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HomeMy WebLinkAboutIMPV-10-2023-206455.tif A 1/- Iv- 2vzi) -206laT Permit#: fig° ROY COOPER•Governor 41 • ,{• NC DEPARTMENT OF KODY H.KINSLEY e. , • HEALTH AND 1 Secretary AN SERVICES ": MARK BENTON•Deputy Secretary for Health 'N :0 SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Submittal Includes: 2)Improvement Permit (a2)Construction Authorization 0 Fee$ IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: Lti4 ct‘..ljc\. �PIN/Lot Identifier: -1,6,a 0 I LI(a 358c2 Issued To: Nen('y , Rq 'I„•.\- .e11 c Property Location: h-:) -a'la„t '' 1.1- Rci ) She rrd!s Subdivision(If applicable) cfu 44-S C,,c(e r� Lot#: .0 Block: Section: LS5 Report Provided: Yes ErNo 0 //(( /� If yes,name and license number of LSS: ` wl..4 e 101-S111 L y/ a jicrl::> New❑,-` 1 Expansion 0 System Relocation Proposed Structure: 1$ec�f it,i El Change of Use 0 3 Number of bedrooms: 3 Number of Occupants: L Other: Design Wastewater Strength:l-domestic ❑high strength ❑industrial process Proposed Design Daily Flow: 3L O GPD ,pp I ♦ Proposed LTAR(initial):(.),3 Proposed LTAR(Repair): 6.4c- Proposed Wastewater System Type*:0}62/pfit1,(i.:k-(�y-c�q M I I ' ) _ (Initial) Pump Required: ❑Yes �❑May be required Proposed Wastewater System Type*:/1-MS-6.)-/o Fa0 L,l., — It...P V IS= (Repair) Pump Required ]Yes 0 No 0 be required l *Please include system classification for proposed wastewater system types in accordance with 15A NCAC I8A.1961 Table V(a) Saprolite System(initial):❑Yes o Saprolite System(repair):0 Yes 0 No Fill System(Initial):❑Yes o If yes,specify:0 New 0 Existing (when adding more than 6 inches of fill to system area provide a fill plan) Fill System(repair):❑Yes 01 o 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): JO�� �� Usable Soil Depth(Repair): .� Max.Trench Depth(Initial)3: 30 rr .-Max,Trench Depth(Repair)=: ) I'w/f rr(overs Artificial Drainage Required: es No If yes,please specify details: Measured on the downhill side of the trench Type of Water Supply: rivate well ❑Public well ❑Sh ed well ❑Municipal SupplySpring Drainfield location meets requirements of Rule.1945: Yes No❑ Drainfleid location ❑ p Ing ❑Other: meets requirements of Rule.1950: Yes 0No❑Permit valid for:Effice years[site plan submitted pursuant to GS 130A-334(13a)] 0 No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: Dee ries(iv Licensed Soil Scientist Print Name: c Nt 1 45111 ec1/16-vi1 Licensed Soil Scientist Signature: G.ur-c //(/ ���/���- -i`i. / '�-- Date: /�%�•*.? 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 LOCATION:5605 Six Forks Road,Building 3,Raleigh,NC 27609 MAILING ADDRESS:1632 Mall Service Center,Raleigh,NC 27699-1632 0i 2023 www.ncdhhs.gov • TEL:919-707-5854 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Environmental Health 9537 Island Point Rd Permit#: IMPV-10-2023-206455 This Section for Local Health Department Use Only Initial submittal received: 10/9/2023 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 deportment 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 ��� G '"6 State Authorized Agent: ��G%�Y'} Date: 10/11/2023 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: 10/1 1/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 SOIL it FORESTRY SERVICES OF THE CAROLINAS, PA www.soilandforestryservices.corn Project#:23-0113 October 6th, 2023 Henry&Regina Kelly Attn: Henry& Regina Email: hpkelly35@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. 95371s1 n P in R - 0 2 PIN 4 28014 2 S e A the Desi n The septic layout for this lot(6'centers)yielded a total of 636 linear feet of line.The primary system is 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 proposed as 300 linear feet of Modified Conventional HPPBPS(50%Reduction)drainfield with low pressure distribution. 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. essio eLaw Reaui nts reme 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 may /�J T Date 'IC-Print Name 1`1G�i„ S elf t Signature / ____LL/6 t i dtg-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 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(0)."