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HomeMy WebLinkAboutRBPR-09-2023-45501.TIF �$A0 THIS IS NOTA PERMIT Case# RBPR-09-2023-45501 �'.(t.,.. - CATAWBA COUNTY HEALTH DEPARTMENT "C PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES vi Residential Building Plan Review-Building New -ACaZ Permit Fee tiii=i, `l j3/)3 tii sit, Applicant •BLAKE JEFFREY HAUGLAND (BLAKE HAUGLAND),112-AARGUS LN 310,MOORESVILLE NC 28117 C:7046821382 CRAFTSMANCUSTOMBUILDERSI@GMAIL.COM Contractor •BLAKE JEFFREY HAUGLAND (BLAKE HAUGLAND), 112-AARGUS LN 310,MOORESVILLE NC 28117 C:704682I382 CRAFTSMANCUSTOMBUILDERSI«GMAIL.COM Owner EDGEWATER INVESTMENTS LLC,PO BOX 3608,MOORESVILLE NC 28117 NAME TO APPEAR ON PERMIT Edgewater Investments LLC SITE ADDRESS: 4443 GILES AVE,SHERRILLS FORD NC 28673 PIN# 460602991298 NAME of SUBDIVISION: Lot II 1 Section/Block PROPERTY SIZE: Square Feet Acres 2.58 DIRECTIONS: Slanting Bridge Rd Left Drena Dr,Right Giles RO,Lot on Right on the curve PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well QTEVAIBE WORK: 11/3/2023 revise to add well permit fee 10/27/23 A2 RESUBMITTAL RECEIVED. PREVIOUS DESCRIPTION: a2 marked as Imcomplete 9/18/2023 New2 story 4 bedroom Single Family Dwelling wl attached garage: Future in-ground pool 40x20 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: Duke Energy APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: I OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70x70 I OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types{Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPP�CATION FOR WELL CONSTRUCTION PR SED WELL TYPE: Individual Well REPLACE WELL?: cL:q,pin�t..ni I I/07/202 12 Page 1 of3 r CATAWBA COUNTY Case q RBPR-09-2023-45501 t.ii+i Public Health Department Subdivision v1.11 � Environmental i PINk 460602991298 *tot. PO Box 384, 100•AHealth SouthDivisweonBivd,Newton,NC 28658 st NAME ON PERMIT: ( EDGEWATER INVESTMENTS LLC),PO BOX 3608,MOORESVILLE NC 28117 ( Edgewater Investments LLC) Sits Address: 4443 GILES AVE,SFIERRILLS FORD NC 28673 Property Stze: Square Feet Acres 2.58 Directions: Slanting Bridge Rd Left Drena Dr,Right Giles RD,Lot on Right on the curve Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=80 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 80 months(5 years).Permits may be revoked if the information on this appiicatioNsite 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 comers 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. 11-07-23 • r Date:_ Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREAS SETIACKS: 50 ft Lake setback FEENAML DATE FEE AMOUNT ACa2 Permit Fee 09/18/2023 S120.00 Well Permit&Inspection Fee 11/03/2023 S300.00 TOTAL FEES S420.00 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) cli,pplirau,o it/07/2023 13:12 Page 2 of 3 .BA • CATAWBA COUNTY T.' 100A SOUTHWEST BLVD C III NEWTON,NORTH CAROLINA 28658 RECEIPT v lit O 7 PHONE:828.465.8399 Tuesday,November 7,2023 18 4 2 SM www.catawbacountync.gov PAYOR: *Blake Jeffrey Haugland *Blake Jeffrey Haugland(Haugland,Blake) PAYMENTS TRANSACTION NUMBER: TRC-77257173-07-11-2023 PAYMENT DATE: 11/07/2023 PAYMENT TYPE: Credit Card 312922991 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 11-23-430194 110-580200-663000 Well Permit&Inspection Fee $300.00 TOTAL PAYMENTS: $300.00 RBPR-09-2023-45501 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 4443 GILES AVE,SHERRILLS FORD NC 28673 Applicant *BLAKE JEFFREY HAUGLAND, 112-A ARGUS