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HomeMy WebLinkAboutIMPV-11-2023-208109.TIF Permit#:� --11-7us3-Z0,'(C7 ROY COOPER•Governor J: ' NC DEPARTMENT OF :a' KODY H.KINSL v '9 HEALTH AND �''Secretary �/%' HUMAN SERVICES MARK BENTON•Deputy Secretary for Health SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Submittal Includes: (a2)Improvement Permit ,a2)Construction Authorisation ❑Fee$ IMPROVEMENT PERMIT FOR G.S. 130A-33S(a2) County: Lct4 brk P!N/Lot Identifier: H(00 904 s0'1 j(e; Issued To: VR I-ci,,r1s , Property Location: r' Q (:���{'f �lPrr , � �oic� t . A'( 976 � Subdivision(if applicable) vgcic/1�-1 1, Lot It: OZ Block:, LSS Report Provided: Yes I;--i ---"No If yes,name and license number of LSS: c ,,-, s r))t y R 'Ilet,T 0.031 New 0---- Expansion J 0 System Relocation 0 Changeof Use 0 Proposed Structure: I ..g c•(t',,�. t� � CRY` �cfetl -���� Number of bedrooms: i Number of Occupants: ._Other: Design Wastewater Strength:12•1d5mestic 0 high strength El industrial process Proposed Design Daily How: 466 _GPD Proposed LiAR(lnitial) RUit.�l•►C) �'�,( �� � Proposed LTAR(Repair): C% -.�7 Proposed Wastewater System Type': 5 � (Initial) Pump Required: ❑Yes [ ]i o�—`— 1'�n-u:,, l ❑May be required Proposed Wastewater System Type*: J f•'�s`r � rl0 47 t,-;(Repair) Pump Required: arirt3 No *Please include system classification for proposed wastewater ❑May be required system type:,in accordance with 15A NCAC18A.1961 Table V(a) Saprolite System(initial);❑Yes o Saproilte System(repair): ]Yes Etc.-- 0 Yes No I FiII System(Initiai): f yes,specify:0 New ❑Existing g (when adding more than 6 inches of fill to system area provide a fill plan) Fill System(repair):0Yes M ryo Usable Soil Depth(Initial}; � ' (,:s 0 New 0 Existing (when adding more than 6 inches of fill to system area provide a fill plan) Usable Soil Depth(Repair) , (' Max.Trench Depth(Initial)*: �� Max.Trench Depth(Repay):: f _ r Artificial Drainage Required: Yes Measured on the downhlNside ojthe trench o If yes,please specify details:_ Type of Water Supply:0 Private well 0 Public well 0 Shared well 11.1 Dralnfieid location meets requirements of Rule.1945: Yes 0'❑ d location Supply El Spring ❑Other: Permit valid for: a years(site plan submitted pursuant to GS 130A-334(13a)) 0 No (plat submittedNo ET pursuant to GS 13 - Permit conditions: OA 334(7a)] wz c/es, Licensed Soil Scientist Print Name: `- Licensed Sop Scientist Signature: 7 /. / (/ /4 . li �r •%..' - Data. The LSS evaluation Is being submitted pursuant to and meets the requirements of G.5.130A-335(a2). *See attached:Ate sketch" NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5805 Six Forks Road,Building 3,Raleigh,NC 27609 MAILING ADDRESS:1832 Mail Service Center,Raleigh,NC 27699-1632 www-ncdhhs-gov • TEL:919-707-6854 • FAX 919-845-3972 AN EQUAL OPPORTUNITY/AFFI RI,ATTVE ACTION EMPLOYER Permit#: IMPV-11-2023-208109 e ; SaddlebrooK Lot 2 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 on 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 o 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 /� If, State Authorized Agent: �,"""�''z' Y Y 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: 11/9/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 NC DEPARTMENT OF11111 U5itgli 3 + ROY GOOrPER.Governor AcEs KOErf:H.KINSLOY.8eaotary MARK EENTON•Deputy Secretary for Keeith SUS+>N MN A•,Aeeisksnt Secretary liar Public 1-Meittr DiYieisxe of Pub Moan This application,In ApPlicat on for Services Jun�on with the common form established In G.S.�4-33S(a3)and(a5),is optional tar lacer health depertmrs�rts to be used far applications subitted In arordance with ro (f nceter,G.S. ,�( 3)and(a5)pevys re to as(a2)Improvement Permit and(2j Ca, en put trrliurlp��AepiyI fo" • (a2)ImPnn'ernant Ferrnit , ,a2}Corns Please check one of the follo g; artthortzatlpn 0 (a2)Repair/Cvn Authorization flew Construction . 