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IMPV-10-2022-182381.TIF
.rlB' e CATAWBA COUNTY .f. O Public Health Department Subdivision d „ 14 Environmental Health Division PIN# 368704510094 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# /8. w Site Address: 4210 WINONA DR, MAIDEN NC 28650 Name on Permit: *KERRI &ADAM MCBRIDE Property Size: Acres 11 Directions: 16 South, Left on Mt Beulah, Left on Winona 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 the property described above. As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-08-2022-41982,by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) I Electronic Image Transmittal/E-mail (Return receipt required) 1( As the property owner or authorized representative I have reviewed and understand the specific conditions r 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: 01/04/2023 Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) SignatureDate/Time_ Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from youPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService kef i t , ineb(� de 04GhoL,.t' t chpc,n,rt 01/18/2023 09:07 county: Catawba This Section for Local Health Department Use Only Initial submittal received: 10/3/22 by RP q v 0 wi n p n N ✓1 Date Initials iJ Permit Number: (MPV-10-2022-182381 G.S.130A-335(a4)states the following: 'If a local health department fails to act on an application for on 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: © Complete State Authorized Agent: 11441/77 .---40,14 Date of Issuance: 10/14/22 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: 10/14/27 *See attached site sketch' Coddle Creek Soil Consulting, LLC 5504) Deer Run Court Davidson,NC 28036 (704) 706 4645 September 30,2022 Catawba County 1 invironmental 1 lea lth Attention: Mr. Robbie Phelps 25 Government Drive Newton. North Carolina 28658 Subject: Recommended Wastewater Disposal System Parcel ID: 3687-04-5 I-0094 4211)Winona Drive Maiden.North Carolina 28650 Adam McBride.Owner Enclosed you will find a copy of the wastewater disposal system proposed for Adam McBride . The property is located at 4210 Winona Drive described as Parcel ID: 3687-04-51-0094.Attached are sealed soil notes as well as site plans and designs for a on-site wastewater disposal system. This design is submitted under Session Law 2022--I 1 (S372). Please review the enclosed document presented to you. Please contact me for concerns regarding the wastewater disposal system design. "The I.SS:I.(i evaluation(s)attached to this application is to he used to issue an Improvement Permit in accordance with(i.S. I30A-3 35(a2)and(as)."+ Owner:Ada► McBride r Signature: S`_ `= _ 0 - -SOIL s ti>'Ve 1291�,, ,� - • ..I.he 1.SS evaluation is being submitted pursuant to and meets the requires 30A-.333(a2)."1. Steve Cannon. I SS Signature:_� 'I-f,L�4,,.. /7/14yN,.