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HomeMy WebLinkAboutIMPV-11-2022-184608.tif • J CAIAWBA COUNT'. ►' wuh,iwtsion J C HOWAR0 PROP 111 .�.. ruhlic Health Dcpartmcat Ili Not ,Ili i l:nieirtnntcntat Bath pcvmm l'INo 461602590311 \ P0liu%3X .25(imminent bow.Newton.NU2RMMX 1 t.+rq 15 :L1► a, Site Address: 4361 BEECHWOOD TR,TERRELL NC 28682 Name on Permit PATSY TALBOTT Property Size: Acres 0 69 Directions: 150 W to Kiser Island Rd(L)Fieldstone Dr(R)8eechwood Tri(L) Owner/Authorized Representative Acknowledgement of Permit Receipt 0 I certilj that I am the owner or authorized agent(owner\authorisation required)representing the owner of )( the pmpert) de>eribed abt' e. As the properly owner or authorized representative. I have received the above referenced K permit(s)us requested in the application for service RBPR-1)9-2022-42367,by the following tncthod(s): Received in Person Facsimile Transmittal(Return form with signature required) iii Electronic Image 1 ransmittal:E-mail (Return receipt required) As the property owner or authorized representative I have reviewed and understand the specific conditions ► ' e 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 NC'A(' 1NA.1900), and/or Well Construction Standards(15A NCAC 2('.0100). shall apply to the issuance of this permit and EEi1Ei : nstruction Si natu ' Date..12411.12.2, Documentation of Permits)Transmittal (permit transmitted by electronic or other means) Permit transmitted by rn,nne r,1'pcv:tirm sending permit) Signature Date,'l'ime I / /;) Method: Fux `j F.mail US Mail _ ________________ Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yo►.tPiease ttake a few momentts tto complette our custtomer service survey att http://www.su rveymon key.com/s/E HCusttomerSe ry ice 1 n )- g LtO# d 5.b1 it)s , tix. A r It vi'U?' ti:r County: Catawba IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: 461602590311 Issued To: Patsy Talbott Property Location: 4361 Beechwood Trail Terrell, NC Subdivision: JC Howard Prop Lot#: 15 Block: Section: LSS Report Provided: Yes ✓0 No❑ If yes,name and license number of LSS: Miranda Stamper 1258 New 0 Repair❑ Expansion ❑ System Relocation ❑ Proposed Structure: 4 bedroom residence Proposed Wastewater System Type: LP PPBPS(Vertical) (Initial) TS2 Drip Subsurface System (Repair) Fill System:❑Yes 0 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: 480 GPD Proposed LIAR(Initial): 0.35 Proposed LIAR(Repair): 0.15 Design Wastewater Strength:El domestic 0 high strength 0 industrial process Number of bedrooms: 4 Number of Occupants: 8 Other: Pump Required: ®Yes ❑No ❑May be required based upon final location and elevations of facilities Artificial Drainage Required: ❑Yes ONo If yes,please specify details: Type of Water Supply:0 Private well ❑Public well ❑Municipal Supply ❑Spring ❑Other: Drainfield location meets requirements of Rule.1945: Yes❑✓ No❑ Drainfield location meets requirements of Rule.1950: Yes 0 No❑ Permit valid for:0 Five years[site plan submitted pursuant to GS 130A-334(13a)] ❑No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: Maintain setbacks from property lines. Upon installation,fill in low spots and or holes. Licensed Soil Scientist Print Name: Miranda Stamper Miranda Stamp er Digitally signed by Miranda Stamper 11/1/22 Licensed Soil Scientist Signature: Data:2022.09.22 10:48:37-04'00' Date: The LSS evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* County: Catawba This Section for Local Health Department Use Only Initial submittal received: 1 1/1/22 by RP Date Initials Permit Number: I MPV-11-2022-184608 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: 0 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: /llt, °i' Date of Issuance: 11/16/22 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: 11/16/27 *See attached site sketch* N, BENFIELD OUTDOOR SERVICES & SOLUTIONS Benfield Outdoor Services&Solutions Phone: (704) 360-0376 939 Brawley School Rd. Mooresville, North Carolina 28117 Info@yardsbyboss.com LLS: Miranda Stamper#1258 Catawba County Environmental Health Department October 12, 2022 25 Government Drive Newton, NC 28658 Recommended Wastewater Disposal System Owner: Patsy Moore-Talbott& Betty Moore-Hafter PIN:461602590311 To whom it may concern, You will find attached a copy of the wastewater disposal system proposed for the owners Patsy Moore- Talbott& Betty Moore-Hafter. The lot of 15, PIN#461602590311 on Beechwood Trail in Catawba County. Also attached are the sealed soil notes, site plan and design for an onsite wastewater disposal system. The LSS is being submitted pursuant to and meets the requirements of G.S.130A-335(a2)and (a3). Please review the attached proposal and contact me if you have any questions or concerns. The LSS evaluation attached to this application is to be used to issue an Improvement Permit in accordance with G.S.�h 130A-335(a2) and (a3 ." Owner: I-c,,I AlcoilaI�10`�'Gt►'Y?) r t are,-J-�41 Signature: IQ 4" iego tike Signature: i cN, __,A.,__________ 44., The LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A-335(a2) and (a3). Miranda Stamper, LSS Signature: Miranda Stamper, LSS 10-13-22 4361 BEACHWOOD TRAIL, TERRELL NC. LINE SCHEDULE SECTION -, LOT 15 JC HOWARD PROPERTY LINE NUMBER COLOR FIELD ELEVATION LENGTH(FT) UtSICUN LENG I H (FT) 4-BEDROOM LP PPBPS SYSTEM (VERTICAL) 1 YELLOW 4.6 31 30 LINES 1-8 TOTAL 250 LINEAR FT(USE 229') 2 ORANGE 5.2 35 30 LTAR 0.35 3 EXISTING Y 5.6 36 30 50% REDUCTION 8-9' OC 4 EXISTING 0 6.0 28 28 27-36"TRENCH BOTTOM 5 EXISTING G 6.2 22 22 6 EXISTING P 6.7 29 29 4-BEDROOM TS2 DRIP IRRIGATION SYSTEM (AMERICAN PERC-RITE) 7 ORANGE 6.9 32 30 TOTAL 3000 SQUARE FEET 8 BLUE 7.4 37 30 LTAR 0.15 TOTAL TOTAL 12"TRENCH BOTTOM 250 229 FOR GENERAL USE NOT A SURVEY CONDITIONS: MUST BE INSTALLED BY A LICENSED PRELIMINARY NOT FOR CONSTRUCTION SEPTIC INSTALLER. DRAINFIELD AREA MUST MAINTAIN NATURAL CONTOURS & SLOPE. IMPROPER OR NOTES: PROPERTY IS REPAIR EXEMPT EXCESSIVE GRADING WILL VOID THIS DESIGN AND BOSS IS NOT LIABLE. z a� • �P I I I I 1 SCALE: 1" = 50 ft. INITIAL LINE REPAIR LINE r<ll ® -15' '19. ' 0 REROUTE DRAINAG- b�y9 k �� I ow Lot#16 p ' HSE Lur# S aeeu -: �i� O�i 1(` fide .ake • NormanAllii /f 0 8 o i L q s/ `\ Q �' / // // / 'k EXISTING DRAINAG a / \ 0, 8 7 6 5 4 3 2 1 AMR/ 7 �? 5. N A3'03'S7`'yyyy 25 095' Lot#!4 TAM o - LOT 15 BOSS Benfleld Outdoor Services&Solutions,LLC 4361 BEECHWOOD TRAIL, 094&ewley School Rd.Mooresdlb.NC281fl P�:7Ql.]AQ-0,76 PATSY MOORE TALBOTT TERRELL,NC M�ra,e,e CATAWBA COUNTY DATE1 DRAWN BY:MD6 REVIEWED BY:MES .r' Sheet I of 2 PROPERTY ID#: 461602590311 COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: Lot# 15-4361 Beechwood Trail APPLICATION DATE: ADDRESS: DATE EVALUATED: 6113r128nd 013122 PROPOSED FACILITY: 4 bedroom PROPOSED DESIGN FLOW(.1949): 480 gpd PROPERTY SIZE: 0.69 acres LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: 0 Private 0 Public ❑Well 0 Spring 0 Other EVALUATION METHOD: 0 Auger Boring a Pit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed SOIL MORPHOLOGY OTHER 1 (.1941) PROFILE FACTORS .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH 19. PROFILE # SLOPE% O .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ B1 L 3% 0-8 GR SL NS NP FR 0.35 8-46 SBK CL SS NP Fl B2 L 3% 0-8 GR SL NS NP FR 0.35 8-48 SBK C S P Fl B3 L 8% 0-7 GR SL NS NP FR 0.1 DRIP 7-30 SBK C S P Fl COMMON FRAGS AT 30" B4 L 7% 0-12 GR SL NS NP FR 0.1 DRIP 12-17 SBK SCL NS SP FR _ 17-27 SBK CL S P Fl 'I DESCRIPTION LNITIAL SYSTEM REPAIR SYS'IE1ti1 OTHER FACTORS(.1946): \ ,. '•=.-'c' ` -' sf f.,, Available Space(.1945)250 LF 4800 FT2 SITE CLASSIFICATION(.1948)_ `* 0.� . System Type(s) PPBPS DRIP ' ...ry, •-• EVALUATED BY: MIRANDA STAMPER `^.ti ' 14 Site LTAR 0.35 0.1 OTHER(S)PRESENT: MICHAEL BENFIELD _ " COMMENTS:DRAINAGEWAY TO BE CONSIDERED IN DESIGN Updated March 2022 41 SOIL/SITE EVALUATION Sheet 2. of 2 (Continuation Sheet-Complete all field in full) PROPERTY ID#1' 461602590311 DATE OF EVALUATIONS 6/13/22 AND 111/13/22 COUNTY: Catawba P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 F LANDSCAPE HORI7, .1942 POSITION/ ON .1941 .1941 SOIL .1943 .1956 ; .1944' PROFILE # SLOPE% DEPTH STRUCTURE/ CONSISTENCE/ WETNESS! SOIL SAPRO 'REST 2 CLASS ( I TEXTURE MINERALOGY COLOR DEPTH CLASS HOR]k &LTAR B5 L 3% 0-4 GR SL NS NP FR 0.1 4-11 GR/SBK CL SS NP Fl - - - DRIP 11-24 SBK C SS NP Fl B6 L 4% 0-4 GR SL NS NP FR 0.1 4-10 GR/SBK SCL NS NP FR - - - 1 DRIP 10-43 SBK CL NS NP Fl I lter SO1L � ..:_'8. r 1 ::•:'i':-,11Vg. N . 4-1°i\i 1 4..\.,..b ... roy kt-,..1_,.\\. ::.,',X\S .1,1 )-5). COMMENTS: Updated March 2022 , Stamper Soil Services, PLLC Sheet 1 or 4115 Highland Pointe Drive PROPER C O5 IDg: _ _;_ fiNTY:.... Gnianville. NC 28110-9113 SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM! 'Complete all fields in fell) OWNER: Lot= APPLICATION DATE: ADDRESS: • DATE EVALUATED: ' PROPOSED FACILITY: PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE: o1149 4i LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: U Private /fl Public 11te11 l3 Spring 17 Other EVALUATION METHOD: r�Auger Boring 0 Pit 0 Cut TYPE OF WASTEWA 1 ER: en-age B Industrial Process Q MiXE r o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS ' .1940 •L LA.NDSCAPE• HORIZON - L POSITION! DEPTH_ 1942 PROFILE r SLOPE"o ( °.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE! WETNESS! SOIL SA PRO RESTR &LTAR TEXTURE . MINERALOGY COLOR DEPTH CLASS I1ORIZ i \d, > L ;g — . r r 4 — % Ck .. i i,' 7 ' ' . '. : r r 0-- t v. i ,y' f , i 1 _ � ii C+kk, t; I i 1 • :- ,,.••-w -- ?". •-:. -•-- 1 11)W L .•',....-2.,.- I i ..' , , • : _,, ..........-- •...,_____.. -• , 0-7.-- :,,, Dr\e , _ er inals-tivt c.,.._ .. _: , i 1.. , • ,.. • , . . ,,. . . .. . . . t: „or ' . .,. ,, , /.• • . _ •-•: a , .,. \ . , , _ Illy a-. ' \•� - _ I - L - a pi r to _„) I j1 F AP Vi\11/ l 1 `, . 12i. f I DESCRIPTION INITIAL SYSTEM REP3JR SYSTEM OTHER FACTORS .1 /V r)r. : ` ., y. Available Space (.1945) � .• '''• .• �� -- ' SITE CLASSIFICATION(. t8 - ' ,System Type(s) pi-)• ,)'S Tt.J.i Site LTAR PRESENT:EVALUATED_SY. ' Ct.ALg ,. . i I' - ' ' f 0 ,� OTHER(S)PRESET: al P , mr. LcoMI ENTs:3 O - t� i ` - �.a4= r 3t � _ 3 ! hH �'� Ada ��L r=� t` _..•���S N+SN � `gaSe s i! I )11,', rigr ;. ��{I z "ri i�R ��I `li �—11 FLW �n o d � �p `, j '2a•\� � Y i'•.0 CC'il= ! ° I e �!LL Se 'L' !["ftF;k r' a�g u_• ��w�J� Ot,' t, L• i• le o• lly 5= � � - c�� g - #So• ± �� t oIP a lw :F_le = �` e' S ii;.9 :Es. fled=. hi-I N. 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