0 tension Ran Expiration Requested(site plan provided}0 System ocaaonChange of Use El Non-Expiring © Repair tilP ng Permit Requested(plat provided,as deff'nedj in GS,130.4-3 Property Owner Name: a►tny (�a} Property Owner Mailing Address:?a Z!t �,�,..._ �r i i Property Owner Phone Number:_'� i�13a "'-_---,......,..,.._......_,. . . PropertyOweEmail Ad+dr Applicant flame; - Applicant Mailing Address: � t Applicant Email Address:. as,1 tt�aot ,s Does the -'—'.'. �yesR Nty o include,or Is subject to,any of the folIa it ir ❑Yes ii::JJ o Previously Identified jurisdictional tt risdictianaf ands Yes C o Ong or proposed y,encroachments Approval by other Public�� 'or other areas subject to legal restrictions A site plan or plat is required,0 the site sketch submitted frcr the (A)existing and proceed facilities,structures,appurtenances, /'zitew must items the following; (8)proposed�systen showing and uruatevrater systems (C)existing and to party iine(s}or other find reference Polrrt(s) proposed vehicular traffic areas i (j�sig proposed water supplies,wells,springs, water lines;and features,and ail existing and artificial drainage, Requesting MINS review: � as applicable. Dyes l�ryo I understand that the documentation and fans,as required in ,S, are to be used m an Improvement permit and/or ,, 4. 1 Auth '4'i(a2}.(a3),teSl,and(ati),attached to this aiand(R!an understand that Issueran I county ., n Au#hoa tlon Pursuant to GS.130A�-335Cegl,{231 and(65).i conduct necessary that i and state officials are: - + right of entry to the Inspections to determine c+phance with :..ilcabie laws and rules. I nu property on this i for ation ton the application for an improvements •_ that cite information In the application for )' and/• • ,. Authorization Is falsified changod/ �,;,s ��� • 'ai I or the site IS altered,then y,, ��� .Ef�� became11 , en Applicant Si: . . ,-�� ImaYd. Ohvrras'sSlynatu .+/'��r ��� 1�r'iJ� ��iP. , Date; �U = ) NC DEP . OF' ; m AND HUMAN*N �cr+•re�ecru Rix Pads,Road,� - �vrs�°r'OF�.Ec HEALTH 90832 wawaiedhhs,9pv • m � v2 ar scum_opPogrutere,inrxi uoar++E rurriora EmPurest ! Uft & 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 2,0.87 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. Clayton Engineering 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 six 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 2 (See Attached Design) The septic layout for this lot(9' centers)yielded a total of 807 linear feet of line.The primary system is proposed as 442 linear feet of Accepted (25% Reduction)drainfield with gravity distribution.Trench depth is specified at 32 inches (Low Side).The repair system is proposed as 291 linear feet of PPBPS(50% Reduction)drainfield with low pressure distribution.Trench depth is specified at 32 inches(Low Side). There is 365 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 Print Name 'r Signature ZM•tt Vie . 7 • 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 2-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,#oresservices. Sincerely, � SOIL SC j co ,f -4- . y or S. Ashley Rollans, LSS OF NO RT1'l GP' Attachment: Septic Design SOIL & FURESTRY SERVICES OF 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 Subdivision,Lot 2 Bridle Ct., 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 5O1L S Application -F. ��� RO 4-4� Client IP Form U- -q- ,�=' - - Y - i/ 8 CA Form --- `` ��� 9 to ' A x`�- , • Preliminary Plat ��� """°"` —v 10 "d0 of Pao NORTH' 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 installation w/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 2 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: 304 Loading Rate (gpd/ft.2): 0.275 Depth of Gravel in Trench: N/A Gravel Size: N/A Trench Depth (LOW SIDE): 32 in. Repair Trench Bottom 32 in. Trench Width: 36 in. Septic Tank Size: 1000 Estimated Supply Line Length: 20 Supply Line Diameter: 4 in. SCH 40 PVC Supply Line Volume: 13.06 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 • Bridle Court- Lot 2 ACCEPTED SYSTEM DESIGN FLOW(gpd): 480 SOIL APPLICATION RATE (gpd/ft.2): 0.275 TOTAL AREA TRENCH BOTTOM: 1326 TOTAL LATERAL LENGTH: 442 NUMBER OF FIELDS: 1 LATERAL LENGTH REQUIRED PER FIELD: 436.3636364 SUPPLY LINE LENGTH: 20 TOTAL DYNAMIC HEAD: N/A MANIFOLD SIZE: N/A DOSING VOLUME: N/A PUMP TANK DRAW DOWN*: N/A SEPTIC TANK SIZE: 1000 • • Layout Specifications -Bridle Court -Lot 2 Project#:23-0015 LAYOUT FOR 4 BEDROOM HOME September 6,2023 FLAG FLAGGED DESIGN LINE# COLOR BS HI F.5 ELEVATION LINE LENGTH LINE LENGTH TBM INSTR. 1 1 BLUE 134 134 2 YELLOW 148 146 3 ORANGE 162 162 4 PINK 32 32 5 RED 163 163 6 BLUE 168 168 Total 807 805 SOIL LOW SIDE LINE LTAR SYSTEM LTAR TRENCH TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH *System 442 0.275 ACCEPT. 0.275 25%RED GRAVITY 32" Repair 365 0.275 MOD 0.275 PPBPS LOW 32" CONY PRESSURE Notes: **A11 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) W 1 C6 C� . 31 C� • 73 • �,,s C14 86 0 Kg F �Ao_ a�� ,, �ti C °Q0 30" W 122. so �3 4 2.7 2 N 34,0' Q 11 3 q .5 >- 50' � 21,5' -a,;,,..j cz_ i *4 1 50' ��� f 9 H USA b. A 'I HOUSE i\ S AF SLAB "' 0 . 7e S►a w E 0 . 872 45,2' I ► ;A(/ ACRE , , D, , - Wit- � cv� 1 R 2 8 86' p) O SCALE ,� _ r 3 • 1N=40' O�J 4 103' 1►2') 4,0 9 4 ��� N " 121 (114 ) ► 3 4' � 1. m o 5.2 125' 1 B 2,1 13 -, 2 , ., o t M M 6,1 116' 2 5 1 �- In N Q 3' 6 r ko J 6,8 102' P2 3 4 P412' °- N as >- 4 88 5 R 4.5 163 plq P1 52' 6 B 4,6 168'� P2 P5 I'2A PM P1 P6 120 . 60' 208= — — =—: 5049' 54,� ' 2 _ S 8 6 CALCULATIONS Location Bridle Court- Lot 2 Sherrills Ford, NC 28673 Project Number 23-0015 Lot No: 2 No. of Bedrooms 4 Design Flow 480 gal/day LTAR 0.275 9ai/ z H day PPBPS? (YES OR NO) NO Supply Line Length 20 ft. Supply Line Volume 13.06 gal. FRICTION FACTOR I NTERPOLATER Required Feet of Line 436.3636 ft. 2" SCH 40 PVC Amount of Line from Layout 442 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. Sheet 1 of 1 PROPERTY ID#: 460904507318 COUNTY: Catawba SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM (complete all fields in full) OWNER: VR Farms LLC. APPLICATION DATE: ADDRESS: 7172 Long Island Road,Catawba,NC 28609 DATE EVALUATED: 1/31/2023 PROPOSED FACILITY: 4 Bedroom Residential-480 GPD PROPERTY SIZE: 37,968 SF LOCATION OF SITE: Saddlebrook subdivision,Sherrills Ford NC 28673-Lot2 PROPERTY RECORDED: HO WATER SUPPLY: ❑Private ❑ Well ❑Spring E Other County water EVALUATION METHOD: ❑Auger Boring 0 Pit ❑Cut TYPE OF WASTEWATER: 0 Sewage ❑ Industrial Process ❑ Mixed P R O SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) PROFILE FACTORS PROFILE LANDSCAPE I DEPTH CLASS POSITION/ EL &LTAR SLOPE%o (1N) .1941 .1941 .1942 .1943 .1956 .1944 STRUCTURE/ CONSISTENCE/ SOIL SOIL SAPR RESTR # TEXTURE MINERALOGY WETNESS/ rra na DEPTH CLASS HORIZ 0-16 BSLGR FRSSSPSEXP PS 16-48 BRCWMSBK/ABK FRSSP FEW FE DEPL TO 27" 0.25 SHALLOW 1 U4% 48-67 RBCLWFSBK FRSSSP FEW TO C SAP 67" N/A 0.275>27" 0-8 BCLWFSBK FRSSSPSEXP PS 8-48 BRCWMSBK/ABK FRSSSP FEW FE DEPL TO 26" 0.25 SHALLOW 2 U6% 48-67 RBCLWFSBK FRSSSP FEW SAP 67" N/A 0.275>26" 0-5 RSLGR FRSSSPSEXP 5-47 RBCWMSBK FRSSP FE DEPL TO 26"FEW SAP 3 L/4% 47-66 RBCLWFSBK FRSSSP FEW SAP INCLU 66" N/A PS 0.275 0-4 BSCLWFSBK FRSSSPSEXP 4-45 RBCWFSBKJABK FRSSP 4 L/5% 45-68 RBCLWFSBK FRSSSP FEW SAP INCLU 68" N/A PS 0.3 0-13 BSCLWFSBK FRSSSPSEXP 13-40 RBCWMSBK FRSSP 5 L/4% 40-60 RBCLWFSBK FRSSSP 60" N/A PS 0.3 0-13 BSCLWFSBK FRSSSPSEXP 13-40 BRCWMSBK FRSSP _FEW FE DEPL TO 22" 6 L/4°/� 40-60 RBCLWFSBK FRSSSP FEW SAP INCLU 60" N/A PS 0 3 DEEP ar.r.y a 7 �� v ^ r�; ��` N;A 7 ,,....1?,' 8 I ,.! ' , N/A t 9 •u t`.�.T a� - N/ N/A y \'‘ce /2 3 A n \,\C210 - At RT N/A DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): PS 1 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 R Site LTA 0.275 0.275 COMMENTS: