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HomeMy WebLinkAboutIMPV-11-2023-208112 Permit#: N-111023-24g112- ROY COOPER•Governor N�" • • C DEPARTMENT OF '11 HEALTH AND KOOY H.KINSLEY•Secretary HUMAN SERVICES MARK BENTON•Deputy Secretary for Health SUBAN KANBAGRA• Assistant Secretary for Public Health 01"lslon of Public Health Submittal Includes: 2)Im provament Permit ,..onstructipn Authorization ❑Fee$ IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: in 4 PIN/Lot Identifier: Li p 01150 Issued To: ekr 1.1_L, Property Location: lr Subdivision(if applicable)__ .�d { Li J r f 'I LSS Report Provided: Yes No❑ Lot it: Block: Section: If yes,name and license number of 155: h)c • /2?3/ New Expansion ❑ Proposed Structure: System Relocation 0 C'd r rS Jots Change of Use 0 Number of bedrooms: Number of Occupants: 8 Design Wastewater Strength: °m Other: gt astic 0 high strength Proposed Design Daily Flow: [� 0 industrial process GPO Proposed LiAR(initial):C 3 Proposed Wastewater System Type•:Qa ( "( - "rJ. Proposed LTAR(Repair); O1 ' SC'L ��_ (Initial) Pump Required: D Y� C r � o ❑Maybe required Proposed Wastewater System Type•:f')' 'Please Include system cJassl (Repair) Pump Required: �� fk'otlon for Proposed wastewaters stemq es ❑No May be required Saprolite System(Initial): ,--, r y types`^accordance with ISA NCACIBA.1962 Table V(a) 0 Yes [ 1i Saprolite System(repair):[]Yes Fill System(Initial): ° ❑Yes Q No If yes,specify:CI New Fill System(repair): ❑Existing (when adding more than 6 Inches of fill to system area provide a fill plan) ) 0Yes Q>,� if yes,specify:0 New Usable Soil Depth(Initial): L a - ` ❑hx(stingRepa (w ien adding more than 6 Inches of fill to system area provide a fill plan) Max.Trench Depth = ��., Usable Soil Depth(Repaid:. W _ (Initial)- -= Max.Trench Depth(Repalr)i: Artificial Drainage Required: El Yes J t o 'Measured on Me downhill aide o a If yes,please specify details: f the trench Type of Water Supply:0 Private well ❑Public well 0 Shared well Drainffeld location meets requirements of Rule.1945: Yes�� unitipal Supply 0 Spring []Other: Permit valid for.r-,� NO❑ Drainfield location meets requirements of Rule.1950: Yes�}7� Lei-F<years(site plan submitted pursuant to GS 130A-334(13a)) °❑ 0 No expiration[plat submitted pursuant to GS 130A-334(7a)] Ucensed Soli Scientist Print Name: I Ucensed Soil Scientist Signature: Date i 1 41c23____. The LSS evaluation Is being submitted pursuant to and meets the requirements of G.5.130A-335(a2). *See attached site sketch* NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Building 3,Raleigh,NC 27609 MAILINOADDRESS:1632 Mall Service Center,Raleigh,NC 27699-1632 www.ncdhha.9m' • TEL 919-707-5654 • FAX:919-645-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER : Permit#: IMPV-11-2023-208112 SaddlebrooK Lot 4 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 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: /�"M��" �""l/ 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 / � A KOUT H.lipi>LEy•9ecaeLaryr .- MARK BENTON,Deputy SWANlUt,H$�,Np• err for Health • Div/akar of Public Assistant Secretary I�r Public H�tlh This application,in con u Appiica>!ion for Services J notion with the common form established In G.%1.30A-335(a3)and(a5),Is optional for local halt departments to be used for applications sa Witted in A rdance with GS,13QA-3 e2 a3 and a5. thereinafter,G.S., ,q (a3)and(a5)96n»its r'femeo(tn as(c.2)Improvement Perri*and 44 Construction f ),Applying fsr. �tcrttrari�j C�"(a+')improvement Permit ki (e2)Construction Aurthorixan 0 (a2)Repair/Construction Auth Please check one of the following: orftrtbp� tc^cv Construction 0 Expansion CI System I l f ser r=x ration Requested(site plan provided) on 0 tge of Use Cl Re it Non-Expiring Permit Requested let fP provided,as defined ln G.S.7i0a-334170 Property Dwncr Nome:A�[Z , Domes NomegAddress ,,,, _""-------•—___________--.__.____________--___,_--,--- Property 1 Property Owf it Phone Number:--yak °—k +e�.'!��1C A.YRi�pq Property rrer Small Address; —'� ____. Applicant Marne '�? lRd -- r..._. -_- - -.._—.. T'�LI'/ f .ems r••• AP1 Ucent Malting Address. �� Applicant Phone Number _ Lk. C _ _ __-- - �.__`. _ Applicant Email Address; 3/' ao1. Does the property include,or is subject to,any of the folioed _._ ODYes Eric Yes Previously 1dentifiedjurisdictional rands �_ y� 'D �P�al by other ppajar Existing or ProPosed easements, f' V,encroachments,or air subject to legal�rvs A S?te plan or plat Is required, ' (A)existing and proposed facilities,structures,e site sikeacii submitted from ths, td wastewater must include the fol3owing (g1 Proposed aPRurfenehCes,and w systems (C)existing and pre vehicular system showing to property Ilne(s)or other fixed reference points) areas (D)existing and proposed water supplies wells,springs,and water tin es;and (E)surface water,drainage features,,and all existing and proposed arts 5t3al drains Requesting DHHS review °Yes drainage,as appltnbk. O i i understand that the documentation end fees,as I u to understand used issue an 1 required in 1GS.230A.3S5(a2),(aa3),(a5),and(26). are to be of that is u improvement Permit annd/or Construction Authe rizetior� attached to this apple(PS). understand t necessary authorized county end state officials are rp property In late ."tg t is appli and+to rtc -try Inspections to determine compliance,� i un fo the . Iude Indicated on this dorm ti fie application for an Improvements Permit and/or ���laws and rules. I understand tint Improvement � Attthorira tics is falsified,changed, that if the inforr altered,than!n Applicant SlRaatri shaLab me invt�Rd. or thebr Is Owner's Sign /' , -. taco Z Date; !i f; 2; ._ NC DEPARTMENT OF. TTH AM)HUMAN SERVICES • SON OF PUeLJC HEALTH$ LOcA'nore 5605 Six Fags Roo ad.Waling 3,lisisigh,NC 27609 eta¢ava anonym 1832 radon S.vice der.Raleigh,NC 27889.1632 wenv.n d?t.5, W • Tat:9?9T07-6854 • sue e19-$45 3072 AN N-owporrru+trrYi, "v arr+eAm-icv Eapt..0YER SDK & FORESTRY SERVICES OF THE CAROLINAS, PA www.soilandforestryservices.com Project#: 23-0015 September 6th, 2023 VR Farms LLC Attn: Ray Short Email:vrshortirPaol.com RE: Soil &Site Evaluation for a 4 Bedroom Residence at Saddlebrook Subdivision Lot 4,0.609 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 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. r � Saddlebrook Subdivision- Lot 4 (See Attached Design) The septic layout for this lot (9' centers)yielded a total of 701 linear feet of line.The primary system is proposed as 400 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 267 linear feet of Modified Conventional (50%Reduction) drainfield with low pressure distribution.Trench depth is specified at 30 inches (Low Side). There is 301 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 \)1 Print Name Vier itn- 5 & 6 10191/2,3 l Signature I '7���•-+ y"'Ori 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 4-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 . stay.sevices. Sincerely, S O I S\ /7<('';;; !N.,Roi <<",/, 4 ;' ;,'fit ,s ' <(`J 7L31 0 S. Ashley Rollans, LSS 1V J RT\- GP Attachment: Septic Design VIF S1111 FORESTRY SERVICES DE -I-HE CAROLINAS, 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 4 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 7 Application for Services 8 IP Form - -. -->£'f 9 7/ (9' " /-?0 CA Form 0 (/3- Pik 1, 11/ Win.. < %2.3A Ov OF /V R-T GP' September 6,2023 Project#:23-0015 Design By: Soil&Forestry Services of the Carolinas,PA A 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. • 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 4 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 (gpolft.