----_--- • information for Installers, Contractors and Other Interested Parties Follow all rules and regulations as set forth by the state of North Carolina regarding installation of septic systems in Section .1900 Sewage Treatment and Disposal Systems. Do not grade, cut or bury anything in approved areas designated for initial system or repair system. Remove trees by cutting at ground level. Do not dig out stump if at all possible. Do not grade or skim area of septic system. Leave this area alone as is. Do not compact the soil by vehicular traffic. Stay off the designated areas for sewage disposal systems. Install sewage disposal systems only during dry conditions. Do not over excavate nitrification trenches. Remove clods. Leave nitrification trenches clean and level. Do not leave trash in nitrification trenches like soda bottles, pieces of pvc pipe or anything else that does not belong in the nitrification trenches. If post installation is required, the designer will need a 5 week day notice from the installer to schedule a final inspection before covering the septic system. No changes to septic system design without designer approval or local county environmental health, Once location of building corners are established DO NOT move the building without notifying the designer. Moving the building may void any permit issued to the property owner and may void the designed septic system. • Design Specifications for Proposed Wastewater Systems Applicant: Adam McBride Property Address: 4210 Winona Drive Maiden,North Carolina 28650 Pin #3687-04-51-0094 Mountain Creek Township Acres: 11.0 Catawba County, North Carolina Source of Water Flow . 4 Bedroom House Wastewater Treatment Systems Accepted/Accepted Septic"lank 1.000 gallons Estimated Daily Flow 480 gallons/day Wastewater Treatment: Initial Accepted loading Rate .25 g/d/sq.ft. 1)rainficld Size 480 feet of Accepted Slope 8 percent Slope Correction 3 Mello.; Trench Bottom Depth 28 inches on downslope Wastewater Treatment: Repair Accepted Loading Rate .25 g/d/sq.ft. I)rainfield Size 480 feet of Accepted Slope e percent Slope Correction 3 inches "Trench Bottom Depth 28 inches on downslope 1 Nitrification Lines Elevation and Length Applicant:Adam McBride Physical Address: 4214)Winona Drive Maiden.North Carolina 28650 Pin #3687-04-51-0094 Mountain Creel.Township Acres: 11.0 Catawba County, North Carolina lniti;d Line Flan Color Line Llevation Flagged length Design Length White 3.12' 125' 120' 2 Yellow 4.12' 1 20' 115' 3 Pink 5.04' 117' 112' 4 Orange 6.33' 140' 133' Total 502' dotal 480' Repair Line Flag Color Line Elevation Flagged Length Design Length Red 5.93' 160' 160' Pink 6.85' 160' 160' 3 White 7.66' 160' 160' 'rota' 480' Total 480' 1:01 PM Sun Oct 2 V 100%OM . . .. , Done ::,-7-- PNG image 376 (9 of 500) ..-4.....? (.,. ,,".777 . , .... ...,„,.„..„, 0,0„,..k.P4':'—",..•-.7.•,-,..h.,„....4-z„:‘,„.4, \ \ \ \ Acz,c ..„,. .. .),\ . 0 Ak-P1/414 Dkt „,•,. .."ri k:\ \\\ "V \ r ' ‘, '1''.., - .' .'• :: ' 1 0'. ,'. '• \ (4 i'i',.,I! !yr.:'','''• • ' f'!";i 2. 1 ' ' •r.°, '''.''. .. r• /r ' ',\ ‘•:,,. •:- .....3... ...z. . ..... cl * ' v. A, rAcr,".f.' 60' „....---,-; ... ...... .......... .- .. Keep well 100' from septic . system Driveway N s ., \ \ . / i/"."e'r. N / \ i .. 00?On ' 'r, / -.1...,-;.••'' \ 0- 6 <0_,.....,...-3,7 ------- c(151 • o, qy cl \ •-k, 7-.: \ 1„kouse Initial System:Accepted 480' \ \.1. ... White 120' •-•.1 ", •• •, „..-- I. .. t % ' ,I Yellow 115' •,... Pink 112' \<N,..,,fril: • 8.7-• Orange 133' _ Total 480' ,., „.,\ •••,,,./.}k, Install chambers at 28 •,. inches on the downslope „N 14)/•-, ,..4. 640 NE::•••„61 7' .k.N.N.N '-',.,60• Repair System: . ,,.,. -N,;-'0, -N. Accepted 480' '-'•-•,,,,,:4)'0',‘,,,,, `•%-,.... ' 7\ . �a SOlL S ,7777 • -4:4: 2 do. .. 0 711:,,"...6.._1,,, T. . Boring Loc'. l^-, �2� ¢ .{y '' 7!}�C 0, t‘ou. \ qc"Keep well 100' `',l from septic — system Driveway \ ....,‘, >Y ze„/"...." 4 f 46 5' 10' House Initial System:Accepted 480' White 120' t' �. � Yellow 115' �I Pink 112' � 'ii, �S'T Orange 133' Total 480" 9 � 0 4%.10,00, Install chambers at op \\\Ittp. . inches on the downslope r 4*6 441 Repair System: Accepted 480' 1252 PM Sun Oct 2 7-1, < ,. ,,,. AA gis.catawbacotmtync.gov C12 --f- ,....-::..E. . . • Real Esta,-,geggh . rk. catawba cou ,. 7 0 - -we ...,, .:v4( . . Port 0 irtr:• v. ..- 13!1,..,1 Me?.:71..;!,....,, ;:. .. --C-------11 ------1 \ / . ,". .., ...... z ..,\ \„...\ . ''./ \ / %,.. 0 •/<\\\ '‘, t •! / ON ‘'' 1/ . ,.. \ tx.,...., ‘.! ,. ,, .. ..„. .' ..z.• \.. \ • -I . . ''-...‘"' '` 1 rit. •. NN.\\ !- . • \ .C.= l f / \N \ i ,,, .0? 32 fl \ ... % //,4:21 , ••• i \.,,, .WP 10 ,.., •\ • . . . ./ IN .,,,, 7 30, ..„- .. ..., ..:,. -•, .1, \ ,k ,4.. ....f: .....,,,S!! tr..1 42% .4, '.‘,. „<\\ . \„ .)1 . / i .r.::.• ,e.' el, ,,,,,\ \• \ ...,.., / .4 1 '/ \e„,"/ E.4 N ..0,i'4',N. ,r • •,,. '...„-.., - ,.././, •- ' • .: . .. .. .4.,r.,..,„. IA,I. • .,..q. , . . ..r / ,.. . - . .., 1 4 1. .' •,,, .. It >s, S7313 • i. . ; < > . . , / 1.• i -: / y ir •:: ' '4's, / •.‘ :it-'" • ;47i; ••,..t,:I\ ''•. ., /c.. / V .gt/. /...,../ ... .1 \ . , .••• 6".1.1`e / . . / / li wW.,•,.. ...,... ta.14:122. Catawba er.unly Government,Noah Carolina An i Loin:,ie9or VIS:i ;II! ,:,11:'•1`, • '' ••uk'Soi:•;•.:Ailhi . • Sheet..__—of------ PROPERTY ID it: COUNTY: SOIL/SITE I:VAI,UTATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: ,/ t','l Me BAP-3--- APPLICATION DATE _ ADDRESS: td►A. • C)o/j'1 DATE EVAI.UATEI):�Z7'-- PROPOSED FACILITY: _ P . EI)DESIGN FLOW(.1949): glit PROPERTY SIZE: LOCATION OF SITE: 1e.J/g1.irlra. . u..4._ /Id-1 .. .1Li r p 7f' S"C) PROPERTY RECORDED: WATER SUPPLY: vate L Public El Well r.7 Spring Li Other EVALUATION METHOD:HOI): Auger Boring ri Pit i•`Cut TYPE OF WASTEWATER: ett•< - Industrial Process L Mixed • i ♦ ♦ • R SOIL MORPHOLOGY 0 F (.1941) / tit.4011',A.t .'I4 I *4 *61 I. LANDSCAPE HORIZON .` !,V d ' ' :: POSITION/ DEPTH r {4 ""� ° SLOPE% (1N.) 1942 �. �,...4 # • .1941 .1941 SOIL .19 r' !', {, .:: 94 ' (1.'"'S STRUCTURE, CONSISTENCE! WEmI•:S 'OL -k. •t4O:: AtES. I ' S:i,T:AR TEXTURE MlNERALOGI' COLOR I) ' 7T 'c�-t; , :,. IIIO J, i 4 i29i '�. ...;z11, — "/C (4./y-ren.v 5p DC' ,s .../0 - • • : ti° - i ..die e gi S.54 $ , a J� ` n 2 � , • . 0 I , 1 ii ter... z9 • 2 H . 51 - N .5 Ay -) `- _' A-4 ' C'/ 4,60- ,fr ,9 - " Cs - , 4 g ;') I DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTI'1ER FACTORS(.1946):_ ~._ — _ ____ / srrE CLASSIFICATION(.194x):— -- -- _ I Available Space(.1945) f EVALUATED BY: VG4...-- y-/.t.''''"--. System T)pe(s) IACe4ritti 4l'Cs _ O'TIIF.R(S)PRESENT: Site LTAR I • Z c . 2, 's'udated February 2014 SOIL/SITE EVALUATION , . Sheei of it'ontriluation Sheet-Complete all,field in.fidli PROPlt'IN ID 7: . . . DATE OF EVALUATION: yet7 COUNTY: , / 1.-- • . t . R i SOIL MORPHOLOGY OTHER 1 o I F (.1941) PROFILE FACTORS ,• I .1940 ------ :. 1.A N1)SCAPE it • 110RI7 .1942 POSITION/ ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE SLOPE% 13EPTI1 SURF(-1'1'RE/ cONsISTENCEI WETNESS/ S011 S.i.PR() RES'FR CI ASS (IN.) TEN'I.i'HE NIINE11.‘1.0(:1' COL(3R DEpTH CLASS 110RIZ &I TAR -, ...... ).--'—' ,......, ,,.. 3 - re.. ,,,,5i- /i • i 670 '3 2- e ,...4 3 Z tu 5>/e''' 0::$ SOIL So r r•• ..,i,•,.. "orraut„ 0 --'r110.4 ', '';" ti:;;(-. -.4:.r.'1,•,,'. . , k?..:% *• . ','-''''':- ,,'. .--V- \"1,k, .. ....-0....t., ...........-s „,k03 ,., I.'. ' t Ai 1 , 111111111111116 A I .OMMENT S:. - '--- judated February 2014 Y a ; F • �I.11o< E ��� ll t Aga , Q- Zr • tip , y'E .,7\ . /_ JC ` • • \ • ‘ ,' . ,,, 77 1. . \ t\ \\, �@ \.�" • som VW w Iwecx Not) • ••'.I p .0.6-. 4 i lig ___: --11 i 1 V Z 1 • I . Iv ,, : .' i' �s }} I I. '�If ` MI • N s j 1 'I • . wc_.. , !V 1 1 :"..., I E 1\ 1 . _ 4 I ; I Y • — 1 l_�r j >fi riii is R_-`tb n—_. . :yr ii '' I l it ti y;n I 1`j"• Y�t O PANTRY I I a Iv.a+, - s p6 FYc 4: gy c • ,. _. .__ -. — a►vacv! , ea i ..c ._.... —_ , -- . .s1 4 I I I { I mo¢ $ � i „ :. �..., I ..- r +wa1maca�nonm I F7 !7 3 ,: :, ^ ( P ii I: Adam & Kerni - a i f I phi �a ItC3�'t F • ki i> ! ' „ giIt I McBride t.= u ' ! I I i _: I Hurley Sc Cotrrpany: SOIL I FORESTRY SERVICES OF THE CAROLINAS, PA www.soilandforestryservices.com Project Number: 22-0029 Date: 3/14/22 ROCK RIDGE CONSTRUCTION Attn: Dana Bean Email: danabean.rockridge@gmail.com Re: On-Site Wastewater Evaluation for a 4 Bedroom Residence on a—12 acre parcel off Winona Drive,Maiden,North Carolina,Catawba County. Dear Dana, Soil&Forestry Services of the Carolinas,PA has performed a Preliminary Soil Evaluation on the above mentioned properties in Catawba County,NC. The purpose of the evaluation was to determine available space requirement for a 4 bedroom onsite wastewater system.The evaluation was performed on March 7th,2022. The findings from our evaluation are illustrated on the attached Site Plan. Soil boring locations, approximate house location and usable soil boundary were located via GPS.This data was imported into Catawba County Tax Parcel Data and utilized to produce the Site Plan. Soil/Site Suitability Four soil borings(B 1—B4)were performed to determine the overall soil suitability for an onsite wastewater system installation.Of these four borings all were found to be provisionally suitable for Conventional,Modified Conventional and/or Accepted subsurface wastewater systems. These soil profile descriptions are most similar to the Cecil Soil Series'. Recommended LTAR is 0.3gpd/ft2. The square footage requirement for a 4 bedroom Conventional or Accepted System(system and repair)is 8,000— 12,000. We have determined that there is sufficient available space to support a drainfield for a 4BR residence. This is pending house placement,driveway and well are sited to preserve sufficient available space of usable soil.I would recommend staking proposed improvements to the lot and performing an on-ground layout of system and repair prior to submittal to the Health Department for the permit. Soil&Forestry Services of the Carolinas,PA has appreciates your business and looks forward to working with you in the future. Please let us know if you need any further assistance or have questions in regards to this project. Thank you S. Ashley Rollans NC Licensed Soil Scientist#1231 NC Certified Operator See Attached: Soil Map NC Certified Septic Installer NC Certified Septic Inspector