HomeMy WebLinkAboutAUTH-05-2023-195983.tif t
4.H�ei: CATAWBACotUNTY
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.i,Kt(...... Public Health Department Subdivision
tinvironmenlal Ileelth lJivision PIN# 461602577965
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f'p Box 3R9,25 Government ikivc,Newton,NC 2865A i f)'1'N 2
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Site Address: 4496 KISER ISLAND RD,TERRELL NC 28682
Name on Permit: 'NEST HOMES LLC
Property Size: Acres 0.54
Directions: S on NC 16,E on Hwy 150,approx 7 miles, Right on Kiser Island Rd,Kiser Island Rd to parcel on Left
Owner/Authorised Representative Acknowledgement of Permit Receipt
XPI certify that I am the owner or authorized agent(owner's authorisation required)representing the owner of
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property described above.
f" 'fp1s the property owner or authorised representative, I have received the above referenced
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it(s)as requested in the application for service RBPR-01-2022-39866,by the following method(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
/ Electronic Image Transmittal/E-mail (Return receipt required)
j As the property owner or authorized representative I have reviewed and understand the specific conditions
(`' he 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:05/17/2023
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Owner/Authorized Representative Signature _
Date___ 5/2Iiig.._
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by . (name ofperson sending perm/!)
Cr , Date/'lime_ 6t)4/)3
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 yoLPlease ttake a few momentts tto comptette our custtomer service survey an
http://www.surveymonkey.com/s/EHCusttomerService
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1151 R/2023 14.3A
,rlg' a (:,ClAw13A('Ol'V"Il' Case tl At I"1 I-I-05-2023-19598 3
.t. Public I IcaUh Department Subdivision
„ O yF Environmental Health Division PINK 461602577965
PO 0ox 389.25 Government Drive.Nei%ton.NC 28658 I DTP 2
Site Address: 4496 KISER ISLAND RD, TERRELL NC 28682
Name on Permit: *NEST HOMES LLC
Property Size: Acres 0.54
Directions: S on NC 16, E on Hwy 150, approx 7 miles, Right on Kiser Island Rd, Kiser Island Rd to parcel on Left
Authorization to Construct Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
Soil LTAR: 0.3 g.p.dift2
WASTEWATER SYSTEM REQUIREMENTS
Proposed Wastewater System: 50%REDUCTION HORIZONTAL—Alternating Dual Field Nitrification System
System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Septic Tank: New Tank: 1,000 gal Second Septic Tank: 1,000 gal
Pump Tank 1,000 gal Grease Trap gal
Dosing Volume 122 gal Pump Specs: 26.48 GPM @ 11.808 TDH
Pressure Head 3 ft Draw Down 5.83 in
Drainfield: Total Area: 900 sq ft Total Trench Length: 300 ft
Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 20 in
Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center
Number of Drain Lines: 6 Trench Width: 3 ft
Distribution: LPP
Pre Treatment: NONE
Pump Required ***** Operator Required
Additional Specifications:
*This permit requires an Alternating Dual Field Nitrification system. Two separate nitrification fields are to be
installed with a diversion valve to allow alternation between the two fields. Switch the valve once a year.
*The diversion valve shall be constructed to resist 500 pounds crushing strength, structurally sound, and shall
be resistant to corrosion. Valves placed below ground level shall be provided with a valve box and suitable valve
stem so that they may be operated from the ground surface.
*INSTALL 2 VALVE BOXES.
*USE 3/16 ORFIFICES ONE PER PANEL ALTERNATING BETWEEN THE 10 AND 2 O'CLOCK POSITIONS.
*USE 34 PANELS PER DRAINFEILD.
*PRECONSTRUCTION MEET REQUIRED.
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? Install with Initial System Soil LIAR: 0.3 g.p.d.lft2
Proposed System:
System Classification:
rlqumw OS'IN'2021 I(r 2f1
r CATAWBACOUNTY Case# AUTH-05-2023-195983
Public Health Departmentin,,,-;;„ Subdivision
Environmental Health Division PIN# 461602577965
PO Box 389,25 Government Drive,Newton,NC 28658: .1111)
LOT# 2
Site Address: 4496 KISER ISLAND RD, TERRELL NC 28682
Name on Permit: 'NEST HOMES LLC
Property Size: Acres 0.54
Directions: S on NC 16, E on Hwy 150, approx 7 miles, Right on Kiser Island Rd, Kiser Island Rd to parcel on Left
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 Authorization to
Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to
Construct 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'(I 5A 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.
".444.-y---- Z-- /,e9._ ___
05/17/2023
Authorized State Agent Permit Issuance Date
5/17/2028
Pennit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
cl ipe i mi t 05/18/2023 14:38
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SUBSURFACE WASTEWATER INSPECTION FORM
System Manager: Date of Inspection Initial 6 month 12 month
TOW Wastewater Management,LLC �'' ..i- 5 Follow-up -Service call Other
5600 Lakeview Road,Charlotte,NC 28269 County System Type Drainfielrt
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Tele.704,770.1443 y t�het. - , '',. a .On-site` Off-site
info@tcwwastewater,com Time:_-f b=,.5'— Initials I
Name and, Location of System I Drainfteld(of-efte) -- -
SCOtt StUll L '
4496 Kiser Island Rd 7j C7 `S t t- As./1
Terrell,NC 28682
Lot#____ Phase Subdivision
Compliance Stott . Compliant f Non-Compliant Malfunctioning
Copies: Homeowner wner DEH Builder Owner's Association Developer
=Satisfactory M=Marginal X=Unsatisfactory N=Not Evaluated NA=Not Applicable
Septic Tank: size: Ac f )gallons i000=53"-,/' 1500=93"LL :2000=49'LL
Tank risers a< accessible / t kiunaa r
Riser Type ,_,, [.j height tameter 0" ��/jam.. Inlet End of tank
No odors present C1" ri-ez ,ft- Scu el _Sludge Level
There are no Iagltration problems f Y Surface— Subsurface '
Surface water Is being diverted away �. Scum plus Sludge lava! t {SST)j
Tanks and accesses am stmclurffity sound' Filter End of Tank SST / "/liquid Depth °x 100= /
Inter pipe at proper angle yes/ Can't observe`cl� Sctmyhevel Sludy_n�Level Tank Nestle Pum: .•: yes No
Inlet tee Is in good condition NIA �/ {.! " e 30'•OP p•30%=Yes
Inlet Tee is cleaned today N/A
Effluent Filter clogging persentat('1u,29,So,75,tool j° NIA Type: Sample of>tx
star column
Effluent Filter was cleaned No Yes ,,, NIA Three distinct zones good medium___, murky__,
Effluent Fitter is in good condition N/A____._
Effluent Filter Canister is in good condition /A__
Effluent Filler Is snapped In place l /i IA Bacteria: Added at Insp lion Let witfy1`,`omeowner
Effluent Pipe at proper angle / I Pulppks Pulp_[�pics
Water level Is at proper level to— Yes/ Freeboard, Regular rr eke Regular j/jj/ pks
Effluent Dosing Station:size: '--VQ gallons 1000=50"=20 GA /y500=52"=28 GPI 2000=59"=34 G Scum Level Sludge Level
Tank Riser Is at proper height _ ___ Plus -0—"
Riser Type .'�L Height " Dlemet - TotaiScum+Sludge O
No odors present ,
No Infitration issues: Surface Subsurface _ Tank Nee=Pumping' yes No t s•4"yea)
Required pumps are present b operating properly �p.Draw
High Water alarm is operating properly /iObrfl Observe Filter Cleaned today ND_ Yes NiA_�/
Floats,pipes,valves, disconnects are In gaud condition ."16y6ymp make and model Filter is k•1 good condition N/A
Pump Is Installed on block or raised platform(min.a Inches) iN1A_ Root Kilter Added 1LB�2L135_
Pump floatw�Is not resting en lop of pump A
Control panel enclosure/components are in goad condition Eiepsad Time Readings:
TOW slicker Is placed on front 000r of Panel // Pump fit-0 -P =Usage Ms
Duct Seal Is present In all conduit openings / Usage I days =Use Per Day Ms
Effluent appears clear and free of solids Hrs z 8a a minx GPM = GPO
Telemetry/Dialer is woridng properly N/A Average_(r275) Above average (>27•, Very high_p580)
-- Presi.ure 9afl w'lilt Dl4°. 12";'tale iv,Alarm 22" '- Paifterll-UC --- '"'` PG„".-- --= tisane--
