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Home My WebLink AboutRBPR-08-2023-45226.TIF THIS IS NOT A PERMIT Case# RBPR-08-2023-45226 T•ILCI < CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRUNMEN'I'AL SERVICES 1842 sM Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST- NEW WELL wISid Owner BRENT WINEBARGER,9530 DRIFTWOOD CT,HICKORY NC 28601-8513 C:8282918646 NAME TO APPEAR ON PERMIT Brent Winebarger SITE ADDRESS: 5984 WINEBARGER ST,CONOVER NC 28613 PIN# 374516832080 NAME of SUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet Acres 5.00 DIRECTIONS: 16 N,left Springs Rd,right Winebarger St,property on right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New SFR with attached garage a2 IP/AC County issued well. a2 AC cannot be issued until property subdivision is recorded.future 20x20 shed no plumbing 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? Yes Are there any easements or right-of-ways on this property? Yes Property Easements Description: 60'ROW APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 52 x 27,attached 24 x 16 garage #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO chappli,ation 08/1G/2023 15:25 Page 1 of3 r r w. THIS IS NOT A PERMIT Case# RBPR-08-2023-45226 CATAWBA COUNTY HEALTH DEPARTMENT 7y- PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1 - sM Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST- NEW WELL Owner BRENT WINEBARGER.9530 DRIFTWOOD CT,11ICKORY NC 28601-85 1 3 C:8282918646 NAME TO APPEAR ON PERMIT Brent Winebarger SITE ADDRESS: WINEBARGER ST,CONOVER NC 28613 PIN # 374516832080 NAME of SUBDIVISION: _ GERALD LAIL UNREC Lot# 2 Section/Block PROPERTY SIZE: Square Feet Acres 5.00 DIRECTIONS: 16 N,left Springs Rd,right Winebarger St,property on right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New SFR with attached garage a2 IP/AC County issued well. a2 AC cannot be issued until property subdivision is recorded. future 20x20 shed no plumbing 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? Yes Are there any easements or right-of-ways on this property? Yes Property Easements Description: 60'ROW APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 52 x 27,attached 24 x 16 garage #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO elkapplication 08/16/2023 09:39 Page 1 of 3 1 i ecr CATAWBA COUNTY Case# RBPR-08-2023-45226 Public Health Department Subdivision GERALD LAIL UNREC Environmental Health Division P1N# 374516832080 Strot PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (BRENT WINEBARGER),9530 DRIFTWOOD CT,HICKORY NC 28601-8513 (Brent Winebarger) Site Address: WINEBARGER ST,CONOVER NC 28613 Property Size: Square Feet Acres 5.00 Directions: 16 N,left Springs Rd,right Winebarger St,property on right 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. Ift,/,+j Date: 'T.-16-9-3 Signature ofApplicant or Agent , . If you need further information or assistance please call 828-465-8270 AREA3 FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 08/16/2023 $150.00 Fee Improvement Permit Fee 08/16/2023 $150.00 Well Permit& Inspection Fee 08/16/2023 S300.00 TOTAL FEES S600.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ehappiica�nm 08/16/2023 09:39 Page 2 of3 catawba county public health Application for Environmental health Services TIIIS 1S NOT A PERMIT _ A ication is for: ErNew Construction [3 Existing Facility Improvement Permit Authorization to Construct ENew Septic ❑ Septic Repair/Malfunction ❑Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection New Well ❑ Replacement Well ['Well Abandonment ❑ Well Repair Property Address Ut)Lt1Pb�iYc.ct Acres Subdivision Lot# I Driving Dirt tions to Pronerty, e O tr'+-y5 d 1 41 /5,1r ��1 �Iih Q i/{�✓ Describe work Applicant Name I4I^a.4' ' t 47 Applicant Address is-R iria�a/ fit i r #Wc .2 Eof Phone `�2$-2rj --$' fp; , c I lmail 61 e:��' i htr r A)9►ra i�.