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HomeMy WebLinkAboutIMPV-11-2023-208115.TIF Permit#:2/y-r(-Z aL ZGg)ij_ .•r�4 NC DEPARTMENT OF ROY COOPER•Governor AND KODY H.KINSLEY•Secretary ~ � HUMAN SERVICES MARK BENTON•Deputy Secretary for Health ` r SUAAN KANSAGRA•Assistant Secretary for Public Health nivision of Public Health Submittal includes: a2)Improvement Permit ,e2)Construction Authorisation ❑Fee$ IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: e.,C\T'a1,0 b •� PIN/Lot Identifier: 416 9046" `.131 cj Issued To: U c m, L.L ' Property Location: r r t( %j 4 r � - i / v ^i. Subdivision(if applicable) s- c+ddhL•b-, . LSS Report Provided: Yes 0 No ! — Lot M: Block: �_ Section: If yes,name and license number of LSS: SAMkitt New n].------ Expansion r� 0 System Relocation Proposed Structure: 9• 11r,... t5et' I ..1.,. I 0 Change of Use ❑ Number of bedrooms: 9 Number of Occupants: P Other: Design Wastewater Strength:rd'aomestic 0 high strength O Industrial Proposed Design Daily Flow: `�`U I process GPD Proposed LiAR(Initial): 0•i Proposed Wastewater 5 stem Type*: ---- Proposed LTAR(Repair): � 5 Pro p y YPe c.ukc) �7J`1 c Rra,,•I,,• _G'� 4_(initial) Pump Required: �!3>�,5.5LY/ �'�f � CI Yes No ❑May be required Proposed Wastewater System Type*: "/,`r�"' rl i�c (Repair) Pump Required: es ❑No 0 May be required *Please include system classification for ed wastewater��j p� stewatersystem types,n accordance with 15q NCAC18A.1961 Table V(a) Seprolite System(initial):0 Yes o 5aprollte System(repair):[]Yes Eil-r‘— Fill System(Initial):0 Yes No yes,specify:0 New 0 Existing (wnen adding more than 6 inches of fill to system area provide a fill plan) FIiI System(repair):❑Yes 1611K0 If yes,specify: ( i•'� Usable Soil Depth(Initial): l ❑New ❑Existing (when adding more than 6 Inches of fill to system area provide a fill plan) Usable Soil Depth(Repair): Max.Trench Depth(Initial)*• ��,�y Max.Trench Depth(Repair)*:- _ Artificial Drainage Required: 0 Yestrench on the downh/l/side ojthe o if yes,please specify details:__ Type of Water Supply:❑Private well 0 Public well Drainfield location meets requirements of Rule.1945: Yes®��o well unlclpal Supply 0Spring qCI Other: Permit valid for: ve years[site plan submitted pursuant to G513❑pA-33 m1 geld location meets requirements of Rule.1950: Yes No 4( )] 0 No expiration[plat submitted pursuant to GS 130A-33�a)] Permit conditions: t Y Licensed Soil Scientist Print Name: IIMIE % i Licensed Soil Scientist Signature: _ i The LSS evaluation Is being submitted 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:5605 Six Fork Road,Building 3,Raleigh,NC 27809 MAILING ADDRESS:1832 Mail Service Center,Raleigh,NC 27699-1632 www.ncdhhs.gov • TEL 919-707-5854 • FAX 919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Permit#: IMPV-11-2023-208115 SaddlebrooK Lot 5 This Section for Local Health Department Use Only Initial submittal received: 1 0/30/2023 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 focal 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 deportment 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: /`� I 66 �"' "Jj 