LN 310,MOORESVILLE NC 28117 C:7046821382 CRAFTSMANCUSTOMBUILDERSI a GMAIL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner EDGEWATER INVESTMENTS LLC,PO BOX 3608,MOORESVILLE NC 28117 Contractor *BLAKE JEFFREY HAUGLAND, 112-A ARGUS LN 310,MOORESVILLE NC 28117 C:7046821382 CRAFTSMANCUSTOMBUILDERSI @GMAIL.COM 1 receipt 11/07/2023 15:47 Page 1 of 1 THIS IS NOTA PERMIT Case# RBPR-09-2023-45501 +d fi � CATAWBA COUNTY HEALTH DEPARTMENT 11111 c,-' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 18 S" Residential Building Plan Review-Building New ACa2 Permit Fee /oJi/B AeaSict Applicant *BLAKE JEFFREY HAUGLAND (BLAKE HAUGLAND), 112-A ARGUS LN 310,MOORESVILLE NC 28117 C:7046821382 CRAFTSMANCUSTOMBUILDERS I @GMAI L.COM Contractor *BLAKE JEFFREY HAUGLAND (BLAKE HAUGLAND), 112-A ARGUS LN 310,MOORESVILLE NC 28117 C:7046821382 CRAFTSMANCUSTOMBUILDERSI@GMAIL.COM Owner EDGEWATER INVESTMENTS LLC,PO BOX 3608,MOORESVILLE NC 28117 NAME TO APPEAR ON PERMIT Edgewater Investments LLC SITE ADDRESS: 4443 GILES AVE,SHERRILLS FORD NC 28673 PIN# 460602991298 NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 2.58 DIRECTIONS: Slanting Bridge Rd Left Drena Dr,Right Giles RD,Lot on Right on the curve PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS AY: 480 WATER SUPPLY: Private Well RIBE WORK: 10/27/23 A2 RESUBMITTAL RECEIVED. PREVIOUS DESCRIPTION: a2 marked as Imcomplete 9/18/2023 New2 story 4 bedroom Single Family Dwelling w/attached garage; Future in-ground pool 40x20 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: Duke Energy APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70x70 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: ehappli a i n 10/27/2023 13:07 Page 1 of 3 } J; ROY COOPER•Governor NC DEPARTMENT OF - ' H E A LT H AND KODY H.KINSLEY•Secretary HUMAN SERVICES MARK BENTON•Deputy Secretary for Health SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Application for Services This application,In conjunction with the common form established in G.S.130A-335(a3)and(a5),is optional for local health departments to be used for applications submitted in accordance with G.S.130A-335(a2),(a3),and(a5). (hereinafter,G.S.130A-335(a3)and(as)permits referred to as(a2)improvement Permit and(a2)Construction Authorizatlog] Applying for: @'(a2)Improvement Permit p<a-2)Construction Authorization 0 (a2)Repair/Construction Authorization Please check one of the following: t ew Construction , ❑ Expansion 0 System Relocation 0 Change of Use ❑ Repair FO'S Year Expiration Requested(site plan provided) ❑ Non-Expiring Permit Requested(plat provided,as defined in G.S.130A-334(7a) • Property Owner Name:?C t rteAcx- L l in46._ DEv-e lcery,eic\ �.�•.r- Property Owner Mailing Address:'Q $ �' L C1 ( OOCC s i,� L NL Property Owner Phone Number: 70c Property Owner Email Address: Cek1 15i2,n rt t5foram.,jc�i(L'Iers I 1�.sn'iq,f(jCoram, Applicant Name:9C'Inte4D, . Lo.r e tt,t c/r LLC Applicant Mailing Address: PO Qex 3loOrb ( ODCesyM. a`6' Applicant Phone Number: Applicant Email Address: 5 Does the the property include,or Is subject to,any of the following: ❑yes Olo Previously Identified jurisdictional wetlands ❑Yes [lo Existing or proposed easements,rights-of-way,encroachments,or other areas subject to legal restrictions 0 Yes 1:116 Approval by other public agencies A site plan or plat is required,OR the site sketch submitted from the LSS/AOWE,must include the following: (A)existing and proposed facilities,structures,appurtenances,and