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HomeMy WebLinkAboutIMPV-10-2023-206212.tif moi_-"st (•',.F%%n%(.4)1\'fl lit li. 1'uhlt Ilcalth thtuttrnrnt suh,h%,,,+m Ill. rli tmrroil:Dotai Health Dilr;inn Mt; 461703407819 V,,, N I ltuA 3sLi.25(i+s etntneni Ini%e heals".NC' -'\h¢ Site Address: 8477 BABE DR TERRELL NC 28682 Name on Permit: HUNTER LUNSFORD Property Size: Acres 1 86 Directions: Down Kiser Island Rd 1 5 miles Right on Babe. Lot is on the left Owner/Authorized Representative Acknowledgement of Permit Receipt certill that I am the ow irt ner or authorized agent tom ner authorizittirrn requiredI representing the owner at (i he prapert:‘ JereriheJ afx+%e. Kpss the property owner or authorized rcprecentati%e. I ha%e reeeic ed the aho%c• reterenced ermit(s I as requested in the application for service Rl3t'R-10-2023-4502.by the tbIlowiti inethoths): Received itt Person Facsimile Iransmittal (Return tilrm with signature required) ,1 I`Iecuronic Image Transmittal F.-nail (Return receipt required) )( As the property owner or authorized representat i'e I have re%iecceJ and understand the specific conditions (` 'f the permit issued. and further understand that all applicable regulators requirements specified under the North Carolina taws and Rules Tor Sewage Treatment and Disposal Systems(154`CAC ISA.19011), and/or Well Construction Standards(15A NCAC 2( .0100), shall apply to the issuance of this permit and the construction of the‘s.asteskater system and or water supply dell permitted. Permit issue Date: 10118i2023 v‘---. Owner'r\uthorized Represent:in\c Sienaturc Date ,6-2-(1- Z3 t)ocumentalion of I'errnit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (mime r,//'er.woz ye/tiling permit) Signature V I)ate:lime 1O Je/7P3 Method: Fax Email UIS Mail Other Owner's request to send by the above indicated method of transmittal in lien of signature We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHtusttomerService 1eOiar )ma. f I/key— la -7,2 7 - 20G 21z Permit It: ROY COOPER•Governor t,, 9 NC DEPARTMENT OF KODY H.KINSLEY•Secretary HEALTH AND HUMAN SERVICES MARK BENTON•Deputy Secretary for Health SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Submittal Includes; n (a2)Improvement Permit n (a2)Construction Authorization n Fee$ IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: Catawba PIN/Lot Identifier: 461703407819 Issued To: Hunter Lunsford III 1/ One of Each LLC Property Location: 8475 Babe Dr Subdivision: N/A Lot#: 1 Block: Section: LSS Report Provided: Yes n Non If yes,name and license number of LSS: Wendell Overby#1218 New ❑X Expansions System Relocation Change of Usen Proposed Structure: 3 bedroom house Number of bedrooms: 3 Number of Occupants: 6 Other: Design Wastewater Strength: ❑X domestic El high strength 0 industrial process Proposed Design Daily Flow: 360 GPD Proposed LTAR(Initial): 0.3 Proposed LTAR(Repair): 0.3 Proposed Wastewater System Type': VPPBPS GRAVITY (Initial) Pump Required: El Yes ENo May be required Proposed Wastewater System Type*: VPPBPS LPP (Repair) Pump Required: EYes ❑No ❑May be required Please include system classification for proposed wastewater system types in accordance with 15A NCAC 18A.1961 Table V(a) Saprolite System(Initial): pi Yes ❑X No Saprolite System(Repair): nYes g ij No Fill System(Initial): E Yes n No If yes,specify:❑New El Existing(when adding more than 6 Inches of fill to system area provide a fill plan) Fill System(Repair): n Yes nX 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): 52 Usable Soil Depth(Repair): 49 Max.Trench Depth(Initial)1: 39 Max.Trench Depth(Repair)I: 37 /Measured on the downhill side of the trench Artificial Drainage Required: yes EX No If yes,please specify details: Type of Water Supply: '. ^'Private well Public well :Shared well E Municipal Supply Spring n Other: Drainfleld location meets requirements of Rule.1945: Yes NoJ Drainfield location meets requirements of Rule.1950: Yesn Non Permit valid for: OX Five years[site plan submitted pursuant to GS 130A-334(13a)] n No expiration[plat submitted pursuant to GS 130A-334(7a)] • Permit conditions: See Design Licensed Soil Scientist Print Name: Wend�elllyOve1i Licensed Soil Scientist Signature: 6L,.J�•� Date: 9/26/2023 The LSS evaluation is being submitted pursuant to and ,.ets the requirements of G.S.130A-335(a2). 