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 NCED�PARTMENT OF ? . fit• 'Gm+, nor LT N pas e KOCIY H.MAMMY•sacra y i lulitic Narrow 'Deputy Secretory for Health SWIM KA18AGRA•&natant . Oivfe on of Pubic Health ' 'for Public Heat) Application for Services This a1aPlicatton,in conjunction with the common form ` deton, rt to cti n i a tions su bushed In GS.130A- 35(a3)and(a5),is optional fhe °r, rrz t 5be and for a permits n.su In a oecordance with GS.130A-3 a2),tan and{or). h*af�h to as(o.)tmpravrnrem Permrt and {�}Applying for: ( 7 rtrconAutPtarizratiall�r L°T(a?.)Ptnpttivnent Permit (a2)CanstruCtfan AoNzabon 0 (a2)Repair/Construction Authorization Please check one of the following: flew Construction , 0 Expansion ❑ System i oiocatior. 0Change of Use El Repair g Permit Requested(plat provided,as definexii in G.S.t:10A-334(78) Property Owner Name: Cratwr L . Property Owner MallirggA,ddress:�$")d L1x� f t y A # 1^ NC Property Owner Phone Number:Z —" ----�__ _ Property Owner E -_Sf Rm- "'�"4�-1 mall Address; h{�, --._.�.._,. .-_._...m...�_- Applicant Name: Applicant Mailing ; �__���� __"__~-- ,- AAlail: rr tPlaane Numbs: _ u{� Applicant Email C. a5rt pGiti �. Address: ask. M Does the property� Include,ar is subject to L-.l na ,any of the follow �Yi� --.._ _.,_._,,,,,_ Previously identified jurisdictionalrds 0°Yes�o ���o+,Proposed easements, Yes o Approval by other public f-'�''en oachrrterrts A site plan or plat is required, R the site p �n� ' ,or other auras subject to legal restrictions (A)exisri and �- sketch submitted from the LSS/AOWE,must indude the following: propped facilities,,structurPs,appurtenances, systems and Mr (B)Proposed wastewater systerrt thawing (0)existing and proposed vehicular traffic property lines)or other fixed reference point(s) ID)existing and proppsgd water supoles,rvefl$ springs,a water lines;and surface water,drainage features,and ail existing end ,ropes arti Fidel drainage, Requesting DHHS review:OYes L7na as applicable. L7��o i I understand that the documentation and are d ,.b Issue an Immanent fees,as required In is. 3Auth3g(a2).(e3),(aS),and(as}, ppitcetiort are tosbend used to authorized Permit and/or ed to this a o conduct necessary inspections county and state officials are�antetl rightof arization purpropersuant to G.S 13QA. (p�)r(p3),and pestions to determine compliance Y to the property to tad Ifn this a ( .i the application for an imp . t applicable laws and rules. I understand that If the information the improvement • itRli ' coon Authorization k falsified,changed, in i Applicant SlgnatL �• .• — � ,,,,,, became irrvaltd, or the sftae Is altered,risen J' , - . Dom• Owner's SI���aturc*; e. � • U �►.wi+�rs. ..._. ._ _. Data• I j a NC DEP • '-; 13fr '• TN AND i*J11AH 011/13/ON OF PUBLIC HEALTH =ATV*56D5 Six Fake warn A 163t2 Matt�, 3''tsl�, . 