HomeMy WebLinkAboutEHPR-08-2023-45070.tif . 8I'P' •% THIS IS NOT A PERMIT Case# EHPR-08-2023-45070
CATAWBA COUNTY HEALTH DEPARTMENT
.`C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
18 2 sM Environmental Health Plan Review-OSWP
IMPROVEMENT
Applicant ALEXANDER REESE, 1329 LOMBARD ST#311,PHILADELPHIA PA 19147
C:6104511528 ALEX@ACREWELL.COM
ACREWELL.COM
Owner LIBERTY LAND GROUP LLC (ELISE PIATT),6060 N CENTRAL EXPRESSWAY SUITE 500,DALLAS
TX 75206
B:340-244-2344 OTHER:503-451-5188 ELISE n L1BERTYLANDSALES.COM
NAME TO APPEAR ON PERMIT
Liberty Land Group LLC (Elise Piatt)
SITE ADDRESS: 5265 BIRCHLEAF LN,CLAREMONT NC 28610 PIN# 375402951855
NAME of SUBDIVISION: Lot# Section/Block
PROPERTY SIZE: Square Feet 48,351.60 Acres 1.11
DIRECTIONS: N NC 16 Hwy,right Oxford School Rd,left Birchwood Ln,property on left
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Public Water
DESCRIBE WORK: a2 IP only
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is"YES",then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? No
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 60 x 40
#OF NEW BEDROOMS:: 4
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
cliappliL anon 08/01/2023 10:59 Page 1 of3
.44 • CATAWBA COUNTY Case# EHPR-08-2023-45070
... ,y Public Health Department Subdivision
d a Environmental Health Division PiN# 375402951855
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
NAME ON PERMIT: LIBERTY LAND GROUP LLC (ELISE P1ATT),6060 N CENTRAL EXPRESSWAY SUITE 500,DALLAS TX 75206
Liberty Land Group LLC (Elise
Site Address: 5265 BIRCH LEAF LN,CLAREMONT NC 28610
Property Size: Square Feet 48,351.60 Acres 1.11
Directions: N NC 16 Hwy,right Oxford School Rd,left Birchwood Ln,property on left
Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat
=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for
septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the
proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements
I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are
granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely
responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation
can be performed.
The undersigned is the owner of the property or legal agent of the owner.
Date: Signature of Applicant or Agent
If you need further information or assistance please call 828-465-8270
AREA3
************************************************************************************************************
FEENAME DATE FEE AMOUNT
Improvement Permit Fee 08/01/2023 S150.00
TOTAL FEES $150.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
chapplicatwn 08/01/2023 10:59 Page 2 of 3
, •
catawba county
public health
Application for Environmental Health Services
THIS IS NOT A PERMIT 4976t
I�71�
Application is for: ® New Construction ❑ Existing Facility
® Improvement Permit ❑ Authorization to Construct
ONew Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion
❑ Existing System Inspection or Reconnection
❑ New Well ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair
Property Address 5265 Birchcleaf Lane.Claremont
Acres 1.11 Subdivision Lot#
Driving Directions to Property
Describe work O I V
Applicant Name Alexander Reese
Applicant Address 1329 Lombard Street#311 Philadelphia, PA, 19147
Phone 610-451-1528 Email alex@acrewell.com
Owner Name Liberty Land Group,LLC 3 41,4* L Ii pi.
Owner Address 6060 N Central Expressway, Suite 500,Dallas,TX 75206 503 ' 1 •S1$
Phone 503-894-7133 Email elise@libertylandsales.com
Contractor Name
Contractor Address
Phone Email
Name to Appear on Permit? 0 Owner ❑Applicant ❑Contractor
Who will be the Primary Contact? ❑Owner ®Applicant ❑Contractor
Proposed New Construction-Residential
Primary Residence ® New Residence ❑ Addition to Residence #of New Bedrooms*1' 4 #of Occupants 8
Project Description
Structure Dimensions,also specify dimensions of decks&porches 60 ft X 40 ft
(Choose One) ❑Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Wa er Using Fixtures In Basement ❑Yes ❑ No
Retaining Wall>2' ElYes ❑ No y LkItkit tw i tit �It(.Q intL f ,L, ' ii J)3
Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions •
(Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No
Retaining Wall>2' ❑ Yes ❑ No
Accessory Structure(s)Describe Structure(s)Dimensions
Plumbing ❑Yes ❑No Describe Plumbing Needed
(Choose One) El Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No
Retaining Wall>2' ❑ Yes ❑ No
Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants
Structure Dimensions
(Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑ Yes ❑ No
Retaining Wall>2' ❑ Yes ❑ No
Well Construction/Abandonment/Repair
Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑Community Well
Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unkno\,
Well Repair Requested ❑Yes ❑No Describe E C E l VE D
Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?❑ Yes
JUL 3 1 'L: 23
Environmental Health Environmental Health
Catawba County Government Center,25 Government Drive I PO. Box 389, Newton, NC 28658
Phone: (828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov
1 1
1 I
Existing Structures on Site
Describe Structure Dimensions
#of Bedrooms* #of Occupants
Basement ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No
Existing Water Supply
❑ Individual Well ❑Shared Well—Number of Connections ❑Community Well ® County/City/Township Water Line
Is a public water supply available?** ® Yes ❑No Note:disregard'well'on site plan. Property is servced by Conover City Water.
Commercial ❑ Proposed New Construction ❑ Existing/Change of Use ❑Repair
Food Service Specify Type
#Seats Dining Area(Sq.Ft.)
#Employees per Shift #of Shifts
Church #of Seats Daycare ❑Yes ❑No #of Children #of Employees per Shift #of Shifts
Commercial Kitchen ❑Yes ❑No Residential Kitchen ❑Yes ❑No
Daycare#of Children #of Employees per Shift #of Shifts
Business/Other Specify Type Structure Dimensions
Retail Floor Space #of Employees per Shift #of Shifts
Other Information
Calculated Design Flow,Commercial t (This value will be determined by EH staff)
The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. If the answer to any question is"yes",applicant must attach supporting documentation.
❑Yes IZ1 No Does the site contain any jurisdictional wetlands?
❑Yes 121 No Does the site contain any existing wastewater systems?
❑Yes B No Is any wastewater going to be generated on the site other than domestic sewage?
❑Yes B No Is the site subject to approval by any other public agency?
❑Yes ®No Are there any easements or right of ways on this property? Describe
If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s):
(systems can be ranked in order of your preference) Note:shallow placement conventional
®Accepted ❑Alternative la Conventional ❑ Innovative ❑ Any
*Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted
on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit
issuance. This may prevent the need for septic system expansion in the future.
If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff.
** If No,a well permit must be issued with the Authorization to Construct.
RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE)
Environmental Health soil/site evaluations require digging,augering,and/or probing into the ground. Property owner/applicant is responsible
for marking all underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation
systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities.
Completed applications are valid for a period of 2 years. Improvement Permits are valid:with complete site plan=60 months(5 years);
with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid. An
Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this
application/site plan changes or if the intended use for the proposed facility changes.Permits may be revoked if site conditions are altered such
that they effect permit conditions or installation requirements.
I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state
officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I
understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site
accessible so that a complete site evaluation can be performed.
The undersigned is the owner of the property or legal agent of the owner.
Signature of Owner or Legal Agent Date 07/31/2023
Printed Name of Owner or Legal Agent Alexander Reese
County: Catawba
IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11
PIN/Lot Identifier: PIN: 375402951855
Issued To:
Property Location: 5265 Birchleaf Lane, Claremont
Subdivision: Lot#: Block: Section:
LSS Report Provided: Yes ✓❑ No❑
If yes,name and license number of LSS: Jason Volker, 1300
New❑✓ Repair 0 Expansion ❑ System Relocation ❑
Proposed Structure: 4 Bedroom Residence
Proposed Wastewater System Type: Shallow Modified (Initial) Shallow Modified (Repair)
Fill System: 0 Yes ,/❑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): 0.35
Design Wastewater Strength:❑✓ domestic 0 high strength 0 industrial process
Number of bedrooms: 3 Number of Occupants: Other:
Pump Required: ®Yes ❑No ❑May be required based upon final location and elevations of facilities
Artificial Drainage Required: ❑Yes QNo If yes,please specify details:
Type of Water Supply:❑ Private well ❑ Public well ❑Municipal Supply ❑Spring 0 Other:
Drainfield location meets requirements of Rule.1945: Yes❑✓ No❑
Drainfield location meets requirements of Rule.1950: Yes❑✓ No❑
Permit valid for:E Five years[site plan submitted pursuant to GS 130A-334(13a)] ❑No expiration[plat submitted pursuant to GS 130A-334(7a))
Permit conditions:
Licensed Soil Scientist Print Name: Jason Volker
Licensed Soil Scientist Signature: Date: 7/28/23 _
The LSS evalua is being submitted pursuant to and meets the requirements of G.S.130A-335(a2).
*See attached site sketch*
RECEIVED
J U L 3 1 2023
Environmental Health
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3
County:
This Section for Local Health Department Use Only
Initial submittal received: by
Date Initials
Permit Number:
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:
❑ 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: Date of Issuance:
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:
*See attached site sketch*
Document Ref:CEJLP-SL4NF-XZWU4-61GQ3
ONE Environmental Group of Carolina,
PLLC
Application for Residential
On-Site Sewage Treatment
and Disposal System
5265 Birchleaf Lane
Claremont, North Carolina 28610
% NE
ONE ENVIRONMENTAL GROUP
Prepared for:
Liberty Land Group, LLC
July 2023
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3
INTRODUCTION
ONE Environmental performed an on-site subsurface wastewater system investigation on 1.11 acres
(PIN: 375402951855) located at 5265 Birchleaf Lane, Claremont, Catawba County, North Carolina
on April 4,and July 12,2023. The plan is for a 4 bedroom home.
The property was evaluated in accordance with North Carolina statutes for waste disposal ("Laws
and Rules for Sewage Treatment and Disposal Systems",Sections.1940 through.1944).
This LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A-
335(a2).Based on this evaluation a 4-bedroom,septic layout has been provided to document there
is enough space for an initial and repair system. A copy of an expired permit for this property is also
attached.
INVESTIGATION METHODOLOGY
Soil borings were made with a hand-turned auger in the study area. Observations of the landscape
(slope,drainage patterns,past use,etc.)as well as soil properties(depth,texture,structure,seasonal
wetness, restrictive horizons, etc.) to a depth >_ 48 inches when possible were recorded. Soil color
was determined with a Munsell Soil Color Chart.From these observations,potentially suitable areas
for wastewater disposal were identified.
FINDINGS
Five hand auger borings were made within or in the vicinity of the proposed drainfield areas,logged,
and their locations are shown in the Soil Boring Location Exhibit.Soil Boring logs are attached.
Depth to saprolite or partially weathered rock, steep slopes, and drainage swales were limiting
factors for the site. There was an area delineated that had at least 40 inches to saprolite (See
attached Soil Boring Location Exhibit). It is estimated that this area is approximately 19,000 ft2.
SYSTEM DESIGN
4 bedroom house
A design flow of 480 gallons per day as well as a long term acceptance rate (LTAR) of 0.35 gpd/sq ft
was used in the calculation of the required sizing of the septic system.The initial and repair systems
will use an Accepted Status System to receive a 25% reduction in length. The initial system and
repair will be a pressure manifold.
The recommended trench bottom depth is 24 inches for both systems.A soil cap that extends 5 feet
beyond the trenches is required. The septic tank will need to have a minimum capacity of 1,000
gallons.The initial proposed septic system(See the Septic Layout Exhibit)is over 100 feet away from
existing wells.
Attached are the wastewater soil/site evaluation forms, location sketch of borings, and system
layout.
ONE Environmental Group of Carolina, LLC
2
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3
•
The septic installer contractor shall install the primary system on contour,see the attached site plan
for the primary system. Installation must meet all state and local regulations for septic system
installation. The area designated on the site plan for the septic system and repair must remain
undisturbed (no mechanical clearing, excavation, heavy traffic, or other significant site disturbing
activities) until authorized by the health department.
