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HomeMy WebLinkAboutAUTH-05-2019-115771.tif Operator Responsible for Care (O.R.C.) wu�l J,-,,::.,,, 4 �WASTEWATER Jarrid Lentz - Certified Subsurface Operator License #999423 www.lentzwastewater.com /t )/5-iii Date Maintenance Contract Report 04/15/2022 General Information Name Address County Contract Expiration Date Chris Bishop 5065 Mallard Cove Catawba 05/05/2022 Solid Accumulation Levels SEPTIC TANK PUMP TANK Septic Tank Size Percentage of Solids to Liquid Waste Pump Tank Size Percent of Solids to Liquid Waste 1000 gallon 11.8 1000 gallon 0 Inlet Scum Inlet Sludge Outlet Scum Outlet Sludge Scum Sludge 2.000000 zt 0 _ 0 0 0 Does the septic tank need to be pumped? Does the Pump Tank Need to be Pumped? 112 No Collection System / Septic Tank Description Condition Notes Tank has risers/ is accessible Yes Risers/lids in good condition Yes Free of infiltration, surface water diverted Yes _ Free from Odors Yes Sanitary tee and filter in good condition/Cleaned Yes Today Effluent pipe at proper angle/Water level at proper Yes level Effluent Dosing System / Pump Tank Description Condition Notes Tank risers accessible Yes Free of infiltration, surface water diverted Yes Control Panel and components in good condition/ Yes sealed Filter in good condition &Cleaned today Not Applicable System does not have a in-line effluent filter and is not required to have one High water alarm operating properly Yes Floats, float tree/hangers, pipes, valves, etc in good Yes condition and functioning Pump is installed on block or raised platform Yes Ground Absorption Field / Drain Field Description Condition Notes Free of effluent surfacing Yes Operator Responsible for Care (O.R.C.) ` ...,:.i i .,-!..) WASTEWflTER Jarrid Lentz - Certified Subsurface Operator License #999423 www.lentzwastewater.com Description Condition Notes Surface water diverted/ Field free of settled or low Yes areas Protected from traffic Yes Repair areas reserved, if required Not Evaluated Line cover and vegetation maintained properly and Yes protected from traffic Laterals flushed/free of solids Yes Turn-ups, clean-outs, valves located and protected/ Yes working properly Pressure Head if of Lines Design Head(Inches) Adjusted Head(Inches) 3 24 36 GPM Design GPM Actual GPM Percent Efficiency 0 40 0.00 Notes Percent efficiency will be calculated at next visit. Summary & Recommendations Septic Tank Percent of Solids Pump Tank Percent of Solids 11.8 `a O SEPTIC TANK NEEDS TO BE PUMPED (Percent of Solids in tank is >33% ) D PUMP TANK NEEDS TO BE PUMPED (Percent of Solids in tank is > 0% ) CONTACT LENTZ SEPTIC TO SCHEDULE PUMPING 704-876-1834 Summary/Recommendations (Garbage disposals are not recommended for Type IV systems - ,.., - Operator Responsible for Care (0.R.C.) „4-. r i ....:-,-,14,t3:...2 i Jarrid Lentz - Certified Subsurface Operator WASTEWATER License #999423 tarr wwvv.lentzwastewater.com Recommend disconnecting garbage disposal, if applicable Images I • - lAil P''re'l t .: -.`''.. *:: •- '-, VIStt,i; • -• i ••••,••...., :. ,..,- .... ..e. ..., h • ..14.1444F ' • • fd 11-4 '-'0g: -"r -'51-p,„:4. -`11..t;ciA , _ It.reOP,..,,itk NP• . - , 't i 1'0''' ' •-"'"•••'1,- t •;., ',. •••4E . -""....re•-•1:- •'' . . ';--.."-;.Sog '‘'kWr*. ''' ....li. .(4..#'". ' 401'. ; '' c 3,W ••'.- rk'71. • ," r ' '. 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Jarrid Lentz - Certified Subsurface Operator WASTEWATER License #999423 rdr,GI fv A 115Th Date Maintenance Contract Report 05/31/2023 General Information Address Technician Contract Expiration Date 5065 Mallard Cove Pete 05/05/2023 Solid Accumulation Levels • SEPTIC TANK PUMP TANK Septic Tank Size Pump Tank Size 1000 gallon 1000 gallon Inlet Scum Inlet Sludge Outlet Scum Outlet Sludge Scum Sludge 0 3 0 2 0 0 Percent Solids Percent Solids 5.39 0 O SEPTIC TANK NEEDS TO BE PUMPED (Percent of Solids in tank is >33% ) PUMP TANK NEEDS TO BE PUMPED (Percent of Solids in tank is > 0% ) CONTACT LENTZ SEPTIC TO SCHEDULE PUMPING - 704-876-1834 Collection System / Septic Tank Description Condition Tank has risers/ is accessible Yes Risers/ lids in good condition Yes Free of infiltration, surface water diverted Yes Free from Odors Yes Sanitary tee present and in good structural condition Yes Outlet pipe&Sanitary tee at proper angle Yes Effluent Dosing System / Pump Tank Description Condition Pump tank riser accessible&6"above grade Yes Pump tank lid in good condition Yes Pump tank riser in good condition Yes Operator Responsible for Care (O.R.C.) Jarrid Lentz - Certified Subsurface Operator WASTEATE License #999423 Description Condition Filter cleaned today Not Applicable Free of infiltration, surface water diverted Yes Control Panel and components in good condition/sealed Yes High water alarm operating properly Yes Floats, float tree/hangers, pipes, valves, etc in good condition and Yes functioning Pump is installed on block or raised platform Yes Ground Absorption Field / Drain Field Description Condition Free of effluent surfacing Yes Surface water diverted / Field free of settled or low areas Yes Protected from traffic Yes Repair areas reserved, if required Not Evaluated Line cover and vegetation maintained properly and protected from Yes traffic Valves located and protected/working properly Yes Turn-ups, &clean-outs located, at grade and in good condition Yes Laterals flushed/free of solids Yes Pressure Head GPM # of Lines Design Head (Inches) Design GPM Actual GPM 3 24 50 50 Adjusted Head (Inches) Percent Efficiency 36 100.00 Summary & Recommendations Summary System functioning as designed, no action needed Observations *System functioning as designed. 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"A•ft•:'S-0, --,. • _ -5. •„ li , , ,, . . w%-11 ilk 944" , ' • ,.