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 DepartmenjLlf ou have a flan re rdin th se re uir Constru tion m tin sho !d _ _ ent a Pre regarding this report or the a ��d•.infrdrrrlatbn ;S�ed Please contact S&FS if you have any questions delineation and forestry sejvices, r. ;d1so offers septic system inspection,wetland fig <a.• �•%._�h,• � f�. c t f �' / a 'r� � ' Sincerely, r i ( : ',.„:; :,.`•,.� ' k ! . 't . ( r....' 0 3 xi S.Ashley Roilans, LSS tif '``� . •" •r: ...-• Attachment: Septic Design,Required Stofernent 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 become,invalid,,, Applicant Signature: ,� , Date: /c' Z z'o7- Owner's Signature; ti,n Date: c> ���3 & FORESTRY SERVICES LIE. -THE_ C:ARDLINAS, PA www.soilandforestryservices.com 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 _ 5-94{___ 8 Application _ 1Z_ _ - -,r'' 4Z' `' +-- CLIENT yg` :' q' PRO IDED ff,i0 Improvement Form rC 41(10 ___ ___ 9 Subdivision Plat 'a2M� ' '- 10 I �, 1231 SOv of NnRTH CP 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 2803I Phone: 412.855.9819 County: Catawba Location: 9537 Island Point Rd Sherrills 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: IN/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 (gpd/ft.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 it.. 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 ORNAGE 87 40 S 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.CONV 0.300 PPBPS GRAVITY 30" Repair 421 0.275 MOD.CONY 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 Lenetb Hole Size Flow/hole Trench Area #of Panels 2 BLUE NM 40 N/A NM 40 9 3 RED N/A 40 N/A NM 40 9 4 ORANGE N/A 40 N/A N/A 40 9 5 YELLOW N/A 40 NM NM 40 9 6 BLUE N/A 40 N/A N/A 40 9 Q 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 `C4 y < o r N __..7"*"...111444% .,. 7 ' -..-_. . 1 16v P. I 1 §r � n cn-4(, N- C xi 5 o m ` m tn8f Z r—`o.S v� , z oM CO I B §m ogg � zzlncncn m \ 1 ��ezr . //�\�'z of ?� �Nt(D•(n CA W nth i 9y. po ]�A CA�(� �pv !g �lCO og = a C 3 z = N 9 ! 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(.,z 0 NORTH PER Pg 34 PG 14 O 4 ! fR;i:X5ii e 1-3 \ 1 ; ril x %5 g: i, Iligivity ‘,„%ww,,,,„,. 1 , ;al E 45 A El a 91 tij Z ..- tii ql1PRi " r :� vi Dxi cil . tR r z n g L 7 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 LIAR 0.300 gal/n2day 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 9ai/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 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 PROPOSED FACILITY: 3 Bedroom Residental-360 GPO DATE EVALUATED: 9/5/2023 LOCATION OF SITE: 9537 Island Point Rd Shercills Fore NC 28673 PROPERTY SIZE: 0.51 WATER SUPPLY: ❑PrivatePROPERTY RECORDED: yes [] Well 0 Spring 0 Other EVALUATION METHOD: Ell Auger Boring ❑Pit ❑Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed P R O SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) I LANDSCAPE PROFILE FACTORS PROFILE POSITION! DEPTH L SLOPE% (IN.) CLASS E .1941 .1941 .1942 .1943 .1966 .1944 8 LTAR STRUCTURE/ CONSISTENCE/ SOIL SOIL SAPR RESTR # TEXTURE MINERALOGY WETNESS/ DEPTH CLASS HORIZ 0-5 FILL MI AR 5-11 BSLGR FR SS SP P1 L/13% 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 U11% 14-44 BRCWMSBK/ABK FR SS SP 39 PS 0.3 0-3 BSLGR FR SS SP 3-29 RBCWMSBK FR SS SP B1 L/10% 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 U10% 28-34 RBCULVWFSBK FR SS SP csap 34 PS 34-50 VARSLGR FR SS SP PS 0.325+ 5 6 eril .mil',` 1```+ `''' 7 C 1 j �_` y_ n i_jo--, �' I /� : :l' :grginwr.fii.," rfly ' ‹,- a s.141 <1 12 3 A • 0�'• 9 pF V.' 'ORh G • 111114rlw..+.h 10 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) PS SITE CLASSIFICATION(.1948): PS PS EVALUATED BY:System Types(s) PPBPS-Gravity HPPBPS 50%Red OTHER(S)PRESENT: Chad WagnereSite LTAR 0_3 agr 0.275 COMMENTS: i. 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