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LSSP-10-2021-159031.TIF
1946 Gist Dr, Conover • , 1 JxP- /0- Zv2 31 Miks ne, - LA— II $ T • ; • ' (-�s� o . stAtt .4 f � •o1 j- ) 1- 3$33c ti' r tiu ROY COOPER • Govemor r„L +y v `' ''' NC DEPARTMENT OF HEALTH AND MANDY COHEN, MD,MPH • Secretary HUMAN SERVICES ,. \ � MARK T. BENTON • Assistant Secretary for Public Health N,,•'• ,,.,,. f Division of Public Health COMMON FORM FOR UCENSED SOIL SCIENTIST COVID-19 PERMIT OPTION FOR NON-ENGINEERED SYSTEMS See Instructions for Use in Appendix A Except for"Date received",this Section to be completed by the LSS in accordance with Si.2020-97,Section 3.19 and G.S. 130A-336.2 LHD USE ONLY: Initial submittal of this NOI received: j 0—.5 'II by 12 Dote Initials RECEIVE lb PART 1:Notice of Intent to Construct(NOI) • New ❑Expansion O C T J 2021 ❑ Repair—LHD Permit Number ❑Repair—EOP/LSS Permit Number Environmental Health 1. Facility Owner's name:(Owner,Company Name, Utility, Partnership,Individual,etc.): WJH LLC- Century Complete Mailing address: 9325 Center Lake Dr., Suite 160 City: Charlotte State: NC Zip: 28216 Telephone number: 833-791-0192 E-mail Address: katie.dyess@centurycommunities.com 2. Licensed Soil Scientist(LSS)name: Larry Thompson L55 License number: 1287 Mailing address:PO Box 541 City: Midland State: NC Zip: 28107 Telephone number: 704-301-4881 Email Address: larry@thompsonenv.com 3. Licensed Geologist(LG)(if applicable)name: N/A License Number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 4. Proof of Errors and Omissions or other appropriate liability insurance for the following persons is attached that includes the name of the insurer,name of the insured and the effective dates of coverage: ®1.55 ❑ LG 5. Property location (physical address,tax parcel identification number or subdivision lot,block number of the property to be permitted): 1446 Gristmill Drive, Conover, NC 28613 (Lot 118 - Millstone) County Name: Catawba 6. Type of facility: ❑U Place of residence No. Bedrooms: 3 No.Occupants:6 ❑Place of business Basis for flow calculation: ❑Place of public assembly Basis for flow calculation: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION 5605 Six Forks Road.Raleigh,NC 27609 MAILING ADDRESS:1642 Mait Service Center,Raleigh,NC 27699-1642 www.ncdhhs.gov • TEL:919-707-5854 • FAX:919-845-3972 AN EQUAL OPPORTUNITY 1 AFFIRMATIVE ACTION EMPLOYER f State of NC LSS Permit dption,COVID-1,9 LHD Reference: DJ,-/�-20 2 `690 ( 7. Factors that would affect the wastewater load: Proposal is for domestic strength wastewater only. 8. Type,location,and classification(per Rule .1961)of wastewater system: Pump to Accepted System located behind the proposed house site System Classification Type Il lb 9. Design wastewater flow:360 gpd Design wastewater strength: Q domestic ❑high strength ❑ industrial process(For industrial process wastewater,a Professional Engineer licensed in accordance with G.S.89C shall design the on-site wastewater system.) 10. A plat as defined in G.S. 130A-334(7a) is attached: ❑Yes 0 No A site plan as defined in G.S. 130A-334(13a)is attached: 0 Yes ❑ No In accordance with G.S. 130A-335(f), an LSS COV1D-19 Permit with a plat is valid without expiration and an LSS COVID-19 Permit with a site plan is valid for five years. 11. Owner meets requirements of ownership or control of the system per 15A NCAC 18A.1938(j): 0 Yes ❑ No 12. Easement, right of way or encroachment agreement required per 15A NCAC 18A.1938(j): n Yes ❑■ No If yes,documentation filed in County Register of Deeds in Deed book Page 13. Multi-party agreements required,as applicable, pursuant to 15A NCAC 18A .1937(h): ❑Yes 0 No If yes,agreements filed in County Register of Deeds In Deed book Page_ 14, Location of proposed or existing wells (drinking water,irrigation,geothermal,groundwater monitoring, sampling, etc.)and any potable and non-potable water conveyance lines is indicated on attached plans and complies with 15A NCAC 18A.1950: ❑■ Yes ❑ No This is a saprolite system. ❑Yes mi No 15. Evaluation(s)of soil conditions and site features in accordance with G.S. 130A-335(al)signed and sealed by a LSS is attached: Yes ❑ No 16. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑Yes ❑■ NA 17. Proposed landscape, site, drainage, or soil modifications are attached: ['Yes ■❑ NA Attestation by LSS pursuant to S.L.2020-97,Section 3.19 and G.S. 130A-336.2 I Larry Thompson hereby attest that the information required to be included with Licensed Soil Scientist(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal, State, and local laws,regulations, rules and ordinances,and that the proposed system does not require a Professional Engineer, licensed in accordance with G.S.89C,and in accordance with 15A NCAC 18A.1938p a.` activities determined to be engineering as determined by the North Carolina Board of Examiners for Engi ean rveyors." 10-03-21 Signature of Li sed Snit eiftist Date DHHS/EHS/OSWPB-LSS COVID-19 COMMON FORM Effective September 8,2020 Page 2 of 6 q State of NC LSS Permit dptioniCdVIO-],9 LHD Reference: ZU 2I ( °3r NOTES: LIABILITY: The Department, the Department's authorized agents, or local health departments shall have no liability far wastewater systems designed, constructed,and installed pursuant to an LSS COVID-19 Permit Option[S.L.2020- 97,Section 3.19(d)and G.S.130A-336.2J RIGHT OF ENTRY: The submittal of this Notice of Intent to Construct grants right of entry to the Local Health Department and the State to the referenced property. ISSUANCE OF BUILDING PERMIT: Once the LHD deems that the Notice of intent to Construct is complete via signature in the section below,the owner may apply to the local permitting agency for a permit for electrical, plumbing,heating,air conditioning or other construction,location or relocation activity under any provision of general or special law pursuant to G.S.130A-338. DHHS/EHS/OSWPB—!SS COVID-19 COMMON FORM Effective September 8,2020 Page 3 of 6 State of NC LSS Permit aption.COVID-1,9 LHD Reference: LSrf'I 2 0q—afD3l This section for Local Health Deportment use only. PART 2: LHD Completeness Review of the Notice of Intent to Construct "(c) Completeness Review for Notice of Intent to Construct.