Sincerely,
Attachments:
1) Soil boring locations
2) System Specifications
3) System Layout
4) Soil boring logs
5) Property Owner Acknowledgement of G.S. 130A-335(a2)and (a3)
6) Improvement Permit Form for G.S.130A(a2)/SL2022-11
7) Expired Improvement Permit(2006)
ONE Environmental Group of Carolina, LLC
3
Document Ref:CEJLP-Sl.4NF-XZWU4-67GQ3
catawba county Geospatial Real Estate Search
MAKING. LIVING. SE,T�s. Information Services
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Parcel: 375402951855, 5265 BIRCHLEAF LN CLAREMONT, 28610
Owners: MILAZZO SIMONE M,
Owner Address: 1346 SAINT LAWRENCE DR
Values - Building(s): $0, Land: $5,800, Total: $5,800
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
04/19/2023
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3
5265 Birchleaf Lane (PIN: 375402951855)
Number of bedrooms: 4
Initial system LTAR: 0.35
Initial trench length: 550 feet-Shallow,Gravelless System(25% reduction).
Repair system LTAR: 0.35
Repair system length: 550 feet-Shallow,Gravelless System (25%reduction).
SYSTEMS DELINEATION
Primary System
Line Flag Color Length Design Length Relative Elevation
Installation
1 Orange 85 85 103.01
2 Pink 85 85 102.75
3 Blue 85 85 102.54
4 White 85 85 102.15
5 Orange 85 85 101.99
6 Pink 85 85 101.71
7 Blue 40 40 101.24
Repair System
Line Flag Color Length Design Length Relative Elevation
Installation
1 White 85 85 104.89
2 Orange 85 85 104.3
3 Pink 85 85 104.00
4 Blue 85 85 103.88
5 White 85 85 103.71
6 Orange 85 85 103.47
7 Pink 40 40 103.24
B.M. = 100.00'iron pipe property boundary marker
System Notes
Initial
• A trench depth of 24 inches is recommended for the initial system.
• 7 drain lines were field delineated for the initial system
(550')
• Drain lines were placed on at least 6-foot centers
• Distribution Method-pressure manifold
• Soil cover to extend 5'beyond trenches
Repair
• A trench depth of 24 inches is recommended for the repair system.
• 7 drain lines were field delineated for the repair system (550')
• Drain lines were placed on at least 6-foot centers
• Distribution Method-pressure manifold
• Soil cover to extend 5'beyond trenches
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3 ���
•
(. 4 catawba county Geospatial Real Estate Search
MAKING. HYING. KIttIK. Information Services
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NOTES:
1)NOT A SURVEY-PLOT PLAN SUPPLIED BY PROPERTY OWNER '
2)TANK AND TRENCHES TO BE LOCATED MINIMUM OF 10'FROM PROPERTY".i,E; -fir
AND MINIMUM OF 5'FROM ANY BUILDING FOUNDATION. i
3)DO NOT CUia,FILL OR ALTER DRAINFIELD OR REPAIR AREA. s.r
4)COMPLY WITH ALL SETBACKS. N.
N
w+E 1 in=60ft
5
Parcel: 375402951855, 5265 BIRCHLEAF LN CLAREMONT, 28610
Owners: MILAZZO SIMONE M,
Owner Address: 1346 SAINT LAWRENCE DR
Values - Building(s): $0, Land: $5,800, Total: $5,800
This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
04/19/2023
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet I of_2_
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID ii:
ON-SITE WATER PROTECTION BRANCH COUNTY:_Catawba_
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: _ APPLICATION DATE
ADDRESS: 5265 Birchleaf Lane DATE EVALUATED:_April 4,2023
PROPOSED FACILITY: 4 BDR PROPOSED DESIGN FLOW(.1949):_480_GPD PROPERTY SIZE: 1.11 Ac
LOCATION OF SITE:_Central portion of parcel PROPERTY RECORDED:
WATER SUPPLY: ❑Private ❑Public ❑ Well 0 Spring ❑Other
EVALUATION METHOD: X Auger Boring 0 Pit ❑Cut TYPE OF WASTEWATER: X Sewage ❑Industrial Process 0 Mixed
• • • • •
P
R SOIL MORPHOLOGY OTHER
0
F (.1941) PROFILE FACTORS
1 .1940
L LANDSCAPE HORIZON
E
POSITION/ DEPTH 1942 PROFILE
# SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
0-2 GR/SCL VFR/NP/NS 10YR 3/2
2-15 GR/SL FR/NP/NS 2.5 YR 4/4
1 D 0-2% 15-40 SBKJSC FUSP/SS 2.5 YR 4/6 U
40-58 M/SCL FR/SP/SS 2.5YR4/6
10YR 3/2
0-2 GR/SCL VFR/NP/NS
2-40 SBK/SC FI/SP/SS 2.5 YR 4/4
PS,
2 D 0-2% 40+ M/SCL FR/SP/SS 2.5YR 4!6 0 35Shallow System
0-2 GR/SCL VFR/NP/NS 10YR 3/2
2-42 SBKISC FI/SP/SS 2.5 YR 4/4
3 L 0-2% 42+ M/SCL FR/SP/SS 2.5 YR 4/6 PS,Shallow System
0.35
1OYR 3/2
0-2 GR/SCL VFR/NP/NS
2-6 GR/SL FRJNP/NS 2.5 YR 4/4
4 L 0-2% 6-42 SBK/SC FI/SP/SS 2.5 YR 4/6 PS,0 35Shallow System
42+ M/SCL FR/SP/SS 2 5YR 4/6
DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
SITE CLASSIFICATION(.1948):
Available Space(.1945)
EVALUATED BY: Jason Volker,LSS
System Type(s) OTHER(S)PRESENT:
Site LTAR
COMMENTS:
Updated February 2014
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3 ,ijf`iiril
•
SOIL/SITE EVALUATION Sheet_2_of_2_
(Continuation Sheet-Complete all field in fill)
DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#:
DIVISION OF PUBLIC HEALTH DATE OF EVALUATION:_4/4/23
ENVIRONMENTAL HEALTH SECTION COUNTY:_Catawba_
ON-SITE WATER PROTECTION BRANCH
SOIL MORPHOLOGY OTHER
0
(.1941) PROFILE FACTORS
.1940
LANDSCAPE HORIZ .1942
POSITION/ ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE
# SLOPE% DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS
( ) TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ <AR
u-2 GR/SCL VFR/NP/NS
10YR 3/2
2-5 GRJSL FR/NP/NS
2.5 YR 414
5 1.
L 0.2% 5-16 SBK/SC,Gravelly FI/SP/SS
2.5 YR 4/6
16 Rock
6
7
•
COMMENTS:
Updated February 2014
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3
LEGEND
use the following standard abbreviations
SOIL CONVENTIONAL LPP MINERALOGY/
LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE
CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain)
CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive)
D(Drainage Way) CR(Crumb)
DS(Debris Slump) II SL(Sandy Loam) 0.8-0.6 0.4-0.3 GR(Granular)
FP(Flood Plain) L(Loam) SBK(Subangular Blocky)
FS(Foot Slope) ABK(Angular Blocky)
H(Head Slope) III Si(Silt) 0.6-0.3 0.3-0.15 PL(Platy)
L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic)
N(Nose Slope) CL(Clay Loam)
R(Ridge) SCL(Sandy Clay Loam) MOIST WET
S(Shoulder Slope) SiL(Silt Loam)
T(Terrace) VFR(Very Friable) NS(Non-sticky)
IV SC(Sandy Clay) 0.4-0.1 0.2-0,05 FR(Friable) SS(Slightly Sticky)
SIC(Silty Clay) Fl(Firm) S(Sticky)
C(Clay) VFI(Very Firm v.Very Sticky) VS(Very Sticky)
0(Organic) None None EFI(Extremely Firm) NP(Non-plastic)
SP(Slightly Plastic)
*Adjust LIAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic)
NOTES VP(Very Plastic)
HORIZON DEPTH In inches below natural soil surface
DEPTH OF FILL In inches from land surface
RESTRICTIVE HORIZON Thickness and depth from land surface
SAPROLITE S(suitable)or U(unsuitable)
SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less-record Munsell color chip designation
CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable)
Evaluation of saprolite shall he by pits.
Long-term Acceptance Rate(LTAR):gal/day/ft2
Show profile locations and other site features(dimensions,reference or benchmark,and North).
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Document Ref:CEJLP-SL4NF-XZWU4-67GQ3
•
In accordance with G.S. 130A-335(a2) a LSS evaluation may be submitted in conjunction with a complete
application to the Local Health Department. The application shall include all information described in 15A
NCAC 18A .1937(d) and be accompanied by a signed and dated statement from the applicant that states
the following:
"The LSS/LG evaluation(s) attached to this application is to be used to issue an Improvement Permit in
accordance with G.S. 130A-335(a2) and (a3).".
