Loading...
HomeMy WebLinkAboutIMPV-12-2023-209262.tif IPcmlit #:P99v-11- 1o2')j-2o126`L I �'� .,sT.re,Yo ROY COOPER • Governor .ri NC [.)I PAR1 P IE NT OF KODY H. KINSLEY • Secretary L �r ( ` '` HEALTH AND '(fir"� ,� HUMAN SERVICES MARK BENTON • Deputy Secretary for Health • SUSAN KANSAGRA •Assistant Secretar for Public y I c Health Division of Public Health Submittal Includes: ❑✓ (a2)Improvement Permit ✓❑(a2)Construction Authorization ❑Fee$ IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: Catawba PIN/Lot Identifier: 461604637083 Issued To: Chris Sauerbier Property Location: 4980 Kiser Island Road Terrell, North Carolina 28682 Subdivision(if applicable) Lot#: Block: Section: LSS Report Provided: Yes® No❑ If yes,name and license number of LSS: Steven R. Cannon # 1291 New® Expansion ❑ System Relocation ❑ Change of Use ❑ Proposed Structure: House Number of bedrooms: 3 Number of Occupants: 6 Other: Design Wastewater Strength:®domestic 0 high strength ❑industrial process Proposed Design Daily Flow: 360 GPD Proposed LTAR(Initial):_ .3 Proposed LTAR(Repair): Exempt Proposed Wastewater System Type': Vertical PPBPS Ill-e _(Initial) Pump Required: ❑Yes ®No ❑ May be required Proposed Wastewater System Type*: Exempt (Repair) Pump Required: El Yes ❑No 0 May be required *Please include system classification for proposed wastewater system types in accordance with 15A NCAC 18A.1961 Table V(o) Saprolite System(initial):❑Yes ®No Saprolite System(repair): ❑Yes ®No Fill System(Initial):❑Yes IN No If yes,specify:❑New ❑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:El New ❑Existing (when adding more than 6 inches of fill to system area provide a fill plan) Usable Soil Depth(Initial): 49" Usable Soil Depth(Repair): Exempt Max.Trench Depth(Initial)': 37" Max.Trench Depth(Repair)': Exempt 'Measured on the downhill side of the trench Artificial Drainage Required: ❑Yes ®No If yes,please specify details: Type of Water Supply:®Private well ❑Public well ❑Shared well ❑Municipal Supply ❑Spring ❑Other: Drainfield location meets requirements of Rule.1945: Yes® No❑ Drainfield location meets requirements of Rule.1950: Yes® No El Permit valid for:®Five years[site plan submitted pursuant to GS 130A-334(13a)] ❑No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: Licensed Soil Scientist Print Name: Steven R. Cannon Licensed Soil Scientist Signature: .c1 ') . L 24'►sn�, __. Date: November 20, 2023 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 Forks Road.Building 3, Raleigh, NC 27609 MAZE INC,ADDRESS 1632 Mail Service Center, Raleigh. NC 27699-1632 www.ncdhhs.gov • ell 919-707-5854 • FAX 919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE.ACTION EMPLOYER „ ; „ � permit#: IMPV-12-2023-209262 4980 Kiser Island Rd This Section for Local Health Department Use Only Initial submittal received: 11/22/2023 by RP Date Initials G.S.130A-335(a3)states the following: When an applicant for an Improvement Permit submits to a local health deportment 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.lithe 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 L55 and the Applicant on Date State Authorized Agent: Date: ©Complete ,�j,- State Authorized Agent: ���% ✓!�'""'' /14 Date: 12/1/2023 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: 12/1/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 N 00 0 O N � COa O O co O co O z 1 o S a O rt 1 70 yro O O -0 mU 5 o o a) g (/) N CA w cp o g 'NI° x co o la) 4. �a a a) cn cn rn / Q QJ PO' p ro in cn Fr) C!� 40,o w � a o i, o 4c00 • O' a 1 v > N 7 •• .-- ° i° ti �, 1; ' l-6�. 0 ea d6S , „- `� \ �� o/ a'�j/ �/ / 1311.11111 /•\ ; �oIli o 62 s rn 71 0 ind 4r Aliii, ) . 3c -uroi' 0 wa J1> aoN. = n nn \c‘tts\s., v v -a ' O � Z �� 7 ® O mZZp v D x 0 CO aoD - $ �°°„ 93 � mmu� u g ;e iiit.9 it. 8 m5 • Design Specifications for Proposed Wastewater Systems ........ .... .. Applicant: Chris Sauerbier Physical Address: 4980 Kiser Island Road Terrell, North Carolina 28682 Pin t 461604637083 Acres: .47 Catawba Counts, North Carolina Source of Water Flow 3 Bedroom House Wastewater Treatment System Vertical Pl'I3PS Septic Tank 1,000 gallons Estimated Daily Flow 360 gallons/day Wastewater Treatment: Initial Vertical PPBPS Loading Rate .3 g/d/sq.ft. Drainfield Size 200 feet Number of Panels 46 panels Panel Installation 6 feet on center Slope 1 percent Slope Correction I inch Trench Bottom Depth 31 inches on downhill side Wastewater Treatment: Repair Exempt 1 • Nitrification l.,ines Elevation and Length Applicant: Chris Sauerbier Physical Address: 4980 Kiser Island Road Terrell, North Carolina 28682 Pin # 461604637083 Acres: .A7 Catawba County, North Carolina Initial Line Flag Line Elevation Flagged Length Number of Panels Color Orange 4.33 67' 16 2 Red 5.0' 66' 15 3 Yellow 5.0' 67' 16 200' 46 Panels Repair: Exempt 2 • • ' Sheet - „( • PROPERTY II)4 COI INI1 /?/7. SOIL/SII'I•EVALUATION ar57c� for ON-Sl'l WASTEWATER SYSTEM (Complete all fields in fill)) OWNER: C LA:g n /.Ls 1�f ___._..__...--__..__.___..__.__._.....__.-_... _._.---.--. __._ _ ._._. � I) APPLICATION DATE._ ADDRESS: G3O — e. (1oA1 _ DATE t VALUA IU): 1 2V13 PROPOSED FACILITY: P1t(POSIiI)1 I:S1('N 'I,OW(.19,19): PROPERTY SIZE: . VI_—� LOCATION OE SITE: q' /-. 'se 7 d,})--_J,'rr- -,_w<..... P Ito Pl:1R1'Y RIiCORDE1); — WATER SUPPLY: vate I_ Public We)k ,hrir k rncRr _ I VA!UA I ION MF.1 l R)1) Auger Baring it u 1 } II ()I \ \• II 1 i 1 I stria] Prc�ccs� Mixed P c.0 kik 6c, o SO1L MORI'NULO(;Y 1 (j • 1 . • t'lD,g4 "1�, IP F (.1941) {0. i:Y_. . C1 '�'. I 1940 c'j` I;/.. �,.AT ararairik. A Z 1 LANDSCAPE HORIZON f 3 s 1 A POSITION/ DEPTH I� .;Edl� 3 ROFILE SLOPE% (IN.) .1942� 1 � .074,4 .1941 .1941 SOIL .1 43 f rs ' . , ' .LASS STRUCTURE/ CONSISTENCE! WETNESS! S ' • a{:,,rm" :sr &LIAR TEXTI IRE MIN RAI:OCl_ COI OR Wx, C , au-. . 11O' ' • coP:1— Z C)..Cr A 5 y•-• A-',5 "" �' 'S/t i ; S,4�J /vie 'A SLR „__ ' . P5N 1 P6 • 15 'J.{ l o - ,-, #. 4 5:-) L, di- s� a. eye f3 SJ e5.‘ y 3 / / 3 I ----- DESCRIPTION LNDlA1.SYSTEM RI PAIR S1".I1 NI ( l-I II.R I.ACI(11(S(.1946): -�(r�, -- SF1 I.('I.:\SSII'lt.\TION(.194$): _ ----_.----- --- — ---— Available Space( 194i) System Type(s) S - (.Le fyh.�- �,PO3P_ �" (,.e, s't 0 I!WAN I RF SI:N .: -- Site LTAR 1 I — — COMMENTS: 7f Updated February 2014 O ry N 751 ttoz-€earn g $o 2 m g R d z a� •:El i4 a I- - z II, Q. . NNWw g nce 'zui2 g W 1 $ W¢2r, 000zzw le 33p7 g i Egaw V W J 2 J LL 2 diULs.. o dv 8, I O z p.,, W< 'ilv.ri :§. ve Ct p''..2i 11" � 01111), t, Q -,oqq > / re St, g ,sp z a 7-1 / U // ti� J <m //0 d 0 <w / P {'t ;\/\\/;1P • W`W J / ll.� 0 � • //tiff \ 2 > C LL O N, Dce U) <0z Tr, / W C4 < g<m •� , bA .„1 2 P. %0 r% / „55 cr ,.. Aop, „os fi-- 5 U z< G < 3 Z yQ= � V E z -N W 1, '" l' ac�'�a' / c<~r ' 1Q'` LLJ c/ .pJ a' zor Sie F o'2 / N OOJ az< i r \ 3 / co N LL bw w W = s gg S O I" WO W > H , z F <'w o < O V N 5� c > z 3 z m< p a m P w 0 o f N W Q W p V G Ete yy G< ¢ K tµ$�� D Z 2 Z 0 - �Wi, o V [7 n UC� 'y N0 07 a 5 W 5 0 OSu u.. N 44Y 8Nc<di p V w N< O u,6 reVvU ) S cc'guo Q UYZ Y W= QQ i " < " Z 5 V U �a F r >- 0< ._ o 0 ,Lu 1— >WwW Wyb� W - ~V1 3 zW-C rV D WO o <N /-m R 3 U KWF 1 d Qp Ja N K NO N aw>N". W .KW < < Q {L =_, N NQU N N N r I O O I F tt m Lu 161 S �� 1204 � W9 0 , . _ gs 08 a t O OggOO u" ct 7) z E a to iz0 OOV O On O 1 a00 > > 1 m g t aoz N a a..re a aa0 & aaa � � a a U. • / i \ r av 'N 4 LEZi. 04.1k_ U 3 a �' V)iV ii�k`n„ { q Y O et Y a 4 332 t r s�:°,o 0 )7 1~ caj u s r hi ©n . 2 \ >At ' s ate .o°• w 1 M • ° s. II III + ® • ,� 1<{ T /Z�`• '� rr a a° 1° ire• , �y r 'w `c U o s••rr ° 'r F it i. i Z • + li ° to w^ F- `O 4 e a V V h .o i. is ;\ P 4. J V t It 41 > .g 144 , .,0] : •*"..... i 4 'T. k 4, r r if fti ° 4 i ° a. t U r. ; '�r 1 R ° ® ' to f V Q• P. 4- -sr,asp e. a� S�' °n° Ie0 • >w ``1% ! � 4 w / / I .) s, i. +,44 4o\ I -v...-.'r''9n... I � ,O I 1 I I