—The local health department shall determine whether the notice of intent to construct required pursuant to subsection(b)of this section is complete within five business days after receiving the notice of intent to construct.A determination of completeness means that the notice of intent to construct includes all of the required components.if the local health department determines that the notice of intent to construct is incomplete, the local health department shall notify the owner and list the information needed to complete the notice. The owner may then submit additional information to the local health department to cure the deficiencies in the initial notice. The local health deportment shall make a final determination as to whether the notice of intent to construct is complete within five business days after the department receives the additional information.if the local health department fails to act within any time period set out in this subsection,the owner may treat the failure to act as o determination of completeness. The owner shall be able to apply for the building permit for the project upon the decision of completeness of the notice of intent by the local health department or if the local health deportment fails to act within the five business day time period." The review for completeness of this Notice of Intent was conducted in accordance with G.S. 130A-336.2(c). This NOI is determined to be: D INCOMPLETE(If box is checked, Information in this section is required.) Based upon review of information submitted in Part 1,the following items are missing: Copies of this form listing missing items were sent to the LSS and the Owner on Date via with directions to re-submit missing items using Page 5 of this form. Email,FAX,LISPS,hand-delivered Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date Er COMPLETE (If box is checked, information in this section is required.) Based upon review of information submitted in Part I of this form,this NOI is deemed COMPLETE. Copies of this signed form were sent to the LSS and the Owner on D-11 2 f via J'dnA i Date Email,FAX,LISPS,hand-delivered A copy of this NOI and tracking information was sent to the State on via . Date Email,FAX,USPS,hand-delivered Print Nome of Authorized Agent oj'the LHD Signature of Authorized Agent of the LHD Dote DHHS/EHS/OSWPB—LSS COVID-I9 COMMON FORM Effective September 8,2020 Page 4 of 6 State of NC LSS Permit Option CdVID-19 LHD Reference: 1. 1 - ID -)a)1 - 1510St Re-submittal of NOI with missing items included This Section is for use by owner to submit items noted as missing during!HD Completeness Review above. Resubmittah must be accompanied by a cover letter from the US. LHD USE ONLY: This NOI resubmittal received: by Dote initials Item#from initial NOI Resubmittal description Attestation by LSS pursuant to S.L.2020-97,Section 3.19 I, hereby attest that the information required to be included with Licensed Soil Scientist(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws,regulations,rules,and ordinances. Signature of Licensed Soil Scientist Date The section below is Jar local Health Deportment use after submittal of items noted as missing above. LHD Follow-up Completeness Review of Notice of Intent to Construct This follow-up review for completeness of this Notice and Intent was conducted in accordance with G.S. 130A- 336.2(c). This NOI is determined to be: ❑ INCOMPLETE Based upon review of Information in the RESUBMITTAL above,this Notice of Intent remains INCOMPETE because the following Items from Part 1 of this form remain missing: Copies of this signed form were sent to the LSS and the Owner on via Date Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of outhorized Agent of the LHD Date ❑ COMPLETE Based upon review of information submitted in the RESUBMITTAL above in addition to information provided in Part 1 of this form,this NOI is deemed complete. Copies of this signed form were sent to the LSS and the Owner on via Date Email,FAX,LISPS,Hand-delivered A complete copy of this form with tracking information was sent to the State: via Dote Email,FAX,USPS,hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date DHHS/EHS/OSWPB—LSS COVID-19 COMMON FORM Effective September 8,2020 Page 5 of 6 State of NC L55 Permit Option COVID-19 LHD Reference: LSS 1 - I b'2'0(- 159 63I PART 3: Authorization to Operate(ATO) Except for dote received,the Section below is to be completed by the Owner. LHD USE ONLY: Initial submittal of request for ATO received: g SD—71 by 11 { Dote Initials � Date of Post-construction Conference: d 3J-2 2- The following items are included in this submittal for an Authorization to Operate under an LSS COVID-19 permit: 1. Signed and sealed copy of the LSS's report that includes: a. Signed and sealed evaluation of soil conditions and site features ®Yes ❑No b. Drawings,specifications, plans ©Yes ❑No c. Reports on special inspections and final inspection ❑Yes X❑ No d. Management Program manual 0 Yes ❑ No e. On-site Wastewater Contractor's signed statement ®Yes ❑ No 2. Fee (as applicable) ®Yes ❑ No 3. Notarized letter documenting Owner's acceptance of the system from the LSS ©Yes ❑ No 4. On-site Wastewater Contractor name: Sid Gaskins License number: 1077 Mailing address: 4744 Celia Creek Road City: Lenoir State: NC Zip: 28645 Telephone number: 828-244-9765 E-mail Address: sid@watermanagementnc_net 5. Proof of Errors and Omissions or other appropriate liability insurance for the On-site Wastewater Contractor is attached and includes the name of the insurer,name of the insured,and the effective dates of coverage. X❑Yes ❑ No Attestation by the Owner for Authorization to Operate Century Complete hereby attest that all items indicated above have been provided to the Print name of Owner Catawba County LHD and the system shall meet applicable federal,State, and local laws, regulatiQns rules and ordinances. Glenn Bird(Aug 24,2022 09:05 EDTI Aug 24, 2022 Signature of Owner Date This section for LHD Use Only. LHD Review of required information for the ATO ❑ INCOMPLETE Based upon review of information submitted by the Owner in the Section above,the following items are missing from the information required for an Authorization to Operate for an LSS COVID-19 permit: Copies of this signed form were sent to the L55 and the Owner on via Date Email,FAX,LISPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date 2 COMPLETE Based upon review of information submitted by the Owner in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336.2(m). A copy of this complete NOI/ATO with tracking information was sent to the State on 1))1Y12.2 via �,�viiii I` ,,,✓I I I-, ,�1 l n Dote Email,FAX,uvs,Handdelivered lf, Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Dote ISSUANCE OF CERTIFICATE OF OCCUPANCY: Once the LHD determines completeness based upon the ATO submission,the owner may apply to the local permitting agency for permanent electrical service to a residence,place of business or place of public assembly pursuant to G.S.130A-339. DHHS/EHS/OSWPB-LSS COVID-19 COMMON FORM Effective September 8,2020 Page 6 of 6 LSS COVID-19 Permit Option Tracking information The LHD completes this form for each NOI/ATO submitted to their offices. The LHD updates this information and re- sends it throughout the process as appropriate. The Department will use this data to answer any questions on the implementation of the LSS COVID-19 permitting process. Tracking information for LSS COVID-19 permits(Required) County Ca-l&ivivk LHD Reference Number LSS?- I Q-A:1)i - 151 63( Permitting backlog as of date of NOI submittal(#days) 3 b days Number of days to process the NOI(#days) 5 as iys Number of days to process re-submitted NOI(# I days or J� 1' "NA") p1 Facility type 3 Bearaonn rhos Domestic,High Strength or IPWW Do ineS-i Design Daily Flow 3.0 Jt Residential or Commercial Q SI t 1A System type(per Rule.1961) b Date of Post-construction conference Date Authorization to Operate issued Or_(L,,it Fee charged for LSS COVID-19 ifS s W. De Is fee sufficient to cover LHD costs? yeS Date LHD notified of LSS COVID-19 malfunction I Date LHD notified of Owner complaint DHHS/EHS/OSWP-COVID-19 Appendix A Updated February 2022 Page 4 of 4 Glenn Bird Century Complete 9325 Center Lake Dr.,Suite 160 Charlotte, NC 28216 Subject: Septic System Installation Acceptance Lot 118—Millstone 1446 Gristmill Dr Drive Conover, NC 28613 The septic system installed on the above referenced property was specified by Larry Thompson, LSS, and installed by Sid Gaskins. I,Glenn Bird, do hereby accept the septic system installed on Lot 118—Millstone. —7---t.- 2 13 I 2- 5 (27-- Glenn Bird (signature) Date NOTARY: State of North Carolina } County of IMAM J 9 } I,TcTh y1 t kw Sk (fi, Notary Public, do hereby certify that G n t fo4 personally appeared efore me this day and acknowledged the due execution of the foregoing instrument. �C Witness my hand and official seal this O�� day of 1 '� (J 'r , 20a (Official Seal) Dominique Stephens ~` NOTARY PUBLIC Official Signature of Mecklenburg County,NC My Commission Expires August 19,2026 l t(19 At. e '- Notary's Printed or Typed Name pp Notary Public My Commission Expires: D/19 /ay. August 25, 2022 RE: Septic System Installation Lots 112, 118, and 126—Millstone Subdivision The purpose of this letter is to confirm that the septic system installations for Millstone Subdivision— Lots 112, 118,and 126, Conover, North Carolina was installed in general accordance with the proposal submitted to your office by Larry Thompson, LSS. Sincerely, SMe z 6afkifir, (71-. Sidney L Ga3'kins,Jr. (Aug 26,2022 05:00 EDT) Sid Gaskins Water Management of North Carolina, LLC 4744 Celia Creek Road Lenoir, NC 28645-6706 ilotit cot SITE 8 13 Figure 1 . Lot 118 Millstone i T W N NOT TO SCALE VICINITY MAP ) • 124A' - ...,WM 577°00'44"E 129.90' C T SRF LINETYPE LEGEND 1 I =LINES SURVEYED ••�— — — — — 'LING NOT SURVEY® �• HATCH LEGEND =ROAD RIGHT OF WAY—-SETBACK LINE'SBUILDINGDINGM Q 0 COrtR1:1E- , Pressure J • L • Manifold cv m M ' urisdictional Stream Begins ` J NerLOT51 1 PS 17 PG 162 it in PIN N3744 1432 19 7 4 i'M LOT 53 ` g :4': PI 47 PG 162 13-8 Z PIN 1374414323859 �n 0 Soil Borings I.) 3,000 sq.ft. 50' Stream drip repair Buffer 1"=40' 62 SRF SRF ► N76°26'06'W r 15.54' . 3. Lel N. I LOT 117 P8 51 PG 62 PIN 1374414322784 N I 0 4 I LEGEND cNi — .Ll-- 0 - N •=SPOT ELEVATION tn o=COMPUTED POINT LOT 119 w I Septic Tank I 3 CN=CABLE NODE P851 PG62 v I 1 b CT=CULVERT PIN 4374414320860 1 79•^- 37$ -- DB=DEED BOOK 1I a FY=FRONT YARD SETBACK Z N E55E7(-A-LH 4 ? HW•HEADWALL Spu A on PB=PLAT BOOK 45#0�'�a, 102.5' PG=PAGE . $ i. it 17.5 4 RW=RIGHT OF WAY �;l;; L 20 +�� SF =SQUARE FEET ,',5dirt.-f, 35 FY SRF= SMOOTH ROD FOUND K`.7„. �+ Q SY=SIDE YARD SETBACK 21%mod' a •'°<<; , TF=TRANSFORMER ', TP=TELEPHONE PEDESTAL • o-,-, i IF WM-WATER METER YI YI=YARD INLET SRF .. �IP Cam" N77°09'49"W 118.01' , SSF 1090. SCALE 1"= 40' ilstoor 13 A5 g.A4- _ I Toe . 3 > nt _5q 67-- > la] g4/ 'TToM ��t1 FL�GD T PS Flow / % _ 3i - $o to,!-/ !oa'io _ r / loo10 �fk_ yb / 709 tla- Lio 7.,, / 7o°I 9 / 49% _ _ at- 6S -- p (i- ) AcaRIf CERTIFICATE OF LIABILITY INSURANCE DATE(MMfOD1WYY) 8/14/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Betsy Darst RIC,a Bankers Insurance Company PHONE FAX 128 NC-65 cA1c..HtzExU:336-280-0316 _ __ (A/C,No.):800-899-0146 E-MReidsville NC 27320 ADDRE_SS: bdarst@bankersinsurance.net INSURER(S)AFFORDING COVERAGE NAIC rr Luse#:6387078 INSURER A: Frankenmuth Mutual Insurance C ompay 13986 INSURED WATEMAN-Ot INSURER B: Water Management of North Carolina, LLC - 4744 Celia Creek Rd INSURER C: _ Lenoir NC 28645-6706 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:880362191 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL suER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR �WSD4YVVDIMM DD/YYYY1 IMM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 6657470 2/26/2022 2/26/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence)._ $1,000,000 MED EXP(Any one person) $10,000 PERSONAL S ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY L� PRO- S-COMP/OP AGG $2,000,000 LOC PRODUCTS __ X JECT __. OTHER: $ A AUTOMOBILE LIABILITY 6657469 2/26/2022 2/26/2023 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per acddent) - $ A UMBRELLA LIAB OCCUR 6657470 2/26/2022 2/26/2023 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X I RETENTION$1rl fWI $ A WORKERS COMPENSATION 6657468 2/26/2022 2/26/2023 X AND EMPLOYERS'LIABILITY Y/N STATUTE ERH ANYPROPRIETOR/PARTNERIEXECUTIVE Y E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - -- - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A LeasediRented Equipment 6657470 2/26/2022 2/26/2023 Max Per Item(ACV) $100,000 Deductible $500 i 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The Workers Compensation policy contains an Owner/Member exclusion for Sidney Gaskins. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Thompson Environmental Consulting ACCORDANCE WITH THE POLICY PROVISIONS. P,O. Box 541 Midland NC 28107 AUTHORIZED REPRESENTATIVE USA A ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Residential Subsurface Wastewater Treatment and Disposal System COVID-19 Proposal for Lot 118 — Millstone 1446 Gristmill Drive Conover, NC 28613 PIN # 3744-1432-1873 September 29, 2021 Prepared for: Glenn Bird Century Complete 9325 Center Lake Dr., Suite 160 Charlotte, NC 28216 1-833-791-0192 Prepared by: Michael G. Wood, LSS 0.0 SOu se,, Thompson Environmental Consulting, Inc. 'r � _"'C �''�t PO Box 541 1 -jl _ Midland, NC 28107-0541 .2t,. Phone: 704-301-4881 %Ck" ' 1219 larry@thompsonenv.com Lot 118—Millstone Century Complete has contracted with Thompson Environmental Consulting (TEC) to prepare a septic proposal for a new 3-bedroom single family residence to be located on Lot 118, Millstone, 1446 Gristmill Drive,Conover,North Carolina(Catawba County PIN:3744- 1432-1873). Based upon a soils investigation performed by TEC, it has been determined that a sufficient amount of"Suitable" Group IV soils is available for the installation of Pump-to Accepted System with a 25%reduction for the initial system at a 0.30 GPD/ft. sq. long term acceptance rate (LIAR). The repair will be a Non-Treated Drip Dispersal System with an LTAR of 0.15. The property is served by a municipal water supply. The beginning of the jurisdictional stream was determined in accordance with the NCDWQ Stream Identification Form. The enclosed Licensed Soil Scientist Evaluation is being submitted pursuant to and meets the requirements of SL 2020-97 Section 3.19. Century Complete requests that Catawba County Environmental Health (CCEH) issue the appropriate permits for a subsurface wastewater treatment and disposal system based upon the following proposal and the enclosed LSS COVID-I9 permit option. Location From Conover, take 1st Avenue north. Take a left onto County Home Road for 2.2 miles, then a right onto Lee Cline Road for 2.5 miles. Left onto Houston Mill Road for 0.4 miles, left onto Sone Drive, third left onto Gristmill Drive. Lot will be on left in approximately 0.1 mile. References Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A, Section.1900, Department of Environment and Natural Resources, Division of Environmental Health, On- site Wastewater Section, December 6, 2018. Accepted Wastewater System No. AWWS-2005-02-R6; North Carolina Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, August 21, 2015. Primary Investigator's Credentials NC Licensed Soil Scientist No. 1219 SC Professional Soil Classifier No. 114 2 Lot 118—Millstone Plans and Specifications A. Septic Tank 1. The septic tank shall be State approved (Section .1953 of 15A NCAC 1SA), watertight, structurally sound, and 1,000 gallons in capacity. 2. The septic tank will be fitted with an approved effluent filter and riser for easy access and periodic maintenance. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tank has had time to properly cure and is free of cracks or other structural deficiencies. B. Pump Tank 1. The pump tank shall be State approved, of one-piece construction, watertight, structurally sound and 1,000 gallons capacity. Again, it is the responsibility of the septic tank contractor to thoroughly inspect each pump tank prior to accepting delivery. 2. All pipe penetrations into the tank shall be booted (i.e., C-293 boot with a stainless- steel strap). 3. The pump tank shall have access risers that extend, at a minimum, 6 inches above finished grade and must have less than 36 inches of fill over its top once finished grade has been established(a reinforced concrete tank will be required if finished soil cover is 36 inches or greater in depth). 4. Floats, pump and control circuits, and the control panel shall meet the requirements of Rule .1952(c). Panel and control equipment shall include lightning protection, be protected from unauthorized access, and always remain accessible to the system operator. 5. The pump and alarm controls shall be provided with manual circuit disconnects within a watertight, corrosion resistant, NEMA 4x rated control panel. The control panel must be securely mounted outside, adjacent to the pump tank riser and at a minimum of 12 inches above finished grade. Pump and float control wiring should be long enough to reach from the tank to the control panel without splicing, routed through wire conduit, and sealed at the openings within the pump tank as well as the control panel enclosure. It is paramount that the conduit is properly sealed to prevent the escape of flammable gases from the pump tank. Furthermore, there must be two electrical circuits for the pump tank controls: one for the pump and one for the alarm controls. 6. Float switch tie downs must be made of a corrosion resistant material (per OWPS,all metal in the tanks shall be stainless steel). Floats should be mounted on a separate "float tree"rather than the pump supply line(see pump tank detail). 7. The pump removal system will be via a pump tether made of nylon rope or its equivalent. The tether material should be resistant to mildew and rot. 3 Lot 118—Millstone C. Pipes and Fittings 1. All discharge piping, connectors and supply lines should be made of SCH 40 PVC. 2. All joints must be properly "welded" utilizing the appropriate PVC cement for each application. 3. The supply line from septic tank to the pressure manifold shall be 2-inch Schedule 40 PVC (approximate length of supply line is 150 feet). 4. There shall be a threaded PVC union above each pump to facilitate easy removal of the pumps for maintenance or replacement. D. Distribution Method—Pressure Manifold 1. A pressure manifold shall be used to distribute wastewater to five drainlines. 2. The pressure manifold shall be contained within an adequately sized box/vault that will allow future repair lines to be installed and is designed to allow for drainage of effluent that may accumulate in it during flushing and head pressure adjustments. The box should be placed upon a gravel base. 3. A gate valve shall be provided at the pressure manifold box to allow for final pressure adjustment (2 foot of head pressure as per design). 4. The pressure manifold shall be constructed of SCH 80 PVC. 5. There shall be 4 taps(one 1/2-inch SCH 80, two 1/2-inch SCH. 40 PVC, one 3/4-inch SCH 80 -direct thread or saddle). 6. The connecting pipe between the pressure manifold taps and the drainfield shall be constructed of PVC. E. Drainfield Installation 1. The drainfield has been previously laid out on-site utilizing metal stemmed flags. The property owner/builder should mark this area and isolate it as much as possible from construction traffic. 2. Under no circumstances shall any construction take place within the drainfield area while the soil is in a wet condition. 3. The specified system the shallow placed innovative wastewater system Infiltrator Quick4 Chamber System or any other system with a state-approved 25% reduction in required drainline length. 4. The drainfield consists of four (4) lateral trenches 3-foot wide and 52, 65, 80, and 103 feet long. Total drainline length is 300 feet. 5. The trench depth for this system shall be 16 inches. 6. The laterals are to be installed on contour with the land, keeping the individual trench bottoms level from beginning to end. Initial System-Millstone Lot 118 Field Line* Color Initial/Repair Field Length System Length Setup#1 I Relative Elevation 1 White Initial 52 52 3.95 96.05 2 Yellow Initial 65 65 4.8 95.2 3 Red Initial 80 80 5.8 94.2 4 Blue Initial 103 103 7.3 92.7 300 4 Lot 118-Millstone F. Final Landscaping 1. Final cover over the drainfield shall be at least 6-inches deep. Additional soil cover may be required to achieve the 6-inch requirement. 2. The drainfield shall be shaped to shed rainwater and be free from low spots. 3. The entire area of the drainfield should be planted with grass as soon as possible to prevent erosion. The soil should be properly tilled, limed(if necessary)and fertilized prior to planting. After applying grass seed,the area should be heavily mulched with straw or other suitable material. G. Utility/Drive Conflicts 1. The builder and property owner must take special care in planning for utilities(water, power, gas, telephone, cable lines, etc.). All utilities shall be kept clear of the septic system and its proposed repair area. Improper planning for underground utilities can negatively impact the installation and, in some cases, cause irreparable damage and permit revocation. If there are any questions regarding preferred routes, contact the County as soon as possible. 2. Water lines must be kept at least ten(10) feet from any portion of the septic system. 3. Irrigation systems should not be placed in the drain field area. Maintenance H. In General The designed system does not require ongoing maintenance via a person certified (Certified Subsurface System Operator)by the North Carolina Department of Environment and Natural Resources to operate subsurface wastewater systems(Section .1961 Maintenance of Sewage Systems). However,the following maintenance should be considered by the owner. 1. The homeowner must maintain the drainfield area through periodic mowing. The drainfield must not be allowed to become overgrown. 2. The septic tank should be pumped every 4 years or when the solids within the septic tank reach an elevation that is equivalent to 25% of the volume of the tank. In some situations, the tanks may need to be pumped more frequently. If you are using a garbage disposal, it is recommended that the septic and pump tanks be cleaned out annually. 3. When it becomes necessary to clean the effluent filters, the filters should be removed, and the accumulated debris washed back into the septic or pump tank—not onto the lawn. 4. Any damp areas, leakages or malfunctions in the drainfield should be addressed immediately. 5. Divert gutter downspouts and surface water runoff away from the drainfield and septic and pump tanks. 5 Lot 118—Millstone Initial System Design Specifics Daily Design Flow: 360 GPD—3-bedroom house Effluent Loading Rate: 0.300 GPD per sq. ft. Drainfield Type: Accepted(25 %Reduction) IIIB-G Maximum Trench Depth: 16 Inches Supply Size: 2 Inch Supply Line Length: Approximately 150 feet Number of Drainlines: 4 **Drain Lines: 3' Wide x 52' Long 3' Wide x 65' Long 3' Wide x 80' Long 3' Wide x 103' Long **Drainline Spacing: 9 Foot on Centers Total Trench Length: 300 Linear Feet Distribution Method: Pressure Manifold Final Cover Requirement: 6 Inches Pump Requirements: 29.80 GPM at 25.54 ft head Recommended Pump: Goulds Pump WEO5H or equivalent Dose Volume: 146 gallons Pump Run Time: 4.89 minutes Pump Tank Drawdown: 7.3 inches(Assumes 20 gal/in in Septic Tank) ** See drainfield layout for site locations and more details. 6 Lot 118—Mill stone Repair System Design Specifics Effluent Loading Rate: 0.15 GPD per sq. ft. Drainfield Type: Non-Treated Drip Dispersal Total Square Footage Required: 2400 Square Feet Total Drainline Length Required: 1,200 Linear Feet Maximum trench depth: 9 inches Final Cover Requirement: 6 Inches 7 HEEL op h SITE t ce 0 Figure 1 . Lot 118 Millstone U zo TN„t oR AZ : 8 NOT TO SCALE VICINITY MAP • 124.0' - wiz 577°00'44"E 129.90' C41.p SRF LINETYPE LEGEND LINES SURVEYED B - - - - - .LINES NOT SURVEYED HATCH LEGEND - - =ROAD RIGHT OF WAY Sf - - - =SETBACK LINES C C 4J J J c BULDNG J . COilk �� Pressure g M Manifold -----Pi?,-; El ' urisdictional Stream Begins w 107 51 r P8 47 PG 162 q M PIN 4374414321974 O LOT 53 °r'1 7 4. PB47PG162 in M PIN 2374414323859 N Z N 0 Soil Borings L 3,000 sq.ft. 50' Stream 1"=40' drip repair Buffer B2 SRF SRF N76°26'06"W r 15.54' rn I r LOT 117 P8 51 PG 62 PIN 03744 I 4322784 I O 4 I 64 LEGEND CV C .11 ' 0 I-A-i •41= SPOT ELEVATION I0=COMPUTED POINT Lo,Hs, 0 Septic Tank I _ CN=CABLE NODE PB 51 PG 62 0 l g CT=CULVERT PPINS374414320860 ; 17.9. 37$ DB=DEED BOOK P I FY=FRONT YARD SETBACK , ESSEX-A-LH ? HW=HEADWALL so I4 "' PB=PLAT BOOK CE' lots PG=PAGE N 17sf Rw=RIGHT OF WAY �, :� � SF =SQUARE FEET • 35FY SRF= SMOOTH ROD FOUND . ' ..c.N. . — SY=SIDE YARD SETBACK 0' 'j+• TF=TRANSFORMER "rl ;.Z— TP=TELEPHONE PEDESTAL WM=WATER METER SRF • YI TF II iP YI=YARD INLET N IF C N77°09'49"W 118.01' S•F ,oci a SCALE 1"= 40' DEPARTMENT OF HEALTH AND HUMAN SERVICES 34411- )N 31_' t3 Sheet of DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID#: ON-SITE WATER PROTECTION BRANCH COUNTY:C4rAwth SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: lAW! 4-IZtnl' + Ji_NV ALL ;sots! _ APPLICATION DATE ADDRESS: DATE EVALUATED: 1-' -21 PROPOSED FACILITY: P4'-; Nit, PROPQ SED DESIGN,FT OW(.1949): 3 4,0 PROPERTY SIZE: 9,$5 Ar LOCATION OF SITE: P-FiL fiR15Trr;to. UWE Can(o(IE1. Ne' 2$(.1.3 PROPERTY RECORDED: WATER SUPPLY: U Private %Public D Well D Spring C Other EVALUATION METHOD: )(Aur Boring El Pit ❑Cut TYPE OF WASTEWATER: Sewage C Industrial Process C Mixed • • • • P R SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS I .1940 g LANDSCAPE HORIZON POSITION/ DEPTH PROFILE N SLOPE% UM .1942 .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE! CONSISTENCE! WETNESS/ SOIL SAPR RESTR <AR TEXTURE MINERALOGY COLOR DEPTH 0 HORJZ CLASS D- q cg/ i!iel A .NI Ale I- y - tio & r , `lam Ss s — r' 5 0 . d - 22 , st3k j sc,Fr,S5 SP Se 5 .`cti_sf z PesP 2 /1 , Z 1 " 2 1 1, (1) a- s A,ebl i ,vs, 4J P,AJ L.5 5-- 73 f SL,K he i'Fi cs,s e, $1= .S1Q SjZ P.5 3 E. 3i11 31ll - - O 3 b - $ GP/1,-(f f/fit i S,a NrrL 7��{(2Sf; ��� 5 . - o r kg f$c/fit. ss s p�s c { P 4 � , 16P I8 - D . I,c DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(1946): o4 se SITE CLASSIFICATION(.1948): Pea,' . r U 1 Y. ``Q Available Space(.1945) Ps P5 r EVALUATED BY: Al WOOD r ;;l �fy System Type(a) OCCt✓P T J� AA(ACEb�C. OTHER(S)PRESENT: , G""_t Site LTAR 0 3 O IC- // Updated February 2014 Thompson Environmental Consulting, Inc Tax ID Number: 374414321873 PO Box 541 Location: Lot 118—Millstone Midland,NC 28107-0541 Date: July 13,2021 z 2 a a Z r � a rl 8 1. . . )! 1 . .. . . • . . . . . . . , . a i a ,4 • U �. `, ''' 4 . , mow- aim 44 I 8xI 4 ' .N AI I 0 � o I„p d r L._ x c� °a, C > ' ' • Y z4 i - GO C 6. cL cn °�`= I n aV. . z N • ,1*-' i 1 u . . j5 54 r _ O F. X. 1 9 f; 50 Pa g $ t& M Name: Century Complete P.I.N.#: 374414321873 Address: 1446 Gristmill Drive Subdiv: Millstone Lot#: 118 #of BDR: 3 Daily Flow: 360 gal/day L.T.A.R.: 0.30 gallday/sq.ft Septic Tank: 1000 gals Pump Tank: 1000 gals Sq. Foot: 900 Stone Depth: Number of Taps: 4 Length of Trenches: 300 ft(See Tap Chart for Details) Depth of Trenches: 16 in Manifold Length: 42 in Manifold Diameter: 4in sch 80pvc Manifold Tap Configuration: 6 in spacing 1 side(s)of manifold Supply Line: length: 150 ft Diameter: 2 in sch 40pvc Friction Loss+Fitting Loss: 4.54 ft(supply line length +70'for fittings in pump tank) Design Head: 2 ft Elevation Head: 19.00 ft Total Head: 25.54 ft Pump to Deliver: 29.80 gals/min at 25.54 ft head Dosing Volume: 146 gals, Drawdown: 146 gals divided by 20 gals/in = 7_3 inches TAP CHART Bench Mark 0 is=100.00 set at Design Head: 2 Pump tank elev. 0 83.05 Pump elev. 78.05 Manifold elev. 97.05 line color rod read Elevation length hole size ffowltap gaUday trench area LINE LTAR 1 White 3.95 96.05 52 1/2in SCH 80 5.48 66.20 156 0.424 2 Yellow 4.80 95.20 65 1/2in SCH 40 7.11 85.89 195 0.440 3 Red 5.80 94.20 80 1/2in SCH 40 7.11 85,89 240 0.358 4 Blue 7.30 92.70 103 3/4in SCH 80 10.1 122.01 309 0.395 total feet = 300 gallmin= 29.8 LTAR= 0.40 %of Dose Vol. 75 Des.Flow 360 (Itar+5%) 0.42 Dose Volume 146 Pump Run= 12.08 (Itar WI INOV) 0.53 Dose Pump Time 4.91 Tank GaUIN 20 (ltar+5%) 0.56 Drawdown In Inches 7.3 Elev.Head 19.00 Supply Line Length 150 Comments: M GOULDS PUMPS Submersible w Effluent Pump - MODEL 3885 WE S erieas es PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS •Shaft:Corrosion-resistant, Single phase(60 Hz): can be operated continuously stainless steel.Threaded •Capacitor start motors for without damage when fully Specifically designed for the design.Locknut on all models maximum starting torque. submerged. following uses: to guard against component •Built-in overload with •Bearings:Upper and ••Formess damage on accidental reverse automatic reset. lower heavy duty ball bearing rotation. •STTOW or STOW severe duty construction. •Trailer courts oil and water resistantpower •Motels ■Fasteners:300 series •Power Cable:Severe duty stainless steel. cords. •Schools •',and'h HP models have rated,oil and water resistant. •Hospitals ■Capable of running dry NEMA three prong Epoxy seal on motor end •Industry without damage to grounding plugs. provides secondary moisture •Effluent systems components. •3/4 HP and larger units have barrier in case of outer jacket ■Designed for continuous bare lead cord ends. damage and to prevent oil operation when fullywicking.Standard cord is 20'. SPECIFICATIONS submerged. Three phase(60 Hz): Optional lengths are available. Pump •Class 10 overload protection •0-ring:Assures positive •Solids handling capabilities: MOTORS must be provided in sealing against contaminants 3/4"maximum. separately ordered starter and oil leakage. •Discharge size:2"NPT. •Fully submerged in high- unit. grade turbine oil for lubrication • •Capacities:up to 140 GPM. STOW power cords all have AGENCY LISTINGS •Total heads:up to 128 Feet and efficient heat transfer. bare lead cord ends. Tested to .778and TDH. ■Class B insulation on ■Designed for Continuous m CSA 222 108 Standards •Temperature: '73-1 h HP models. Operation:Pump ratings are By Sandards 104 F(40`C)continuous ■Class F insulation on 2 HP within the motor manufacturer's c us r^ 'ile s 140E(60:C)intermittent. models. recommended working limits, •See order numbers on oou�s ISOsool ' reverse side for specific HP, METERS FEET voltage,phase and RPM's 40- 130 _ available. •wEr 1 1 120' — SERIES:WE _ RPM:3500& 35- i —. 175Q 110' _- FEATURES 30- too { • scPn+ __ ; { . I_�_.r-__ ■Impeller:Cast iron,semi- 90[WHIN • -— —- sFr rt open,non clog with pump out W 25 so.• I► _ [ 1— vanes for mechanical seal 7 — I — protection.Balanced for a 20- 701 , ,7H . smooth operation.Silicon o 60 *, bronze impeller available as o '^'r°�' i 15 50 - 7— —1- an option. 40 0�+ . --- ... ' . ; . . I ■Casing:Cast iron volute type 10- 30 , , . 2__ I . i . .for maximum efficiency. �` ` { 2"NPT discharge. 20 s- 10 ----- - _ ��0 ( I1111hlk L ' --- ■Mechanical Seal:SILICON CARBIDE VS.SILICON o- o __._:! __i _,J CARBIDE sealingfaces. 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160GPM 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Stainless steel metal parts, 0 5 10 15 20 25 30 35 m3/hr BUNA-N elastomers. CAPACITY Goulds Pumps Eff 2003 July, s mps ITT Industries Effective July,2003 www.goulds.com 4.? 83885 n GOULDS PUMPS Submersible COMPONENTS 4V C Effluent Pump got Item No. Description 7 MODEL 3885 1 Impeller I; 2 Casing 3 Mechanical Seal 5 �_6 4 Motorr WESeries Shaft 5 Motor 4 6 Ball Bearings 8 3 7 Power Cable I 8 Casing 0-Ring 1 t I Ma 2- MODELS PERFORMANCE RATINGS (gallons per minute) Order No. HP Volts Phase Max.Amp. RPM Solids Wt.(Ibs.) Order WE0311L 115 10.7 No. WEO3L WEO3M WEO5H WE07H WE1OH WE15H WEOSHH WE15HH WE20H WE0318L 208 6.8 HP 'L, 'h V2 '/4 1 1'/2 '/2 1'/2 2 WE0312L 230 4.9 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 WE0311M 1/2115 10.7 1750 56 5 86 - - WE0318M 208 1 6.8 10 70 63 78 - - - 58 - - WE0312M 230 4.9 15 52 50 70 90 - - 53 - - WE0511H 115 14.5 20 27 35 60 83 98 123 49 90 136 WE0518H 208 8.1 25 - - 48 76 94 117 45 87 133 WE0512H 230 7.3 A 30 - - 35 _ 67 88 110 40 83 130 WE0538H 200 4.9 35 - - 20 57 82 103 35 80 126 WE0532H 230 3.3 5 40 - - - 45 74 95 30 77 121 WE0534H 460 3 1.7 V 45 - - - 35 64 86 25 74 116 WE0537H 575 1.4 -0 50 - - - 25 53 77 - 70 110 WE0511HH /' 115 14.5 60 i 55 - - - - 40 67 - 66 103 WE0518HH 208 1 8.1 'm 60 - - - - 30 56 - 63 96 WE051211H 230 7.3 65 - - - - 20 45 - 58 89 WE0538HH 200 4.9 70 - - - - - 35 - 55 81 WE0532HH 230 3.6 75 - - - - - 25 - 51 74 WE0534HH 460 3 1.8 80 - - - - - - - 47 66 WE0537HH 575 1.5 90 - - - - - - , - 37 49 WE0718H 208 1 11.0 i 100 - - - - - - - 28 30 WE0712H 230 10.0 WE0738H 200 6.2 WE0732H '/` 230 5.4 DIMENSIONS WE0734H 460 3 2.7 '/4" (All dimensions are in inches.Do not use for construction purposes.) WE0737H 575 2.2 70 WE1018H 208 1 14.0 A .-N ` WE1012H 230 12.5 3500 ••" I WE1038H 1 200 8.1 11'/z' s WE1032H 230 7.0WE1034H 460 33.5 RO ATON -WE1037H 575 2.8 WE1518H 208 17.5I 16" 2"NPT WE1512H 230 15.7 fi�l WE1538H 200 10.6 8I'h" vm \ �� l`J �� WE1532H 230 3 9.2 I �� '� "YY 3'1: WE1534H 460 4.6 ■/► �1-� WE1537H 575 3.7 KICK-BACK �, . WE1518HH 1/' 208 17.5 /° WE1512HH 230 1 15,7 WE1538HH 200 10.6 WE1532HH 230 3 9.2 WE1534HH 460 4.6 WE1537HH 575 3.7 WE2012H 230 1 18.0 WE2038H 200 12.0 WE2032H 2 230 3 11.6 83 WE2034H 460 5.8 WE2037H 575 4.7 Goulds Pumps and the LIT Engineered Blocks Symbol are Goulds Pumps registered trademarks and tradenames of ITT Industries. PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. ITT I nd ustries Tax ID Number: 374414321873 Thompson Environmental Consulting, Inc. PO Box 541 Location: Lot 118-Millstone Midland,NC 28107-0541 Date: July 13,2021 Recommended Pressure Manifold Design (Number of Taps May Var),) Tap dirrrl Harm]at %wile Cchanwl lit hipped with stale adgttnr.trim � LI:esume tread date?) tit with Inside sump J �4�all,',a.2.i ir..,yra :re ,.;.a.w.,.'�.elt. ry��......._ aaH�..4,. +�--..;:tt�. % , — �= .anai:.i r reams a adjustment f . gene valve I r" 0. lo tvp I ma,.11 r 1 I< it 4 `i. ' -- ., yy�r{Ty}y7 f - {�[}j1 A miter nth mu _ (lrlemtd vaiU.Lain) -., iw,,•,z.; ri.4.YLarc,.,.,Wis.�.wY,�..��.w.,.r.�,,x C.v�u m ....... ,u:.: deosfokd ° %°i °. ego.. u a " 14 True-union ball vide. /ha0 vahre a�ih ewp dkeormed wiors) J 1 1 1 1 1>3" L liras 1 1 1 �P r rObservallaa pod pea elk►hstsimt (o dnaiilire] `r trait t Ala slope", beau&to grads adds nennoeable cap) Ouick4"" STANDARD CHAMBER - —52" - - Quick4 Standard Chamber 48' -- (EFFECTIVE LENGTH) ,,... . i ) • 1 11111111.111111111111111111 . Ea se��■ Emma INElf' 34" SIDE VIEW SECTION VIEW MultiPort End Cap , Ia • • . o.......;.,, . 12" it . I Ali 0 .___ 34" SIDE VIEW TOP VIEW FRONT VIEW ouick4 Standard Chamber Nominal Specifications MultiPort End Cap Nominal Specifications Size(WxLxH) 34"x52"x12" Size(WxLxH) 34"x16'x12" Effective Length 48° Invert Height 8"or 1.25" Invert Height 8" INFILTRATOR SYSTEMS,INC.STANDARD LIMITED WARRANTY la - , - :- e:, t, ;..,.., .. n. �,5crena I Rlrlls1,smear hstallod and operated a xir:'.I,1,1d u'tn': e sep:lx;syglUn r avcuf or ice wrl•I;:lIuany'e eislnuclx„'I..;',warranlikl a,)as original purchaser(-Flakier-1 aglarrat defective matollals leaf workmanship for one yaw from the date that the septk permit is sawed for rho septic system Weaning the Units:proerind,however Ty d u:topic wearer k not 5 mixed by apmust ally nfwr for lamming trits alit brain upon thea date Old installation n of the septiceneCu system tterr)commences. I N FI LT T R To oxernw its warranty nghts.Holder must rxrly InNtrata in wising at its Qxtxralo Hmd4uadars h Old Seyhnxlu,�naarxur rnthal Ahee1(15) drys nr the alleged defect Infltratur we sets*replacement meet bees fir Linea dehormnd by Inane.-to be coeered by this I inked Wamrry ntAra0 V h iebaty'speUicaly excludes rho Cost o/removal a Bier instaiation of the Lists n Ibl THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE PICI USIVE. T AN IN ERE ARE NO OTHER WARRANTIES WRH RESPECT SYSTEMS I N C TO THE UNITS.INCI UNG NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESSH FOP A PARTICULAR PURPOSE lc)That limited Wenar ly sraL le void a any part d the chrrerr system is manufactured by etyma other than OYtrala The Laded Warranty does not extend to nndrrlal.canseghortal.shoud or tndrect damages.infiltrator shall rot be lade for penalties or w,.<ated rrarrsges miming loss of Environmental Onsite Wastewater Solution? Mt:leCten and profits.tabor arra ma;mers.nvrrlrxal costs.et odor losses or eugxraes Owned try eo:Herb u met Thiel party Sµrr.ik:aly excluded from Inland Warranty arv,ray,r a,a canrage to Ma halls due In crrl.vey anon and xaa.alteralrrl,seeded.,ev:usu,abuse or lrropu i or the„ids.the Units bag soleaded to whole ditto or other condemns which aro not pentattad by Ire nstalation InStn,rtions.fails to maintain the 6 Business Park Road• P.O. Box 768 minimum wound rovers set forth in the installation helructicc,the plarnnxnl<if II llNnpel nletovuls kiln the Syate)n 4Uatunhg Illy I nits;failure of the Units or the septic system die to miaow vitlrq or alprnprr sizing.exceaelva were usatpr rn(ru{rer grease disposal.or imprgw,410,1:0or or Old Saybrook, CT 06475 any other merit rot caused by Infiltrator This I Sneed Warranty shall be void if the Holder fails to comply with al of the terms set kinh h this l Mend Werrairy 860-577-7000• FAX 860-577-7001 Further.r',n aw shelln;shellkilt ato e.r be rprwn/ea'or any loss Cr damage to the,14iVMS.rfar,the Is.orwry Marl party vvsrilny am nsIAWxn ra t tamp 800-221-4436 rerun,a Oran we,I od,cl irility dams ul tk1der or any thnl(aty for Mrs Unload Warranty to,why.the Ones must be rstered In axordance with an site condemns rerluaed by state and local codas;al other applicable laws.end nfiitrators nstataaon irstnr:ti<r,s Id)No representatiwl of nNtrator has the out orgy to change or extend Ns Lrn0M Warranty. No warranty applies hi any Platy other than the origi- nal Holder The above represents the Saida d Llltatad Warranty ollanrd by Mhrator.A limed number W states and counties time Afferent warranty rali,ie- mem Any purchaser of Units should fuixcl hfetratu's Corporate Head arms a1 Old Saytaonk.Correctrut,prxr to srdr puniuwe.to obten a copy a the applicable warranty.end should caralufy reed that warranty prior to the purchase of lines. U.S.Patents.4.759.661:5,017.041;5,156.488;5,336,017:5,401,116;5.401.459;5,511,903:5,716.163;5,588,778:5,839.844 PS Canadian Patents:1.329,9.59:2.004,564 Other patents pending. Infiltrator.Equalizer and SideWinder are registered trademarks of Irtfiltratcx Systems Inc.Infiltrator is a registered trademark in France.Infiltrator Systems Inc. is a registered trademark in Mexico.Contour,Contour Swivel Connection,MicroLeaching,PolyTUfl.SnapLock.Chambe,Spver.Rostock.QuickCut.OuickPlay AECI'txea►Av[n and Ouick4 are trademarks of Infiltrator-Systems Inc.0 2003 Intithator Systems Inc.Ported in U.S.A. 001 120311P-0