wastewater systems (B)proposed wastewater system showing setbacks to property line(s)or other fixed reference point(s) (C)existing and proposed vehicular traffic areas (D)existing and proposed water supplies,wells,springs,and water lines;and (E)surface water,drainage features,and all existing and proposed artificial drainage,as applicable. Requesting DHHS review: Yes Gil( I understand that the documentation and fees,as required in G.S.130A-335(a2),(a3),(as),and(a6),attached to this application are to be used to Issue an Improvement Permit and/or Construction Authorization pursuant to G.S.130A-335(a2),(a3),and(a5).I understand that authorized county and state officials are granted right of entry to the property indicated on this application to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that if the information in the application for an improvements Permit and/or Construction Authorization Is falsified,changed,or the site is altered,then the Improvement Permit and Construction Authorization shall become invalid. Applicant Signature: Date: Owner's Signature: Date: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH • LOCATION:5805 Six Forks Road,Building 3,Raleigh,NC 27609 RECEIVED MAILING AIMREae:1032 Mall Service Center,Raleigh,NC 27699.1632 www.ncdhhs.gov • TEL:919-707-5854 • FAX:919-845-3972 AN EQUAL OPPORTUNRY I AFFIRMATIVE ACTION EMPLOYER T Environmental Health , Permit#: ', ROY COOPER•Governor `' ''', NC DEPARTMENT OF `,,, ' •• HEALTH AND KODY H. KINSLEY•secretary HUMAN SERVICES I MARK BENTON•Deputy Secretary for Health SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Submittal Includes: a2)Improvement Permit f f2�a2)Construction Authorization ❑Fee$ IMPROVEME+PERMIT FOR G.S. 130A-335(a2) County:CDtltpW 6... PIN/Lot Identifier: L I LO O(9D"a Ckq y anti Issued To:'Cince.VorN LT4 beVelO(iYuret L LC, Property Location: C.1 AP t Ave (f;11s C-occi NC a i..-m Subdivision(if appiicable)Czn(s}-,* "SY1c. Sterrion C Lot#: I Block: Section: LSS Report Provided: Yes 1' No❑ If yes,name and license number of LSS:S(/wn. ` Asv 9.o1\ons 41"4:3J, New(E` Expansion ❑ System Relocation 0 Change of Use 0 Proposed Structure: LA Pa c s.ic'kr1C.P. Number of bedrooms: L Number of Occupants:cl, Other: Design Wastewater Strength:aflomestic ❑high strength ❑industrial process Proposed Design Daily Flow: L14•40 GPD Proposed LiAR(Initial): 0. Proposed LiAR(Repair): 0,3 Proposed Wastewater System c I Type*: ' Li (Initial) Pump Required: 0 Yes ❑No 0 May be required Proposed Wastewater System Type*:'? LOW Qtc v,c . (Repair) Pump Required: 0 Yes ❑No 0 May be required *Please Include system dasslflcatlon for proposed wastewater system types In accordance with 15A NCAC 18A.1961 Table V(a) Saprolite System(initial):0 Yes &No Saprolite System(repair):0 Yes ago Fill System(initial):❑Yes 0 No If yes,specify:0 New ❑Existing (when adding more than 6 inches of fill to system area provide a fill plan) Fill System(repair):❑Yes 0 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): 1y-E Usable Soll Depth(Repair): (�S �/// Max.Trench Depth(initial?: 2 7'S Max.Trench Depth(Repair)': 30 r• ?Measured on the downhill side of the trench Artificial Drainage Required: 0 Yes Q'No If yes,please specify details: Type of Water Supply:(-Private well 0 Public well 0 Shared well ❑Municipal Supply ❑Spring 0 Other: Drainfield location meets requirements of Rule.1945: Yes No❑ Drainfield location meets requirements of Rule.1950: Yes El- No 0 Permit valid for:[wive years[site plan submitted pursuant to G5130A-334(13a)) ❑No expiration[plat submitted pursuant to G5130A-334(7a)] Permit conditions: See GitS i it Ucensed Soil Scientist Print Name �1 \, 1,,� fj 7 Ucensed Soil Scientist Signature: ,..-? L ? 7 4/� / Date: /V -7 C-- !�'_zzz---ill,,, f 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 • DMSION OF PUBLIC HEALTHR E C E I VE D LOCATION:5605 Six Forks Road,Building 3,Raleigh,NC 27609 MAILING ADDRESS:1632 Mall Service Center,Raleigh,NC 27699-1632 www.ncdhha.gov • TEL:919-707-5854 • FAX:919-845-3972 OCT 2 7 2023 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Environmental Health akiiiistd***, I Permit#: CONSTRUCTION AUTHORIZATION FOR G.S. 130A-335(a21 County: �� 1 ". PIN/Lot Identifier: (--k(oOcsOagqt-f 0. 9 Issued To:Pc N'.W i pme,,r"t LLC. Property Location: C\1.eS Ave. eCCC cote b1G Q6(0Th A.111.4.1 p AOWE/PE Plans/Evaluations� Provided: Yes[]r No El If yes,name and license number of AOWE/PEs�trss.e� A.11 F4! AY'r1 441004177 E. Facility Type:1-4p- 1 c e_ LNew ❑Expansion ❑Repair ❑System Relocation ❑Change of Use Basement? ❑Yes [rio 11 Basement Fixtures? ElYes Ig'No Type of Wastewater System* C.C.44C11 (Initial) r t' j} (Repair) *Please include system classification for proposed wastewater system types in accordance with 15A NCAC 18A.1961 Table V(a) Design Daily Flow: LiZS 0 GPD Wastewater Strength:[domestic El high strength ❑industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? ❑Yes ❑No (If yes,please provide engineering documentation) Installation Requirements/Conditions Septic Tank Size: 100o gallons Total Trench/Bed Length:4 O . feet Trench/Bed Spacing: -t feet on center Trench/Bed Width: %Co inches LTAR: d i% gpd/ft2 Soil Cover. (p inches Slope Corrected Maximum Trench/Bed Depth*:VIP 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 ©Flo Pump Requirements: ft.TDH vs. GPM Grease Trap Size(If applicable): gallons Distribution Method: Serial ❑D-Box or Parallel ❑Pressure Manifold(s) ❑LPP ❑Other: Artificial Drainage Required: Yes❑ No❑g1f yes,please specify details: Legal Agreements(if the answer is"Yes"to any type of legal agreements,please attach a copy of the agreement.) Multi-party Agreement Required[.1937(h)]: ❑Yes BNB Easement,Right-of-Way,or Encroachment Agreement Required[.1938(j)]: 0 Yes 131CIo Declaration of Restrictive Covenants: ❑Yes [ -Flo Pre-Construction Conference Required: Yes❑ No/� / I / Conditions: e C %\C t-t /15f C/T/Qr/ cti1 S1 SD/Fo0-1 RAI ,106-1l15,(2,7, 61n j 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 Nam - 1 �1� Expiration Date: 760� Local AOWE/PE Signature. )0�--t-c-,-L! a � �✓ Date: f 0 Z7' This AOWE/PE submittal is pursuant to and meets the requirements of 6.S.130A-335(e2)and(a5).. ,�I00;1f rl:igp4.11- RECEIVED ••;.0}..,.,.......:.rr, . • I ' See attached site sketch* :▪ Waller,, : tl Z▪ ►r�ti;; OCT 2 ? '1H23 '1: �• 1;3027E: v •- ,; ,• . 4 �t c �^�,,,, Fes, A '•......:••' G.S. 13 f >31 11••,'1-T5rPfP 1LT1 4 `` �•ufl.` •,:1, V.2023.07 St L FORERTRV SERVICES OF THE CAROL.INAS, PA www.soilandforestryservices.com Project#:22-0097 October 27th, 2023 Princeton Land Development, LLC Attn:Jeff Cernuto Email:jell@princetoncommunities.com RE: Soil&Site Evaluation for a 4 Bedroom Residence at Giles Avenue Lot 1,2.668 ac Parcel PIN#460602994279,Sherrills Ford,NC 28673. Mr. Cernuto: 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 submittal to Catawba County Health Department. Site Conditions At the time of our evaluation land cover on the property was wooded.Topography within the evaluated area was gentle to moderate slope near the house site and proposed drainfield area. Property lines and corners were marked at the time of the evaluation by Lake Norman Surveying and Mapping.The surveyor provided an Autocad File of a survey as a basemap.The proposed septic layout was located via GPS&tape measures and used to produce the attached Site Plan.Approximate house location staked by client. New house must be surveyed prior to CA permit issuance. Methodology We evaluated soil areas through the use of backhoe pits.Soil morphological conditions including color, texture,structure,etc.were reviewed in the field with five locations on the property flagged and located via tape measure.All of the pits 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 by the client.An on-ground layout of system and repair was performed using a laser level. Pin flag locations of the layout were also located by survey and tape measures. Detailed system &repair information is summarized in the following paragraph for this Lot. Giles Avenue LOT 1 (See Attached Design) The septic layout for this lot(9' centers)yielded a total of 722 linear feet of line.The primary system is proposed as 402 lin r feet of Accepted (25% Reduction) drainfield with gravity distribution.Trench depth is specified atlil inches(Low Side).The repair system is proposed as 267 linear feet of PPBPS(50% Reduction)drainfield with low pressure distribution.Trench depth is specified at 30 inches(Low Side), There is 320 linear feet of repair available. Session Law Requirements All information needed to issue the IP must be submitted with the application.The application shall include all information described in 1SA 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 Print Name Signature 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)." 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)."Any site modifications that impact the proposed septic areas on the site may nullify this design for Giles Avenue,Sherrills Ford NC 28673.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 services. Sincerely, t 0_A. Ro �2 h -oar( .A C.) ti `Sr CO ,:"Ydrf 11; If i r,1 4 r, 1 �'., /,I �► "-�� /,..'" . ! A..4 w, v� 123'1 O pF GQ,� S.Ashley Rollans, LSS NORTH Attachment: Septic Design IWPF SERVIICES OF TI IU CAROLINAS, PA www.soilandforestryservices.com Attached is a proposed design for an Accepted Septic System with gravity dist. for a 4 bedroom single family residence at Giles Ave,Lot 1 Proposed, PIN#(460602994279)Sherrills Ford 28673,Catawba County,NC. 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 __.r- Q IL 7-9 0.,A. F fF Septic Application -'6-— - ,;1;, - -- - Client 07- 3 f� � r;;L Provided Improvements Permit Form -='- --- = `y , ' r 1 10 3 "Ali P y 1 �,, Construction Authorization Form -- .4 -—-- . - 11 Application for Services !� '���p J 2 3 -� .— 12 AAP NORTH C October 27,2023 Project#:22-0097 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 PPBPS 50%reduction installation w/low pressure distribution. 2 GRAVITY ACCEPTED SYSTEM FOR WASTEWATER TREATMENT Owner/Applicant: Princeton Land Dev. LLC Address: P.O.Box 3608 Mooresville,NC 28117 Phone: 704.201.6823 County: Catawba Location: Giles Ave Sherrills Ford,NC 28673 Source of Wastewater Flow: 4 Bedroom Single Family Residence Estimated Gallons Per Day Flow: 480 System Flow: N/A Design Specifications Drainfield Size: 402 Loading Rate(gpolft 2): 0.3 Depth of Gravel In Trench: N/A Gravel Size: NIA Max.Trench Depth (LOW SIDE)16111 in. Repair Trench Bottom 30 in. Trench Width: 36 in. Septic Tank Size: 1000 Estimated Supply Line Length: 50 Supply Line Diameter: 4 in. SCH 40 PVC Supply Line Volume: 32.65 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 Giles Ave ACCEPTED SYSTEM DESIGN FLOW(gpd): 480 SOIL APPLICATION RATE (gpolft.2): 0.3 TOTAL AREA TRENCH BOTTOM: 1206 TOTAL LATERAL LENGTH: 402 NUMBER OF FIELDS: 1 LATERAL LENGTH REQUIRED PER FIELD: 400 SUPPLY LINE LENGTH: 50 TOTAL DYNAMIC HEAD: N/A MANIFOLD SIZE: N/A DOSING VOLUME: N/A PUMP TANK DRAW DOWN*: N/A SEPTIC TANK SIZE: 1000 4 Layout Specifications - Giles Ave-Lot 1 Project#:22-0097 LAYOUT FOR 4 BEDROOM HOME October 27,2023 FLAG FLAGGED DESIGN LINE# COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH TBM INSTR. 1 1 ORANGE 75 74 2 RED 89 86 3 PINK 91 90 4 BLUE 89 86 5 YELLOW 91 66 6 ORANGE 90 90 7 RED 104 104 8 PINK 93 93 Total 722 689 SOIL LINE LTAR SYSTEM LTAR TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION *System 402 0.300 ACCEPT. 0.300 25%RED GRAVITY Repair 320 0.300 MOD. 0.300 PPBPS LOW Plus Extra CONV. PRESSURE on line#5 Notes: **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **Nitrification lines were located by tape measures&GPS. **Property lines,corners&house were located by a Professional Land Surveyor. r'/ -p !"l v' / \ 44k, / / !/ a r IT' \ 4i' 0 s): \ 6 -I- 6.__. / ---//:,„v irn -*�\ c-c dP FU° 171 1 7,1 ... 1:-.4 \ / / �'` n 0 0.0 /\ QjI,� ` �C�O/ � \\ ��b a CCca O\�„ �, m `° \i� ` \ �O / b Z `n \ 'lpV► s'S,i\\ -1--4\ i \ o' m . \gyp n &_ \ �!• \\ -per 1- - co \S'J L w J \ (J7 ► \ a. i IO \\ \\ inwli \ c a Iw \Q tno \ m z .111.1 CO J J \ `ol` �'1 ` '1 \6 \ Is c,1�0� �� \\ Q "e$°,l�l \ c j Z co m 4 6, p r.. ® -�`� �!!ry) 0 . C\1 ! \ ../ \ Or�, Ur � � u !:1 g0�,�k •O\ s (Q v l� \ \ 2 93 W O �,n\ o . N m \ s � � \ (DO Mgt 29 \\ U=II `�/ \ rn O 1 N .- 0 1— N r `I/ \ 1_ Oks)NDlL( sdo \ 7 keo�N \ Cr J / \\s ^ N M � \\ \)) in \ -.0 / �' .iii" 0.-eg N \ g / 631§gPg \ .4-.7 / /4 (Ill ' / / • Fl.t: 1 its ,' ,)' / A ,4 ,, , ,, ign,s -, _--- 4Q410A \ • q. • - e P's Pig . �- •\ �• spo t. \ ; 44 \ / 01. , ...s. \\ / g • '', - Vb `N-4.4,00--.- \ g i -_ \�� \ ``\ _ ft 2` rTi eN.F / \ �7ff \aQ ix • / \ \ R / 0 4, i ., L<i // 11 \ \ , , pg ,,,, di n „ , , . 1.1 AP 4:A 4. 0 \ On '-MM YM7 g �!N 1� \\00 �A \ / Fa -r yi \Qs> pl oa \` N g id g 6 O 61; g d CIM N d' Clg \. // aS , \ 6 CALCULATIONS Location Giles Ave Sherrills Ford, NC 28673 Project Number 22-0097 Lot No: 1 No. of Bedrooms 4 Design Flow 480 Q81/day LIAR 0.300 eai/ft2day PPBPS? (YES OR NO) NO Supply Line Length 50 ft. Supply Line Volume 32.65 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 400 ft. 2"SCH 40 PVC Amount of Line from Layout 402 ft. GPM f 20 0.84 Gallons per Minute N/A Oai/min -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. Sheet I of_3_ PROPERTY ID#:460602994279 COUNTY:Catawba SOIL/SITE EVALUATION _ for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: Princeton Land Development,LLC. APPLICATION DATE ADDRESS: P.Q.Box 3608 Mooresville,NC 28117 DATE EVALUATED:9/21/22 PROPOSED FACILITY: 4 PROPOSED DESIGN FLOW(.1949):_480GPD PROPERTY SIZE:_0.2668&7.574 LOCATION OF SITE: GILES AVE Lots 1 &2 PROPERTY RECORDED: WATER SUPPLY: 'Private 0 Public 0 Well ❑Spring ❑Other EVALUATION METHOD: 1 Aup�er Boring 'Pit ❑Cut TYPE OF WASTEWATER: I Sewage ❑Industrial Process El Mixed P R SOIL MORPHOLOGY OTHER O (.1941) PROFILE FACTORS F I .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH SLOPE% (1N.) .1942 PROFILE # .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ U15% 0-6 BSLG Frsssp 64" PS P 0.3 6-15 rbschvfsbk Frss 1 15-30 brcwmsbk Frsssp 30-64 rbclwfsbk Frsssp FEW SAP • U16% 0-6 BSLGR Frsssp 66" PS 0.3 6-15 Rbscl Wfsbk Frsssp 2 15-31 Rbc wmsbk Frsssp 31-66 Rbcl Wfsbk Frsssp FEW TO C SAP U16% 0-5 BSLGR Frsssp 65" PS 5-13 Rbscl Wfsbk Frsssp OIL0.3 313-29 Rbc wmsbk Frsssp (1:S SCf29.65 Rbcl Wfsbk Frsssp FEW TO C A STA �,SAP Pay r.A,, ti 65-70 Var SL Mass Frsssp t A-,,, crT ,,, ? • 1e f � war, U13% 0-4 BSLGR Frsssp 60 f �fty S 4-10 Rbcl Wfsbk Frsssp , lIl 1 "'sf 1l�" /�r 1'3 4 \ ZQ 10-24 Rbc Wmsbk frsssp f 4::::::., 24-60 Rbcl O FEW TO C Wfsbk frsssp 4t a 23 x. A SAP NORTH C. DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): PS Available Space(.1945) PS PS System Type(s) Accepted pPP EVALUATED BY: Samuel A.Rollans f OTHER(S)PRESENT: C. Wagner Site LTAR 0,3 G',3 COMMENTS: Updated February 2014 SOIL/SITE EVALUATION Sheet 2 of 3___ (Continuation Sheet-Complete all field in full) PROPERTY ID#:460602994279 DATE OF EVALUATION:_9/21/22 COUNTY:Catawba_ s • • • P R SOIL MORPHOLOGY OTHER 0 (.1941) PROFILE FACTORS F I .1940 .1942 L LANDSCAPE HORIZO .1941 .1941 SOIL .1943 .1956 .1944 PROFILE E POSITION/ N STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS SLOPE% DEPTH TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR # (IN.) L'15% 0-4 BSL Gr Frsssp 44" PS 0.3 P 4-10 Rbsd Wfsbk Frsssp 5 10-24 Rbc Wfsbk Frsssp 24-44 Rbcl Wfsbk Frsssp FEW TO C SAP 44-69 Var SL mass frsssp • LOT 2 U26% 0-4 BSL Gr Frsssp 52" PS P 4-14 Rbsd Wfsbk Frsssp 0.3 1 14-25 Rbc wmsbk Frsssp 25-52 Rbcl Wfsbk frsssp FEW SAP/WU ROCK 52-61 Var SL Mass frsssp U15% 0-4 BSL Gr Frsssp 60" PS 0.3 4-I5 Rbscl Wfsbk Frsssp 2 15-28 Rbc wmsbk Frsssp 28-60 Rbcl Wfsbk Frsssp FEW TO C SAP . U17% 0-4 BSL Gr Frsssp 44" PS 0.3 4-10 Rbcl Wfsbk Frsssp 3 10-30 Brc wmsbk Frsssp 30-44 Rbcl Wfsbk frsssp FEW SAP 44-60 Var SL mass frsssp COMMENTS: Updated February 2014 � ti Permit#: 4443 Giles Ave This Section for Local Health Department Use Only Initial submittal received: 9/18/2023 by RP Date Initials G.S. 130A-335(aS)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 hearth 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 deportment 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 oct 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 foils 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 loco!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: iillitimapige(If box is checked,information in this section is required.) The following items are missing: The distance from the proposed septic system to the existing supply line serving 4583 Ina Ln. Copies of this were sent to the AOWE/PE and the Applicant on 9/22/23 Date State Authorized Agent: Date: ❑Complete State Authorized Agent: _ Date of Issuance: This Construction Authorization is issued pursuant to G.S. 130A-335(a2)and (a5)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),(as),and(a7).The Department,the Department's authorized agents,and the local health departments shall be responsible and bear liability for their actions and evaluations and other obligations under State law or rule,including the issuance of the operations permit pursuant to GS 130A-337. Construction Authorization Expiration Date: *See attached site sketch* G.S. 130A-335(a2)Common Form 5 V.2023.07