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HomeMy WebLinkAboutIMPV-11-2023-208134.tif __L Permit#: .1-2u2; Loo( y ROY COOPER•Governor ;'r" '' NC DEPARTMENT OF HEALTH AND K aDY H.KINSIEY•Secretary ". rl% HUMAN SERVICES MARK BENTON•Deputy Secretary for Health SUSAN KANSAGRA•Assistant Secretary for Public Health ')iAsian of Public Health Submittal includes: 211;-2)Improvement Permit .ta2)Construction Authorization ❑Fee$ yy IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: �(\ 1b(\ PIN/Lot identifier: `1(c c 76 1-1 SC.7 3f E Issued To: LNG 1rrh LLC. Property Location: ' l-ICil [ C r+ , 5hcrr,iI5 fp �i, 5 1. Subdivision(if applicable) (_).irlc(l` ►Jr,r� Lot#: 7 Block:LSS Report Provided: Yes(J�/N 0 Section: If yes,name and licens�,numberoft3S: •- C'.R1L e 4shlty f�,l c113 / '/ New[ Exp�nsion 0 S Proposed Structure: u yst am Relocation 0Change of Use 0 — 1 _ A lf•`: i, (,l�rr�� Number of bedrooms: 1 Number of Occupants: 8 Other: Design Wastewater Strength:[]domestic Proposed Design Daily How: 116/C El high streng h El industrial process GPD Proposed LiAR(Initial):�' 3 Proposed LiAR(Repair): O. 3 Proposed Wastewater System Type*: ?'fit Ur.t 4, L , ,)- Proposed Wastewater S stem T e•; (initial) Pump Required: ❑ i Yes f 0 May be required Y yP Pt1 Y -- ... P i SSuR 'Please includes � r proposed --(Repair) Pump Required: �"�es �No ❑May be required ystem classi cation or wastewater system types in accordance with 15A NCAC 18A.1961 Table V(a) Saprolite System(initial): Yes ❑No Saprolite System(repair):(]Yes ENO- Fill System(initial):(]Yes �o if yes,specify:❑New ❑E ,,.,� Existing (when adding more than 6 inches of fill to system area provide a All plan) FiII System(repair):❑Yes LJ 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): PI-51 Usable Soil Depth(Repair): CC/'(nj Max.Trench Depth(Initial)=:_ I —�T— Max.Trench Depth(Repair):: }C/ �� ? Artificial Drainage Required: Yes — Measured on the obwnhfl/side of the trench ❑ �No If yes,please specify details:_ Type of Water Supply:0 Private well []Public well pursuant to GS 130A-334❑Share well [�IGruniclpal Supply ❑Spring Drainfield location meet requirements of Rule.1945: Yes No❑ Drainfield ❑Other: Permit valid for: ive years(site plan submitted location meets requirements of Rule.1950: Yes No❑ p (1 g)] 0 No expiration(plat submitted pursuant to GS 130A-334(7a)] Permit conditions: c- Licensed Soli Scientist Print Name: • Licensed Soil Scientist Signature: I 1/62/42__________ The LSS evaluation is being submitted pursuant pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5805 Six Forks Road,Building 3,Raleigh,NC 27609 MAILING ADDRESS:1632 Mall Service Carter,Raleigh,NC 27699-1632 www.ncdhha.gov . TEL:919-707-5854 • FAX:919-845-3972 AN EQUAL OPPORTUNITY!AFFIR,ATIVE ACTION EMPLOYER Die Permit#: IMPV-11-2023-208134 SaddlebrooK Lot 9 This Section for Local Health Department Use Only Initial submittal received: 10/30/2023 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 deportment 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 os a determination of completeness.The Department shall develop o common form for use as the Improvement Permit. The review for completeness of this Improvement Permit was conducted in accordance with G.S. 130A-33S(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: 4/4 /`/'t/</ Date: 11/9/2023 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 1/9/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 • NC DEPARTMENT OF ��` •Governor ULT II a KW/K ,•Secretary wiAtsuerron. � 3�s��EIAGRA• star Huth �Secretory for Public Fi++ i Division of Pubic Heagh 'This apoticatftsn,In conjunction with the common for Services rie}ion, en to be used comm applications o established in G.S,1Spq 335(a3)and(aa),Is jrrerefnalbr+,pGS.ar merit 3 5(a3J and for submitted In act ordence with G.S.23I -33 e2 Anal for)ocaE health ( )Aennfts rrfenrct to as fa'1J trrjprbvrme»t Permit and( larr(A5utt7arlrrop) A,p,it,4ng fir:: �� (a2)improvement Permit �. (a2)COS gtl+arfzatian ❑ (a2)Repair/Construction Authorization Please check one of the following: ErVe + nstructdaan Dear .. 0 apanssion 0 System location Expiration Requested(site plan provided) 0 Change of Use 0 Repair, ❑ Non-Expirfr4g Permit Requested(plat provided,asxfefined'in GS.12tcaA-33�4(7a) • Property OwmerAiame: S Owner Mailing Address: I___ — _�_,_ Property Owner Phone Number: "�PJ►..i- c►'" �., L. �$�ae? _ P ______,,.,— Property Praa y rimier Email Address -------• —`_" — "--._.__....._.. Applicant Name: -- --.__ . -- .._ Applicant Mailing Address:-1�-, ----�--.." Applicant Phone Number: :....� - r3... , -----�_�-"-" .. F pp ice Email Address. G c lc�wok r h� Does the "'—'---- Dproperty include,or 4 sub _ _ �Jett to,gray of the FaUa+w yes �' Previously Identified jurisdictional riands ©yes 3:9f?xistfnil or proposed fients,ri -o f ° Approval by other public I Y'encroachments,or other areas subject to legal restrictions A site plan or Is required, agencies (A)exlst plats proposed facilities,s sketch submittal from the Ld wastew,must include the following: ($)proposed �apixrrtena�s,and wastewater systems (C)existing and;reposed vehicular are systern showing setbacks to property flrte{sl or other fixed reference point(s) eft)existing and proposed water suppiie�s, wells,(E)surface water,drainage aterr and all**sting a o"'ater linen;and ting and ropmed arts al drainage,as applicable. Requesting DHH ryeS review:ayes F i l understand that the documentation . are to be used to lewd an Improvement tation and fees,as required In p.S.L3QA 3ii5(a2),(a3),(a5),and(a6?, Provement Permit and/or Co ctlon Authorization attached to this),applicationOS). underate ad Una ndnecessary authorized county and state officials are y�of entry fwrsropeuant t GS. ased.39 this application and( ).I inspections to determine compliance, aY to the understand tang tha If ti es ift rmatl�to the appNcatton for an imp . ._, applicable laws and rules. I understand that S the approvemen •.. ,� ; • . i .'It. r..,. +.� cbon Authorization Is falsified,changed, information in A , / , s /,y� anal{become frnraJkf the site Is altered,then Applicant Signal .., ./�1, 1�� / Owner's Sign W Lur�;� „dear-rod, — --^.-�- Date; it e0 . .rrir.a�iimu..d, i.� - � Date: ' � - i e AlC DEP OF , TH AND HUMAN SERVICES • DIVISION OF WA WC HEALTH LOCATION 5906 Six Forks feed,Building 3, caleiph,NC 27600 WINO ADORes&1632 Ala(Service Cantor,Rea NC 27999N632 wwwarcdhhs.gov •TEL 9►O 7O7-5834 • roc 915445 p72 AN EQUAL.OPPariTuNnYhAFFaiwiTIVEAC?KA Fapip', SOIL It FORESTRY SERVICES OF THE CAROLINAS, PA www.soilandforestryservices.com Project#: 23-0015 October 17th, 2023 VR Farms LLC Attn: Ray Short Email:vrshortir@aol.com RE: Soil &Site Evaluation for a 4 Bedroom Residence at Saddlebrook Subdivision Lot 9,0.59 ac Parcel, PIN#(460904507318)Sherrills Ford, NC 28673. Mr.Short: 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 partially cleared/graded for the house pad and open field.Topography within the evaluated area was gentle slope near the house site and proposed drainfield area. Property lines and corners were marked at the time of the evaluation by Derek Bunton Surveying. The client provided an Autocad File of a subdivision with house envelopes as a basemap.The proposed septic layout was located via GPS&tape measures and used to produce the attached Site Plan.The house envelope was located via Surveyed by Derek Bunton Surveying. Backhoe pits were located via GPS. 