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HomeMy WebLinkAboutIMPV-11-2023-208963.tif Permit#: PV11-i1-7o 23-2 an63 ROY COOPER•Governor — NC DEPARTMENT OF HEALTH AND j KODY H.KINSLEY•Secretary ,, off,., ' ,_ 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 Authorization 0 Fee$ 1 IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: C�lf ci.U6.1.. PIN/Lot Identiff ier: (1 /r/1yd38la ) Issued To: Ce"-in, I li r7 --�' �/ Property Location: 391 /i •tt. rOi 11 R --Terre rre /UC i2cF "8,2 Subdivision(if applicable) lot#: Block: Section: LSS Report Provided: Yes No If yes,name and license number of LSS: •----)&I u r I /'l S ill t 4dllan 13) New[I-------- Expansion ❑ System Relocation ❑ Change of Use ❑ Proposed Structure: -i S ed rrc, it Number of bedrooms: Number of Occupants: 8 Other: Design Wastewater Strength: domestic L ❑high strength El industrial process 1 Proposed Design Daily Flow: t GPD Proposed LTAR(Initial): n'.S Proposed LTAR(Repair): 0,3 Proposed Wastewater System Type*: CCL 'c/U gzd .tic _G,-rw (Initial) Pump Required: El Yes EI-116-II May be required Proposed Wastewater System Type*: 17e3ps-�C%rfo etducl,ai 14t r, No 0 *Please include system classification for propo ed wastewater system types in accordance Pwith 15A NCAC184.11961ump Required: aVes--�Table V(a)May be required Saprolite System(initial):❑Yes 01-1 Saprolite System(repair):0 Yes ❑'►'t oJr� Fill System(Initial):El Yes o Ifspecify:0 New 0 Existing (when adding more than 6 inches of fill to system area provide a fill plan) Fill System(repair):0 Yes No If yes,specify:0 New []Existing (when adding more than 6 inches of fill to system area LItr-SOII Usable Soil Depth(Initial): Y provide a fill plan) Usable Soil Depth(Repair): LI6-5e Max.Trench Depth(Initial)3: N Max.Trench Depth(Repair)*: .79 7y *Measured on the downhill side of the trench Artificial Drainage Required: 0 Yes 0110 If yes,please specify details: Type of Water Supply:Cf Private well ❑Public well ❑Shared well ❑Municipal Supply El Spring [l Other: Drainfield location meets requirements of Rule.1945: Yes 0 0 0 Drainfield location meets requirements of Rule.1950: Yes❑ No Permit valid for: ve years[site plan submitted pursuant to GS 130A-334(13a)]I )] ❑No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: < `->z� C1rSy,� Licensed Soil Scientist Print Name: ] (At[ 14,,h( god kq/C - Licensed Soil Scientist Signature: / /; Date: (7 U 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 MAILING ADDRESS:1632 Mall Service Center,Raleigh,NC 27699-1632 www.ncdhhs.gov • TEL:919-707-5854 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER e. _.,,47 �. ; - Permit#: IMPV-11-2023-208963 3976 McGee Point Rd This Section for Local Health Department Use Only Initial submittal received: 1 1/8/2023 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 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: 4 ,lki --- Date: 11/27/2023 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: 11/27/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 1WF SOIL & FORESTRY SERVICES CIF I I—IL. C:/>ROLIrs , F'A www.soilandforestryservices.co►n Attached is a proposed design for an Accepted Septic System with gravity dist. for a 4 bedroom Duplex at 3976 McGee Point Rd Terrell 28682,Catawba County,NC. PIN#: (461714238101) 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 Survey 8 Improvments Permit Form 5 O I L .� JAL A. Ro f<c2 --- 9 Construction Authorization Form t-j4.' "s, 10 4 La V 1 Aii,,,t0/ i e - ',c. ::: 41.--'-': .