conditions required by state and local codes:all other applicable laws;and Infiltrator's installation instructions. (d)No representative of Infiltrator has the authority to change or extend this Limited Warranty.No a Business Park Roadwarranty applies to any party other than the original Holdder.The above represents the Standard tr OldP.O Box 768 Limited Warrantyoffered h Infiltrator. A limited number of states and counties have different war- Old Saybrook.CT 06475 Y 860.5/7 7000•Fa.960-577-7001 ranty requirements. Any purchaser of Units should contact Infiltrator's Corporate Headquarters in INFILTRATORP 1-800-221-4436 Old Saybrook,Connecticut.prior to such purchase.to obtain a copy of the applicable warranty,and water technologies www.infiftratorwater.com should carefully read that warranty prior to the purchase of Units. U.S.Patents:4,759,661;5,017,041;5,156.488;5,336,017:5,401,116;5,401,459;5,511,903;5,716,163:5,588,778;5.8,30,844 Canadian Patents:1,329,959;2.004,5664 Other patents pending. Infiltrator,Equalizer,Quick4.and Sidewinder are registered trademarks of Infiltrator Water Technologies.Infiltrator is a registered trademark in France.Infiltrator Water Technologies is a registered trademark in Mexico. Contour,Microleaching.PolyTuff,ChamberSpacer,MultiPorl.PosiLock,QuickCut.QuickPlay,SnapLock and StraightLock are trademarks of Infiltrator Water Technologies. PolyLok is a trademark of PoiyLok.Inc.TUF-TITE is a registered trademark of TUF-TITE,INC.Ultra-Rib is a trademark of IPEX Inc. A',2016Infiltrator Water Technologies,LLC.All rights reserved.Printed in U.S.A. PLUS05 0816 Contact Infiltrator Water Technologies' Technical Services Department for assistance at 1-800-221-4436