'See attached site sketch* NC DEPARTMENT OF HEALTH AND HUMAN SERVICES•DIVISION OF PUBLIC HEALTH LOCATION: RES :5605 6 Six ForksilRoad,Building Raleigh,NC 27609 RECEIVED MAILING ADDRESS:1632 Mail Service Center,Raleigh,NC 27699-1632 www.ncdhhs.gov•TEL:919-707-5854•FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER S E P 2 9 2023 Environmental Health 8477 Babe Dr Permit#�: IMPV-10-2023-206212 This Section for Local Health Department Use Only Initial submittal received: 10/2/2023 by RP Date Initials G.S. 130A-335(a3)states the following: When an applicant for an Improvement Permit submits to a local health department an Improvement Permit application,the permit fee charged by the local health department,the common form developed by the Department and a soil evaluation pursuant to subsection(a2)of this section,the local health department shall, within five business days of receiving the application,conduct a completeness review of the submittal.A determination of completeness means that the Improvement Permit includes all of the required components.If the local health department determines that the Improvement Permit is incomplete,the local health department shall notify the applicant of the components needed to complete the Improvement Permit, The applicant may submit additional information to the local health department to cure the deficiencies in the Improvement Permit.The local health department shall make a final determination as to whether the Improvement Permit is complete within five business days after the local health department receives the additional information from the applicant.if the local health 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 Department shall develop a common form for use as the Improvement Permit. The review for completeness of this Improvement Permit was conducted in accordance with G.S. 130A-335(a3). This Improvement Permit is determined to be: ❑ Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the LSS and the Applicant on Date State Authorized Agent: Date: ©Complete State Authorized Agent:_ � Date: 10/6/2023 This Improvement Permit is issued pursuant to G.S. 130A-335(a2)and (a3) using the signed and sealed LSS/LG evaluation(s) attached here. The issuance of this permit by the Health Department in no way guarantees the issuance of other permits.The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements.This permit is subject to revocation if the site plan,plat,or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to evaluations,submittals,or actions from a licensed soil scientist or licensed geologist pursuant to GS 130A-335(a2). Improvement Permit Expiration Date: 1 0/6/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 SHEET TITLE: PROJECT NAME: Soil&Forestry Services '=n '� ,7 'ci CO of the Carolinas,PA II y O P O O 0 _ toLUNSFORD 813 Davidson Dr NW o tl ptr9 SEPTIC SYSTEM LAYOUT BABE DR IIIL I FIIEITII Concord NC 28025 �, O cn 'n t.i SKETCH MAP CATAWBA COUNTY IE11 I1EI g F' SEPTEMBER 2023 usablesoil@gmail.com owwou►uu,PA 980-439-5007 soilandforestryservices.com T (00� O <2 GRAPHIC SCALE cc\ 1 " = 40' aid.z, I/ ,!, \ 40 0 40 80 F�• ,, \sip \6' �'� goy -4� ''��' .BLD SEPI�C Cy ' ��A� ` �o 11.: ti c6 ,. ,. ..,hyc y :�� g cON�,RE F iii. .. i{1� 9 Ui Ft. R S ; - . 9 F' TAN li-r.5 Y 7 • 40' ;.. 0,,,,,,,b.„,„0 1.O --25' F• .s `y 4 5' ,,• • 40' ^ :5'. + . S\- . • 1 40' N84 " �. - kFS il83 �o,�. ' •2W 101 .2 o'xic EMA F OLD _ '�' E : ,•::NE:-\ ,9S S3 1.�3 O4� TAT !Ps ` 47 730 80 POOL MUST BE 4/69• ss, 25 FROM WELL gg,>•ky so. • • • Sheet 1 of 1 PROPERTY ID B: 461703407819 COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (complete all fields in full) OWNER: Hunter Lunsford III//One of Each LLC APPLICATION DATE: ADDRESS: 4251 Golf Acres Dr DATE EVALUATED: PROPOSED FACILITY: 3 bedroom house PROPERTY SIZE:_ 1.86 acres LOCATION OF SITE: 8475 Babe Dr PROPERTY RECORDED: WATER SUPPLY: m Private p Well ❑ Spring El Other EVALUATION METHOD: ❑ Auger Boring p PR 0 Cut TYPE OF WASTEWATER: Q Sewage ❑ Industrial Process ❑ Mixed P R 0 SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) PROFILE FACTORS PROFILE LANDSCAPE CLASS POSITION/ (IN E SLOPE% .1941 .1941 .1942 .1943 .1956 .1944 &LTA R STRUCTURE/ CONSISTENCE/ SOIL SOIL SAPR RESTR d TEXTURE MINERALOGY WETNESS/COLOR DEPTH CLASS HORIZ 0- 16 BCLWFG FRSSSP 16- 49 BRCLWMS FRSSSP 1 L/8% N/A 49 N/A N/A 0.4 0- 9 BCLWFS FRSSSP 9- 26 BR C WMS FRSSSP 2 L/5% 26- 56 BRCLWMS FRSSSP N/A 56 N/A N/A C.3 0- 8 RBCLWFS FRSSSP 8- 23 RCWMS FRSSSP 3 L/5% 23- 55 BRCLWFS FRSSSP N/A 55 N/A N/A 0.3 0- 12 RBCLWFS FRSSSP 12- 32 RCWMA FRSSSP 4 L/7% 32- 52 BRCLWMS FRSSSP N/A 52 N/A N/A 0.3 0- 8 BCLWFS FRSSSP 8- 32 RCWMS FRSSSP 5 L/5% 32- 56 BRCLWMS FR SS SF N/A 56 N/A N/A C.3 0 3 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SSIFICATION(.1948): PS Available Space(.1945) 200 200 ,`950R EVALUATED BY: OVERBY System Types(s) VPPBPS VPPBPS , .0..0... ESENT: J Site LTAR 0.3 0.3 � z. ti a�' `� COMMENTS: N. -•-•-'