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Sat Address: 9223 GRAYSON GREEN LN SNL•BRILLS FORD NC 28673
Pisan inn Perwrk SAVANI4AN WTBRER
Property Sam: Acres 0 bt
e t?rrecnsea Take Shames Ford Rd to Island Poole Rd.Turn left on Carnets Peones,Turn left on Grayson Green Ln
i Property 2nd tot on left
1 ()ntier/Authorized Representative AeknnM ledgcmcnt of Permit Receipt
x
_ (cant.) that l am the ounce or authorizes!agent Courser's authorization requarnb ri.rrv.rung the.tuner of
the(rope t*desk-Mrs!ohm e.
NAs the property owner or authorized representative,I hose received the abo,c referenced
permit(s)as requested in the application for scn ice RBPR-05.-2023-I421s,by the following method(s):
Receised in Person
Facsimile Transmittal(Return firm with signature required)
4 Electronic Image Transmittal E-mail (Return receipt required)
t "1'\1 As the property owner or authorized representative I hase rc,levied 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 sad Disposal Systems(15A NCAC 111A.1900),
asdlor Weil Construction Stsadsrds(I SA NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system and'or water supply cell permitted.
Permit Issue Date:05/1Il2023
OwncnAuthorinod Rcprtscntative Signaturcc \
.-11t, Date 0 511CI 12b_._
Docnaxntatiou of Permit(*)Transmittal
(permit tranmitted by electronic or other means)
Permit transmitted by_ __ (name of persuis 3etuLn1;permit)
Signature l)ate'Titne !�)D')3
Method: _Fat .l F.mail US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wane tto hear front yatrlease Rain a few ntontenes tto corrrpleee our custtor,ter serr4ce survey atl
http://rww.surveyraonYey.com/s/EHCuutonrerServke
pa+4anr,A.hwc6b4 ha.
epernit
county: Catawba
CONSTRUCTION AUTHORIZATION FOR G.S.130A-.335(a2)/SL2OZZ-11
PIN/Lot Identifier:462801271307
Issued To:Savannah Webber
Property Location:9223 Grayson Green Lane, Sherrills Ford, NC, 28673
AOWE/PE Plans/Evaluations Provided: Yes 0 No❑ If yes,name and license number of AOWE/PE:Jeff Vaughan, 10003E
Facility Type:Single Family Residence
New 0 Expansion 0 Repair System Relocation 0
Basement? 0 Yes 0 No Basement Fixtures? ❑Yes 0 No
Type of Wastewater System** Gravity 25% Reduction (Initial) Gravity, 25% Reduction (Repair)
Design Daily Flow:480 GPD Wastewater Strength:0 domestic ❑high strength 0 industrial process
Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? 0 Yes l No
Installation Requirements/Conditions
Septic Tank Size: 1,000 gallons Total Trench/Bed Length:400 feet Trench/Bed Spacing:9 feet on center
Drainfield square footage: 1,200 Trench/Bed Width:36 inches LTAR:0.3 gpd/ft2
Soil Cover:6 inches Slope Adjusted Maximum Trench/Bed Depth: 18 inches
Aggregate Depth: inches above pipe inches below pipe 12 inches total
Pump Tank Size(if applicable): gallons Requires more than 1 pump? 0 Yes 0 No
Pump Requirements: ft.TDH vs. GPM Grease Trap Size(if applicable): gallons
Distribution Method: 0 Serial 0 D-Box or Parallel 0 Pressure Manifold(s) 0 LPP 0 Other:
Artificial Drainage Required: Yes 0 No 0 If yes,please specify details:
Legal Agreements(If the answer is"Yes"to any type of legal agreements,please attach a copy of the agreement.)
Multi-party Agreement Required(.1937(h)]: Yes 0 No 0
Easement,Right-of-Way,or Encroachment Agreement Required(.1938(j)]: 0 Yes 0 No
Declaration of Restrictive Covenants: 0 Yes 0 No
"If ano)kableE
I understand the system type specified is different from the type specified on the appikatfon. I accept the specifications of this permit
Owner/Legal Representative Print Name:
Owner/Legal Representative Signature: Date:
Pre-Construction Conference Required: Yes 0 No la
Conditions:
The construction and installation requirements of Rules.1950, .1952,.1954,.1955,.1956,.1957,.1958,and.1959 are incorporated by reference
into this permit and shall be met. Systems shall be installed in accordance with the attached system layout.
AOWE/PE Print Name:Jeff Vaughan I��
AOWE/PE Signature: !7'7r / Date:01/25/2023
This AOWE/PE submittal is pursuant to and meets the requirements of GS.130A-335(a2)and(a5).
*Se*attached site sketeh'
Engineers and Soil Scientists �K— \
Agri-Waste Technology, Inc. ti'N Ne. "`
501 N. Salem Street, Suite 203 �� ‘�'
Apex, North Carolina 27502
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t•/� f4.„ft. t.
Soil Suitability for Domestic Sewage Treatment and Disposal Systems
9223 Grayson Green Lane, Sherrills Ford, NC. 28673
Catawba County PIN: 462801271307
PREPARED FOR: Savannah Webber, Client
PREPARED BY: Jeff Vaughan, Licensed Soil Scientist
Trevor Hackney, Environmental Scientist
DATE: January 23, 2023
Soil suitability for domestic sewage treatment and disposal systems was evaluated from
December 16, 2022, for the property located at 9223 Grayson Green Lane, Sherrills Ford,
NC. Jeff Vaughan and Trevor Hackney of Agri-Waste Technology, Inc. (AWT)
conducted the soil evaluation. This evaluation was done to facilitate permitting for a 4-
bedroom home. This report and attached documents were prepared to this application is
to be used to issue an Improvement Permit in accordance with G.& 130A-335(a2)and
(a3). The LSS evaluation is being submitted pursuant to and meets the requirements of
G.S. 130A-335(a2).
A drawing of the site plan, septic layout, and boring locations is included in Attachment
1. Profile descriptions for each boring are included in Attachment 2.
The total property area is 0.84 acres. The property is entirely wooded. The home is
proposed near the front of the property with the septic system proposed just behind the
home. The proposed system is a gravity dosed chamber style trench with parallel
distribution.
Soil Suitability for Domestic Sewage Treatment and Disposal Systems
The drawing in Attachment 1 details the property boundaries(as surveyed by Dedmon
Surveys), soil boring locations, and layout of drain field trenches(Completed by AWT).
Four soil borings were assessed on the property. Soil borings were examined to
determine soil suitability for on-site sewage disposal systems in accordance with 15A
1 8A .1900 Rules for Sewage Treatment and Disposal Systems. These borings were
advanced with a hand auger. All soil borings are being utilized for the drain field area.
1
A septic layout was performed to demonstrate available space(.1945). The layout in
Attachment 1 indicates there is available space for a four-bedroom primary and repair
septic system utilizing the 25%reduction of chamber style trenches.
The proposed LTAR(Long Term Acceptance Rate) by AWT is 0.3 GPD/ft2. The soils on
this property are group IV soils within the distribution and treatment zone as used to
define the LTAR. Since usable slope corrected soil depths meet or exceed 30" AWT is
recommending the use of chamber style trenches to utilize the 25%reduction. With a
LTAR of 0.3 GPD/ft2, 400 linear feet of chamber trench is necessary to support a four-
bedroom home initial system. The repair field will also require 400 linear feet of chamber
trench. The maximum trench bottom should not exceed 18". The attached drawing
proves that 400 linear feet of trench can be installed for the primary system and 400
linear feet of trench can be installed for the repair system with the proposed home
location.
Any disturbances or grading done in the usable area will change the potential of using the
area designated for a drain field. Prior to moving forward with building on the property,
Catawba County Environmental Health Department should be contacted to complete the
necessary review of this documentation to issue an IP(Improvement Permit) for the
property and the CA(Construction Authorization).
Conclusions
An IP(Improvement Permit)and CA (Construction Authorization)for this property can
be issued with the site plan that is in Attachment 1. A CA permit will be required in
order to secure a building permit for the property. The county issues an Operation Permit
after the system has been installed to meet the specifications of the Authorization to
Construct. Additional septic layouts have been or will be performed as needed. It will be
critical to not disturb any of the proposed septic area or there is a risk that the IP and CA
will be revoked. This AOWE PE submittal is pursuant to and meets the requirements of
G.S. 130A-335(a2)and(a5).
We appreciate the opportunity to assist you in this matter. Please contact us with any
questions, concerns, or comments.
Sincerely,
MUcXneky-
Jeff Vaughan Trevor Hackney
2
Attachment 1: Site Plan/Drawing
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9223 Grayson Green Ln county: Catawba
This Section for Local Health Department Use Only
Initial submittal received:5/1/23 by RP
Date Initials
Permit Number: Auth-05-2023-195884
G.S. 130A-335(a6)states the following: 'If a local health department fails to act on an application for a construction authorization
submitted pursuant to subsection(a5)of the section within 10 business days of receipt of a complete application, the local health
department shall issue the construction authorization.'
In accordance with G.S. 130A-335(a5)the construction authorization application is:
E Incomplete(If box is checked, information in this section is required.)
The following items are missing:
Copies of this were sent to the AOWE/PE and the Owner on _
Date
State Authorized Agent: Date:
❑ Denied (See attached report.)
Copies of this were sent to the AOWE/PE and the Owner on
Date
State Authorized Agent: Date:
Complete //�� ���� ..� /�
State Authorized Agent: ��`�✓'AS (/ Date of Issuance: 5/16/28
This Construction Authorization is issued pursuant to G.S. 130A-335(a2),(a5),and (a6)using the signed and sealed plans or
evaluations attached here.This Construction Authorization 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 Construction Authorization
shall not be affected by a change in ownership of the site. This Construction Authorization is subject to compliance with the
provisions of the Laws and Rules for Sewage Treatment and Disposal and to the 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.
Final landscaping shall be constructed to divert water and establish vegetative cover.
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
plans,evaluations,preconstruction conference findings,submittals,or actions from a person licensed pursuant to Chapter 89C of
the General Statutes as a licensed engineer or a person certified pursuant to Article 5 of Chapter 90A of the General Statutes as an
Authorized On-Site Wastewater Evaluator in GS 130A-335(a2),(as),and(a7).The Department,the Department's authorized
agents,and the local health departments shall be responsible and bear liability for their actions and evaluations and other
obligations under State law or rule,including the issuance of the operations permit pursuant to GS 130A-337.
Construction Authorization Expiration Date: 5/16/28
*See attached site sketch*
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