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: 47 Supply Line Diameter: 4 in. SCH 40 PVC Supply Line Volume: 30.69 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 4 ACCEPTED SYSTEM DESIGN FLOW(gpd): 480 SOIL APPLICATION RATE (gpd/ft.2): 0.3 TOTAL AREA TRENCH BOTTOM: 1200 TOTAL LATERAL LENGTH: 400 NUMBER OF FIELDS: 1 LATERAL LENGTH REQUIRED PER FIELD: 400 SUPPLY LINE LENGTH: 47 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 4 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 82 82 2 ORANGE 114 114 3 YELLOW 114 114 4 BLUE 98 90 5 PINK 82 82 6 RED 68 68 7 ORANGE 54 54 8 YELLOW 42 42 9 BLUE 30 30 10 PINK 17 17 Total 701 693 SOIL LOW SIDE LINE LTAR SYSTEM LTAR TRENCH TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH *System 400 0.300 ACCEPT. 0.300 25%RED GRAVITY 30" Repair 301 0.300 MOD. 0.300 PPBPS LOW 30" CONV 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) '��1 �' 611 1�•1 cxc\?)c ,, , • * A on' E, -�° C6 C ,, ��ti C� • �2� • s 0 2� s �9 •� 40 Gj �° S OAS �gNT) 7 ,;-' -- Q4. at 1, Eir �J 1 R 0 . 611 s , �� o• g / 0 4 3 3'3 114 , �6� c (� � 4'S 9g, Y3'� 114, 5 C`9°�'� o�' `� ACR W E 6 5 P 5,0 8 * {�, (Qj' c_9 7 Q 5. 7 1"e `� o • 5,9 S4, P8 �r SCALE 9 B 6 42' S13p� , ' k 1"=4 0' •- 7 1 R 2.8 86' .� O 2 0 3,4 103' 14 2') ' O. P7 3 Y 4,0 98' 4 B 4,5 121'(114') ► 3 • 5 P 5,2 125, 6 R 6,1 116' 1 B c P6 7 ❑ 6,8 102' / IP2-1 6 CALCULATIONS Location Bridle Court- Lot 4 Sherrills Ford, NC 28673 Project Number 23-0015 Lot No: 4 No. of Bedrooms 4 Design Flow 480 gal/day LTAR 0.300 sail 2 ft day PPBPS? (YES OR NO) NO Supply Line Length 47 ft. Supply Line Volume 30.691 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 400 ft. 2" SCH 40 PVC Amount of Line from Layout 400 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 interpolates.) 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 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: 26,563 SF LOCATION OF SITE: Saddlebrook Subdivision,Sherrills Ford Rd NC 28673-Lot 4 PROPERTY RECORDED: NO WATER SUPPLY: ❑Private ❑ Well ❑ Spring 0 Other County water EVALUATION METHOD: 0 Auger Boring 0 Pit ❑Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process ❑ Mixed P R O SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) PROFILE FACTORS PROFILE LANDSCAPE I POSITION/ DEPTH CLASS i L SLOPE% (IN.) .1942 &LTAR E .1941 .1941 .1943 .1956 .1944 STRUCTURE/ CONSISTENCE/ SOIL SOIL SAPR RESTR TEXTURE MINERALOGY WETNESS/ DEPTH CLASS HORIZ rnl ne 0-7 BSCLWFSBK FRSSSPSEXP 7-27 RBCWFSBK/ABK FRSSSP 1 L/5% 27-44 RBCLWFSBK FRSSSP C SAP INCLU 44" N/A PS 0.3 44-68 VARSLMASS FRSSSP 0-7 BSCLWFSBK FRSSSPSEXP 7-28 RBCWFSBKJABK FRSSSP 2 L/5% 28-66 RBSCLWFSBK FRSSSP FEW TO C SAP 66" N/A PS 0.3 0-8 BSCLWFSBK FRSSSPSEXP 8-42 BRCWFSBK/ABK FRSSSP 3 L/4% 42-62 RBCLWFSBK FRSSSP FEW SAP INCLU 62" N/A PS 0.3 0-8 BSCLWFSBK FRSSSPSEXP 8-42 BRCWMSBK/ABK FRSSP FEW SAP INCLU 4 U5% 42-64 RBCLWFSBK FRSSSP FEW TO C SAP 64" N/A PS 0.3 • 7c; "'*....,S-/ r 0,C.. 40 \<> +..., X r/iti ,4J we \\:::::,.. ''''',......,.„. e\;__ . • 10 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 0.3 COMMENTS: