HomeMy WebLinkAboutEHPR-10-2023-45721.tif THIS IS NOT A PERMIT Case# EHPR-10-2023-45721
UCATAWBA COUNTY HEALTH DEPARTMENT
� , PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
L8 2 5M Environmental Health Plan Review-OSWP
IPa2 Permit Fee
Applicant HENRY KELLY,,
H:4128559819 HOME:4128559819 HPKELLY35 rr GMAIL.COM
Contact Person SOIL&FORESTRY SERVICES OF THE CAROLINAS (ASHLEY ROLLINS),,
ASHLEYROLLANS@GMAIL.COM
GMAIL.COM
NAME TO APPEAR ON PERMIT
Henry Kelly
SITE ADDRESS: 9537 ISLAND POINT RD,SHERRILLS FORD NC 28673 PIN # 462801463382
NAME of SUBDIVISION: STUTTS CIRCLE Lot# 2 Section/Block
PROPERTY SIZE: Square Feet 22,215.60 Acres 0.51
DIRECTIONS: Sherrills Ford Rd, right Island Point Rd, on right past Riviera Dr
PRIMARY CONTACT: Contact Person SEWER TYPE: Public Sewer
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: a2 IP only
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is"YES",then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? No
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 6
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 70 x 78
#OF NEW BEDROOMS:: 3
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
ehapplicabon 10/09/2023 16:21 Page 1 of 3
,41 • CATAWBA COUNTY Case# EHPR-10-2023-45721
f., tit , Public Health Department Subdivision STUTTS CIRCLE
d . `� ,:-(3, Environmental Health Division PIN# 462801463382
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
84 g,
NAME ON PERMIT: (HENRY KELLY),,
( Henry Kelly)
Site Address: 9537 ISLAND POINT RD,SHERRILLS FORD NC 28673
Property Size: Square Feet 22,215.60 Acres 0.51
Directions: Sherrills Ford Rd,right Island Point Rd, on right past Riviera Dr
Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat
=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for
septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the
proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements
I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are
granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely
responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation
can be performed.
The undersigned is the owner of the property or legal agent of the owner.
Date: Signature of Applicant or Agent
If you need further infonnation or assistance please call 828-465-8270
AREAS
............................................................................................................
FEENAME DATE FEE AMOUNT
IPa2 Permit Fee 10/09/2023 $150.00
TOTAL FEES $150.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
ehapplicacwo 10/09/2023 16:21 Page 2 of 3
(3) catawba county
public health g4PP. -1157DI
Application for Environmental Health Services
THIS IS NOT A PERMIT
Application is for: 0 New Construction 0 Existing Facility
ha Improvement Permit 0 Authorization to Construct
1 :New Septic 0 Septic Repair/Malfunction ❑Septic Relocation ❑Septic Expansion
❑Existing System Inspection or Reconnection
❑New Well ❑Replacement Well 0 Well Abandonment 0 Well Repair
Property Address S6 3`1 asland ''10b'w-i &lees;tls coca N c a 1L 73 —1
Acres O.5 to Subdivision
Lot#
Driving Directions to Property
Describe work
Applicant Name 14 eACy * 9N trp. L1�
Applicant Address
Phone LAt2-4t55-C(Cj q Email hp�,ty ®�rrw;l oft.
Owner Name Ikesc.,‘ ,t. rajacsiev, lie lly
Owner Address
Phone t-U a-`fib- Q4 to I Email
Contractor Name Qk el ?�S�` ana1l.tw►-,
Contractor Address
Phone I Email
Name to Appear on Permit? g-Owner [,1,Applicant 0 Contractor
Who will be the Primary Contact? [Owner [I'ACpplicant ❑Contractor
Proposed New Construction-Residential
Primary Residence ❑ New Residence 0 Addition to Residence #of New Bedrooms*t 3 #of Occupants (.40
Project Description 3 12,:)f CtSic6w41 a,i
Structure Dimensions,also specify dimensions of decks&porches 7 0 X. 7 g
(Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement Retaining Wall>2' 0 Yes 0 No ❑Yes 0 No
Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions
(Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement
Retaining Wall>2' ❑ Yes ID No
El Yes 0 No
Accessory Structure(:)Describe
Plumbin Structure(s)Dimensions
g ❑Yes ❑No Describe Plumbing Needed
(Choose One) ❑Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement Retaining Wall>2' 0 Yes 0 No ❑Yes 0 No
Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants
Structure Dimensions
(Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement
Retaining Wall>2' 0 Yes 0 No Yes 0 No
Well Construction/Abandonment/Repair
Proposed Well Type 2-individual Well 0 Semi-Public Well 0 Community Well
Abandonment Type 0 Drilled 0 Bored
Well Repair Requested ❑Yes 0 Dug ❑ unknown
❑No Describe RECEIVED
Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?0 Yes ❑No
OCT 9 2023
Environmental Health Environmental Health
Catawba County Government Center,25 Government Drive I PC. Box 389, Newton,NC 28658
Phone:(828)465-8270 l Fax:(828)465-8276 l EHAdmin@CatawbaCountyNC.gov
Existing Structures on Site
Describe
#of Bedrooms* Structure Dimensions
#of Occupants
Basement 0 Yes No ::t::
t
8 ID ❑ No I
_!= Water Supply_
0 Individual Well 0 Shared Well—Number of Connections__ 0 community Well ❑County/City,7ownship Water Lute
Is a public water supply available?** 0 Yes ID No
Commercial 0 Proposed New Construction
0 Existing/Change of Use CI Repair
Food Service Specify Type
#Seats Dm jig Arta(Sq.Ft.)
#Employees per Shill
*of Shifts
i Church #of Seats Daycare 0 Yes 0 "---
No #of Children
Commercial Kitchen Yes 0 No Iiesidentisl Kitchen #of Employees per Shift #of Shifts
I
Daycare re#of Children 0 Yes 0 No
of Employees per Shift
Business/Other S #of Shifts
Spec*Type
✓— Retail Floor Space Structure Dimensions
�_#of Employees per Shift #of Shifts
I Other Information
1
1 Calculated Design Flow.Couunercial+
{This value will be determined by EH stet])
I TI Ae�Fplicant shall notify the local health _
question. If the department upon submittal of this application if any of the follow a 1 to the
0 Yes pro answer to any question is"yes",applicant must attach supporting documentation. g pp Y
Does the site contain anyboy
O Yes 10 Does the site containj»sditioast waterwetla systems?
❑Yes �"iVo any existing wastewater systems?
I 0 Yes l No Is any wastewater going to be generated on the site other than domestic sewage?
i 0 Yeso Is the site subject to approval by any other public agency?
If applying p Are there any easements or right of ways on this property'? Describe
pplyia for an Improvement Permit or Authorization to Construct,Please Indicate Desired System
I (systems can be ranked in order of your preference)
0Accepted ❑Alternative ❑Conventional p Imtov �s�'
ative 'Other S O An
`Any room that will be intended for sleeping
at the time of rwv►
on all uppitcatians.The number of bedrooms will be confirmedconstruction or for future consideration should be noted us a
issuance. This may prevent the need for septic system expansion
pansinb in thehmf Identified on floor plans as a bedroom at the time bedroom
counted
t If structure is pIwtibed but has no »on future. building permit
• If sin a well bedrooms,calculated design flow will be determined by EH Stnli'.
permit must be issued with the Authorization to Construct.
/ D
Enviromnental Health soil/site evaluations require di N C SCHEDULE
for markitrg all Healthtaiderground utilities,bonsincludingredigging,angering,and/or probing into the ground.
for
mas/sprial lcrsystems.Catawba County but not limited to:undergroundproperly owner/applicant is responsible
Environmental Health is not power,cable,telephone,
=n gas,water lines,and irrigation
Completed applications arc valid fora responsible for damage to unmaticcd utilities.
with leted ap lict i without expiration,forperiod of 2 years. Improvement Permits are valid:with complete site plan=60 months(5
thcs completele to tse for septicr Authorization to Construct will remain valid as long as the Improvement Permit is valid.An
Authorization Constructnfir is valid for 60 months(5 years).Permits may be revoked if the information on this
applicathat th effect changes or if the intended for the proposed facility changes.Permits may be revoked if site conditions are altered such
' _permit conditions or installation use for th eras`
i have read this application and certify that the information --
I have
are a entryprovided herein is true,complete and correct. Authorized county and state
officialsunderstand ar that I granted solelyghtof t c for cothnduct
necessary inspections to determine compliance with applicable laws and rules. I
accessible so that a complete site evaluation caproper
be identification and labeling of all property party lines and corners and making the site
The undersigned is the owner of the property or!
aBe -of the owner.
R Signature of Owner or Legal Agent C7/L
I" Printed Name of Owner or Legal Agent t,�, i1 ,Date G f? al
IPermit#: I
` •
ROY COOPER•Governor
• NC DEPARTMENT OF
i KODY H. KINSLEY•Secretary
::,. �:�, �; HEALTH AND MARK BEN
TON f HUMAN SERVICES •Deputy Secretary for Health
,,As.
SUSAN KANSAGRA•Assistant Secretary for Public Health
Division of Public Health
Submittal Includes: 0-62)Improvement Permit L (a2)Construction Authorization ❑Fee$
IMPROVEMENT PERMIT FOR G.S. 130A-335(a2)
County: 14 c•.
PIN/Lot Identifier: 4(04..Zi
90 f 9(g 3.38c
Issued To: )4enry 4) K
CJe ;n•� C)({�
Property Location: J I .•„14- Rc t She r )(S f OrLA C. occc73
Subdivision(if applicable) cf�F-(5 C,' c k Lot#: 02 Block:
Section:
LSS Report Provided: Yes Er-No 0
If yes,name and license number of LSS: C Pi- t/ 4.Shl t y iCc dal-5
New[J_--- _ Expansion ❑` System Relocation El Change of Use 0
Proposed Structure: 3 6ed C,;4;,11 Resickl h I
Number of bedrooms: 3 Number of Occupants: (,-' Other:
Design Wastewater Strength:❑cr mo estic ❑high strength 0 industrial process 1 r
Proposed Design Daily Flow: 3(.00) GPDp '' • Proposed LIAR(,nitial):(}, � Proposed LTAR(Repair): �'G�3`�
Proposed Wastewater System Type*• (Q fitd�a�w;,-L*r�+ Al l } (Initial) Pump Required: ❑Yes [(g-(�O ❑May be required
Proposed Wastewater System Types:µl� -& is IJt t.at- L P v iS=Y1
(Repair) Pump Required Yes 0 No ❑May be required
*Please include system classification for proposed wastewater system types Ses In accordance with 1SA NCAC 18A.1961 Table V(a)
`
Saprolite System(initial):EllYV Yes Saprolite System(repair):[]Yes 0 No
Fill System(Initial):❑Yes o 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 ❑IVO If yes,specify:0 New ❑Existing (when adding more than 6 inches of fill to system area provide a fill plan)
Usable Soil Depth(Initial): )C
Usable Soil Depth(Repair): S t(
Max.Trench Depth(Initial)t: 30'/ Max.Trench Depth(Repair)$: j 0IJ/6d('°Yrrt
Measured on the downhill side of the trench
Artificial Drainage Required: Yes E<If yes,please specify details:
Type of Water Supply: rivate well ❑Public well []Sh .ed well ❑Municipal Supply ❑Spring Other:
Drainfield location meets requirements of Rule.1945: Yes No ❑
0 Drainfield location meets requirements of Rule.1950: Yes 0----No❑
Permit valid for:El live years(site plan submitted pursuant to GS 130A-334(13a)] []No expiration[plat submitted pursuant to GS 130A-334(7a)]
Permit conditions: ,
:yeti /Sys
Licensed Soil:::
,/Print Name:s Nt ) �nl F.'o�(i�-vt5 �/jicensed Soil Signature: .—c• ��(/ l�(r 7C. -1-14"-2 ---- Date: /a7
./4?
The LSS evaluation Is being submitted pursuant to and meets the requirements of G.S.130A-335(a2).
*See attached site sketch* RECEIVED
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH �{ 1/
LOCATION:5605 Six Forks Road,Building 3,Raleigh,NC 27609
MAILING ADDRESS:1632 Mall Service Center,Raleigh,NC 27699-1632 9 2023
www.ncdhhs.gov • TEL:919-707-5854 • FAX:919-845-3972
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER
Environmental Health
SOIL & FORESTRY
SERVICES
OF THE CAROLINAS. PA
www.soilandforestryservices.com
Project#: 23-0113
October 6`h, 2023
Henry&Regina Kelly
Attn: Henry& Regina
Email: hpkellv35@gmail.com
RE: Soil&Site Evaluation for a 3 Bedroom Residence at 9537 Island Point Rd,
0.510 ac Parcel, PIN#462801463382,Sherrills Ford, NC 28673, Catawba County, NC.
Henry& Regina:
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 open/cleared with some
shrubs/trees scattered on the property.Topography within the evaluated area was gently to moderate
slope near the house site with moderate percentage of slope in the proposed drainfield area. Property
lines and corners were marked at the time of the evaluation by Dedmon Surveying. The Surveyor
provided an Autocad File of the survey as a basemap. The proposed septic layout was located via survey
which was used to produce the attached Site Plan. There is an existing dock, drive and power pole on
the property. Catawba County Environmental Health said there is no record of a septic permit.
Methodology
We evaluated soil areas through the use of auger borings& backhoe pits. Soil morphological conditions
including color,texture,structure, etc. were reviewed in the field with two pit locations and two boring
locations on the property and were flagged and located via survey. Both of the pits&auger borings are
located in 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 pit/boring. A maximum house envelope was
established based on the survey/septic area needed.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
measure. Detailed system & repair information is summarized in the following paragraph for this Lot.
9537 IsI nd P in R -Lot 2 PIN#4 2 1
The septic layout for this lot(6'centers)yielded a total of 636linear feet of fine.The primary
proposed as 200 linear feet of Modified Conventional PPBPS(50%Reduction)drainfield with gravity
distribution.Trench depth(Low Side)is specified at 30 Inches.The repair system is system is
linear feet of Modified Conventional HPPBPS(SO%Reduction)drainfield with low pressure distribution.
proposed as 300
Trench depth(Low Side)is specified at 17 inches.The Repair requires TS-II Pretreatment.There is 421
feet available for repair. *Note:There is approximately 201 linear feet of repair that is outside of the
Soft lake buffer.Construction Authorization will require a house plan to fit inside the envelope shown.
scion 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
7/c'.u4 f- 144 :`R--- Date
•--Print Name 7/Gvi„ S crli
•
Signature
____LL/6 If c)l.g-g
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 anti 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 9537 Island Point Rd-Lot 2 PIN#462801463382.System
design requirements and site requirements shall be adhered to for installation and Operations Permits
to be issued by the local Health Departmvilf o have ue tion re ardin these re uir ents a Pre-
Constructi n m tin should e ed Please contact S&FS if you have an
regarding this report or the attar ed.infar�latlon.,S& nuesttlan
delineation and forestry seyvices. . , ;,. ,.
f ;dlso offers septic system inspection,wetland
Sincerely, ` i ...: :' • l4.':1 titi '��.
I :,: /..
/...-
' •.' '!,: :.-''
1 •• . '? ., .z/9'1.' ::..•k. . ,. i
S.Ashley Roflans, LSS •"`:' '•h ,�t r"/
Attachment: Septic Design, Required Statiiiiint for Local Health Department/NCDHHS
I understand that the documentation and fees,as required in G.S. 130A-335(a2),(a3), (a5),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 becomeinvalid,�
Applicant Signature: �' ,J
lc
Date: ��� �z'��
Owner's Signature: 6-2 - -
Date: c*e9 3
& FORESTRY
SERVICES'
OF THE L;AROLINAS. RA
www.soilandforestryservices.corn
Attached is a proposed design for an Modified Conventional Septic System
(PPBPS)with gravity dist.for a 3 bedroom single family residence at 9537 Island,
Point Rd,PIN#(462801463382)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 _ 5-6
Calculations 7
Profile Descriptions 5-44i__ 8
��4 ICI
Application - A: R0_ _ 62 _ - CLIENT
, y` ` .. 1' I �r' ` PRO IDED
�� 1.