Owner: akairem
Date: 2023-07-30
Document Ref:CEJLP-SL4NF-XZWU4-67GQ3
•
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CATAWBA COUNTY
'> : ;- \ Public Health Department Case# WLS2006- 134 I
�'' "�' Environmental Health Division J �/ SutxttvIS1Otn
/, PO Box 389,100-A Southwest Blvd,Newton.NC 28658 BL/PhlL of#
828 465-8270 FAX(8 8)46�8 76 TDD(828)465-8200 PIN# 375402951855
•
Applicant/Owner SIMONE M MILAZZO
Site Address:62-6BIRCHLEAF LN CLAREMONT NC
Property Size. 1.11
Directions: HWY 16 N/RT ON OXFORD SCHL RD/LT ON BIRCHFIELD LN/LOT ON LT
•
Improvement Permit
Permit Valid For: Five years X No Expiration
Facility(Residential): House
House X Mobile Home Multi-Family Bedrooms 4 New? .1 Addition?
Projected Daily Flow gsv g.p.d Water Supply Private Well? Public? Semi-Public?
Easement: V -_ Basement Plumbing: Y HotTub/Spa: N Special Fixtures(explain):
Proposed Wastewater System: "570 1LCh49-1'4- Type: ta 3
Proposed Repair: ,, b dctePitrv',
Permit Conditions:
•
Owner or Legal Representati Signatur : Date:
Authorized State Agent: Date: g-31 rfy,
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' (15A 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.
Authorization to Construct Wastewater System (Required for Building Permit)
* See site plan and additional attachments( )
Proposed Wastewater System: Type: Wastewater Flow _g p.cl
New Repair Expansion Soil LTAR: g.p.d./ft2
Type of Facility:
Basement: Y - Basement Plumbing: Y HotTub/Spa: N Special Fixtures(explain):
Wastewater System Requirements
Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal
Dralnfield:Total Area: sq ft Total Length: ft Maximum Trench Depth in
Trench Width ft Minimum Soil Cover Minimum Trench Seperation l`
Distribution: Distribution Box SerifDistribution Pressure Manifold LPP Other
Additional Specifications:
Authorized State Agent: Date:
Permit Expiration Date:
f have read and accept the specifications and all conditions of this permit as indicated.
Owner or Legal Representative Signature: Date:
r:\Tid rmo r1AForm NVLSavv.roi
1
Dpcuipent Ref:CEJLPSL41V xZWu4-67GQ3
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CATAwBA COUNTY
-�.„` Case# WLS2006-01341
P,,' —`-?, '' Public Health Department
' l..< Environmental Health Division 3uou,vhlvi„
\'`,; : / PO Box 389,100-A Southwest Blvd,Newton,NC 28658 SectBL/Ph/Lot it
--J 828 i 465-8270 FAX(828)465-8276 TDD i828)465 4�00 PIN#
<+�% 1375402951855
•
CEIImprovement Permit El Construction Authorization 0 Well Permit
PIN# 375402951855 SITE PLAN WLS#WLS2006-01341
SIMONE M MILAZZO
Applicant/Owner Name Subdivision/Scction/Lot
Auth Led State genrf Date
System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to
insure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revocation if the site plan
or site conditions are altered.
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Document Ref:CEJLP-SL4NF-XZWU4-67G43
. DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 'Sheet 1 of /
DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID#:
ON-SITE WASTEWATER SECTION COUNTY:
SOIL/SITE EVALUATION koLS WD(_D I3L-/j
o ON-SITE WASTEWATER SYSTEM
OWNER: ✓1 t .
- - M. _1 GZZZ-0 APPLICATION DATE 8--23-O(_,
ADDRESS: .S2Co..l(i rah raf La.vze DATE EVALUATED: e:,V•O/p
PROPOSED FACILITY: II 6e-- PROPOSED DESIGN FLOW(.1949): Ligl..9 PROPERTY SIZE: /•1/
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: 0 Private 0 Public 0 Well 0 Spring 0 Other
EVALUATION METHOD: 0 Auger Boring Pit 0 Cut
TYPE OF WASTEWATER: `, Sewage 0 Industrial Process 0 Mixed
• • a •
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ii Z ::::::::::::::: ::: ..