�� Owner Name Lfr 1 ( ii , �c r Owner Address s-3Q jfs�Z 7 i 1 t eke r'y .Uc 2 T-Z01 Phone /—$64 / 'Email era,-#f 41111,el Aeyvr 6).9i 1.13, Contractor Name Contractor Address Phone Email Name to Appear on Permit? EtVwner ❑Applicant ❑Contractor Who will be the Primary Contact? ®Owner ❑Applicant ❑Contractor Proposed New Construction-Residential Primary Residenceew Residence ❑ Addition to Residence #of New Bedrooms*t' 3 #of Occupants 2 Project Description Structure Dimensions,also specify dimensions of decks&porches /614,5.& X 27' 71 f rn5 29 X/6 r (Choose One) ❑Basement Crawl Space ElSlab If Basement,Will There Be Water Using-Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' ❑ Yes ❑'Flo 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 ,l�(A L Y L4 -!II1•ti 1C; Structures)Dimensions V4()c Plumbing ❑Yes $1 No Describe Plumbing Needed (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes 0 No Multi-Family Residence #of Apartments #Bedrooms per Apartment*# Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) 0 Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes 0 No Well Constrnetion/Abando i at/Repair Proposed Well Type Fi Individual Well 0 Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled 0 Bored 0 Dug ❑ Unknown Well Repair Requested 0 Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure lank" ❑ \'es ❑ No 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 , Existing Structures on Site s° �� 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 Commercial 0 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 0 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) 1 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 OAo Does the site contain any jurisdictional wetlands? ❑Yes lWNo Does the site contain any existing wastewater systems? ❑Yes o Is any wastewater going to be generated on the site other than domestic sewage? .( Yes IrNo Is the site subject to approval by any other public agency? lines ❑No Are there any easements or right of ways on this property? Describe !3 611/c, it?,,,,-) zee 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) ❑Accepted 0 Alternative ❑Conventional 0 Innovative 0 Other 0 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. t 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 n /'rl A ` kriDates � 3 Printed Name of Owner or Legal Agent lirizA ; A k r , IPermit#: deaSTA7F4 ROY COOPER•Governor ..' • .,--$ 4- NC DEPARTMENT OF KODY H. KINSLEY•Secretary HEALTH AND ' + 1�4 -JE` HUMAN SERVICES MARK BENTON• Deputy Secretary for Health "l��s� SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Submittal Includes: �(a2)Improvement Permit ❑(a2)Construction Authorization ❑Fee$ IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: C{ cl PIN/Lot Identifier: 37Y5/(0_83;ai680 Issued To: Aceni- e.W:n ry,r Property Location: VVint,bnrger `�'�'i Cilt-y��)e,ti/ iJC c ti,)3 Subdivision(if applicable) J Lot#: Block: Section: LSS Report Provided: Yes Q No❑ / �} If yes,name and license tuber of LSS: 0 athv c( I- nlry Ro/Inns .