2713984832 2 www.nodhha. '"b 70 sr.i�tilaiyh,NC 9a►' •S8L•a1 7tT7.585i • F.vC 912.845-31/72 AM EQWz.CIPPORTWErritAFRRNATIVEACrioN OYEE:: SOIL & FORESTRY SERVICES OF THE CAROLINAS, PA www.soilandforestryservices.com Project#: 23-0015 September 6th, 2023 VR Farms LLC Attn: Ray Short Email:vrshortjr@aol.com RE: Soil&Site Evaluation for a 4 Bedroom Residence at Saddlebrook Subdivision Lot 5,0.84 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 survey 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 Survey 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 five 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 5 (See Attached Design) The septic layout for this lot(9' centers)yielded a total of 844 linear feet of line.The primary system is proposed as 402 linear feet of Accepted (25% Reduction) drainfield with gravity distribution.Trench depth is specified at 30 inches (Low Side).The repair system is proposed as 320 linear feet of Modified Conventional (50% Reduction) drainfield with low pressure distribution.Trench depth is specified at 30 inches (Low Side).There is 442 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 Date I ,� ,L Print Name I, /0•35 Signature ti/I��s tte i 5 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(a2)."Any site modifications that impact the proposed septic areas on the site may nullify this design for Lot 5-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 forestry services. Sincerely, ' -5!/ / S F Dv S.Ashley Rollans, LSS OF �Q- Attachment: Septic Design NO RT1-� G Ifr SOIL & FORESTRY SERVICES CIF THE CARCILINAS, PA www.soilandforestryservices.com Attached is a proposed design for an Accepted Septic System with gravity dist for a 4 bedroom single family residence at Saddlebrook subdivisoin Lot 5 Sherrills Ford,NC 28673,Catawba County,PIN#: (460904507318) Contents: Page Information for the Installer 1 Design Information Design Specifications 2-3 Layout Specifications 4 Site Plan/System Plan 5 Calculations 6 Profile Descriptions , , "'"'"4--- 7 Application for Services S OIL --- - 8 S 0..A. RO �L LP Form T 41/4 -L-.--i-J.), - J s r :,1,49"- ,4li, 9 CA Form 4-,;F -2,- r � , 10 /S FO 123�, . & NORTH GP September 6,2023 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 25%reduction(Accepted) installation. - Repair is specified as a PPBPS (50%Reduction)with low pressure distribution. 2 GRAVITY ACCEPTED SYSTEM FOR WASTEWATER TREATMENT Owner/Applicant: VR Farms LLC Address: 7172 Long Island Rd Catawba,NC 28609 Phone: 704.516.2344 County: Catawba Location: Bridle Court- Lot 5 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: 400 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 30 in. Trench Width: 36 in. Septic Tank Size: 1000 Estimated Supply Line Length: 41 Supply Line Diameter: 4 in. SCH 40 PVC Supply Line Volume: 26.77 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, PA 3 Bridle Court- Lot 5 ACCEPTED SYSTEM DESIGN FLOW(gpd): 480 SOIL APPLICATION RATE (gpd/ft.2): 0.3 TOTAL AREA TRENCH BOTTOM: 1206 TOTAL LATERAL LENGTH: 402 NUMBER OF FIELDS: 1 LATERAL LENGTH REQUIRED PER FIELD: 400 SUPPLY LINE LENGTH: 41 TOTAL DYNAMIC HEAD: N/A MANIFOLD SIZE: N/A DOSING VOLUME: N/A PUMP TANK DRAW DOWN*: N/A SEPTIC TANK SIZE: 1000 4 Layout Specifications-Bridle Court-Lot 5 Project#:23-0015 LAYOUT FOR 4 BEDROOM HOME September 6,2023 FLAG FLAGGED DESIGN LINE# COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH TBM INSTR. 