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HomeMy WebLinkAboutIMPV-231206-05 " CATWBA COUNTY Case All.<, Public Health Department AUTH-23120f}-01 1�/s Envlronmentef Health Division Subdivision MURRAY HILLS UNREC t ,. PO Box 389,25 Government Cr,Newton,NC 28668 PINS 377007678847 LOTI� 3&a Site Address: 1478 MURRAY LN,CATAWBA,NC 25009 Name on Permit: Taylor,Michael Property Size! Acres 0.06 Directions: E NC 10 right Murray Mill Rd.right Murray Lane lot on tart RN Owner/Authorized Representative Acknowledgement of Permit Receipt �l) 1 I certify that I am the owner or authorized agent(owner's authorization required)representing the own{er of the property described above. U the property owner or authorized representative,I have received the above referenced permit(s)as requested in the application for service AUTH-231208-01,by the following method(s): Received In Person Facsimile Transmittal(Return form with signature required) ' _ 4Electronic Image Transmittal/E-mail(Return receipt required) fVI V As the property owner or authorized representative, l have reviewed and understand the specific Conditions of the permit issued,and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900),and/or Well Construction Standards(16A NCAC 2C .0100),shall apply to the issuance of the permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date 2023.12-06 `-^)/ OwnerrAu rized Rtresenta tive Signature' 3 Documentation of Permits(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) f Signature Date/Time D11473 Method: Fax Email V US Mail Other Owner's request to send by the above Indicated method of transmittal In lieu of signature We want to hear from you!Please lake a moments to co to our customer service survey al http:l w w,surveyrnonkey.com/s/EHCustornerService h-N,t tip h(` a 5 p1 , 1,M,, Ativwwieoq.ment of Romig 12/12r2023 • IPermit#:A1PV-231204-051 ROY COOPER•Governor ' NC DEPARTMENT OF HEALTH AND KODY H.KINSLEY•secretary ..HI ir j HUMAN SERVICES MARK BENTON•Deputy Secretary for Health SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Submittal Includes: 1411(a2)Improvement Permit n(a2)Construction Authorization 0 Fee$ IMPROVEMENT PERMIT FOR G.5. 130A-335(a2) County: CCACA►,.)\CO- PIN/Lot Identifier:311 03.1(42—)CliS 1-0 Issued To:ZQCI(le•(l. -1--bOtYNCAS Property Location: l4`tci ('rlj((e Ln '\.L Q5c1.01 Subdivision(if applicable) V v'v q•) 1 1 3 Lot#: L a'f` ?r `I Block: Section: LSS Report Provided: Yes 2/". No 0 If yes,name and license number of LSS: m e,\ Ahhkl.` (2-p\�►vtiS 41 a i New 0". Expansion El System Relocation 0 Change of Use ❑ Proposed Structure:S 1 t'1e. rn‘\\,‘ Number of bedrooms: 1 Number of Occupants: (, Other: Design Wastewater Strength:[3 domestic ❑high strength ❑industrial process Proposed Design Daily Flow: �J� .- GPO posed LTAR(Initial): 3' Proposed LTAR(Repair): -, Proposed Wastewater System Type*: A C c"_1 (Initial) Pump Required: [�']Yes 0 No 0 May be required Proposed Wastewater System Type*: "P P 6-PS (Repair) Pump Required: ©Yes 0 No ❑May be required *Please include system classification for proposed wastewater system types in accordance with 15A NCAC 18A.1961 Table V(a) Saprolite System(initial):❑Yes 0 No Saprolite System(repair):0 Yes D No Fill System(Initial):0 Yes []No If yes,specify:0 New 0 Existing (when adding more than 6 inches of fill to system area provide a fill plan) Fill System(repair):❑Yes d No If yes,specify:❑New 0 Existing (when adding more than 6 inches of fill to system area provide a fill plan) Usable Soil Depth(Initial): <�,J Usable Soil Depth(Repair): `f 7 " Max.Trench Depth(Initial)*: Z ,{ Max.Trench Depth(Repair)*: ) ,� * Measured on the downhf+l side of the trench Artificial Drainage Re fired: ❑Yes ❑"No If yes,please specify details: Type of Water Supply: Private well ❑Public well 0 Shared well 0 Municipal SupplyS Drainfleld location meets requirements of Rule.1945: Yes 0 Spring ❑Other: No❑ Grainfield location meets requirements of Rule.1950: Yes a- No 0 Permit valid for:Live years[site plan submitted pursuant to GS 130A-334(13a)] 0 No expiration(plat submitted pursuant to GS 130A-334(7a)) Permit co itlons: stag.. 0 c\y, . Licensed Soil Scientist Print Name:,4>, 1 A4� •( \\o-n& Licensed Soil Scientist Signature: ��e � �—CL�, Date: -j,C.,:S77,� The ISS 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 MAILING ADDRESS:1632 Mail Service Center,Raleigh,NC 27699-1632 www.ncdhhs.gov • TEL:919-707-5854 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Permit#: IMPV-231206-05 1478 Murray Ln This Section for Local Health Department Use Only Initial submittal received: 12/6/2023 by RP Dote 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.If the local health deportment 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 �2""`''1�"!� State Authorized Agent: Date: 12/6/2023 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: 12/6/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 8 CALCULATIONS Location 1478 Murray In Catawba, NC 28609 Project Number 23-0043 Lot No: 3&4/A No. of Bedrooms 3 Design Flow 360 gal/day LTAR 0.300 sash' 25% RED.?(YES OR NO) YES Supply Line Length 182 ft. Supply Line Volume 31.668 gal. FRICTION FACTOR Required Feet of Line 300 ft. INTERPOLATER Amount of Line from Layout 312 ft. 2"SCH 40 PVC GPM f Gallons per Minute 28.44 gal/min 20 0 84 -0.88 Required Septic Tank Capacity 1000 gal. 25 1.27 Minimum Standard Tank Size 1000 -1.28 30 1.78 Lateral Line Volume 203.736 gal_ -1.76 35 2.37 Dosing Volume 142.62 gal. -2.25 40 3.0303 Note: Dosing Volume based on 70%of 43.07 3.48 lateral line volume 45 3.77 48.14 4.28 50 4.58 57.11 5.89 60 6.42 Tank Draw Down 6.8 Generic Draw Down of 21 gal.per in. Pump Run Time 5.01 minutes Elevation Head 9.5 ft. Pressure Head 2 ft. Friction Factor 1.78 ft./l 00 ft. (From the interpolater.) Friction Head 3.24 ft. Total Dynamic Head (+15%) 16.95 ft. Sheet 1 of 1 PROPERTY ID#: 377007678847 COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (complete all fields in full) OWNER: Patrick Kisby ADDRESS: PO Box 231 Hickory NC 28S03 APPLICATION DATE: PROPOSED FACILITY: 3 BR Residence(380 GPD) DATE EVALUATED 4/13/2023 LOCATION OF SITE: 1478 Murray Lane Catawba NC 26609 PROPERTY SIZE: 0.96 PROPERTY RECORDED: Yes WATER SUPPLY: ❑+ Private ❑+ Well ❑ Spring ❑Other EVALUATION METHOD: ❑+ Auger Boring 0 Pit 0 Cut TYPE OF WASTEWATER: + ❑ Sewage 0 Industrial Process E] Mixed P R O SOIL MORPHOLOGY OTHER F 1948 HORIZON (.1941) LANDSCAPE PROFILE FACTORS POSITION! DEPTH PROFILE L SLOPE q (IN.) CLASS E .1941 .1941 .1942 .1943 .1956 .1944 &LTAR STRUCTURE/ CONSISTENCE! SOIL SOIL SAPR RESTR # TEXTURE MINERALOGY WETNESS! DEPTH CLASS HORIZ 0-9 BSCLWFSBK FR SS SP rartvt 9-33 BRCWMSBK FR SS SP 1 U6% 33-50 RBCLWFSBK FR SS SP FSCHIST 50" P5 0.3 0-8 BSCLWFSBK FR SS SP 8-24 RBCWMSBK FR SS SP 2 U8% 24-50 RBCLWFSBK CSAP/FSCHIST 50" PS 0.3 0-13 BSCLWFSBK FR SS SP 13-24 YBSCVWMSBK FSP poss mixed WATER IN HOLE 3 1./4% 24 AR 24" 24" MARG NEED PIT 0-8 BCLWFSBK FRSSSP 8-34 BRCWMSBK FRSSSP 4 L/5% 34-40 SOILNYR(SCHIST) HSSSP 40 AR 34" 34" PS 34 0.25-0.275 0-9 BSLGR FRSSSP 9-26 BRCWMSBK FRSSSP 5 U6% 28-47 RBSCLWFSBK FRSSSP 47-50 VARLMASS 47 PS 0.3 FRSSSP 6 SOIL �— � vO .A RO c�,�� B t ,f,..7 ..1,...___ lif ii; ,,,,r„. V OP 'dry, PLO 10 1 . DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1948): SITE CLASSIFICATION(.1948): PS Available Space(.1945) PS PS EVALUATED BY: Ashley Rollans System Types(s) ACCEPTED W/PM PPBPS W/LP OTHER(S)PRESENT: Chad Wagner&Mason Freeman Site LTAR 0.3 0.3 COMMENTS: i ii 0,1 i i !.. 0 li i PI I r gl*Iggfire211$ TM% 1------ v 1 ipb .. 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