-o::: . . SOILMOI HOLOGY:::: UTxIrR::.:.:................................................................. .....................
it (.1941). iiH OFILE FACTOTZ
E19:44 ......y. ,.. ... . „... - .__,. .w
1992
. ' : i :: .. .19'56:: 1944..... :.... .......$C PI :::ZO14 1941 194i
::U:: POSJTION 1)EPTH STRUCTCRE/..._.......CONSISTENCE/ : ::WE'NESS% :;:;SQf ::: :':'$APIIC ':::RESTR::. ,.;P:.
20F1LESOIli:: : 1943..., LASS::::
SI(P :al. ... ) TEXTURE__ .... MINERALOGY._.. ::::::COLOR::: DEPTH CLASS:::::::HORIZ.. C
.. . ... ........... . .,ik LTAR:
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
e5, SITE CLASSIFICATION(.1948): 15
Available Space(.1945) TT
EVALUATED BY:
System Type(s) a n ( 1?G7 OTHER(S)PRESENT: 191/1
/—
Site LTAR .3 c
COMMENTS: _._
1
Document Ref:'CEJLP-SL4NF-XZWU4-67GQ3
Catawba County Environmental Health
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Parcel: 375402951855, 5265 BIRCHLEAF LN 1 in=80ft
CLAREMONT, 28610
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba, its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
08/01/2023
Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 375402951855 Owner: LIBERTY LAND GROUP LLC
Parcel Address: 5265 BIRCHLEAF LN Owner2:
City: CLAREMONT, 28610 Address: 6060 N CENTRAL EXPY STE 500
LRK(REID): 58192 Address2:
Deed Book/Page: 3812/1983 City: DALLAS
Subdivision: State/Zip: TX 75206-5249
Lots/Block: /
Last Valid Sale: $21,000 on 2006-09-20 School Information:
School District: COUNTY
Plat Book/Page: Elementary School: OXFORD
Legal: Middle School: RIVER BEND
Calculated Acreage: 1.110 High School: BUNKER HILL
Tax Map: 1700 00017E School Map
Township: CLINES
State Road #:
TaxNalue Information: Tax Rates Zoning Information:
City Tax District: All in County Zoning District: COUNTY
County Fire District: OXFORD Zoning1: R-30
Building(s) Value: $0 Zoning2:
Land Value: $5,800 Zoning3:
Assessed Total Value: $5,800 Zoning Overlay: WP-O
Year Built/Remodeled: / Small Area: ST STEPHENS/OXFORD
Tax Revaluation 2023: Info, COMPER Split Zoning Districts: /
Online Appeals Zoning Agency Phone Numbers
Valid Sales (COMPER) for this parcel
Contact Tax Dept. at 828-465-8436
Current Tax Bill
Miscellaneous: Firm Panel Date: 2007-09-05
Building Permit Address Search for this parcel. Firm Panel #: 3710375400J
If available, Building Permits for this parcel. Septic 2010 Census Block: 1014
links are not permits. 2010 Census Tract: 010101
Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY
Environmental Health.
Building Details
WaterShed: WS-IV Protected Area
Voter Precinct: P27/Voting Map
Parcel Report Data Descriptions
List all Owners Deed History Report Assessment Report
This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of
location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on
this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,
whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity.
4'A CATAWBA COUNTY
100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 RECEIPT
U Avis & j'S� PHONE:828.465.8399
Tuesday,August 1,2023
g 42 5M www.catawbacountync.gov
PAYOR: Liberty Land Group LLC
Liberty Land Group LLC(Piatt,Elise)
PAYMENTS
TRANSACTION NUMBER: TRC-69848079-01-08-2023
PAYMENT DATE: 08/01/2023
PAYMENT TYPE: Credit Card
308828878
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
08-23-426178 110-580200-663000 Improvement Permit Fee $150.00
TOTAL PAYMENTS: S 150.00
EHPR-08-2023-45070
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 5265 BIRCHLEAF LN,CLAREMONT NC 28610
Applicant ALEXANDER REESE, 1329 LOMBARD ST#311,PHILADELPHIA PA 19147
C:6104511528 ALEX@ACREWELL.COM
Owner LIBERTY LAND GROUP LLC,6060 N CENTRAL EXPRESSWAY SUITE 500,DALLAS TX 75206
B:340-244-2344 ELISE@LIBERTYLANDSALES.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 08/01/2023 10:57 Page I of 1