1 1 RED 106 106 2 ORANGE 180 134 3 YELLOW 198 134 4 BLUE 210 134 5 PINK 50 50 6 RED 53 53 7 ORANGE 47 47 Total 844 658 SOIL LOW SIDE LINE LTAR SYSTEM LTAR TRENCH TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH *System 402 0.300 ACCEPT. 0.300 25%RED GRAVITY 30" Repair 442 0.250 MOD. 0.250 PPBPS LOW 30" CONY. PRESSURE Notes: **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **Nitrification lines were located by GPS and tape measure. **Property corners&lines located by survey(Derek Bunton Surveyors) • •� 133'(122/) 1 �� 5 ❑ 119'C118' P 49' 0 � � 4 R 94' ( , 50 FT S 6 [� 2 B25, ,� . `� 0 1 Y 2.0r ,e '. " .� J t L p . eircN 6) o • ' - (i/~ lb 99961 itt; '..-..1 .t/i Y y o /p C) )-- ;-- ,I Q_; Q., 5 DR L9,, � 2 c,, IV 0 2 010 : 48 b"2 �► C • 5?0 4> .--- WE - ---\S Li-‘ )1c :CP' C Ni SCALE G-- Dc , 1"=40' �� 1°2 p,'\ SO- Q • 1R2 , 0 . 011 g 82' . ► 1 ,., 07 6 CALCULATIONS Location Bridle Court- Lot 5 Sherrills Ford, NC 28673 Project Number 23-0015 Lot No: 5 No. of Bedrooms 4 Design Flow 480 gal/day LTAR 0.300 gal/ 2 ft day PPBPS? (YES OR NO) NO Supply Line Length 41 ft. Supply Line Volume 26.773 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 400 ft. 2" SCH 40 PVC Amount of Line from Layout 402 ft. GPM f 20 0.84 Gallons per Minute N/A gal/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. -VI r Sheet 1 of 1 PROPERTY ID#: 460904507318 COUNTY: 'iiitt61114 SOIUSITE EVALUATION C0.'f0H/6R for ON-SITE WASTEWATER SYSTEM (complete all fields in full) OWNER: VR FARMS LLC APPLICATION DATE: ADDRESS: 7271 Long Island Rd,Catawba NC 28609 DATE EVALUATED: 1/31/2023 PROPOSED FACILITY: 4 Bedroom Residential-480 GPD PROPERTY SIZE: 36,945 SF LOCATION OF SITE: Saddlebrook subdivision,Sherrills Ford NC 28673 Lot 5 PROPERTY RECORDED: NO WATER SUPPLY: D Private ❑ Well ❑ Spring ❑� Other County water EVALUATION METHOD: ❑Auger Boring ❑� Pit D Cut TYPE OF WASTEWATER: El Sewage ❑ Industrial Process ❑ Mixed P R O SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) PROFILE FACTORS PROFILE LANDSCAPE I DEPTH CLASS POSITION! L (IN.) &LTAR1942 SLOPE% .1941 .1941 • E .1943 .1956 .1944 STRUCTURE/ CONSISTENCE/ SOIL SOIL SAPR RESTR TEXTURE MINERALOGY WETNESS/ DEPTH CLASS HORIZ rni ne _ 0-10 BSCLWFSBK FRSSSPSEXP PS 10-35 RBCWFSBK/ABK FRSSP FEW FE DEPL TO 24" 0.275 SHALLOW 1 U5% 35-61 RBCLWFSBK FRSSSP FEW TO C SAP 61" N/A 0.3 DEEP 0-10 BSCLWFSBK FRSSSPSEXP 10-38 BRCWMSBK/ABK FRSSP 2 U4% 38-61 RBCLWMSBK FRSSP FEW SAP INCLU 61" N/A PS 0.3 0-8 BSLGR FRSSSPSEXP 8-38 RBCWMSBK/ABK FRSSP FEW FE DEPL TO 37" 3 L/3% 38-60 BRCWMSBK FRSSSP FEW SAP INCLU 60" N/A PS 0.25-0.275 0-9 BSCLWFSBK FRSSSPSEXP 9-38 BRCWMSBK FRSSSP 4 L/4% 38-62 RBCLWFSBK FRSSSP FEW SAP INCLU 62" N/A PS 0.3 0-9 BSCLWFSBK FRSSSPSEXP 9-28 RBCWMSBK FRSSSP QUARTZ VEIN 5 L/5% 28-63 RBCLWFSBK FRSSSP FEW TO C SAP 63" N/A PS 0.3 QUARTZ VEIN 6 7;c'S 0 I L s-:`;.; c; LA. u ' ,Y ,,,, '17,-,-,-71;7\.'"kV)/ YA jir "I 9ti ,,.1 -' , 8 I, • I : ! -� N 12 3 NO RI.Vk DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): PS Available Space(.1945) PS PS EVALUATED BY: Ashley Rollans System Types(s) Accepted 25%-Gravity PPBPS 50%-Low Pressure OTHER(S)PRESENT: Chad Wagner&Mason Freeman Site LTAR 0.3 0 25 COMMENTS: