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HomeMy WebLinkAboutIMPV-08-2022-178494.TIF : � ('ATAWRA COL:N1 V . . g .i i PublicIlcalihIk)wnmcnt Sulidiv;e;tm FAIRWAY ACRES i Environmental health Urw.wn PIN4 362905081327 1414:1// ix)Box 389,2S Government Di we.Newun.N(' 28658 I.OTl1 10 Site Address: 2972 DOGWOOD ST.NEWTON NC 28658 Name on Permit: GREG&KRISTA COOPER Property Size: Acres 0.57 Directions: Left off of Sandy Ford Rd onto Chestnut Dr. Right onto Rosewood Ln and then left onto Fairway Dr. Right onto Dogwood St. Lot on right at end of circle. Owner/Authorized Representative Acknowledgement of Permit Receipt .9"'certiIj that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. . NAsthe property owner or authorized representative. I have received the above referenced Per permit(s)as requested in the application for service RBPR-06-2022-41455,by the following method(s): Received in Person Facsimile Transmittal(Return fort with signature required) f Electronic Image Transmittal/E-mail (Return receipt required) As the property owner or authorized representative I have reviewed 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 Systertls (I5A 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: 12/08/2022 Owner/Authorized Representative Signature .--=7 Date (al e f aOa ,.. --------------- -------------- --------------- Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name v f pe rson se nrdii;s permit) 7. Signature91.f , Date/'Time 1 j)!118I L"L Method: Fax y 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 yoatPlease take a few moments tto complete our customer service survey aft http://www.surveymonkey.com/s/EHCusttomerService j5Ctp 5o 0 S 41AZI1. earl Ia .•liryumr 1 D08.2022 16.25 .ft}3l • CATAWBA COUNTY Case# 1MPV-08-2022-178494 g• t(4 2 Public health Department Subdivision FAIRWAY ACRES I.nvironmcntal I lcalth Div PI Vt! PO Rox 3R9,2�Governmentision Drive,Newton,N(' 2R65R LOT4 10362905081327 • sr. Site Address: 2972 DOGWOOD ST, NEWTON NC 28658 Name on Permit: GREG& KRISTA COOPER Property Size: Acres 0.57 Directions: Left off of Sandy Ford Rd onto Chestnut Dr. Right onto Rosewood Ln and then left onto Fairway Dr. Right onto Dogwood St. Lot on right at end of circle. 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 d 9.P Type of Facility: Primary Residence-New House Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION HORIZONTAL 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. d ip,,,n,I 12/(18/2022 16:18 / • CAI'AWBA COI IN'I'Y Case IMPV-08-2022-178494 /~ .�. ,? Public Health Department Subdivision FAIRWAY ACRES „ r-� '� Pnvironmental Health Division PIN# 362905081327 PO Box 389,25 Government Drive.Newton,NC 28658 LOT# 10 l: w Site Address: 2972 DOGWOOD ST, NEWTON NC 28658 Name on Permit: GREG& KRISTA COOPER Property Size: Acres 0.57 Directions: Left off of Sandy Ford Rd onto Chestnut Dr. Right onto Rosewood Ln and then left onto Fairway Dr. Right onto Dogwood St. Lot on right at end of circle. 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'Laws 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. 34,(1 12/08/2022 Authorised State Agent Permit Issuance I)ate 12/8/2027 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpemtit 12/08/2022 16:27 Catawba County Environmental Health I Pr2- o , -1077- L11 yss No. i v -og -7a71 - 1l L '1'V ....*******7 AtA.,— 68 - P°77— 17q415 Z7 - ) $yg4° •2ti66 ■ fi0C` 4.3. 1O 6 y r • 99 ' \ ..."‘b.0 5 _ No Ss 1:1. , �, ` I ar v\ y Qo 2 . Parcel: 362905081327, 2972 DOGWOOD ST 1 in=40ft NEWTON, 28658 TMs map/report product wet prepared from the Catawba County,NC Goospotlol Infotmotlon Services. Catawba County has made substsntlal efforts to ensure the accuracy of location and Moaninformation contained on this map or dale on this roport.Catawba County promotes and recommends the independent verification of any dale contained on this moptroport product by the user,The County of Catawba,Its omptoy os,agents,and personnel,discJekn.and Mall not be hold Ilsblo for any anti oil dumopos,loss or liability,whether dlroct,Indirect or conaepuenual which arises or may ense from this map/report product or the use thorsol by any person or onllly. Copyright 2021 Cotawbe County NC 08/24/2022 (-31) catawba county public health The North Carolina Department of Health and Human Services, Division of Public Health, issued a position statement on July 24,2018 pursuant to Session Law 2018-114(H133/4)Sections 9 th►ough 12 regarding the irrpfementation of Session Law Provisions, The curipletion of this form is necessary to conforrr with the requirements The NC Licensed Soil Scientist )"15S")entity through his/her signature below makes the following staterr ent5: 1. The tSS Evaluation attached to this application is to be used to produce des.gn and constru:tion features for p>ctmithny,in accurJanu!with St 2018-114 Section 11.(c). 2. The LSS:valuation is being submitted pursuant to and meets the requirements of 5l 2018-114 Section 11.(c). 3. ncc LSS maintains;,n err is and omissions liability insurance poky issued by an insurer,as required by North Carolina State taw,in an amount cornm,ensurate with the rick of performing the work referenced herein'. Property Address' s9 L1'i< r.�.Gc_6� C)t rktn 7/c_ n 5 `� ,7: " • -7-\ Signed this-,1.1 day o' 5sillC , 201U. / v:444. -J-44,ri""" Printed Nome: ..J4r)e- 4-i A' l/1 rj � t♦H :1.h North Carolina licensed Soil Scientist v Mailing Address' G�[� Ytc G /�Icleb 'cs.n 5c —I" l�, t,cnrY it' y� �• •,• I M • O • ffice Number. )tilt v. Cell Number Jr2k-3re" <' r rj t.rrail add'Cis: }GCd)144(4,1k4t,..?.St'. iCI,a1- -- 'r�G rt T ►k Acknowirdged C1wne wner's legal Representative)Circe correct one.) If signed ty owner's legal represent ive, the appropriate legal documentation must be attached hereto. Printed Name: 6re1s_ Pg2 r._ Mailing Address 30J -v,t.4-,:as;ci Au*. Ca tic,r-(e ran, GA 3o t z S Office Number Cell Number: 7o 4- g 74 - Q tt 4 6 Email address: .SCenr,er�er}sr, At+ J r cat at.•baeot:nt7nc.cJov Eavircoit ooial Haplt6 �rt.e :o�ahr G.reran*n• :5 6ovzrnrt:ent Drive PO Box 389 I Ito eon 1665E 828 4S12;0 • OwNr 4 , ` }A + '^R'T r ' " } • eta �T j� i �:. :..♦ `Z �7'•1 1�'.-.r4. .i�� �� I rJ�•y er _tc:�.IC. tit , ``t�'; : ��1 u:3 : c 1.L. L it:�,7.; .. _�',. !��i • e El CCIrIS UCTJCin C'=i-- '.� S j o¢ cern-ii•in cj': _•,^''; '�:=�,. ;:•i_ �"'" i4-i .r 5 ram. t, r-;*-=-yyam:... --•• ON-SITE WASTEWATER SOIL/SITE EVALUATION REPORT for GREG & KRISTA COOPER DATE: MAY 27, 2022 This LSS evaluation is being submitted pursuant to and meets the requirements of SL-2018- 114 Section 11 (c) Greg & Krista Cooper 2972 Dogwood St. Newton ID#362905081327 The property was evaluated in accordance with North Carolina statutes for waste disposal ("Laws and Rules for Sewage Treatment and Disposal Systems") as part of the planning process to evaluate areas of soil with potential for subsurface wastewater disposal system for a 3 bedroom residence. Site suitability is based on but not limited to topography, soil characteristics, soil wetness, soil depth, restrictive horizons, and available space. This investigation was accomplished by traversing the property (County GIS map) and observing land-forms (slope, drainage patterns, gullies, past uses, etc.) as well as soil characteristics (depth, structure, texture, seasonal wetness, etc.) through the use of soil pits. During this evaluation soil observations were generally excavated to a depth of 43/50 inches and 3 soil observations were completed. This report lists the findings, conclusions and recommendations for the property. If you have any questions or if I can be of assistance, contact me at (828) 310-0089, E- mail at joe.lynnoswps@ yahoo.com. Sincerely, �� SOIL SCE rl A N Joe Lynn LSS a '4 LSS 1089 it -v itF luoy o-Ov, OpkORTK GP ,, INTRODUCTION OWNER/APPLICANT: Greg & Krista Cooper LOCATION: 2972 Dogwood St. Newton ID # 362905081327 COUNTY: Catawba TYPE OF FACILITY: Residence DESIGN UNIT: 360 gpd WATER SUPPLY: Well AREA:.57 acres DATES OF EVALUATION: 10/25/2021 ; 03/03, 03/09. 04/22; 05/12/2022 EVALUATED BY: Joe Lynn OTHERS PRESENT: Britt Page, A description of each pit/boring is attached and the attached maps display theo approximate locations of the pits/borings and noteworthy features. ONSITE WASTEWATER SYSTEM PROPOSAL Description Initial System Repair System Available Space Suitable Suitable System Type Chambers PPBPS (vertical) Site LTAR .275 .275 System Size 327 linear feet 220 linear feet # Trenches 5 4 Length of Trenches 66 feet 57 Trench Depth 18 inches lower wall 20 inches Trench Width 36 inches 36 inches Septic Tank 1,000 gallon Pump Tank 1,000 gallon Distribution Method Pressure Manifold SITE PREPARATION No grading is to be done. The area for the initial system and the repair cannot be graded. Only remove trees with as little disturbance to the soil as possible. SYSTEM INSTALLATION The initial system, must be located as shown in the attachments and the Improvement Permit and Authorization to Construct. The septic tank should be installed as shallow as possible. The system must meet setbacks: 50-100' from wells (depending on soil type and space), 50' from streams and ponds, 10' to 25' to storm water diversions (gullies, ditches, etc.)10' property lines,15' from top of embankments greater than two feet in depth and if a retaining wall with a drain is used the setback distance must be 25 feet, 15 from pools, etc. The systems must be installed when the soil is not wet. Consult Environmental Health about soil wetness and system installation. DISCLAIMER The findings in this report represent my professional opinion about soil and site conditions based upon the information available to me during the evaluation. Variability in the soils could result in conditions that are unpredictable and different than what I found. I am not responsible for errors made due to unclear, unknown, or misrepresented property lines. I am not responsible for difficulties caused by the location of overlooked critical features (such as wells, water lines, streams, septic systems, buildings, etc.) on this or neighboring property. There are other circumstances beyond the scope of this report that could create problem that might deny the use of the property as desired. Some of these include: zoning laws, excessive grading, and misallocations of houses, drives, property lines, wells, and utilities. Buried utilities and culvert runoff should not cross drainfields, septic tanks, or repair areas. SOIL/SITE EVALUATION FOR ON-SITE WASTEWATER SYSTEM Owner/Applicant: Greg Cooper Date Evaluated: 10/25/2021 Address/Phone #: County/ PIN #: Catawba 362905081327 Facility: Residence Design Flow: 360 gpd Property Size: .57 acres Location/Road: Dogwood St. Subdivision/Lot #: Water Supply Public Private Well X Community well Evaluation Method Auger Boring Pit X Cut Type of Wastewater Sewage X IPWW Mixed Profile Landscape Horizon Texture Structure Consistency Saprolite Soil Soil Profile Position& Depth Mineralogy Wetness depth classification Slope in. _ Color _ & LTAR _ 1 LS 0-6/7 L GR FR 6/7- C SBK/ABK Fl 31/33 31/33- CL SBK/ABK FR mica 50 PS .3 50 2 LS 18% 0-2 L GR FR 2-24/25 S SBK/ABK Fl 24/25- C SBK/ABK Fl little 29/30 29/30- SIL Fl PS 30 PS .275 50 3 LS 20% 0-6 L GR FR 6-12/18 C SBK/ABK Fl 12/18- C SBK/ABK Fl some 30 20/35 20/35- SIL Fl PS PS .25 43 PRESENT USE: LOT OTHER FACTORS: EVALUATED BY: Joe Lynn OTHER(S) PRESENT: COMMENTS: Neighbors well close to property line, road bank to stay back from, saprolite in 2 pits Landscape Texture Structure Mineralogy Mineralogy Position consistency consistency Ridge Sand Crumb Moist Moist R S CR Shoulder slope Loamy sand Granular I Slightly expansive Expansive S LS GR Nose slope Sandy loam Block like loose Very firm N SL VF Head slope Loam Subangular Very friable Extremely firm H L SBK VFR EF Foot slope Silt loam Angular Friable FS SIL ABK FR Flood plain Silt Platy Firm FP SI PL Fl Drainage way Sandy clay loam Prismatic D SCL PR Terrace Silty clay loam Absence Wet Wet T SICL A Debris slope Clay loam Slightly sticky Very sticky DS CL SS VS Sandy clay Sticky SC S Concave slope Silty clay Non plastic Very plastic CC SIC NP VP Convex slope Clay Slightly plastic CV C SP Plastic P 4 f soc ' e ' " •' , 114101 4 Y � - r' • v, 1lMIIIMl El')1311000111327 MIrN'TGM�iM - r1COOFICII w�� va ��� 4 " Aar .61 c. ,00 • : . 0,-,..1 . 415101`• . 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' , ,y X ' L„owGr q trencke .s -T 4 S q,Qpxt-r 3-7 ' Ntxt G trenches SysicLA 61 ' -6re nc he.s k a,i e b q�T, 4 14,1.eci 14065 e. i 34e 4 ' y10, volowisorkPorch ex/1 0 , oec,ny e 5 ; )tje ik = rtd ..------ Real Estate Search a c o u Select by * Reset AIUNC HYING jpeg '''',I Print M ur , '•N ) ,, ,, .110......."....... „.N.,.,,,,,,:57 / to %7 ?---- . ,/ it\ •`.4„. aa...._._...._................------- ' - i ekt*" N-<, ,-- .........----0"1" -2b 40,`N 0 /11-4 I J3-1 *'41 --- - \13 ,• / - :: . 1 e' I.6"I Pv."'-'°-4a"-...ed°.-.....'-a I I 1.1..1-••1 8 I Is 7.w-1'a 8.:'.‘C \ .., •1 / , /' Ai • '1%**44.s1/2.44, . , •..4„, 1 7,AN..... 1\. , **144**41,--4444,4,4 i e / •Nte%„ -81 I 5( '-' ;1-0 434j 400 Pe- AC1-1® DATE(MM/DDIYYYY) L/ CERTIFICATE OF LIABILITY INSURANCE 2/1/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Stephanie Horan NAME: P Wade Associates, LLC INCNE No Eat): (704)892-9297 FAX (A/C,No): ("alsas-oaes P.O. Box 1209 E-MAIL shoran@wadeict.com 'ADDRESS: 212 S Main Street INSURER(S)AFFORDING COVERAGE NAIC A Davidson NC 28036 INSURER A:Auto-Owner s Insurance Company 18988 INSURED INSURER B:Markel Insurance Company Joe D Lynn Jr. INSURER C: 6768 George Hildebran School Road INSURER D: INSURER E: Hickory NC 28602 INSURERF: COVERAGES CERTIFICATE NUMBER:21-22 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR (NSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 35515975 9/18/2021 9/18/2022 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 3,000,000 T1POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ —^ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE s If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liability (ESO) ME01453-03 9/18/2021 9/18/2022 Each Claim $1,000,000 Policy Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Information Purposes THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1J.J. Wade, IT1/AH ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) I ,