� 1 3 I New E Expansion 0 System Relocation ❑ Change of Use ❑ 7 Proposed Structure: 3 ecJroc,ii 1,1P_5f//e11ii411 Number of bedrooms: 3 Number of Occupants:Cn Other: Design Wastewater Strength: domestic ❑high strength ❑industrial process Proposed Design Daily Flow: 3L00 GPD Proposed LTAR(Initial): D .3 Proposed LTAR(Repair): O Proposed Wastewater System Type*:4plecU %Kedit4-4k- -t-.v,I 1 (Initial) Pump Required: ❑Yes to 5 May be required Proposed Wastewater System Type*:14crP Ird)5 AL ii44 _ Criy5Pump Required: ❑Yes E1❑May be required • � (Repair) *Please include system classification for proposed wastewater system types in accordance�withISA NCAC 18A.1961 Table V(a) Saprolite System(initial):❑Yes Saprolite System(repair):❑Yes 0"No Fill System(Initial):❑Yes No If es,specify:❑New 0 Existing (when adding more than 6 inches of fill to system area provide a fill plan) Fill System(repair): ❑Yes o If yes,specify:❑New ❑Existing (when adding more than 6 inches of fill to system area provide a fill plan) Usable Soil Depth(Initial): SO 'r Usable Soil Depth(Repair): S-C,~ /r 1' Max.Trench Depth(Initial)#: r?V _. Max.Trench Depth(Repair);: z� IMeasured on the downhill side of the trench Artificial Drainage Required: I Yes to If yes,please specify details: Type of Water Supply: rivate well ❑Public well 0 Shared well ❑Municipal Supply ❑Spring ❑Other: Drainfield location meets requirements of Rule.1945: Yes No[ 0 Drainfield location meets requirements of Rule.1950: Yes a No❑ Permit valid for: Five years[site plan submitted pursuant to GS 130A-334(13a)) ❑No expiration[plat submitted pursuant to GS 130A-334(7a)) Permit conditions: See_ c)f5ih4t. - Licensed Soil Scientist Print Name: . .e[ hIt vi( i atur G /s RECE <-* s yam— Date: TFe LSS evaluation Is being submitted pursuant to and meets the requirements of G.S.130A-31/35(a2 . ' See attached site sketch* A U G 1 5 2023 NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LocArioN.5605 Six Forks Road,Building 3,Raleigh,NC 27609 Environmental Health MAILING ADDRESS: 1632 Mail Service Center,Raleigh,NC 27699-1632 www.ncdhhs.gov • TEL:919-707-5854 • FAX:919-845-3972 oPermit#: c_ I CONSTRUCTION AUTHORIZATION FOR G.S. 130A-335(a21 County: 4awbc. PIN/Lot Identifier: 9'1 5 l(O6 3ca)O80 , Issued To: 11n1 vj:n„.J,tf tf /2 Property Location: W�ns!,bc;r i j , , `vnQ4 Qc ,AL ofS(o i i nn p AOWE/PE Plans/Evaluations Provided: Yes No El If yes,name and license number of AOWE/PE:, ,n,ue1 N it/f.iilans -* /C.1.9'7 Facility Type: 3 , iei ronr*1 1�eSicLn4l a I D-I�w 0 Expansion ❑Repair IDSystem Relocation ElChange of Use ['Basement? ❑Yes No// Basement Fixtures? ❑Yes ❑No r r Type of Wastewater System* Q4(4/kJ a-5 /6 ikduc�.4- 6Y:.,u,ty (Initial) a&'r fzkd c ric e dkci - CheRU,J V (Repair) *Please include system classification for proposed wastewater system types in accordance with 15A NCAC 18A.1961 Table V(o) l Design Daily Flow: >k-r0 GPD Wastewater Strength: omestic ❑high strength 0 industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low flow Technologies? ❑Yes 112 .o (if yes,please provide engineering documentation) Installation Requirements/Conditions Ci. Septic Tank Size: h1060 gallons Total Trench/Bed Length:.3CI,. feet Trench/Bed Spacing: I feet on center Trench/Bed Width: inches LTAR: 0• } gpd/ft2 rl rI Soil Cover ill,,, inches Slope Corrected Maximum Trench/Bed Depth*: Le inches *Measured on the downhill side of the trench Aggregate Depth: inches above pipe inches below pipe Inches total Pump Tank Size(if applicable): -gallons Requires more than 1 pump? ❑Yes ❑No Pump Requirements: ft.TDH vs. GPM Grease Trap Size(if applicable): gallons Distribution Method: Serial ❑D-Box or Parallel 0 Pressure Manifold(s) ❑LPP ❑Other: Artificial Drainage Required: Yes❑ No 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)]: 0 Yes ~ Easement, Right-of-Way,or Encroachment Agreement Re [.1938(j)]: ❑Yes 0"11C0 Declaration of Restrictive Covenants: ❑Yes o Pre-Construction Conference Required: Yes 0 No 0_ I Li p 1 L n Conditions: Sce Gffs;q+, RbLardaT ►o o4 (q RQLt 1Gr ,LS5Ua+�CeaA CA, 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: i +n,�c'•'r1 �iLn Expiration Date: I D 3y i0 i IT0 AOWE/PE Signature: j _e« fro jr IP" � - - Date: S l,f `."