•••• • .k .', .. \ %.1'..44.41e7,1 LET WASTEWATER www.lentzwastewater.com Subsurface (Type IV) Inspection and Maintenance Agreement Contract Dates: 5/15/23 __ 5/15/24 Agreement between: Chris Bishop and Lentz Wastewater Management, Inc (the"Owner") Jarrid Lentz 5065 Mallard Cove 463 Lentz Road Statesville, NC 28625 Sherrills Ford, NC 28673 (the"Operator") ("system"location) WITNESSETH WHEREAS The Owner owns or controls the property upon which a ground absorption sewage treatment system("system")is installed,being designated a Type IV system in the Rules for Sanitary Sewage Collection,Treatment and Disposal found at 15A N.C.Administrative Code 18A.1900 et seq.and WHEREAS,Administrative Code 18A.1961 requires a contract to be executed between the system owner and a management entity prior to issuance of an Operation Permit for said system;and, WHEREAS,Administrative Code 18A.1961 requires that a condition of the Operation Permit for said system be that a properly executed contract between the system owner and a management entity,shall be in effect for as long as the system is in use;and WHEREAS,the Operator is a management entity,of the type authorized by 15A N.C.Administrative Code 18A.1961 to manage a Type IV System. NOW THEREFORE,in consideration of the premises and of the mutual covenants and promises contained in this Agreement,it is agreed by the Owner and the Operator as stipulated below: 1, The Operator Obligations: a. The Operator shall inspect,document,and report on the system every 6 months: -If an inspection indicates the need for system repairs,the Operator shall notify the local health department within 48 hours of inspection. -The Operator shall notify the owner of needed repairs,which are outside of the scope of routine maintenance described in this contract. At the request of the Owner,the Operator will perform necessary repairs to the system and shall be entitled to payment at the Operator's normal charge for services and materials. -The operator shall respond to a request for a nonscheduled service or maintenance call within 48 hours after receipt of such request. 2. The Owner's Obligations: a. The Owner shall pay to the Operator: -At start of contract(6 months prior to first inspection).Yearly fee includes[2]inspections per year.Contract will be sent to Environmental Health Department upon receipt of payment. -The Owner is responsible for any charges for necessary repairs/replacement parts. A quote for such repairs will be provided. The Operator will complete needed repairs after a signed quote for repairs has been received. -The Owner is responsible for charges associated with pumping/removal of solids from tanks. The Operator will notify Owner when pumping is needed and the Owner shall schedule and pay for pumping with a Licensed Septic Pumper. -The Owner is responsible for any additional maintenance(clearing around any septic components,such as:septic tank,pump tank,drain field lines,etc.)or labor repair and service calls requested by client. -Septic system components must be kept clear of vegetation,bushes,trees and shrubs -All septic system components(risers on tanks,valve boxes,control panel,etc.)must be accessible in order to collect the necessary information and to properly maintain the system.When visits are made and components are not accessible,the report will indicate"not evaluated"or"not accessible" 3. Term:This Agreement shall remain in effect until terminated a. Automatic Termination -This agreement shall automatically terminate if the Operation Permit for the system is revoked and all appeals of the revocation are exhausted or the time for taking an appeal has passed. b. Termination by Mutual Consent -The Parties may mutually agree to terminate this Agreement by giving written notice of termination by mutual consent to the local health department thirty(30)days in advance of the date of termination. 463 Lentz Road Statesville, NC 28625 office@lentzwastewater.com 980-829-3278 www.lentzwastewater,com ( WEAS�TTEWATER Contract Dates: 5/15/23 5/15/24 www.lentzwastewater.com c. Termination by the Owner -The Owner may terminate this Agreement by giving notice to the Operator and to the local health department thirty(30)days in advance of the date of termination. d. Termination by the Operator -The Operator may terminate this Agreement for cause by giving written notice of intent to terminate this Agreement to the Owner and to the local health department thirty(30)days in advance of the date of termination.Cause shall be defined as: 1. Failure to remit payment for any bill for services performed under and in accordance with this Agreement if said bill is not paid within seven(7)days of receipt by the Owner of the bill.If said bill is paid after notice of termination of this Agreement,but prior to the date of termination of this Agreement,this Agreement shall continue in effect;or 2. Failure of the Owner to provide to the Operator authorization to complete needed repairs or satisfactory evidence that needed repairs to the system were completed by another entity.If said authorization to complete needed repairs or evidence of completion of said repairs is provided after notice of termination is given but prior to the date of termination of this Agreement,this Agreement shall continue in effect;or 3. Failure of the Owner to allow the Operator such access to the system as is reasonably necessary order for the Operator to comply with the terms of this Agreement. -The annual fee may be amended upon sixty(60)days advance notice to the Owner.Bi-annual maintenance visits are unscheduled.Owner does not need to be present. Operator will send a written report to the owner and local Environmental Health Department.Maintenance contract bi-annual inspections are NOT Point-of-Sale inspections and should not be used as a replacement. -The Operator may terminate this Agreement without cause,by notification to the Owner no less than ninety(90)days in advance of the termination date.The Operator may also assign its rights and duties under this Agreement as provided in paragraph 4,below. 4. Assignment: a. Assignment by the Owner -The Owner shall notify the Operator of the name and address of any purchaser of the property on which the system is located.The Owner shall also notify any. purchaser of the property on which the system is located of the existence of this Agreement and shall assign all rights and duties under this Agreement to said purchaser. 5. Use of Subcontractors: The Operator may subcontract with such manufacturers,suppliers and contractors as it deems desirable to perform any of the Operator's duties under this Agreement. The Operator shall at all times remain responsible for the performance of and payment for all work performed by all subcontractors. 6.Representatives: The Parties represent to each other that each has the power,authority and legal right to enter into and perform its obligations as set forth in this Agreement. 7. Notice: Every notice required under this Agreement shall be in writing and shall be deemed sufficiently given if delivered in person or sent by certified or registered mail,return receipt requested,postage prepaid to the Party to be notified and addressed as follows: Owner: Local Health Department Operator: Chris Bishop Catawba County Environmental Health Department Jarrid Lentz 5065 Mallard Cove PO Box 389 463 Lentz Road Sherrills Ford, NC 28673 Newton, NC 28658 Statesville, NC 28625 The date of any Notice shall be the date of personal delivery or the date shown on the return receipt as the date of delivery or attempted delivery,as the case may be. Changes in the respective addresses to which notice may be directed may be made from time to time by either Party by notice to the other Party. 8.Place of Agreement: This Agreement and any questions concerning its validity,the system construction or performance shall be governed by the laws of the State of North Carolina. 9.Entire Agreement and Amendment: This Agreement supersedes all prior negotiations,agreements and understandings between the Parties with respect to the subject matter hereof and constitutes the entire Agreement between the Parties with respect to the subject matter hereof.To be effective,any amendment or modification to this Agreement must be in writing and must be signed by both Parties. 10.Severability: In the event that any provision of this Agreement shall,for any reason,be determined to be invalid,illegal or unenforceable in any respect,the Parties shall negotiate in good faith and agree to such amendments,modification or supplements to this Agreement. /lam 06/ 08 / 2023 Owner's Signature Date Ta(r;d /11 Len)4z 06 / 22 /2023 Operator's Signature Date Doc ID: 2d6fba3e9e51 ca85fcbdfl aad2e5bb5b7eea4638 X Dropbox Sign Audit trail Title 5065 Mallard Cove MA 23-24 File name Catawba -Type IV.pdf Document ID 2d6fba3e9e51 ca85fcbdf1 aad2e5bb5b7eea4638 Audit trail date format MM/DD/YYYY Status a Signed Document History J 06/08/2023 Sent for signature to Chris Bishop (cbishop175@aol.com)and SENT 19:20:58 UTC Jarrid Lentz(jarrid@lentzwastewater.com)from office@lentzwastewater.com IP: 173.92.234.251 0 06/08/2023 Viewed by Chris Bishop (cbishop175@aol.com) VIEWED 19:26:43 UTC IP: 174.245.81.254 06/08/2023 Signed by Chris Bishop(cbishop175@aol.com) SIGNED 19:27:23 UTC IP: 174.245.81.254 06/22/2023 Viewed by Jarrid Lentz(jarrid@lentzwastewater.com) VIEWED 19:24:57 UTC IP: 173.92.234.251 06 1 22/2023 Signed by Jarrid Lentz(jarrid@lentzwastewater.com) SIGNED 19:25:05 UTC IP: 173.92.234.251 G 06/22/2023 The document has been completed. COMPLETED 19:25:05 UTC Powered by Olt Dropbox Sign LELA J WASTEWATER MANAGEMENT, Inc. Awaits www.lentzwasfewater.com Subsurface (Type IV) Inspection and Maintenance Agreement Contract Dates: 5/15/24 5/15/25 Agreement between: Chris Bishop and Lentz Wastewater Management, Inc (the"Owner") Jarrid Lentz 5065 Mallard Cove 463 Lentz Road Statesville,NC 28625 Sherrills Ford, NC 28673 (the"Operator") ("system"location) WITNESSETH WHEREAS The Owner owns or controls the property upon which a ground absorption sewage treatment system("system")is installed,being designated a Type IV system in the Rules for Sanitary Sewage Collection,Treatment and Disposal found at 15A N.C.Administrative Code 18A.1900 et seq.and WHEREAS,Administrative Code 18A.1961 requires a contract to be executed between the system owner and a management entity prior to issuance of an Operation Permit for said system;and, WHEREAS,Administrative Code 18A.1961 requires that a condition of the Operation Permit for said system be that a properly executed contract between the system owner and a management entity,shall be in effect for as long as the system is in use;and WHEREAS,the Operator is a management entity,of the type authorized by 15A N.C.Administrative Code 18A.1961 to manage a Type IV System. NOW THEREFORE,in consideration of the premises and of the mutual covenants and promises contained in this Agreement,it is agreed by the Owner and the Operator as stipulated below: 1. The Operator Obligations: a. The Operator shall inspect,document,and report on the system every 6 months: —If an inspection indicates the need for system repairs,the Operator shall notify the local health department within 48 hours of inspection. —The Operator shall notify the owner of needed repairs,which are outside of the scope of routine maintenance described in this contract. At the request of the Owner,the Operator will perform necessary repairs to the system and shall be entitled to payment at the Operator's normal charge for services and materials. —The operator shall respond to a request for a nonscheduled service or maintenance call within 48 hours after receipt of such request. 