GrinderLift Station: Authorized to inspect Not Authorized to inspect
Tank Riser Is at proper helghl _____ P Burled / "
No odors present
No Infgirat:en Issues: A Surface....v_ Subsurface—
_
Required pumps are present&operating properly ,
High water alarm Is operating Property —
Can't Observe_
Floats,pipes,valves,disconnects are In good condition -___
Pump goat Is not reeling on top of pump —
Control panel enclosure/components are In good condition
Grease Trap Section N/A size: _ gallons 1000=52"LL 1500=43"LL Scum Level
Tank risers are accessible —. P Burled 1 Inlet Otelol
No odors present _
There era no Infiltration problems P Surface _ Subsurface, • Tank Needs Primping. yes No (>3"yes)
—
Surface water Is being diverted away
Tanks and accesses are structurally sound
Mist pipe al proper angle ` Sample oftotat water column
Inlet tee Is in good condition ` , =e distinct zones: (rood„„ madam) , — murky-___
Inlet Tee Is cleaned today
Effluent Filter clogging percentage _ % Filler type_-
Effluent Filter was cleaned No Yes ,
Effluent Filler Is in goad condition _.
Effluent filler Canister Is in good condition
Effluent Filter Is snapped In place _-._
- Effluent Pipe at proper angle _
Water level le et proper level No _ Yos__ Freeboard
ravuua,t rau.,.0
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Ground Absorption Fields:
No odors present
" There Is no evidence of effluent surfactr / Drop trmeaa treed In lieu of Distribution trox No` Yes
Vegetative cover Is maintained property / Distribution begets)In good condfllon _
Field Protected from trarflddeskvcUve I. Dlsiribulion bar(es)in proper adjustment
Surface water is being diverted away ��
Lines are not pending or holding water Wpm/Jinn Isoccuring.how much? ./
No row areas or eating occurring
Line cover(soil)Is adequate Repair area Is properly reserved,maIntalnec
Pressure Manifold Systen It of 1/2"taps —• GPM (Formula: @ 3 feet head-Taps X 8.71 GPM; @ 2 feet head-Taps X 5.48)
Manifold vault,valves,piping ere In good condition Replacement needed: Lid- Valves f qly; Repair needed: Box
No evidence of leakage,blockage in discharge fines Deep cleaning needed_ Corrected Today
No evidence of effluent backing up into bet
Pressure head Is properly adjusted Corrected Toth _•___
Low Pressure Pipe System:
Tum•upslcleenoutslvaivos ace Intact and accessible _Corrected Torts Need extension? Yea fLi
Laterals era free of excess solids ��talGngnecossar _ CPDR= GPM: EJgdency= " %
Laterals ware ikrahed this Inspeclion No_ Yea_e/
Zone valves ere operating properly Corrected Tod[ Need replacing? Yea NC!13 !y
Pressure head Is properly adjusted �. rrected rode
Ttxn.up buckets am dry Inside // Buckets Hoods replacing? Yes C7 qly
Valve box or buckets are dry Inside l Buckets needs reptecng? Yes������"'����FFN//////�—city
Pump Tank Size(Gallons): f 1000 1ff00 _2000 l Design Pump Delivery Rate„GPM —Dann Dose Gallons
1000 Gallon=60"=20 GPI 1500 Gallon=82"=28 GPI 2000 Gallon=69"a 34 GPI
Level End Dose Begin Dose=DOfer Inches X GPI=Current Dose Gallo�n
Leval End(large ti) 2 • 7 Levet Begin(small#) __ X cgi' GPt= rf=Nt. Mkt.RunTlme= 4 GPM(CPDR)
Curren!GPM(CPDR) + Design GPM(DPDR) = X 100 a %Efficiency
Valves Linos Doal n Obso a Adjusted Valves Lines Design abeam Adjusted
ae,Recommendations to Owner: `- j
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Signature of"ORG" 642 __
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