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 four backhoe pit locations on the property flagged and located via tape measure. All of the backhoe 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 pit.The house envelope was located via survey.An on-ground layout of system and repair was performed using a laser level. Pin flag locations of the layout were also located by GPS and tape measures. Detailed system & repair information is summarized in the following paragraph for this Lot. Saddlebrook Subdivision- Lot 9 (See Attached Design) The septic layout for this lot(9' centers)yielded a total of 599 linear feet of line.The primary system is proposed as 268 linear feet of Modified Conventional (50% Reduction) drainfield with gravity distribution.Trench depth is specified at 30 inches(Low Side).The repair system is proposed as 267 linear feet of Modified Conventional (50% Reduction)drainfield with low pressure distribution.Trench depth is specified at 34 inches (Low Side). There is 331 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 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 /� p� Date Print Namte". �� , i .� Signature �yN? // ��� The LSS evaluation shall includ a statement be ing 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 Lot 9-Saddlebrook Subdivision,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 forest services. Sincerely, ' ,� SOIL 5C. JE_A. ROB jcti t9 ✓ U a> .5 , ter /jo- S.Ashley Rollans, NO RTN G Attachment: Septic Design SOK. & FORESTRY SERVICES OF THE CAROLINAS, PA www.soilandforestryservices.com Attached is a proposed design for an Modified Conventional Septic System with gravity dist for a 4 bedroom single family residence at Saddlebrook subdivision, Lot 9 Sherrills Ford,NC Catawba County,PIN#(460904507318) Contents: Pane Information for the Installer 1 Design Information Design Specifications 2-3 Layout Specifications 4 Site Plan/System Plan - 5 Calculations 6 Profile Descriptions s.-..' 7 c7v Cr �L A. RO<_ c Application for Services - � �. ,.„ .._ _ �_ _2_ _z 8 IP Form co ��^ ` / i 9 tr„ c 6 t CA Form = lir 4 ' _ 4 ---- = 10 • Oc NoRTH October 17,2023 Project#:23-0015 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. - Repair is specified as a PPBPS with low pressure distribution installation. 2 GRAVITY PPBPS SYSTEM FOR WASTEWATER TREATMENT Applicant: VR Farms LLC Address: 7172 Long Island Rd Catawba,NC 28609 Phone: 704.516.2344 County: Catawba Location: Bridle Court- Lot 9 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: 268 Loading Rate (gpd/ft.2): 0.3 Depth of Gravel in Trench: N/A Gravel Size: N/A Max.Trench Depth (LOW SIDE): 30 in. Repair Trench Bottom 34 in. Trench Width: 24 in. Septic Tank Size: 1000 Estimated Supply Line Length: 7 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 Bridle Court- Lot 9 PPBPS SYSTEM DESIGN FLOW(gpd): 480 SOIL APPLICATION RATE (gpd/ft.2): 0.3 TOTAL AREA TRENCH BOTTOM: 536 TOTAL LATERAL LENGTH: 268 NUMBER OF FIELDS: 1 LATERAL LENGTH REQUIRED PER FIELD: 267 SUPPLY LINE LENGTH: 7 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 - Bridle Court- Lot 9 Project#:23-0015 LAYOUT FOR 4 BEDROOM HOME 9/6/2023 FLAG FLAGGED DESIGN LINE# COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH TBM INSTR. 