`?�l`"11' This AOWE/PE submittal is pursuant to and meets the requirements of G.S.130A-335(a2)and(a5)).";. RECEIVED ; ., ,��ti.,. r 0`~ ▪ceft: itibii %.'',�7 '•`, AUG 1 6 13 *See attached site sketch* . ct i s i•,uinw,r . � r Cu a "21't 10027E ;� .J. I0. :▪ .........Environmental Health , ,, .?.., s n'aLIt��O.0.!z. � , G.S. 130A-335(a2)Common Form 4 i �fl�,�i/IN�j11U1�� 3.07 Permit#: 5984 Winebarger St Lot 2 This Section for Local Health Department Use Only Initial submittal received: 8/16/2023 by RP Date initials G.S. 130A-335(a5)states the following: When an applicant for a Construction Authorization,or an Improvement Permit and Construction Authorization together,submits a Construction Authorization,or an Improvement Permit and Construction Authorization application together,the permit fee charged by the local health department,the common form developed by the Department,and any necessary signed and sealed plans or evaluations conducted by 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,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 Construction Authorization or Improvement Permit and Construction Authorization includes all of the required components.if the local health department determines that the Construction Authorization or improvement Permit and Construction Authorization is incomplete,the local health department shall notify the applicant of the components needed to complete the Construction Authorization or Improvement Permit and Construction Authorization.The applicant may submit additional information to the local health department to cure the deficiencies in the Construction Authorization or Improvement Permit and Construction Authorization.The local health department shall make a final determination as to whether the Construction Authorization or Improvement Permit and Construction Authorization is complete within five business days after the local health department receives the additional information from the applicant.If the local health department 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 applicant may apply for the building permit for the project upon the decision of completeness of the Construction Authorization or improvement Permit and Construction Authorization by the local health department or if the local health department fails to act within five business days.The Authorized On-Site Wastewater Evaluator or licensed engineer submitting the evaluation pursuant to this subsection may request that the local health department revoke or suspend the Construction Authorization or Improvement Permit and Construction Authorization for cause. Upon written request of the Authorized On-Site Wastewater Evaluator or licensed engineer,the local health department shall suspend or revoke the Construction Authorization or Improvement Permit and Construction Authorization pursuant to G.S. 130A-23.The Department shall develop a common form for use as the Construction Authorization. The review for completeness of this Construction Authorization was conducted in accordance with G.S. 130A-335(a5). This Construction Authorization is determined to be: Incomplete(If box is checked, information in this section is required.) The following items are missing: 1.Lot 2 must be created by plat and deed recordation. 2. Owner Signatue of A2 language requesting CA using AOWE proposal. Copies of this were sent to the AOWE/PE and the Applicant on 8/18/2023 ,,//�� / ` Date State Authorized Agent: '6�7i.�i(/L' %�� 1( Date: 8/18/2023 ❑Complete State Authorized Agent: Date of Issuance: This Construction Authorization is issued pursuant to G.S.130A-335(a2)and(as)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. 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 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),(a5),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: *See attached site sketch* G.S. 130A-335(a2)Common Form 5 V.2023.07 5984 Winebarger St Conover NC 28613 The AOWE plans or evaluations attached to this application are to be used to issue a Construction Authorization in accordance with G.S. 130A-335(a2), (a5) and (a6). Owner or owner's legal representative: Print name e'►^a,.if Wrvirps.oy' Signature: 4�,,, 1 Date: D^i s--r-2 3 t 15 t- I I I I WI h-e_ ovr ,Q,kr 51 e4.2_-(- 4 I ' f I I 6- I o . I .4;.- r) ?) g t I . s., .4::) z ..- rE J 3 5 --i __( Rz 0. c-, 1 = g -Ph :___4 4 ` 'c o C- ‘R Q (j et) 0. 4' 1~ ..�1 LA A 1/V SOIL & FORESTRY SERVICE " OF THE CAROLINAS, PA www.soilandforestryservices.com Project#: 23-0087 August 15`h, 2023 Brent Winebarger Attn: Brent Winebarger Email: brentwinebarger@gmail.com RE: Soil & Site Evaluation for a 4 Bedroom Residence at Winebarger St., 5.0 ac Parcel, PIN#374516832080, Conover, NC 28613, Catawba County, NC. Mr. Winebarger: At your request Soil & Forestry Services of the Carolinas (S&FS) has performed soil/site evaluations on parcel noted above. The Lot size is noted on the attached survey map& soil evaluation form. The purpose of our work was to identify soil areas with potential to support subsurface wastewater disposal systems and provide design details for Session Law submittals to Catawba County Health Department. Site Conditions At the time of our evaluation land cover on the property was mostly cleared/open on the property. Topography within the evaluated area was gentle slope near the house site with gentle percentage of slope in the proposed drainfield area. Property lines and corners were marked at the time of the evaluation by Ted Benbow Land Surveying. The Surveyor provided an Autocad File of the survey as a basemap. The proposed septic layout was located via GPS and tape measures which were used to produce the attached Site Plan. The house envelope was pinned in the field during our evaluation by the land owner. Methodology We evaluated soil areas through the use of auger borings. Soil morphological conditions including color, texture, structure, etc. were reviewed in the field with four auger boring locations on the property flagged and located via GPS. All of the auger borings are located in or adjacent to the proposed septic layout. Soil suitability was determined by referencing 15A NCAC 18A.1900 "Laws and Rules for Sewage Treatment and Disposal Systems". Soil& Site Evaluation Forms were utilized to record the soil morphological data for each boring. The house envelope was located via GPS. An on-ground layout of system and repair was performed using a laser level. Pin flag locations of the layout were also located by GPS and tape measure. Detailed system & repair information is summarized in the following paragraph for this Lot. Winebarger St- Lot 2. PIN #374516832080(See Attached Design) The septic layout for this lot (9' centers) yielded a total of 654 linear feet of line. The primary system is proposed as 302' of Accepted (25% Reduction) drainfield with gravity distribution. Trench depth (LOW SIDE) is specified at 28 inches. The repair system is proposed as 300' of Accepted (25% Reduction) drainfield with gravity distribution. Trench depth (LOW SIDE) is specified at 28 inches. There is 333 linear feet available for repair. Final Recordation of Plat require for Construction Authorization. Session Law Requirements All information needed to issue the IP must be submitted with the application. 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 (owner or owner's legal representative) that reads as follows: "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 Date `V Print Nameka.311-x52:".1::::rri�r Signature f//6/23 The LSS evaluation shall include a statement bearing the LSS seal and signature that reads as follows: "The LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A- 335(a2)& (as)." Disclaimer This report reflects the findings of S&FS, PA. This LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A-335(a2)& (aS)."Any site modifications that impact the proposed septic areas on the site may nullify this design for Winebarger Street Lot 2, Conover NC 28613. System design requirements and site requirements shall be adhered to for installation and Operations Permits to be issued by the local Health Department. If you have questions regarding these requirements a Pre- Construction meeting should be scheduled to discuss. Please contact S&FS if you have any questions regarding this report or the attached information. S&FS also offers septic system inspection, wetland delineation and forestry - i - SOIL s Sincerely, <<5) Cj ti vJ� �� 'I ! ?l ;#11 101,tP y�• rj . " F 123A �di S. Ashley Rallans, L55 OF NORTH LP Attachment: Septic Design 11PF Sari. Et FORESTRY SERVICES OF THE CAROLINAS, PA www.soilandforestryservices.com Attached is a proposed design for an Accepted Septic System with gravity dist. for a 3 bedroom single family residence on Winebarger St, Lot 2 Conover 28613,Catawba County,NC. PIN#:374516832080 Contents: Page Information for the Installer 1 Design Information Design Specifications - 2-3 Layout Specifications 4 Site Plan/System Plan 5 Calculations 6 Profile Descriptions • 7 Survey &0.1:{�-- Cr --------- 8 Application -� - --4e)- ArRQ¢ -- 'L -- ONLINE Improvements Permit Form -� ---- -, p �f r 1 - 11 Construction Authorization Form ,�+ ---- 1. .' --- -5:- - - 12 .• 123A O" S� OA. NO GPI RTH 8/7/2023 Project#: 23-0087 Design By: Soil& Forestry Services of the Carolinas, PA 1 INFORMATION FOR THE INSTALLER: The permit should be read very carefully prior to bidding. The following are details that must be considered along with all other considerations. - Tanks shall be approved by NC DHHS, and certification supplied by the manufacturer. - Tanks shall be water tested prior to installation. - The installer shall be responsible to the owner for placement of the tanks and to insure that final grades are returned to the original natural grade, with exception of added structural features. - The supply trench shall be compacted to eliminate cavities left during initial fill placement. - Installation of the system shall be during dry conditions in order to protect the soil structure. - All fittings shall be pressure rated fittings. - All joints shall be cleaned with PVC pipe cleaner and a heavy bodied glue applied to weld all joints. - Where required by the county health department, post installation inspections by the designer must be scheduled 5 week days in advance. - Trenches shall be carefully excavated so the bottom is within 2" from the highest to . the lowest points of elevation within the trench. If the bottom elevation needs adjusting after it has been trenched, it will be done by removing high points rather than filling low points. It is extremely important to insure that trenches are not over excavated during initial trenching. All fine grading within the trench will be hand done with a shovel. No loose material will be left in the trench - All pipe openings in the tanks shall be properly grouted. This also applies to the joints around the riser. - All tanks shall be properly back filled and compacted to prevent slump at a later date. - Earth dams,constructed of relatively impervious material, shall be installed at the beginning and end of each lateral. - No heavy equipment shall be used on the field during or after installation. The use of a small loader(i.e. Bobcat) or a trencher(i.e. Ditch Witch 2300/2310)may be used for installation. - Elevations at pinflag locations should be checked by the installer prior to beginning trenches. - Septic tank riser shall be a minimum of 6" above finished grade. - System is specified as a gravity 25% reduction(Accepted) installation. - Repair is specified as a gravity 25%reduction(Accepted) installation . 2 GRAVITY ACCEPTED SYSTEM FOR WASTEWATER TREATMENT Owner/Applicant: Brent Winebarger Address: 9530 Driftwood Ct Hickory,NC 28601 Phone: 828.291.8646 County: Catawba Location: Winebarger St- Lot 2 Conover, NC 28613 Source of Wastewater Flow: 3 Bedroom Single Family Residence Estimated Gallons Per Day Flow: 360 System Flow: N/A Design Specifications Drainfield Size: 302 Loading Rate (gpd/ft.2): 0.3 Depth of Gravel in Trench: N/A Gravel Size: N/A Max.Trench Depth (Low Side): 28 in. Repair Trench Bottom 28 in. Trench Width: 36 in Septic Tank Size: 1000 Estimated Supply Line Length: 8 Supply Line Diameter: 4 in. SCH 40 PVC Supply Line Volume: 5.22 Dosing Volume: N/A Supply Manifold: N/A Supply Manifold Length: N/A Supply Manifold Volume: N/A Recommended Float Controls: N/A Recommended Control Panel: N/A Pressure Head: N/A Friction Head: N/A Elevation Head: N/A Total Dynamic Head: N/A Threaded Union: N/A Gate Valves: N/A Check Valves: N/A Anti-Siphon Hole: N/A Additional Comments: Soil suitability was performed by Soil & Forestry Services of the Carolinas, PA 3 Winebarger St- Lot 2 ACCEPTED SYSTEM DESIGN FLOW (gpd): 360 SOIL APPLICATION RATE (gpolft.2): 0.3 TOTAL AREA TRENCH BOTTOM: 906 TOTAL LATERAL LENGTH: 302 NUMBER OF FIELDS: 1 LATERAL LENGTH REQUIRED PER FIELD: 300 SUPPLY LINE LENGTH: 8 TOTAL DYNAMIC HEAD: N/A MANIFOLD SIZE: N/A DOSING VOLUME: N/A PUMP TANK DRAW DOWN*: N/A SEPTIC TANK SIZE: 1000 1 ' 4 Layout Specifications -Winebarger St- Lot 2 Project#:23-0087 LAYOUT FOR 3 BEDROOM HOME 8/7/2023 FLAG FLAGGED DESIGN LINE# COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH TBM INSTR. I I ORANGE 60 60 2 YELLOW 113 110 3 BLUE 91 90 4 PINK 57 42 5 PINK 50 50 6 RED 63 63 7 ORANGE 57 57 8 YELLOW 54 54 9 BLUE 53 53 10 PINK 56 56 Total 654 635 SOIL Low Side LINE LTAR SYSTEM LTAR TRENCH MAX TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH *System 302 0.300 ACCEPT. 0.300 25%RED GRAVITY 28" Repair 333 0,300 ACCEPT. 0.300 25%RED GRAVITY 28" Notes: **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **Nitrification lines were located by GPS and tape measure. **House Envelope, Property corners& lines located by survey(Ted Benbow&Associates) ,, OE R/w 16, i \- ________ , ) ,,,, „, L 7 EP 1-1.....0„al ,. _,, . P i\.) mrr Q 4 R/W I\ RAN .' (-1V4 0 P % . ' - .. , r /Yori l, oC) ~ ., vs `s Q , F ti S?. • ,--.1,, 3 ko 4' .4 Q - o re., d 'b cDion0 -=CD 0 o 2 HEDGEROW P k L_3's zirszo„.... 3Th a ac) . le , X ,L5 0 L C cb (D Q _ ,r 6 6 r c) \ Q `6 Q `9s 0 o C . r-, e a ,r-1.- 1 'b c • CALCULATIONS Location WineBarger St Conover, NC 28613 Project Number 23-0087 Lot No: 2 No of Bedrooms 3 Design Flow 360 gal/day LTAR 0.300 gal/ 2 ft day PPBPS? (YES OR NO) NO Supply Line Length 8 ft. Supply Line Volume 5.224 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 300 ft. 2" SCH 40 PVC Amount of Line from Layout 302 ft. GPM f 20 0.84 Gallons per Minute N/A 9alm,n, -0.88 25 1.27 Required Septic Tank Capacity 1000 gal. -1.28 Septic Tank Size 1000 gal. 30 1.78 -1.76 Panel Volume N/A gal. 35 2.37 #of Panels N/A -2.25 Dosing Volume N/A gal. 40 3.03 43.07 3.48 45 3.77 48.14 4.28 50 4.58 57.11 5.89 60 6.42 Tank Draw Down N/A Pump Run Time Elevation Head N/A ft. Pressure Head N/A ft. Friction Factor N/A ft./100 ft. (From the interpolater) Friction Head N/A ft. Total Dynamic Head (+15%) N/A ft. o Sheet 1 at 1 PROPERTY ID#: 374516832060 COUNTY: Catawba SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM (complete all fields in full) OWNER: BRENT WINEBARGER APPLICATION DATE: ADDRESS: 9530 DRIFTWOOD CT HICKORY NC 28601 DATE EVALUATED: 7,26/2023 PROPOSED FACILITY: 3 Bedroom Residential PROPERTY SIZE: 5 a'L.. LOCATION OF SITE: . Winebarger St Conover NC 28613-Lot 2 PROPERTY RECORDED: YES WATER SUPPLY: Private Well ❑ Spring ❑Other EVALUATION METHOD: E Auger Boring ❑Pit E Cut TYPE OF WASTEWATER: El Sewage ❑ Industrial Process ❑ Mixed P R O SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) PROFILE FACTORS PROFILE LANDSCAPE I DEPTH CLASS POSITION! L (IN.) &LTAR SLOPE% .1942 .1941 .1941 E .1943 .1956 .1944 STRUCTURE! CONSISTENCE/ SOIL SOIL SAPR RESTR p TEXTURE MINERALOGY WETNESS!rnl nR DEPTH CLASS HORIZ 0-2 BCLWFSBK FRSSSP 2-40 RCWMSBK FRSSSP 1 L/5% 40-50 BRCLWFSBK FRSSSP FSAP 50 PS 0.3 0-4 BRCLWFSBK FRSSSP 4-42 RCWMSBK FRSSSP 2 U5°i 42-50 BRCLWFSBK FRSSSP FSAP 50 PS 0.3 0-6 BCLWFSBK FRSSSP 6-47 RCWMSBK FRSSSP 3 U5% 47-50 BCLWFSBK FRSSSP FSAP 50 PS 0.3 0-5 BCLWFSBK FRSSSP 5-40 RCWMSBK FRSSSP 4 L/5°/ 40-50 BCLWFSBK FRSSSP FSAP 50 PS 0.3 5 SOIL. �� 6 GD s, •-.1 ~\ ti� A• Rp 2 + --,-. .,. " ' y ple , . _ Q ./ v , d I'` WV" .•, .,a ,, i � 8 N/A Nbi,-, ...." 9 OF N U R I N OK r J0" 10 N/A DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): PS Available Space(.1945) PS PS EVALUATED BY: Ashley Rollans System Types(e) 25%Reduction-Gravity 25%Reduction-Gravity OTHER(S)PRESENT: Chad Wagner Site LTAR 0.3 0.3 COMMENTS. 1 1 illli I ipi PP q '., 1 :101' itt go mil qi p illii i i i e 4 9. 11 f k"' it 141gI i 8 !Iii if- #� ii l itsiIIill , _ i. i wit' t I ill t i t i 7 ,, iii \ , till 11 t p _ �aaa� , . !II gtg ve I tip Z t 3 III hO $ ti i till 1 4 Ire !ktf �� :I:: Ele ,.. `�• 1.: a ¢ e iii ? , ... II .--..irii --111. qr .1.4 4. 9 1 la, I R t 4 _ , � , q I II C at. i_ . $ t ' pi---r —LI t . hiliiiiiii111.11 - 11.t. I ilgli- 111.! '. I —`1 ' ' 7 if I ii ! >f q A A c 1 ! i1 e 1 3, i 1 1 r of ! :rI 1 1 t; �� I I 711 I i 11 fit I. 112: 4 i tom. jI 11 — /I' IiJ ilililii ii S iIgIet z 11!if 1 ,44p-i':-1 :;tr s"` , 0 t, I -1 I 1 rr• ir ' I illi-0 : H!! '" :1 It Ip 1r; I L lerix, R I Pia 1 / li ;i 1 1¢ I , IIIIIII II jIj21Hr1 iiir4olivi x i as 1 M. i 3 • R i iiikMq Sill" it 1 .til � � ~ r q 9 '4-1 qi % ,..... ,. _..; I ris. ot c. ai . 0 A • $ . • CATAWBA COUNTY t�° 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT }'Cr PHONE:828,465.8399 Wednesday, August 16, 2023 j 4 Z 5M www.catawbacountync.gov PAYOR: Winebarger,Brent PAYMENTS TRANSACTION NUMBER: TRC-70956673-16-08-2023 PAYMENT DATE: 08/16/2023 PAYMENT TYPE: Credit Card 309499483 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 08-23-426944 I10.580200-663000 Authorization to Construct Fee (N S I50.00 ew/Expansion) Fee 08-23-426944 I10-580200-663000 Improvement Permit Fee $150.00 08-23-426944 110-580200-663000 Well Permit& Inspection Fee S300.00 TOTAL PAYMENTS: $600.00 RBPR-08-2023-45226 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: WINEBARGER ST,CONOVER NC 28613 Owner BRENT WINEBARGER,9530 DRIFTWOOD CT,HICKORY NC 28601-8513 C:8282918646 **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 08/16/2023 09:39 Page 1 of 1