Improvement Form ___ s �"��.��_�_ ___
Subdivision Plat _ `� T_;_Y /,____ __�c
,. v 10
1 r O �23� �U
� NORTN (
October 6,2023
Project#:23-0113
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 PPBPS installation w/6FT centers.
- Repair is specified as a HPPBPS with low pressure distribution installation.
- Repair is also specified to be on 6 ft centers and requires TS-II Pretreatment.
- Installer must verify any underground utilities prior to installation.
2
GRAVITY PPBPS SYSTEM
FOR WASTEWATER TREATMENT
Applicant: Henry&Regina Kelly
Realtor/Agent Address
Address: 19701-C W.Catawba Ave.
Cornelius,NC 28031
Phone: 412.855.9819
County: Catawba
Location: 9537 Island Point Rd
Sherri lls Ford, NC 28673
Source of Wastewater Flow: 3 Bedroom Single Family Residence
Estimated Gallons Per Day Flow: 360
System Flow: N/A
Design Specifications
Drainfield Size: 200
Loading Rate(gpd/ft.2): 0.3
Depth of Gravel in Trench: N/A
Gravel Size: N/A
Trench Depth (LOW SIDE): 30 in. Repair Trench Bottom 17 in. (6"cover)
Trench Width: 24 in.
Septic Tank Size: 1000
Estimated Supply Line Length: 4
Supply Line Diameter: 4 in. SCH 40 PVC
Supply Line Volume: 1.31
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
3
9537 Island Point Rd
PPBPS SYSTEM
DESIGN FLOW(gpd): 360
SOIL APPLICATION RATE (gpolft.2): 0.3
TOTAL AREA TRENCH BOTTOM: 400
TOTAL LATERAL LENGTH: 200
NUMBER OF FIELDS: 1
LATERAL LENGTH REQUIRED PER FIELD: 200
SUPPLY LINE LENGTH: 4
TOTAL DYNAMIC HEAD: N/A
MANIFOLD SIZE: N/A
DOSING VOLUME: N/A
PUMP TANK DRAW DOWN*: N/A
SEPTIC TANK SIZE: 1000
PUMP TANK SIZE: N/A
4
Layout Specifications - 9537 Island Point Rd
Project#:23-0113
LAYOUT FOR 3 BEDROOM HOME 10/6/2023
FLAG FLAGGED DESIGN
LINE# COLOR Ea HI FS ELEVATION LINE LENGTH LINE LENGTH
TBM
INSTR. I
1 YELLOW (Not Used) 20
20
2 BLUE 82 40
3 RED 86 40
4 ORNNGE
87 40
5 YELLOW
86 40
6 BLUE 60 40
7 RED 87 87
8 ORANGE 79 79
9 YELLOW 49 50
Total 636 436
SOIL LOW SIDE
LINE LTAR SYSTEM LTAR TRENCH TRENCH
LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH
*System 200 0.300 MOD.CONY 0.300 PPBPS GRAVITY 30"
Repair 421 0.275 MOD.CONV 0.275 HPPBPS LOW 17"
*Note: There is 201 linear feet of line outside W/TS-II PRESSURE 6"COVER REQ.
the 50ft lake buffer PRETREAT.
Notes: **All measures in feet
"Nitrification lines are demonstrated on contour via colored pin flags
"Nitrification lines were located by Survey.
5
GRAVITY PPBPS SPECIFICATIONS -9537 Island Point Rd
SYSTEM
Line# Color Elevation Length Hole Size Flow/hole Trench Area #of Panels
2 BLUE N/A 40 NM NM 40 9
3 RED N/A 40 NM NM 40 9
4 ORANGE NM 40 NM NM 40 9
5 YELLOW N/A 40 NM NM 40 9
6 BLUE NM 40 NM NM 40 9
2.0 54
total feet = 200 gal/min= N/A
Des.Flow 360
Pump Run= N/A
soil LTAR 0.3
LTAR+5% 0.315
LTAR with mod. 0.6
LTAR with mod..+5% 0.63
4
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CALCULATIONS
Location 9537 Island Point Rd
Sherrills Ford, NC 28673
Project Number 23-0113
Lot No: 2
No. of Bedrooms 3
Design Flow 360 gal/day
LTAR 0.300 gal/ft2day
PPBPS? (YES OR NO) YES
Supply Line Length 4 ft.
Supply Line Volume 2.612 gal. FRICTION FACTOR
INTERPOLATER
Required Feet of Line 200 ft. 2" SCH 40 PVC
Amount of Line from Layout 200 ft. GPM f
20 0.84
Gallons per Minute N/A gal/mm 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 interpolator.)
Friction Head N/A ft.
Total Dynamic Head (+15%) N/A ft.
Sheet 1 of 1
PROPERTY ID#: 462801463382
SOIL/SITE EVALUATION COUNTY: Catawba
for ON-SITE WASTEWATER SYSTEM
(complete all fields in full)
OWNER:
ADDRESS: Wayne Frye APPLICATION DATE:
4110 US Highway 158 Advance NC 27006 DATE EVALUATED: 9/5/2023
PROPOSED FACILITY: 3 Bedroom Residental-360 GPD
LOCATION OF SITE: 9537 Island Point Rd Sherrills Fore NC 28673 PROPERTY E CO DE SIZE: 0.51
yes
PROPERTY RECORDED: yes
WATER SUPPLY: CI Private CI Well ❑Spring 0 Other
EVALUATION METHOD: 0 Auger Boring 0 Pit
0 Cut TYPE OF WASTEWATER: D Sewage 0 Industrial Process 0 Mixed
P
R
O SOIL MORPHOLOGY OTHER
F 1940 HORIZON (.1941)
I LANDSCAPEPROFILE FACTORS PROFILE
POSITION/ DEPTH
L SLOPE% (IN.) CLASS
E .1941 .1941 .1942 .1943 .1956 .1944 <AR
STRUCTURE! CONSISTENCE/ SOIL SOIL SAPR RESTR
# TEXTURE MINERALOGY WETNESS! DEPTH CLASS HORIZ
0-5 FILL rnl Art
5-11 BSLGR FR SS SP
P1 U13% 11-48 BRCWMSBK/ABK
FR SS SP few fe depl 35-38" 43 PS 0.275
0-5 FILL
5-14 BSLGR FR SS SP
P2 L/11% 14-44 BRCWMSBK/ABK FR SS SP
39 PS 0.3
0-3 BSLGR FR SS SP
3-29 RBCWMSBK FR SS SP
B1 U10% 29-50 BRCUSCLWFSBK FR SS SP
50 PS 0.325
0-3 BSLGR FR SS SP wgravel
3-28 BRCWMSBK FR SS SP fsap
B2 L/10% 28-34 RBCULVWFSBK FR SS SP
34-50 VARSLGR FR SS SP csap 34 PS 0.325+
5
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DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946):
Available Space(.1946) PS SITE CLASSIFICATION(.1948): PS
PS EVALUATED BY: Ashley Rollans
System Types(s) PPBPS-Gravity HPPBPS 50%Red OTHER(S)PRESENT:
Site LTAR 0.3 0.Y75 Chad Wagner
COMMENTS:
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C G CATAWBA COUNTY
100A SOUTHWEST BLVD
�t ( �.� NEWTON,NORTH CAROLINA 28658 RECEIPT
\\ ��.`+ PHONE:828.465.8399
\'9 �C , Monday,October 9,2023
842 srol www.catawbacountync.gov
PAYOR: Soil&Forestry Services Of the Carolinas
Soil&Forestry Services Of the Carolinas(Rollins,Ashley)
PAYMENTS
TRANSACTION NUMBER: TRC-75053255-09-10-2023
PAYMENT DATE: 10/09/2023
PAYMENT TYPE: Credit Card
311750775
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
10-23-429070 110-580200-663000 IPa2 Permit Fee $150.00
TOTAL PAYMENTS: $150.00
EHPR-10-2023-45721
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 9537 ISLAND POINT RD,SI-IERRILLS FORD NC 28673
Applicant HENRY KELLY,,
H:4128559819 IIPKELLY35 a GMAIL.COM
Contact Person SOIL&FORESTRY SERVICES OF THE CAROLINAS,,
ASHLEYROLLANS@GMAIL.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
receipt 10/09/2023 16:20 Page l of l