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AUTH-01-2023-187858.TIF
catawba county public health VOLUNTARY RELINQUISHMENT OF ADMINISTRATIVE APPEAL RIGHTS Date prepared: March 16,2023 Owner(s). Marcus&Kimberly Proust Mailing Address: 3799 Burton St Sherrills Ford,NC 28673 Property location/site legal description: _ 3799 Burton St Sherrills Ford PIN: 460701353748 Improvement Permit(IP) ry Date Issued Authorization to Construct(AC) AUTH-01.2023_187858 Date Issued 1/18/2023 I, 4i!„ 444 4,/_;voluntarily relinquish my rights to pursue a formal appeal through the North (print full name) Carolina Office of Administrative Hearings pursuant to NC General Statute 130A-24 and 150E-23 and all other applicable provisions of Chapter 150E for the above referenced permit(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 50%reduct nsyitem(lllh)-- __ (System description) will be revoked immediately by the authorized agent/local health department. I understand that the local health department'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 for the local health department to issue another IP and AC that the current IP and AC must be revoked. I understand that the local health department's revocation of an IP or CA is not effective until 30 days from the revocation or,if the revocation is appealed,at the time that the Office of Administrative Hearings issues a final decision. I understand that by signing this form and relinquishing my right to 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 I am not required to relinquish my appeal rights but that this is an option available to me so I do not have to wait 30 days for the revocation of the permit to take effect. Signature of Property Owner: Date Signed: -7/Z51/17,. NCDHHS/DPH/EHS/OSwP Revised May 2015 catawbacountync.gov Environmental Health (ctawbo County Government Centel 25 Govelnmenl Drive I PO Box 389 I hlr:wlon WC 28658 1 828 465.8270 1111A.IN NNW catawba county public health March 16,2023 Marcus& Kimberly Propst 3799 Burton St Sherrills Ford, NC 28673 Subject: Notice of Intent to REVOKE the Authorization to Construct for 3799 Burton St, Sherrills Ford PIN 460701353748 Catawba County Permit AUTH-01-2023-187858 Dear Mr. & Mrs. Propst: The Environmental Health Division of Catawba County Public Health intends to revoke your Authorization to Construct 30 days from the date of this notice. If the permit is revoked,you must apply, which you have already done, for a new Authorization to Construct(AC)and meet the requirements of the current laws and rules necessary to obtain a new 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 Church 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 Cctcwbc County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 I 828.465 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 3/16/2023. 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 150B-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. Respectfully, Steven Price, REHS Environmental Health Specialist Catawba County Public Health afellik CATAWBA COWIN Case N AU771-01-2023-I87858 11- Public Health Department Subdivision CRESCENT LAND AND TIMER BE Environmental Health Division I'IN# 460701353748 ,if PO Box 389,25 Government Drive,Newton.NC 28658 Ion 38 Site Address: 3799 BURTON ST, SHERRILLS FORD NC 28673 Name on Permit: MARCUS AND KIMBERLY PROPST Property Size: Acres 0.74 Directions: NC 16,left onto Rant Durm Rd,right onto Little Mountain Rd,left onto Mt Pleasant Rd,right onto Dock Side Ln, right onto Burton St,home is on the left Owner/Authorized Representative Acknowledgement of Permit Receipt /1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. /IV As the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service EHPR-11-2022-42682,by the following method(s): Received in Person _ Facsimile Transmittal(Return form with signature required) Ni Electronic Image Transmittal/E-mail (Return receipt required) 4 di 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 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: 01/18/2023 Owner/Authorized Representative Signature ___#7A.,...AL Date //z c/ Z0 Z.2 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by _ (name of person sending permit) Signature _ _ _ _ f. __ __ _ Date/Time I/P-11)6 Method: Fax i 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 yoa.Please ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService propst mar d jrveiiV. t" dgxgnw 0120/2023 I6:16 A• CATA��BA('O( 'I'y Case# AUIT 1-01-2023-I S7858 F- .r. . Public Health Department Subdivision CRESCENT LAND AND TIMBE ,'�� Environmental Ilealth Division I'INtI 460701353748 PO Box 389.25 Government Drive.Newton.NC 28658 LOT'tt 38 8 2 w Site Address: 3799 BURTON ST, SHERRILLS FORD NC 28673 Name on Permit: MARCUS AND KIMBERLY PROPST Property Size: Acres 0.74 Directions: NC 16, left