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AUTH-12-2023-209263.tif
I - - 0 I CONSTRUCTION AUTHORIZATION FOR G.S. 130A-335(a2l County:Catawba PIN/Lot Identifier:461604637083 Issued To:Chris Sauerbier Property Location:4980 Kiser Island Road, Terrell, North Carolina 28682 AOWE/PE Plans/Evaluations Provided: Yes❑Q No❑ If yes,name and license number of AOWE/PE:Steven R. Cannon #10047E Facility Type:House ❑✓ New ❑Expansion ❑Repair El System Relocation ❑Change of Use Basement? ❑Yes ❑No Basement Fixtures? 0 Yes ❑ No Type of Wastewater System* Vertical PPBPS III-e Exempt(Initial) p (Repair) *Please include system classification for proposed wastewater system types in accordance with 15A NCAC 18A.1961 Table V(a) Design Daily Flow:360 GPD Wastewater Strength.❑domestic ❑high strength ❑industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? Li Yes ❑ No (if yes,please provide engineering documentation) Installation Requirements/Conditions Septic Tank Size: 1,000 gallons Total Trench/Bed Length:200 feet Trench/Bed Spacing:6 feet on center Trench/Bed Width:24 inches LTAR: •3 gpd/ft' Soil Cover: 15 inches Slope Corrected Maximum Trench/Bed Depths:37 inches $Measured on the downhill side of the trench Aggregate Depth: inches above pipe inches below pipe inches total Pump Tank Size(if applicable): gallons Requires more than 1 pump? ❑Yes ❑No Pump Requirements: ft.TDH vs. GPM Grease Trap Size(if applicable): gallons Distribution Method: r❑Serial 0 D-Box or Parallel ❑ Pressure Manifold(s) ❑LPP ❑Other:_ Artificial Drainage Required: Yes❑ No ✓❑ If yes,please specify details Legal Agreements(If the answer is"Yes"to any type of legal agreements,please attach a copy of the agreement.) Multi-party Agreement Required[.1937(h)]: ❑Yes EJ No Easement,Right-of-Way,or Encroachment Agreement Required( 1938(j(] ❑Yes (✓]No Declaration of Restrictive Covenants: ❑Yes ❑✓ No Pre-Construction Conference Required: Yes 0 No❑✓ Conditions: The construction and installation requirements of Rules.1950, .1952, .1954,.1955,.1956,.1957,.1958,and.1959 are incorporated by reference into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. AOWE/PE Print Name Steven R. Cannon_ _ Expiration Date: November 20, 2028 AOWE/PE Signature: -4 4 n,Y-_ _ �,_ Date: November 20, 2023 This AOWE/PE submittal is pursuant to and meets the requirements of G.S.130A-335(a2)and(aS). *See attached site sketch* G.S. 130A-335(a2)Common Form 4 V.2023.07 lcxie Permit#: Auth-12-2023-209263 4980 Kiser Island Rd This Section for Local Health Department Use Only Initial submittal received: 1 1/22/2023 by RP Date Initials G.S. 130A-335(a5)states the following: When an applicant for a Construction Authorization,or an Improvement Permit and Construction Authorization together,submits a Construction Authorization,or an Improvement Permit and Construction Authorization application together,the permit fee charged by the local health department,the common form developed by the Department,and any necessary signed and sealed plans or evaluations conducted by a person licensed pursuant to Chapter 89C of the General Statutes as a licensed engineer or a person certified pursuant to Article 5 of Chapter 90A of the General Statutes as an Authorized On-Site Wastewater Evaluator,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 Construction Authorization or Improvement Permit and Construction Authorization includes all of the required components.If the local health department determines that the Construction Authorization or Improvement Permit and Construction Authorization is incomplete,the local health department shall notify the applicant of the components needed to complete the Construction Authorization or Improvement Permit and Construction Authorization.The applicant may submit additional information to the local health department to cure the deficiencies in the Construction Authorization or improvement Permit and Construction Authorization.The local health department shall make a final determination as to whether the Construction Authorization or improvement Permit and Construction Authorization 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 applicant may apply for the building permit for the project upon the decision of completeness of the Construction Authorization or Improvement Permit and Construction Authorization by the local health department or if the local health department fails to act within five business days.The Authorized On-Site Wastewater Evaluator or licensed engineer submitting the evaluation pursuant to this subsection may request that the local health department revoke or suspend the Construction Authorization or Improvement Permit and Construction Authorization for cause.Upon written request of the Authorized On-Site Wastewater Evaluator or licensed engineer,the local health department shall suspend or revoke the Construction Authorization or Improvement Permit and Construction Authorization pursuant to G.S. 130A-23.The Department shall develop a common form for use as the Construction Authorization. The review for completeness of this Construction Authorization was conducted in accordance with G.S. 130A-335(a5). This Construction Authorization 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 AOWE/PE and the Applicant on Date State Authorized Agent: Date: ©Complete State Authorized Agent: " r/'"' Date of Issuance: 12/1/2023 This Construction Authorization is issued pursuant to G.S.130A-335(a2)and (a5)using the signed and sealed plans or evaluations attached here.This Construction Authorization is subject to revocation if the site plan,plat,or the intended use changes. The Construction Authorization shall not be affected by a change in ownership of the site. This Construction Authorization 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 plans,evaluations,preconstruction conference findings,submittals,or actions from a person licensed pursuant to Chapter 89C of the General Statutes as a licensed engineer or a person certified pursuant to Article 5 of Chapter 90A of the General Statutes as an Authorized On-Site Wastewater Evaluator in GS 130A-335(a2),(a5),and(a7J.The Department,the Department's authorized agents,and the local health departments shall be responsible and bear liability for their actions and evaluations and other obligations under State law or rule,including the issuance of the operations permit pursuant to GS 130A-337. Construction Authorization Expiration Date: 12/1/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 5 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 „__ ' . 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