2. The Owner's Obligations: a. The Owner shall pay to the Operator: —At start of contract(6 months prior to first inspection).Yearly fee includes 12]inspections per year.Contract will be sent to Environmental Health Department upon receipt of payment. —The Owner is responsible for any charges for necessary repairs/replacement parts. A quote for such repairs will be provided. The Operator will complete needed repairs after a signed quote for repairs has been received. —The Owner is responsible for charges associated with pumping/removal of solids from tanks. The Operator will notify Owner when pumping is needed and the Owner shall schedule and pay for pumping with a Licensed Septic Pumper. —The Owner is responsible for any additional maintenance(clearing around any septic components,such as:septic tank,pump tank,drain field lines,etc.)or labor repair and service calls requested by client. —Septic system components must be kept clear of vegetation,bushes,trees and shrubs —All septic system components(risers on tanks,valve boxes,control panel,etc.)must be accessible in order to collect the necessary information and to properly maintain the system.When visits are made and components are not accessible,the report will indicate"not evaluated"or"not accessible" 3. Term:This Agreement shall remain in effect until terminated a. Automatic Termination •—This agreement shall automatically terminate if the Operation Permit for the system is revoked and all appeals of the revocation are exhausted or the time for taking an appeal has passed. b. Termination by Mutual Consent —The Parties may mutually agree to terminate this Agreement by giving written notice of termination by mutual consent to the local health department thirty(30)days in advance of the date of termination. 463 Lentz Road Statesville,NC 28625 office@lentzwastewater.com 980-.829-3278 www lentzwastewater.eotn • lig 5 8f 51e29 -7e54:-9d62d 9c9989c9daff2 4E t WASTE ATER Contract Dates: 5/15/24 5/15/25 MANAGEMENT Inc www.lentzwastewater.com c. Termination by the Owner —The Owner may terminate this Agreement by giving notice to the Operator and to the local health department thirty(30)days in advance of the date of termination. d. Termination by the Operator —The Operator may terminate this Agreement for cause by giving written notice of intent to terminate this Agreement to the Owner and to the local health department thirty(30)days in advance of the date of termination.Cause shall be defined as: 1. Failure to remit payment for any bill for services performed under and in accordance with this Agreement if said bill is not paid within seven(7)days of receipt by the Owner of the bill.If said bill is paid after notice of termination of this Agreement,but prior to the date of termination of this Agreement,this Agreement shall continue in effect;or 2. Failure of the Owner to provide to the Operator authorization to complete needed repairs or satisfactory evidence that needed repairs to the system were completed by another entity.If said authorization to complete needed repairs or evidence of completion of said repairs is provided after notice of termination is given but prior to the date of termination of this Agreement,this Agreement shall continue in effect;or 3. Failure of the Owner to allow the Operator such access to the system as is reasonably necessary order for the Operator to comply with the terms of this Agreement. —The annual fee may be amended upon sixty(60)days advance notice to the Owner.Bi-annual maintenance visits are unscheduled.Owner does not need to be present. Operator will send a written report to the owner and local Environmental Health Department.Maintenance contract bi-annual inspections are NOT Point-of-Sale inspections and should not be used as a replacement. —The Operator may terminate this Agreement without cause,by notification to the Owner no less than ninety(90)days in advance of the termination date.The Operator may also assign its rights and duties under this Agreement as provided in paragraph 4,below. 4. Assignment: a. Assignment by the Owner —The Owner shall notify the Operator of the name and address of any purchaser of the property on which the system is located.The Owner shall also notify any. purchaser of the property on which the system is located of the existence of this Agreement and shall assign all rights and duties under this Agreement to said purchaser. 5. Use of Subcontractors: The Operator may subcontract with such manufacturers,suppliers and contractors as it deems desirable to perform any of the Operator's duties under this Agreement. The Operator shall at all times remain responsible for the performance of and payment for all work performed by all subcontractors. 6.Representatives: The Parties represent to each other that each has the power,authority and legal right to enter into and perform its obligations as set forth in this Agreement. 7. Notice: Every notice required under this Agreement shall be in writing and shall be deemed sufficiently given if delivered in person or sent by certified or registered mail,return receipt requested,postage prepaid to the Party to be notified and addressed as follows: Owner: Local Health Department Operator: Chris Bishop Catawba County Environmental Health Department Jarrid Lentz 5065 Mallard Cove PO Box 389 463 Lentz Road Sherrills Ford, NC 28673 Newton, NC 28658 Statesville, NC 28625 The date of any Notice shall be the date of personal delivery or the date shown on the return receipt as the date of delivery or attempted delivery,as the case may be. Changes in the respective addresses to which notice may be directed may be made from time to time by either Party by notice to the other Party. 8.Place of Agreement: This Agreement and any questions concerning its validity,the system construction or performance shall be governed by the laws of the State of North Carolina. 9.Entire Agreement and Amendment: This Agreement supersedes all prior negotiations,agreements and understandings between the Parties with respect to the subject matter hereof and constitutes the entire Agreement between the Parties with respect to the subject matter hereof.To be effective,any amendment or modification to this Agreement must be in writing and must be signed by both Parties. 10.Severability: In the event that any provision of this Agreement shall,for any reason,be determined to be invalid,illegal or unenforceable in any respect,the Parties shall negotiate in good faith and agree to such amendments,modification or supplements to this Agreement. 09/05 /2024 Owner's Signature Date 09 /09 /2024 Operator's Signature Date Doc ID:528f2255fe29fe7e54849d62df9c9989c9daff22 X Dropbox Sign Audit trail Title 5065 Mallard Cove MA Contract 24-25 File name Catawba=_Type_IV.pdf Document ID 528f2255fe29fe7e54849d62df9c9989c9daff22 Audit trail date format MM/DD/YYYY Status •Signed Document History 09/05/2024 Sent for signature to Chris Bishop (cbishop175@aol.com)and SENT 20:56:55 UTC Jarrid Lentz-Lentz Wastewater Management, Inc (Jarrid@lentzwastewater.com)from office@lentzwastewater.com IP: 66.26.146.73 © 09/05/2024 Viewed by Chris Bishop(cbishop175@aol.com) VIEWED 20:57:19 UTC IP: 23.118.199.214 09/05/2024 Signed by Chris Bishop (cbishop175@aol.com) SIGNED 20:58:00 UTC IP:23.118.199.214 0 09/09/2024 Viewed by Jarrid Lentz-Lentz Wastewater Management, Inc VIEWED 20:33:50 UTC (Jarrid@lentzwastewater.com) IP: 66.26.146.73 09/09/2024 Signed by Jarrid Lentz-Lentz Wastewater Management, Inc SIGNED 20:33:57 UTC (Jarrid@lentzwastewater.com) IP: 66.26.146.73 G' 09/09/2024 The document has been completed. COMPLETED 20:33:57 UTC Powered by X Dropbox Sign au,..0-1 - 05- �`-`ous - 1 )5- T1 Operator Responsible for Care (O.R.C.) diLEN'I Jarrid Lentz - Certified Subsurface Operator WASTEWATER License #999423 MANAGEMENT, Inc . Maintenance Contract Report Date p 06/03/2025 General Information Address Technician Contract Expiration Date 5065 mallard cove Justin 05/15/2025 Solid Accumulation Levels SEPTIC TANK PUMP TANK Septic Tank Size Pump Tank Size 1000 gallon 1000 gallon Inlet Scum Inlet Sludge Outlet Scum Outlet Sludge Scum Sludge 1 3 0 2 0 0 1250 gallon tank Percent Solids Percent Solids 6.73 0 Collection System / Septic Tank Description Condition Tank has risers/ is accessible Yes Risers/ lids in good condition Yes Free of infiltration, surface water diverted Yes Free from Odors Yes Sanitary tee present and in good structural condition Yes Outlet pipe&Sanitary tee at proper angle Yes Effluent Dosing System / Pump Tank Description Condition Pump tank riser accessible&6" above grade Yes Pump tank lid in good condition Yes Pump tank riser in good condition Yes Filter cleaned today Not Applicable Free of infiltration, surface water diverted Yes Control Panel and components in good condition/sealed Yes High water alarm operating properly Yes Floats, float tree/hangers, pipes, valves, etc in good condition and Yes functioning Pump is installed on block or raised platform Yes C2F3726E-FA4E-4E79-831A-590CB7BC0571 Operator Responsible for Care (O.R.C.) 4LEN1"Z Jarrid Lentz - Certified Subsurface Operator WASTEWATER License #999423 MANAGEMENT, Inc . Ground Absorption Field / Drain Field Description Condition Free of effluent surfacing Yes Surface water diverted/ Field free of settled or low areas Yes Protected from traffic Yes Repair areas reserved, if required Not Evaluated Line cover and vegetation maintained properly and protected from Yes traffic Valves located and protected/working properly Yes Turn-ups, &clean-outs located, at grade and in good condition Yes Laterals flushed/free of solids Yes Pressure Head #of Lines Design Head (Inches) Adjusted Head (Inches) 3 24 36 Summary & Recommendations *System functioning as designed * Your maintenance contract is expired, please contact our office to renew a contract Date 06/03/2025 -144 eir- -4 r.w 9Yj 41111, , r` Nii � 1 .; v r. + w} M '`r � s0,1...»it.�a._. s ...�.r Amm„ AMP C2F3726E-FA4E-4E79-831A-590CB7BC0571 Operator Responsible for Care (O.R.C.) 4IENTZJarrid Lentz - Certified Subsurface Operator WASTEWATER License #999423 MANAGEMENT, Inc . r 1 .. . , , ..,,,, ...o. ter,. ..._ � ,:., 1 . , , . , , „.„ ... .. . - kik _ i . , , . _ . I.,. , , � - a . . . 4,r • _ _ " eg- � �"' 1. 14 C2F3726E-FA4E-4E79-831A-590CB7BC0571 WEN WASTEWAT4ER au4-1, - 0D- _0019 MANAGEMENTInc Subsurface Inspection and Maintenance Agreement Contract Dates: 5/15/25 5/15/26 - - Agreement Between: Jarrid Lentz Chris Bishop 463 Lentz Rd 5065 Mallard Cove Statesville,NC 28625 Sherrills Ford NC 28673 (Operator) (Owner) 15A NCAC 18E.1301 OPERATION AND MAINTENANCE OF WASTEWATER SYSTEMS (a)Wastewater systems shall be operated and maintained In accordance with the conditions of the OP,PIA Approval,and the Rules of this Section,including the manufacturer's operation and maintenance instructions,as applicable.Dispersal field repair areas shall be maintained in accordance with the Rules of this Subchapter.(b)System management in accordance with Table XXXII shall be required for all systems installed or repaired after July 1,1992.System management in accordance with Table XXXII shall also be required for all Type V and VI systems installed on or before July 1,1992.(e)Wastewater systems with multiple components shall be classified by their highest or most complex system classification type in accordance with Table XXXII to determine LHD and Management Entity responsibilities.(d)The Department shall classify wastewater systems not identified in Table XXXII after consultation with the Water Pollution Control Systems Operators Certification Commission.(e)The site for the wastewater system shall be accessible for monitoring,maintenance,inspection,and repair.(f)The system shall be maintained to comply with the effluent standards specified in Table XXV of Rule.1201(a)or Rule.1002 of this Subchapter and the OP,as applicable.Influent and effluent sampling may be required for food preparation or processing facilities,IPWW,and other systems as specified in the PIA Approval or OP.(g)The owner may submit a written request to the LHD and Department to reduce the wastewater system effluent sampling frequency,effluent sampling constituents,or Management Entity inspection frequency.The written request shall include documentation showing that the wastewater system is compliant with its OP and Rule.1302(f)of this Section.(h)The replacement of a specific component,except tanks and dispersal media,by an identical replacement component,including pipes,blowers,pumps,disinfection components,effluent filters,and control panels and appurtenances,shall be considered maintenance.When the replacement is performed as maintenance by the Management Entity,this activity shall be reported to the owner and LHD within 30 days of when the activity occurs.(i)All residuals shall be removed as specified in the OP,the RWTS or PIA Approval,Rule.1303 of this Section,or as otherwise determined to be needed by the Management Entity.Residuals from the wastewater system shall be transported and disposed of in accordance with G.S.130A,Article 9,and 15A NCAC 13B. 1. OWNER RESPONSIBILITIES -15A NCAC 18E.1303 u Any person owning or controlling the property upon which a wastewater system is installed shall be responsible for the following items regarding the operation and maintenance of the system:(1)the wastewater system shall be operated and maintained to protect North: Carolina ground and surface water quality standards and to prevent the following conditions: O (A)discharge of sewage or effluent to the surface of the ground,surface waters,or into groundwater at any time; O (B)back-up of sewage or effluent into the facility,building drains,collection system,freeboard volume of the tanks,or distribution system;or O (C)effluent within three inches of finished grade over one or more trenches based on two or more observations made not less than 24 hours apart,and greater than 24 hours after a rainfall event; (2)the system shall be considered to be malfunctioning when one or more of the conditions of Subparagraph(a)(1)of this Rule occur or if it is necessary to remove the contents of the tank(s)at a frequency greater than once per month in order to prevent one or more of the conditions of Subparagraph(a)(1)of the Rule.The owner shall contact the LHD when the wastewater system is malfunctioning.If the system was permitted under an EOP or AOWE permit,the owner shall also contact the PE or AOWE when the wastewater system is malfunctioning;(3)wastewater systems shall be inspected,and the entire contents of all septic tank compartments shall be removed whenever the depth of both the scum and sludge is found to be more than one-third of the liquid depth in any compartment.The effluent filter shall be rinsed to remove accumulated solids that can cause the wastewater to back Page 113 up into the facility or clog the system,or replaced as needed;(4)residuals from the wastewater system shall be transported and disposed of in accordance with G.S.130A,Article 9,and 15A NCAC 13B;(5)grease traps and grease tanks shall be pumped as needed to prevent discharge of FOG from the trap or tank to the next treatment component,but no less than yearly.Grease traps and grease tanks shall be maintained in accordance with Rule.0803(h)of this Subchapter and the owner shall maintain a contract with a septage management firm.All pumping records shall be maintained on-site;(6)site-specific vegetation shall be established and maintained over the wastewater system and repair area to stabilize slope and control erosion;(7)activities that result in soil disturbance or soil compaction shall not occur over the initial and repair dispersal field area;(6)maintaining the wastewater system in accordance with Rule.1301(a)of this Section;and(9)turning the effluent flow diversion valve for alternating dual dispersal fields once a year or as specified by the PE,AOWE,or authorized designer. (b)A contract for operation and maintenance of a wastewater system required to be maintained by a Management Entity,as specified in Table XXXII of Rule.1301(b),shall be in effect for as long as the system is in use.A contract shall be executed between the system owner and a Management Entity prior to the issuance of an OP,unless the system owner and Management Entity are the same.The contract shall include: • (1)specific requirements for operation,maintenance,and associated reporting;(2)responsibilities of the owner;(3)responsibilities of the Management Entity;(4)provisions for notification to the LHD by the owner and Management Entity upon termination of the contract;and(5)other requirements for the continued performance of the system,as determined by the Management Entity,LHD, and Department as applicable. All septic system components(risers on tanks,valve boxes,control panel,etc.)must be accessible in order to collect the necessary information and to properly maintain the system.When visits are made and components are not accessible,the report will indicate"not evaluated"or"not accessible" 2.MANAGEMENT ENTITY/OPERATOR RESPONSIBILITIES-15A NCAC 18E.1304 (a) When a Management Entity is required to be or to employ a certified operator as specified in Table XXXII in Rule.1301(b)of this Section,the operator shall,at a minimum,be certified as a subsurface operator in accordance with G.S.90A,Article 3,and 15A NCAC 08G.Operators of systems classified as Type V or VI in Table XXXII in Rule.1301(b)of this Section maybe required to have additional certifications by the Department in accordance with Rule.1301(d)of this Section and upon consultation with the Water Pollution Control Systems Operator Certification Commission,if required by G.S.90A,Article 3.(b)The Management Entity shall inspect the wastewater system at the frequency specified in Table XXXII in Rule.1301(b)of this Section or in accordance with the RWTS or PIA Approval.(c)The Management Entity shall provide a copy of the inspection report,including results of the VIP with respect to compliance criteria as specified in the RWTS or PIA Approval and effluent sampling,to the owner,LHD,and manufacturer within 30 days of the system inspection.(d)When inspections indicate the need for system repairs,the Management Entity shall notify the LHD within 48 hours.(e)The Management Entity shall be responsible for conducting routine maintenance procedures and monitoring requirements in accordance with the conditions of the OP and the contract.(f)The Management Entity shall notify the LHD and the proprietary advanced pretreatment manufacturer,as applicable,when the owner or the Management Entity chooses not to renew an operation and maintenance contract executed in accordance with this Rule.(g)The Management Entity shall submit the inspection report to the Department centralized data management system. 3.LOCAL HEALTH DEPARTMENT RESPONSIBILITIES-15A NCAC 18E .1305 (a)No IP,CA,or OP shall be issued for Type IV,V,or VI systems,unless a Management Entity of the type specified in Table XXXII in Rule.1301(b)of this Section is authorized and operational to carry out operation and maintenance requirements for the wastewater system as set forth in these Rules and the OP.(b)An LHD may be the Management Entity only for systems classified Type IV,Va,Vb,Vc,Vd,Ve,Vf,and Vg and only when authorized by the local board of health.(c)An authorized agent shall review the performance and inspection reports submitted in accordance with Rule.1304(c)of this Section and perform an on-site compliance inspection of the systems as required in Table XXXII in Rule.1301(b)of this Section.More frequent inspections may be performed by an authorized agent if requested by the system owner or the Management Entity,or specified in the PIA approval or OP.(d)The LHD may provide the owner with the option for a private Management Entity,who is not the owner,to perform the on-site compliance inspection for Type Illb and Illh systems in accordance with Table XXXII in Rule.1301(b)of this Section instead of the LHD.The Management Entity shall provide to the owner and LHD a written compliance inspection report every five years.The report shall document that the wastewater system is compliant with this Subchapter,the performance standards in the OP or ATO,and conditions in the OP or the ATO.(e)The authorized agent shall issue a written notice of non-compliance to the owner when the wastewater system is not malfunctioning in accordance with Rule.1303(a)(2)of this Section,but non-compliant with this Subchapter,the performance standards in the OP or ATO,or conditions in the OP or the ATO.(f)The LHD shall investigate malfunctions in accordance with Rule.1306 of this Section. 4.Term:This Agreement shall remain in effect until terminated. (a)AutomaticTermination-This agreement shall automaticallyterminate if the Operation Permit for the system is revoked and all appeals of the revocation are exhausted or the time for taking an appeal has passed.(b)Termination byMutualConsent-The Parties may mutually agree to terminate this Agreement bygiving written notice of termination by mutual consent to the local health department thirty(30)day in advance of the date of termination.(c)Termination bytheOwner-The Owner mayterminate this Agreement bygiving notice to the Operator and to the local health department thirty(30)days in advance of the date of termination.(d)Termination by theOperator:(1) The Operator may terminate this Agreement for cause bygiving written notice of intent to terminate this Agreement to the Owner and to the local health department thirty (30)days in advance of the date of termination.Cause shall be defined as:(a)Failure to remit payment for any bill for services performed under and in accordance with this Agreement if said bill is not paid within seven(7)days of receipt bythe Owner of the bill.If said bill is paid after Page 213 notice of termination of this Agreement,but prior to the date of termination of this Agreement,this Agreement shall continue in effect;or(b) Failure of the Owner to provide to the Operator authorization to complete needed repairs or satisfactory evidence that needed repairs to the system were completed by another entity.If said authorization to complete needed repairs or evidence of completion of said repairs is provided after notice of termination is given but prior to the date of termination of this Agreement,this Agreement shall continue in effect;or (c)failure of the Owner to allow the operator such access to the system as is reasonably necessary in order for the Operator to comply with the terms of this Agreement.(2)The Operator may not terminate this Agreement without cause,buy may assign its rights and duties under this Agreement as provided,below: 5.Assignment: (a)Assignment by the Owner-The Property Owner shall notify the Operator of the name and contact information of any purchaser of the property on which the system is located.(b)Assignment by the Operator.The Operator may assign its rights and duties under the Agreement to another management entity,which is qualified pursuant to 15 A NC Admin.Code 18E.1301 to manage this type of system upon 30 days written.Notice to the Owner and to the Local Health Department. 6.Useof Subcontractors:The Operator may subcontract with such manufacturers,suppliers and contractors as it deems desirable to perform any of the Operator's duties under this Agreement.The Operator shall at all times remain responsible forthe performance of and payment for all work performed by all subcontractors. 7. Representatives:The Parties represent to each other that each has the power,authority and legal right to enter into and perform its obligations as set forth in this Agreement. 8.Notice:Every notice required under this Agreement shall be in writing and shall be deemed sufficiently given if delivered in person or sent by certified or registered mail,return receipt requested,postage prepaid to the Party to be notified and addressed as follows: Chris Bishop To the Owner: Lentz Wastewater Management To the Operator: Catawba County Environmental Health To the Local Health Department: 9.PlaceofAgreement:This Agreement and any questions concerning its validity,the system construction or performance shall be governed by the laws of the State of North Carolina. 10.Entire Agreement and Amendment:This Agreement supersedes all prior negotiations,agreements and understandings between the Parties with respect to the subject matter hereof and constitutes the entire Agreement between the Parties with respect to the subject matter hereof. To be effective,any amendment or modification to this Agreement must be in writing and must be signed by both Parties. 11. Severability:In the event that any provision of this Agreement shall,for any reason,be determined to be invalid,illegal or unenforceable in any respect,the Parties shall negotiate in good faith and agree to such amendments,modification or supplements to this Agreement. Maintenance visits are unscheduled.Property owner does not need to be present.Operator will send a written report to the owner and local Environmental Health Department at the specified frequency based on system type. Maintenance contract inspections are NOT Point-of- Sale inspections and should not be used as a replacement. Property Address: 5065 Mallard Cove Sherrills Ford NC 28673 System Type: Type IV Visit Frequency: 2 times per year Reporting Frequency: 2 times per year Notes: • ttlijaishop(Jun 19,2025 10:03 CDT) Jun 19, 2025 Owners Signature Date ia��ial Gen�L Jun 20, 2025 (arid lent'[(Jun 70,2025 14;16 EDT) Operator's Signature Date Page 313 5065 Mallard Cove- MA Contract 2025 Final Audit Report 2025-06-20 Created: 2025-06-19 By: Maintenance Lentz Wastewater(maintenance@lentzwastewater.com) Status: Signed Transaction ID: CBJCHBCAABAACRgDYUgLBeTro9MHfb3GFE3X4IVEtA95 "5065 Mallard Cove- MA Contract 2025" History t Document created by Maintenance Lentz Wastewater(maintenance@lentzwastewater.com) 2025-06-19-1:56:54 PM GMT C74 Document emailed to Chris Bishop (cbishop175@aol.com) for signature 2025-06-19-2:00:49 PM GMT Email viewed by Chris Bishop (cbishop175@aol.com) 2025-06-19-3:02:50 PM GMT bo Document e-signed by Chris Bishop(cbishop175@aol.com) Signature Date:2025-06-19-3:03:28 PM GMT-Time Source:server E Document emailed to jarrid@lentzwastewater.com for signature 2025-06-19-3:03:29 PM GMT t Email viewed by jarrid@lentzwastewater.com 2025-06-20-6:15:57 PM GMT be Signer jarrid@lentzwastewater.com entered name at signing as jarrid lentz 2025-06-20-6:16:13 PM GMT be Document e-signed by jarrid lentz (jarrid@lentzwastewater.com) Signature Date:2025-06-20-6:16:15 PM GMT-Time Source:server Q Agreement completed. 2025-06-20-6:16:15 PM GMT Adobe Acrobat Sign atA4-1, - 05- 019- / 15rin Operator Responsible for Care (O.R.C.) 4LENIJarrid Lentz - Certified Subsurface Operator WASTEWATER License #999423 MANAGEMENT, Inc . Date Maintenance Contract Report 10/08/2025 General Information Address Technician Contract Expiration Date 5065 Mallard cove Jacob 05/15/2026 Solid Accumulation Levels SEPTIC TANK PUMP TANK Septic Tank Size Pump Tank Size 1000 gallon 1000 gallon Inlet Scum Inlet Sludge Outlet Scum Outlet Sludge Scum Sludge 0 4 0 2 0 0 1000 gallon tank Percent Percent Solids Solids 0 6.73 Collection System / Septic Tank Description Condition Tank has risers/ is accessible Yes Risers/ lids in good condition Yes Free of infiltration, surface water diverted Yes Free from Odors Yes Sanitary tee present and in good structural condition Yes Outlet pipe&Sanitary tee at proper angle Yes Effluent Dosing System / Pump Tank Description Condition Pump tank riser accessible&6" above grade Yes Pump tank lid in good condition Yes Pump tank riser in good condition Yes Filter cleaned today Not Applicable Free of infiltration, surface water diverted _Yes Control Panel and components in good condition/sealed Yes High water alarm operating properly Yes Floats, float tree/hangers, pipes, valves, etc in good condition and Yes functioning Pump is installed on block or raised platform Yes D39EAAEC-48E4-4937-A80D-0B3FD5A5BAAB Operator Responsible for Care (O.R.C.) 4LEN1Jarrid Lentz - Certified Subsurface Operator WASTEWATER License #999423 MANAGEMENT, Inc . Ground Absorption Field / Drain Field Description Condition Free of effluent surfacing Yes Surface water diverted/ Field free of settled or low areas Yes Protected from traffic Yes Repair areas reserved, if required Not Evaluated Line cover and vegetation maintained properly and protected from Yes traffic Valves located and protected/working properly Yes Turn-ups, &clean-outs located, at grade and in good condition Yes Laterals flushed/free of solids Yes Pressure Head #of Lines Design Head (Inches) Adjusted Head (Inches) 3 24 36 Summary & Recommendations *System is functioning as designed Date 10/08/2025 y .t r , ..... -- lifiALV - " . .. ',.. ,. .. i(t" r i [r L ti . I t a �. . • y D39EAAEC-48E4-4937-A80D-OB3FD5A5BAAB Operator Responsible for Care (O.R.C.) diLEN'ZJarrid Lentz - Certified Subsurface Operator WASTEWATER License #999423 MANAGEMENT, Inc . 1:-.. - r } . , , _. 'I.:._..)r.'I: ' - AI P1/4' 7 Akt • • •§ - '/ mow. . 00/001.00"1. lit • .,.. 4 i ''‘ -, .. e '1 , 4 R 4, -!"-j... ..:.- • ii D39EAAEC-48E4-4937-A80D-0B3FD5A5BAAB