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HomeMy WebLinkAboutIMPV-07-2023-200793.TIF t �4.,r�•.1•may. CATAWBA COUNTY Case ti IMPV-07-2023.200793 !Y!•+. Public Health Department Subdivision 31'v r . rJ Environmental Health Divisiot PINK 372017222291 '�./>� PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 4 trirlike Address: 2784 ROSEWOOD LN, NEWTON NC 28658 Nam on Permit; KRISTIAN GRUENTHAL' Property Slut: Acres 0.83 Directions: Sandy Ford Rd, right onto Chestnut Dr,righto onto Rosewood Ln, lot on the right Owner/Authorized Representative Acknowledgement of Permit Receipt a� l certify that I am the owner or authorized agent(owner's authorization required)representing the owner of the property described above. 00 As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service EHPR-12-2022-43006,by the following method(s): Received in Person _ Facsimile Transmittal (Return form with signature required) 1 Electronic Image Transmittal/E-mail (Return receipt required) 1t1AL 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:07/24/2023 Owner/Authorized Representative Signature _ --- Date //..2v/Z3 Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by ,_ _ (name of person sending permit) Signature_______41,___ Date/Time I 1131' Method: Fax Email US Mall Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want tto hear from youPlease take a few moments tto complete our customer service survey att http://www.surveymonkey.com/s/EHCusttomerService IIIMFIt56 PM Q i t'.lair 9 oha<nnut 07/27/2023 03.46 0 CATAWBA COUNTY Case# IMPV-07-2023-200793 Public Health Department Subdivision iii ,� - Environmental v PIN# PO Box 389,25 GovernmentHealthDiision Drive,Newton,NC 28658 LOT# 4372017222291 Site Address: 2784 ROSEWOOD LN, NEWTON NC 28658 Name on Permit: KRISTIAN GRUENTHAL Property Size: Acres 0.83 Directions: Sandy Ford Rd, right onto Chestnut Dr, righto onto Rosewood Ln, lot on the right Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 480 g.p.d Type of Facility: Primary Residence Basement? No Basement Plumbing? No Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Not Required Permit Conditions: *Lot is repair exempt, recorded in November 1974. The owner is aware there is not enough space for repair area. *Do not drive,grade, cut or fill over any part of the septic system area. *Septic area must remain 10 feet from property and water lines, 100 feet from shared well located on property,and 15 feet from house due to slab and foundation drain. 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. 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 Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement 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' (I5A NCAC I 8A.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. al/dirt. if1174 11/03/2023 Authorized State Agent Pennit Issuance Date 11/3/2028 Pennit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehper ut 11 032023 14 38 Catawba County Environmental Health ( HP4. 17 /07 i_ 111 oa(0 Tfy. o) - 1073" Z0011S 316.50 233.11 ~ 186.41 1161 31 ArWr;piml , XS{ we; I DO' l�lin SPpHE }D ' A re& Eli 1s' 26' pgg 35 rivt }9, 02,84 , , so 8 , :9',. " ,_ 1-lokoe 69x t°' 45' g boo 17((06�� 1DSep+1'c. Ata 35� 50°f a ad ao, 2 - 200.00 LI 10, T 19323 8 ROSEWOOD LN 211.36 Parcel: 372017222291, 2784 ROSEWOOD LN 1in=50R NEWTON, 28858 This mop/report product was prepared from tho Catawba County,NC Gsospsflal Information SsMoee. Catawba his meat substantial ort* a ensure lire warmof locution and libeling Information oontelned on this map or data on this report Catawba promotes and recommends the independent wrroion ofwany d contained on this ma pat product by the um.The County of Catawba,Ile employee*,Write.and mc psreo .Medial.and NW not be hid Nabts for any and Y damps,b/a at fablltty,whether direct,world er auw4u0n001 w01oh Om or may WINO from acts map►rsport product or the use thereof by any person a a�County NC ��Om 0712112023 t DEPARTMENT OF HEALTH AND HUMAN SERVICES Shut, hed 0�_ DIVISION OF PUBLIC HEALTH,ENVIRON,MENTAI.I IEALDI SECTION R RTY ID 4:.5 �tl l ON-SITE WATER PROTECTION BRANCH COUNTY:_ m_ SOILMITE EVALUATION for()N.SITE WASTEWATER SYSTEM y (Complete all fields in I11I1) OWNER: rf%hRil RA Ih4IAPPLICATION DATE I Z itZ ADDRESS: LiZ ._.E_ I:34, A...QK..:._MO --. _....,_.......DATE EVALUATED: ffj PROPOSED FACILITY: IYcL.l... aK,lc. PROPOSED DESIGN FLOW(.1949):49O b-- PROPERTY SITE;: 0.$'3 GLIes LOCATION OF SIT'E: 2 will.. Q PROPERTY RECORDED:. WATER SUPPLY: i'1 Private ublic C ell I J Spring LI Other ff .�...�,,.,....d�.�... EVALUATION METHOD: 11 Auer Boring . Pit 0Cut TYPE OF WASTEWATER: I/'Sewage CI Industrial Process 0 Mixed A a SOIL MORPHOLOGY OTHER 0 w (.1941) PROFILE FACTORS 1 .1940 LANDSCAPE HORIZON - POSITION! DEPTH 1942 ?some a SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE! WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ s D-zy C $BII Fr1 SIi if,SDf FS zc- �t8 C. .ic ' , Fl* ss, ,sax I, S°6 0. 3 S d"z g sek ,Ss(%5FQ ()5 2 z� y C WSBX F,', FOS/4 ,sq 4gl, L 0-ZY C SBk Fr 5.5 i S$ Di C wS€K Fri.SS s V ,, 3 Pi tiS 513 0- 3 L 5 0- 2 - C. 56rc , fir,ss,sf, Sf ' II 4i4 27 AY CL k 5814. KrI SS 5 ,.S 4 ' � LI$ r DESCR INITIAL SYSTEM PAIR SYSTEM IPTKJM IMPAIR OTHER FACTORS(.1946): f 5 f __ A P. N�� SITE CLASSIFICATION(.194E); �... ...„. ,,,K, :. .__..�._.......,._..,,�...._.._.�..Available Space(.1945) r d `, EVALUATED BY; aAALL_ .. f. .1 System Type(s) �Ol• fed /v�/�Al OTHER(S)PRESENT: ._we ./ Site LIAR 0. 3 /V/4 COMMENTS: M._.. .. ..:.. w:..::...._..,,,...w.......,.........,.....,.,.,:...,.:....M......,...........- -.-..:._.._...__..__._._.. . Upload February 2011 Catawba County Environmental Health E.NPR w 17 /077 . ti3©bt• 316.50 233.11 186.41 li r L V ii' 1 Ell IN 1 L'�t N2/ tozi 1 _ ' 35 J S J J Pro 4 _"'�..... ; Ai f NOHft Box , —i I Zo v li lea' 1OS 1 1551 Oi )— No too' '---- 200.00 19Ci23 8 ROSEWOOD LN I211.36 Parcel: 372017222291, 2784 ROSEWOOD LN 1ln=50R NEWTON, 28658 This map/report product was prepared tom the Catawba County.NC Geospallal Inforniabon Services. Catawba Coup hes made substantial efforts b ensure the aoaumoy of bastion and lelnlornialion contained on this map or data on this report.Catawba County pronwbs and recommends the Independent vwMlosaon of any data oont red on this map/report product by the user.The County of Calswba.Its smpisysss.semis,and personnel.disdain.and shall no[be hid liable for any end aA damages,lose or debility,whether *sot,batted or consequen sl which arises or may arise from this map/report product or the uee thereof by any person 023 Copyright 20 Cate wW County NC 0T/2412023 J .STATfq'�;, ROY COOPER • Governor „. , ova. NC DEPARTMENT OF KODY H. KINSLEY• Secretary HEALTH AND HUMAN SERVICES HELEN WOLSTENHOLME• Interim Deputy Secretary for Health 14sto a^ MARK T. BENTON •Assistant Secretary for Public Health Division of Public Health Onsite Water Protection Branch October 30, 2023 Limitless Assets LLC Monique Gruenthal 427 E L St Newton, NC 28658 Re: Approval No. JMB3220 Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C .0107(a)(2)(P)] Property location: 2784 Rosewood Ln Newton,NC 28658 Dear Ms. Gruenthal: On October 26, 2023, the On-site Water Protection Branch received your request for a variance from the Well Construction standards, Title 15A North Carolina Administrative Code Subchapter 2C .0100. The request for the variance concerns a water supply well on the referenced property. A structure is proposed to be within twenty-five feet of the well. Specifically, the variance request grants you permission to use a water supply well at a distance closer than the twenty-five-foot setback to a building perimeter. Achieving the twenty-five-foot setback would be difficult given the challenges of the property. Based upon information provided by you, and the Catawba County Health Department, it is my finding that based upon current conditions as the site exist today (as well as the current proposal for use of the structure) you meet the conditions necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1) and (2). On that basis and if the following conditions are met, the requested variance is approved: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road, Raleigh, NC 27609 MAILING ADDRESS:1642 Mail Service Center, Raleigh, NC 27699-1642 www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER 1) The well/wellhead shall meet all current 2C. 0100 standards, including but not limited to being properly grouted,terminated at least 12" above land surface, properly sealed, and having a thread-less sample tap etc. 2) The well shall be sampled for the same parameters required of a newly constructed well. If samples indicate contamination, further repairs or treatment will be necessary. 3) No potential sources of groundwater contamination shall be stored near the wellhead. 4) No termite treatment shall be applied to the structure within twenty-five feet of the well unless alternative methods are approved by Catawba County Health Department. The granting of this variance is for the well location only. It in no way relieves the owner or agent from other requirements of the North Carolina Well Construction Standards including, but not limited to the requirements in 15A NCAC 2C .0113(b) to repair or to abandon any well which acts as a source or channel for the migration of contamination. This approval does not imply sufficient water quality. Further, the approval does not relieve your responsibility to comply with any other applicable Federal, State, or local laws or regulations. If you have any questions regarding this variance, please contact me at (828) 713-3335. Sincerely, John M. Brooks R.E.H.S, MS 2