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HomeMy WebLinkAboutIMPV-08-2023-202427.tif Permit#: IMPV-08-2023-202427 MasTATEo� ROY COOPER •Governor � c ,��`> NC DEPARTMENT OF KODY H. KINSLEY• Secretary HEALTH AND HUMAN SERVICES MARK BENTON • Deputy Secretary for Health ••.R�*' ' SUSAN KANSAGRA•Assistant Secretary for Public Health ions, 0N• Division of Public Health Submittal Includes: ❑✓ (a2)Improvement Permit ❑(a2)Construction Authorization ❑ Fee$ IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: Catawba PIN/Lot Identifier: PIN: 375402951855 Issued To: Liberty Land Group LLC - Elise Piatt Property Location: 5265 Birchleaf Lane, Claremont Subdivision(if applicable) Lot#: Block: Section: LSS Report Provided: Yes❑✓ No❑ If yes,name and license number of LSS: Jason Volker, 1300 New Expansion ❑ System Relocation ❑ Change of Use ❑ Proposed Structure: Residence Number of bedrooms: 4 Number of Occupants: Other: Design Wastewater Strength:❑✓ domestic ❑high strength ❑industrial process Proposed Design Daily Flow: 480 GPD Proposed LTAR(Initial): 0.35 Proposed LTAR(Repair): 0.35 Proposed Wastewater System Type*: Type III G (Initial) Pump Required: ❑Yes ❑✓ No ❑May be required Proposed Wastewater System Type*: Type III G (Repair) Pump Required: ❑Yes Q No ❑May be required *Please include system classification far proposed wastewater system types in accordance with 15A NCAC 18A.1961 Table V(a) Saprolite System(initial):❑Yes Q No Saprolite System(repair):❑Yes Q No Fill System(Initial):['Yes El No If yes,specify:❑New ❑Existing (when adding more than 6 inches of fill to system area provide a fill plan) Fill System(repair):❑Yes ✓❑No If yes,specify:❑✓ New 0 Existing (when adding more than 6 inches of fill to system area provide a fill plan) Usable Soil Depth(Initial): 40 Usable Soil Depth(Repair): 40 Max.Trench Depth(Initial)#: 24 Max.Trench Depth(Repaid*: 24 $Measured on the downhill side of the trench Artificial Drainage Required: ❑Yes Q No If yes,please specify details: Type of Water Supply:❑Private well ❑Public well ❑Shared well ❑✓ Municipal Supply ❑Spring ❑Other: Drainfield location meets requirements of Rule.1945: Yes Q No❑ Drainfield location meets requirements of Rule.1950: Yes El No❑ Permit valid for:0 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: 8/4/23 The LSS evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Building 3,Raleigh,NC 27609 MAILING ADDRESS:1632 Mail Service Center,Raleigh,NC 27699-1632 www.ncdhhs.gov • TEL:919-707-5854 • FAX:919-845-3972 AN EQUAL OPPORTUNITY!AFFIRMATIVE ACTION EMPLOYER Permit • IMPV-08-2023-202427 This Section for Local Health Department Use Only Initial submittal received: 7/31/2023 by RP Date Initials G.S. 130A-335(a3)states the following: When an applicant for an Improvement Permit submits to a local health department an improvement Permit application,the permit fee charged by the local health department,the common form developed by the Department,and a soil evaluation pursuant to subsection(a2)of this section,the local health department shall, within five business days of receiving the application,conduct a completeness review of the submittal.A determination of completeness means that the Improvement Permit includes all of the required components.if the local health department determines that the improvement Permit is incomplete,the local health department shall notify the applicant of the components needed to complete the improvement Permit. The applicant may submit additional information to the local health department to cure the deficiencies in the improvement Permit.The local health department shall make a final determination as to whether the Improvement Permit is complete within five business days after the local health department receives the additional information from the applicant.If the local health deportment fails to act within any period set out in this subsection,the applicant may treat the failure to act as a determination of completeness.The Department shall develop a common form for use as the Improvement Permit. The review for completeness of this Improvement Permit was conducted in accordance with G.S. 130A-335(a3). This Improvement Permit is determined to be: ❑ 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 Applicant on Date State Authorized Agent: Date: ©Complete �/ State Authorized Agent: "+ Date: 8/10/2023 This Improvement Permit is issued pursuant to G.S. 130A-335(a2)and(a3)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 permit is subject to revocation if the site plan,plat,or the intended use changes. 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 the conditions of this permit. 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: 8/23/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 • 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: catherem Pa,; Date: 2023-07-30 Document Re CEJLP-SL4NF-XZWU4-67GQ3 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 August 2023 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 conducted in the field 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 z 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 total trench length for initial and repair systems is 680 feet. Drian lines will be placed on 9- foot centers. 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 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 Layout 3) Soil boring logs 4) Property Owner Acknowledgement of G.S.130A-335(a2) and(a3) 5) Improvement Permit Form for G.S.130A(a2)/SL2022-11 6) Expired Improvement Permit(2006) ONE Environmental Group of Carolina, LLC 3 catawba county Geospatial Real Estate Search MAKING. LIVING.. NETTER. Information Services . i sa Primary and E-- .¢ Repair Area • LI. _ 1.1CC "o V CO Home _ 60'x40' nrvewav • 672 NOTES: • 1)NOT A SURVEY-PLOT PLAN SUPPLIED BY PROPERTY OWNER. ' . . 2)TANK AND TRENCHES TO BE LOCATED MINIMUM OF 10'FROM PROPERTY`; ', : • AND MINIMUM OF 5'FROM ANY BUILDING FOUNDATION. , . , 3)DO NOT Ct&FILL OR ALTER DRAINFIELD OR REPAIR AREA. 4)COMPLY WITH ALL SETBACKS: w+E 1 in=60ft s Parcel: 375402951855, 5265 BIRCHLEAF L.N 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 Catawba county Geospatial Real Estate Search NAMING. LIVING. Information Services ' r • • • y B2 1 i ' B-1 I ••• 1. . . 1 - r a PROVISIONALLY SUITABLE 'I f -19,000 SQFT • r _ B-3 CO �.a B-4 I .. 1 ..•h Zd" B 5 �: �. • 672.97 • we • Soil Boring 1 In=60ft 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 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet_I_of_2_ DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: 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 ❑Spring ❑Other EVALUATION METHOD: X Auger Boring ❑Pit ❑Cut TYPE OF WASTEWATER: X Sewage _i Industrial Process ❑Mixed . P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH 1942 PROFILE # SLOPE% ON .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HOR1Z 0-2 GR/SCL VFR/NP/NS 10YR3/2 2-15 GR/SL FR/NP/NS 2.5 YR 4/4 1 D 0-2% 15-40 SBK/SC FUSP/SS 2.5 YR 4/6 U 40-58 M/SCL FR/SP/SS 2.5YR 4/6 • 10YR 3/2 0-2 GR/SCL VFR/NP/NS 2-40 SBK/SC FUSP/SS 2.5 YR 4/4 2 I,0-2"s, 40+ M/SCL FR/SP/SS PS,Shallow System 2.5YR 4/6 0.35 0-2 GR/SCL VFR/NP/NS IOYR 3/2 2-42 SBK/SC FI/SP/SS 2.5 YR 4/4 3 L 0-2% 2.5 YR 4/6 PS,Shallow System 42+ M/SCL FR/SP/SS 0.35 10YR 3/2 0-2 GR/SCL VFR/NP/NS 2-6 GR/SL FR/NP/NS 1 2.5 YR 4/4 42.5 YR 4/6 PS,Shallow System L 0-2% 6-42 SBK/SC FI/SP/SS 0.35 42+ M/SCL FR/SP/SS 2.5YR 4/6 i DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Available Space(.1945) - EVALUATED BY: Jason Volker,LSS System Type(s) OTHER(S)PRESE_NT: Site LTAR COMMENTS: Updated February 2014 LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LIAR* .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(Font Slope) ABK(Angular Blocky) H(Head Slope) Ill 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 Ell(Extremely Firm) NP(Non-plastic) SP(Slightly Plastic) *Adjust LTAR 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 Munscll color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate(LTAR):gal/day/ft Showprofile locations and other site features(dimensions,reference or benchmark,and North. ___ 1 _ __ I - =- _� _ ______ I _ _ I ._.___. Updated February 2014 SOIL/SITE EVALUATION Sheet_2_of_2_ (Continuation Sheet-Complete all field in full) 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 • • • • • P R SOIL MORPHOLOGY OTHER a (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZ 1942 POSITION/ ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE # SLOPE% STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS DEPTHTEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR (IN.) 0-2 GRJSCL VNR/NP/NS IOYR 3/2 2-5 GR/SL FR/NP/NS 2.5 YR 4/4 5 U L 0-2% 5-16 SBK/SC,Gravelly FI/SP/SS 2.5 YR 4/6 16 Rock 6 7 COMMENTS: Updated February 2014