- ,'-r. 14 o �� NORTH G v..., September 6,2023 Project#:23-0068 Design By: Soil& Forestry Services of the Carolinas,PA 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 (as). 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 inval' . Applicant Signature: Date: //`2, 93 ' Owner's Signature. • $6d/Pi/Ut A,A.. Date: � 3 J 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. - Requires 1,500 gallon septic tank. 2 GRAVITY ACCEPTED SYSTEM FOR WASTEWATER TREATMENT Owner/Applicant: Gemini Homes Inc. Address: Phone: 704.641.0325 County: Catawba Location: 3976 McGee Point Rd Terrell.NC 28682 Source of Wastewater Flow: 4 Bedroom Duplex Estimated Gallons Per Day Flow: 480 System Flow: N/A Design Specifications Drainfield Size: 408 Loading Rate (gpd/ft.2): 0.3 Depth of Gravel in Trench: N/A Gravel Size: N/A Max.Trench Depth (LOW SIDE): 28 in. Repair Trench Bottom 28 in. Trench Width: 36 in. Septic Tank Size: 1500 Estimated Supply Line Length: 23 Supply Line Diameter: 4 in. SCH 40 PVC Supply Line Volume: 15.02 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 3976 McGee Point Rd ACCEPTED SYSTEM DESIGN FLOW(gpd): 480 SOIL APPLICATION RATE (gpolft.2): 0.3 TOTAL AREA TRENCH BOTTOM: 1224 TOTAL LATERAL LENGTH: 408 NUMBER OF FIELDS: 1 LATERAL LENGTH REQUIRED PER FIELD: 400 SUPPLY LINE LENGTH: 23 TOTAL DYNAMIC HEAD: N/A MANIFOLD SIZE: N/A DOSING VOLUME: N/A PUMP TANK DRAW DOWN*: N/A SEPTIC TANK SIZE: 1500 . 4 Layout Specifications-3976 McGee Point Rd Project#: 23-0068 LAYOUT FOR 4 Bedroom Duplex September 6,2023 FLAG FLAGGED DESIGN LINE# COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH IBM INSTR. 1 1 RED 48 48 2A ORANGE 102 102 2B ORANGE 42 42 3A YELLOW 102 102 3B YELLOW 37 37 4A BLUE 102 102 4B BLUE 38 38 5 PINK 102 102 6 RED 71 71 7 ORANGE 58 58 8 YELLOW 35 35 Total 737 737 SOIL LOW SIDE LINE LTAR SYSTEM LIAR TRENCH TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH *System 408 0.300 ACCEPT. 0.300 25%RED GRAVITY 28" Repair 329 0.300 MOD 0.300 PPBPS LOW 28" 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(Dale Hildebran) ___------?;.;.-- ,. -----, ---- 1.1\XI: \k I ---- T.4. 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',. , ep W • /.....""..... ai ; ‘,. . / .... • . .,2, / . , Sheet 1 of 1 PROPERTY ID#: 481714238101 COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (complete all fields In full) 1 OWNER: Teleo Property Group LI.0 ADDRESS: 1498 Buffalo Shoals Rd,Catawba 28609 APPLICATIONT DATE:ED PROPOSED FACILITY: DATE EVALUATED: 5/24/2023 LOCATION OF SITE: 4 Bedroom Duplex PROPERTY SIZE: 3,28 3976 McGee Point Rd Terrell NC 28682 PROPERTY RECORDED: Yes WATER SUPPLY: CI Private I Well ❑ Spring 0 Other EVALUATION METHOD: ❑Auger Boring 0 Pit ❑Cut TYPE OF WASTEWATER: ❑ Sewage ❑ Industrial Process 0 Mixed P R O SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) PROFILE FACTORS LANDSCAPE I POSITION/ DEPTH PROFILE L (IN.) CLASS E SLOPE% .1942 6 LTAR .1941 .1941 .1943 .1956 .1944 STRUCTURE/ CONSISTENCE/ SOIL SOIL SAPR RESTR # TEXTURE MINERALOGY WETNESS! DEPTH CLASS HORIZ 0-8 BSLG FRSSS rn{ne 8-38 BRCWMSBK FRSS 1 U12% 38-50 BRCLWFSBK FRSS 50" PS 0.3 0-7 BSLG FRSSSP 7-13 RBSCLWFSBK FRSS 2 U13% 13-42 BRCWMSBK FRSS 42-50 BRCLW FRSS FSBK 50 PS 0.3 0-7 BSLG FRSSSP 7-14 RBSCLWFSBK FRSS 3 U10% 14-46 BRCWMSBK FRSS 46 AR 46 PS 0.3 0-9 BSLG FRSS 9-15 RBSCLWFSBK FRSSS 4 L/10% 15-35 BRCWMSBK FRSSSP 35-50 BRCLWFSBK FRSSP 50 PS 0.3 • I 5 8 .f ti, s a I t . 7r ,--1 �� : A Rod l• �\ N i NIA ,./ r C3 p� NIA ",e.. ,_ , r ,. 4 . if) 9 - ;Y;: ' = i N/A t1:01000C"-' 10 ft • RTH C, DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1946) PS SITE CLASSIFICATION(.1948): PS PS EVALUATED BY: Ashley Rollans System Types(s) Accepted 25%Reduction PPBPS-Low Pressure Site LTAR 0 3 0.3 OTHERS)PRESENT: Chad Wagner&Mason Freeman COMMENTS: 1 6 CALCULATIONS Location 3976 McGee Point Rd Terrell, NC 28682 Project Number 23-0068 Lot No: No. of Bedrooms 4 Duplex Design Flow 480 gas/day LTAR 0.300 gal/e2day PPBPS? (YES OR NO) NO Supply Line Length 23 ft. Supply Line Volume 15.019 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 400 ft. 2" SCH 40 PVC Amount of Line from Layout 408 ft. GPM f 20 0.84 Gallons per Minute N/A gal/min -0.88 25 1.27 Required Septic Tank Capacity 1500 gal. -1 28 Septic Tank Size 1500 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 interpotater.) Friction Head N/A ft. Total Dynamic Head (+15%) N/A ft. 3976 McGee Point Rd- PIN#461714 238101 (See Attached Design) The septic layout for this lot (9'centers)yielded a total of 737 linear feet of line. The primary system is proposed as 408 linear feet of Accepted (25%Reduction) drainfield with gravity distribution. Trench depth is specified at 28 inches. The repair system is proposed as 267 linear feet of Modified Conventional PPBPS (50% Reduction) drainfield with low pressure distribution. Trench depth is specified at 28 inches.There is 329 linear feet available for repair. 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(a.3)." Owner Date Print Name e-Qrp pV '(Signature .„ - The LSS evaluation shall include a statement bearing the LSS seal and signature that reads as follows: "The LS5 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 LS5 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 3976 McGee Point Rd- PIN#461714238101. 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 informa 'in. S&i ..aJ,so offers septic system inspection, wetland delineation and forestry services. SOIL Se Sincerely, �E' 0L A. Ro rtc �"�,`' A , O,r �O� S.Ashley Rollans, LSS NORTH Attachment: Septic Design, Required State 4.4)a.r✓.l -a/th Department/NCDHHS At the time of our evaluation land cover on the property was mostly wooded 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 Dale B.Hilderbran. The Surveyor provided an Autocad File of the survey with the proposed house envelope as a basemap. The proposed septic layout was located via survey which was used to produce the attached Site Plan. The house envelope was pinned in the field by the surveyor. Methodology We evaluated soil areas through the use of auger borings. Soil morphological conditions including color, texture, structure,etc. were reviewed in the field with four boring locations on the property flagged and located via GPS. All four of the 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 boring. 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 survey and tape measure. Detailed system & repair information is summarized in the following paragraph for this Lot. 3976 McGee Point Rd- PIN#461714238101 (See Attached Design) 3?-y • \ 0 0 . . \ 0 ry o s -v gi to N is o c \ '1.77\ 1 II ,� I + n 1 I `+ 1 1 I � 0 I ? 1 + -I �,`� c�� �, 1 z Cow _Co o 0 1 ' \by,, + 1 P c , 0-:. \ \ 1U + o _ + 1 N + (-Ao rr Q \ ++ 1 + vO et 1�9 ++ .. Du 01 �v_ 1 1 PO Z + 0 + 1 \ \ 1 I I �� 1 I OIL ' \ z CD � -'ri � go �� i 1 W fl +ti r 1 ` --\ ----- \ o _ 1 T ti �lb�S O ? N_ N N N -O +4-- tp 1 �� 1 =5 08 X + l J >100 gTa apis I. __ o - - ,00\ :\ „' \ \ yti \ \ \ j ' 'L0Z cn _�J\ 1 m r� '-`f- ~ __ i� 4 �<<55�gz�z8 N _ _ 1/ 1 \ -0 ,,D ,1 6 �' l0 b ____ _ - - L 1 -0 a ti- r + + J 1 ` I 1 �'� ` \ ti 1 + (1)