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HomeMy WebLinkAboutAUTH-10-2023-206035 ���r��7 CATAWBA COUNTY tl 12y, Public Health Department yr- Environmental Health Division Subdivision %\/0 PO Box 389,25 Government Drive,Newton,NC 18658 PINS 470002753029 1:IV a LOTS Sits Address: 7723 MONBO RD,CATAWBA NC 28809 Hams on Permit *ROCK RIDGE CONSTRUCTION Property Sin: Acres 1.82 Directions: Sherrilts Ford RD,Keep left to get onto Long Island rd, Keep Right to get onto Monbo RD, Turn Left property on Righit Owner/Authorized Representative Acknowledgement of Permit Receipt K�(/I certify that I am the owner or authorized agent(owner's authorization required) the property described above, q d)representing the owner of % r` Ot)As the property owner or authorized representative,I have received th e above referenced permit(s)as requested in the application for service RBPR-08-2023-05102,by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) J Electronic Image Transmittal/E-mail (Return receipt required) '01 As the property owner or authorized representative 1 have reviewed and understand the s of the permit issued, specific conditions 1 and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(1 SA NCAC 18A.1900), and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 10/05/2023 Owner/Authorized Representative Signet Date /6// 3 __ __. Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name ofperson sending permit) Signature Date/Time /0/6))3 Method: Fax yy I Email US Mail Other Owner's request to send by the above indicated method of transmittal In lieu of signature We wantt tto hear from yoiPlease hake a few momentts tto complete our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerServIce Mane befio o f pckri A5ta g(Iva.6,6 clqprn„„ 10l0S/2027 IJ 29 i 1 I Permit #: I(yt-d-Zoz3-206035-I CONSTRUCTION AUTHORIZATION FOR G.S. 130A-335(a21 County: Catawba PIN/Lot•Identifier: 470002753029 Issued To: Jacob Hollar Property Location: 7723 Monbo Road Catawba, North Carolina 28609 AOWE/PE Plans/Evaluations Provided: Yes❑ No❑ If yes, name and license number of AOWE/PE: Steven R. Cannon # 10047E Facility Type: House ®New ❑Expansion 0 Repair D System Relocation 0 Change of Use Basement? ❑Yes ®No Basement Fixtures? ❑Yes ❑No Type of Wastewater System* Accepted lllg (Initial) LPP Horizontal PPBPS IVa (Repair) *Please include system classification for proposed wastewater system types in accordance with 15A NCAC I8A.1961 Table V(a) Design Daily Flow: 360 GPD Wastewater Strength:®domestic ❑high strength ❑industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? Ej Yes a No (if yes,please provide engineering documentation) Installation Requirements/Conditions Septic Tank Size: 1000 gallons Total Trench/Bed Length: 300 feet Trench/Bed Spacing: 9 feet on center Trench/Bed Width: 36 inches LIAR: .3 gpd/ft2 Soil Cover: 1 5i" inches Slope Corrected Maximum Trench/Bed Depth': 27" inches t 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 ❑Pressure Manifold(s) ❑LPP ❑Other: Artificial Drainage Required: Yes❑ No® If 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 ®No Easement,Right-of-Way,or Encroachment Agreement Required[.1938(j)]: ❑Yes ®No Declaration of Restrictive Covenants: ❑Yes ® No Pre-Construction Conference Required: Yes E No❑ Conditions: Contact Steve Cannon 704-706-4645 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. Steven R. Cannon September 24, 2028 AOWE/PE Print Name: Expiration Date: AOWE/PE Signature: GGu /G Cr 1�11�Iv� Date: September 24, 2023 This AOWE/PE submittal is pursuant to and meets the requirements of G.S.130A-335(a2)and(as). *See attached site sketch* G.S. 130A-335(a2)Common Form 4 V.2023.07 Permit#: Auth-10-2023-206035 7723 Monbo Rd This Section for Local Health Department Use Only Initial submittal received: 9/29/2023 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 deportment fails to act within arty 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 farm 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: Copies of this were sent to the AOWE/PE and the Applicant on Date State Authorized Agent: Date: ©Complete A,v'1, 2// State Authorized Agent: Date of Issuance: 10/5/2023 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),(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: 10/5/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 5 V.2023.07 Design Specifications for Proposed Wastewater Systems Applicant: Jacob Hollar Property Address: 7723 Monbo Road Catawba, North Carolina 28609 Pin #470002753029 Acres: 1.82 Catawba County, North Carolina Source of Water Flow 3 Bedroom House Wastewater Treatment Systems Accepted/Horizontal PPBPS Septic Tank 1,000 gallons Estimated Daily Flow 360 gallons/day Wastewater Treatment: Initial Accepted Loading Rate .3 g/d/sq.ft. Drainfield Size 300 feet of Accepted Slope 5 percent Slope Correction 2 inches Trench Bottom Depth 27 inches on downslope Wastewater Treatment: Repair Horizontal PPBPS Loading Rate .3 g/d/sq.ft. Drainfield Size 200 feet Horizontal PPBPS Horizontal Panels Install panels on 8 feet centers Distribution Device LPP Slope 5 percent Slope Correction 2 inches Trench Bottom Depth 26 inches on dossnslope 1 Nitrification Lines Elevation and Length Applicant: Jacob Hollar Physical Address: 7723 Monbo Road Catawba, North Carolina 28609 Pin # 470002753029 Acres: 1.82 Catawba County, North Carolina Initial Line Flag Line Elevation Flagged Length Design Length Color 1 Orange 4.87' 60' 60' 2 Pink 5.35' 65' 65' 3 White 6.08' 75' 75' 4 Blue 6.62' 60' 60' 5 Red 7.10' 40' 40' Total 300' Total 300' Repair Line Flag Line Elevation Flagged Length Design Length Color 1 Red 5.16' 74' 17 2 Orange 6.18' 66' 15 3 Blue 6.62' 60' 14 "Total 200' 46 Panels 2 8:02 PM Sat Sep 23 ••• ^40%'• Jacob Hollar v Eli Q U 0 Done 111 0 Trimble Connect Dennis Hollar tJ • Ja•.•� rla Mo - J . 0 >la% : "; - 1 Co i + - 7723 Monbo Road Dat. - �•�I+,4,,,,aars ,, ,. j1 '*$ ..!. /I a AA:'-‘,;,- . ,Ii�;...�t ,_ II . i ,,N,v kings Irr,� ,l 0i. .jityL y� . Iron T i ..,",: Ora - 14..ti> 1��i Ohb •• • O C�C Existing a,� Pink • t: Well �O • ... Red 2 dp. O rO, ,.;,. Tank Q v •. Well 0 C. CO 4.Sisii ti !F- White ( n ,it -tib Yellow 1J CJ p 01C �0 4) �yo4 c OS�a s •Street > / *~ C rya •Pit 5 Co ,c, °� cb 0 e J ST ..e prang$ �1 '��'� Existing Ad Tank pyrK Pit 4 Pump and backlit'tank :,, ;ite / • ice: Pit 3 �,Aril Or ystem:Acc-• -i 300' Install chambers I: el .nd on •;, grade at 27"tre h ••ttom on 60 down I s' e ink 65' Ai/S6 hite 75' Iron lue 60' „11(1/ Red 40' 300' co Iron