1 1 RED 86 86 2 ORANGE 87 87 3 YELLOW 90 67 4 BLUE 113 67 S PINK 114 67 6 RED 109 67 Total 599 441 SOIL LOW SIDE LINE LTAR SYSTEM LTAR TRENCH TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH *System 268 0.300 MOD. CONY 0.300 PPBPS GRAVITY 30" Repair 331 0.300 MOD.CONV 0.300 PPBPS LOW 34" PRESSURE Notes: **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **Nitrification lines were located by GPS&Tape Measure 5 GRAVITY PPBPS SPECIFICATIONS -Bridle Court- Lot 9 SYSTEM Line# Color Elevation Hole Size Flowlhole 1 reach Area #of Panels 3 YELLOW NM 67 N/A NM 134 15 4 BLUE N/A 67 N/A NM 134 15 5 PINK NM 67 NM NM 134 15 6 RED NM 67 NM NM 134 15 536 total feet = 268 gal/min= N/A Des.Flow 360 Pump Run= N/A soil LIAR 0.3 LTAR+5% 0.315 LTAR with mod. 0.6 LTAR with mod..+5% 0.63 W E S LE 1317. 9 6 ' 1,C 4' 14 • 101 16 ' • ,. N � v � 1 . 1 V \-/ i:,,,-) --1 co C 1 SS � ^ !- ., L � ,, ,$)__ __ ,, s.0 s.._/ • r O I r r":3 (. 1c3 Npo ci_ 43, z cr)_, . LO ) 0 O D-- mi t z (40;C:r lf? CO CO �, J CD -o d1 N 0 l___) IND cy (y) 0 D-BOX . .• �O REMi ; E FILL e0 4 1 - FRO 4:ACK OF P i • ivEce " L'Sz • O .e • W 5 siD A( 0.598 1 \ -.1 �E ,, ACRE - - d1S 3 c. CD - SdiS - ;(lDH �- 3SfDH ®,0S ,E.6 ,OS 9'sa t=i ti o 70 �WI' _ LOT 9 'IvI `—' 3 1/42 I /5 9 9' 41 44 73 . 31 °� ..I, C: • .. c-• 86 °00' 30' W 2 7 . 85 • CALCULATIONS Location Bridle Court- Lot 9 Sherrills Ford, NC 28673 Project Number 23-0015 Lot No: 9 No. of Bedrooms 4 Design Flow 480 gal/day LIAR 0.300 9a1/ z ft day PPBPS? (YES OR NO) YES Supply Line Length 7 ft. Supply Line Volume 4.571 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 266.6667 ft. 2" SCH 40 PVC Amount of Line from Layout 268 ft. GPM f 20 0.84 Gallons per Minute N/A gad/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 1 of 1 PROPERTY ID#: 460904507318 COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (complete all fields in full) OWNER: VR FAMRS LLC APPLICATION DATE: ADDRESS: 7172 Long Island Rd,Catawba NC 28609 DATE EVALUATED: 1/31/2023 PROPOSED FACILITY: 4 Bedroom Residential-480 GPD PROPERTY SIZE: 26,029 SQFT _ LOCATION OF SITE: Saddlebrook subdivision,Sherrills Ford NC 28609-Lot 9 PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑ Well ❑ Spring ❑Other County water EVALUATION METHOD: ❑Auger Boring 2 Pit ❑Cut TYPE OF WASTEWATER: 2 Sewage ❑ Industrial Process ❑ Mixed P R O SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) PROFILE FACTORS PROFILE LANDSCAPE I DEPTH CLASS POSITION/ &LTAR L SLOPE% (IN.) .1941 .1941 .1942 .1943 .1956 .1944 E STRUCTURE/ CONSISTENCE/ SOIL SOIL SAPR RESTR TEXTURE MINERALOGY WETNESS/ DEPTH CLASS HORIZ # rot OP 0-6 FILL PS 6-13 BSCLWFSBK FRSSSP 10.25 OR 1 L/7% 13-28 BRCWFSBK FRSSSP FEW FE DEPL 55" 0.3 DEEP 28-61 RCWMSBK FRSSSP 0-12 FILL 12-16 BSCLWMSBK FRSSSP 1FD.3 2 L/9% 16-52 BRCWMSBK FRSSP 51" 52-63 RBCLWFSBK FRSSSP FEW SAP INCLU 0-10 BSCLGR FRSSSP 10-54 BRCWMSBK FRSSSP 3 U10% 54" PS 0.3 0-14 BRCWMABK FRSSSP COMPACTED 14-60 VARSLMASS FRSSSP 4 U11% 14" PS PS 0.35 PLUS 5 r 4 6 /([,`a\ c'L A. 110//' jF � ` -1 1AT / .a%j\ 7 ' 1, A � ' 1��;_ . 9 NpR H may, 10 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): 1 SITE CLASSIFICATION(.1948): PS 1 Available Space(.1945) PS PS EVALUATED BY: Ashley Rollans • System Types(s) PPBPS-Gravity PPBPS-Low Pressure OTHER(S)PRESENT: Chad Wagner&Mason Freeman Site LTAR 0.3 0.3 COMMENTS.