onto Rant Durm Rd, right onto Little Mountain Rd, left onto Mt Pleasant Rd, right onto Dock Side Ln, right onto Burton St, home is on the left Authorization to Construct Permit Permit Category: Repairs Wastewater Flow: 240 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 2 Water Supply: Private Well Maximum Occupants: 4 Soil LTAR: 0.3 g.p.d.lft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 50% REDUCTION HORIZONTAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: New Tank: 1,000 gal Second Septic Tank: 1,000 gal Pump Tank 1.000 gal Grease Trap_gal Dosing Volume 165 gal Pump Specs: 23.78 GPM @ 27.7 TDH Pressure Head 2.5 ft Draw Down 7.9 in Drainfield: Total Area: 417 sq ft Total Trench Length: 139 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 18 in Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center Number of Drain Lines: 5 Trench Width: 3 ft Distribution: LPP Pre Treatment: NONE Pump Required ***** Operator Required Additional Specifications: 01'27 2023 I I:I I 0!,: CATAWBA('O IIN'r\ Case# Mill Eq(.......r.la Public health Department Subdivision CRESCENT LAND AND TIMBI � '� 1[nvironmental health Division PIN# 460701353748 PO Box 389.25 Government Drice,Ne'1on,NC 28658 IA)I'# 38 1: 2 SN Site Address: 3799 BURTON ST, SHERRILLS FORD NC 28673 Name on Permit: MARCUS AND KIMBERLY PROPST Property Size: Acres 0.74 Directions: NC 16, left onto Rant Durm Rd, right onto Little Mountain Rd, left onto Mt Pleasant Rd, right onto Dock Side Ln, right onto Burton St, home is on the left *Before an operation permit can be issued a signed maintenance agreement will have to be submitted to Catawba County Environmental Health between the owner and the ORC(operator in responsible charge). *Do not cut,drive,fill, or grade over septic or repair areas. *Septic system must be 10 ft from property lines, 15 ft from basement cuts(side slope),25 ft from basement cuts(upslope), 50 ft from wells, 5 ft from building foundations and appurtenances, and out of right-of-ways and easements *Install(2) 1,000 gallon septic tank(risers required if top of tank is greater than 6 inches below land surface)and a 1,000 gallon pump tank with risers. Floats must be attached to a float tree. *Septic tank 1 will receive effluent from basement and be plumbed into septic tank 2. The rest of the house will be plumbed into septic tank 2. *Existing septic tank should be pumped out, crushed in place, and backfilled with soil. *Pump tank will pump to a LPP valve box with 5 gate valves that will feed 5 septic lines. *Supply line will have to be sleeved under the driveway with DOT culvert pipe or be placed at least 30 inches below the driveway. *Install 139 linear feet of 50%reduction system(horizontal), proposed 5 lines total on contour. *Bring in at least 4 inches of clean fill for cover. *All lines laid out in the field and are longer than proposed *1st line(flagged orange)is 10 ft(2 panels), 2nd line(flagged white)is 37 ft(9 panels), 3rd line(flagged red)is 34 ft(8 panels),4th line(flagged green)is 34 ft(8 panels), and 5th line(flagged orange)is 24 ft(6 panels). Total number of PPBPS panels is 33. *This design utilizes 3/16 holes in the LPP lines with 2.5 ft of pressure head. *Rake and lime the trench side walls. *Seal both the outer and inner compartments of the PPBPS with foam. The outer seal is a complete seal and the inner seal is only up to the connecting pipe. *Backfill sand must be of ASTM C-33 specifications or approved by T&J Panel. *Final grade of septic area must shed surface water off and away from system. *All gutter drains must be routed away from the septic system. See also attached site plan. 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. >>>>> Do not install system under wet conditions <<<<< PROPOSED REPAIR Repair System Required? Not Required Soil LTAR: g.p.d./ft2 Proposed System: System Classification: ehpsrmn 0127:2023 I I:I I 1ZGrz 20 CALCULATIONS Location Project Number Lot No: Ne. of Bedreems 2 Design Flow 240 9"/a,y LIAR 0.3 guiRzdr EZ-Lay?(YES OR NO) YES Supply Line Length 165 ft. Supply Line Volume 28.71 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 134 R. 2°t SOH 40 PVC Amount of Line from Layout 139 ft. GPM f L3 7: 20 0.84 Gallons per Minute -1-6 °"/,,,r, 3116 0 2,.5 f 0,btx33plus2' 25 1.27 Required Septic Tank Capacity 10 (1 gal. z1::2$ Minimum Standard Tank Size 1000 30 1.78 . -4.76 Lateral Line Volume 90.767 gal. 35 2.37 -2.23 Dosing Volume 165.00 gal. 33 panels©5 40 3.03 Note: Dosing Volume based on 70% 4307 "' 3.48.: of the lateral line volume. 45 3.77 48:14 .4.28 5Q 4.58 57..11 -.5.89 . 60 ..6.42., Tank Draw Down 7.9 Generic Draw Down of 21 gal.per in. Pump Run Time 7.57 minutes Elevation Head 20 ft. Pressure Head 2 ft. Friction Factor 1.27 ft./100 ft.(From the interpolator.) Friction Head 2.10 ft. Total Dynamic Head(+15%) 27.71 ft.