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HomeMy WebLinkAboutRBPR-12-2021-39531.TIF A $ �G THIS IS NOTA PERMIT Case# RBPR-1 2-202 1-3953 1 CATAWBA COUNTY HEALTH DEPARTMENT 075 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /841, 5M Residential Building Plan Review- Building New IMPROVEMENT-AUTH CONST- NEW WELL gelli ed Contact Person NEST HOMES LLC (ALLEN VANNOPPEN),236 RACEWAY DR SUITE 7,MOORESVILLE NC 28117 B:7044028594 C:8284433366 AVANNOPI'EN@NESTEIOMES.COM Contractor *NEST 11OMES I,I,C (ERIC WOOD),PO BOX 3965,MOORESVILLE NC 28117 11:9803374813B:7042084251 C:7044339947 IIOME:9803374813 OTHER:9805001226 JDUBO1S@NEST11 OMES.COM Land Owner TREELINE HOLDINGS LI,C,9190 GREENWOOD RD,'FERRELL NC 28682 NAME TO APPEAR ON PERMIT *Nest Homes LLC (Eric Wood) SITE ADDRESS: 7039 COBBLEFIELD LN,DENVER NC 28037 PIN# 460603024802 NAME of SUBDIVISION: COBBLESTONE Lot 23 Section/Block PROPERTY SIZE: Square Feet Acres 1.03 DIRECTIONS: Slanting Bridge Rd south/left Burris Rd/right on Cobblefield PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GA R DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 7/12/23 REVISED TO a2 AC 5/1/23 REVISED TO a2 IP. COUNTY ISSUED AC AND WELL HOUSE SIZE 47X 76 new single family dwelling 70 x 70/4 bedrooms SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? Yes Property Easements Description: 20 ft easement for supply lines APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 47 X 76 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO ...:;y,li,:.;::•u 07/12/2023 14:08 Page 1 of3 Robert Phelps From: Robert Phelps Sent: Monday, July 24, 2023 11:56 AM To: 'Ashley Rollans' Cc: 'hposton@nesthomes.com' Subject: Cobblefield lots 16,19,20,23,24, and 25 A2 incomplete Ashley, The pump designs on the old force main map will not work for the current pump designs. They changed the lot numbers when the cul-de-sac was extended, the lot numbers do not match what the engineer specked for each lot. Also your gpm is different than what was written on that old map. We also need a certification for the supply line leak test for lot 16. These submittals will be in an incomplete status until we get that information. Thank You Robbie Phelps, REHS Environmental Health Supervisor, OSWP Division 25 Government Drive, Newton, NC 28658 (828)320-3077 cell https://www.catawbacountync.gov/county-services/environmental-health/ lcatawba county Confidentiality Statement:The information contained in electronic transmissions is confidential and may be subject to protection under the law,including the Health Insurance Portability and Accountability Act(HIPAA).An electronic transmission is intended for the sole use of the individual or entity to whom it is addressed.If you are not the intended recipient,you are hereby notified that any use,distribution or copying of the message is strictly prohibited.If you received a message in error, please contact the sender immediately by replying to the e-mail and delete the material from any computer. 1 , • tt County: CLIW4fJGs- II CONSTRUCTION AUTHORIZATION FOR G.S.130A-335(a2)/5L2022-11 !! PIN/Lot Identifier: `( t0LU s (2_9 135 Issued To: �•4,a - (�,j`Cv_\1Q_N'` ( t , Property Location:') CrS\016,4\-e., �, Lv-. m;er,V c •V L, W.10 "Z• 1 AOWE/PE Plans/Evaluations Provided: Yes El' No 0 If yes,name and license number of AOWE/PE st ,4 l i9.1 QyW.eM 411XYA/C- Facility Type:4 li/If COC v\ 2.4cs,c 4tl Y 1 cA ["New 0 Expansion \❑Repair System Relocation 0 Basement? El ` Yes El No Basement Fixtures? ❑Yes ❑No Type of Wastewater System** A((_g.f)ikc', w(fill ( ) )f'BPS i_i/ G Initial (Repair) Design Daily Flow: LiriL) GPD Wastewater Strength:0-domestic 0 high strength ❑industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? ❑Yes p10o Installation Requirements/Conditions ' Septic Tank Size: 'Jj /11 03 gallons Total Trench/Bed Length: �1 feet Trench/Bed Spacing: 9 feet on center Drainfield square footage: , ]2-.., 7 Trench/Bed Width: 3 F' inches LTAR: '3 gpd/ft2 Soil Cover: ( inches "Slope Adjusted Maximum Trench/Bed Depth:_ 3 0 inches LO S 11j Aggregate Depth: inches above pipe inches below pipe inches total Pump Tank Size(if applicaf;le); 1 0 00 galleons 1` Requires more than 1 pump? El \El No Pump Requirements: 5 ft.1el DHvs. GPM Grease Trap Size(if applicable): gallons Distribution Method: 0 Serial 0 D-Box or Parallel \g Pressure Manifold(s) 0 LPP 0 Other: Artificial Drainage Required: Yes 0 No G3'Tf yes,please specify details: Legal Agreements(If the answer is"Yes"to any type of legal agreements,p•'ease attach a copy of the agreement.) Multi-party Agreement Required(.1937(h}]: Yes 0 No El-- Easement,Right-of-Way,or Encroachment Agreement Required[.1938(j)]: t]Yes GLNo Declaration of Restrictive Covenants: ❑Yes LyNo "If applicable: I understand the system type specified is different from the type specified on the application. I accept the specifications of this permit Owner/legal Representative Print Name: Owner/Legal Representative Signature: Date: Pre-Construction Conference Required: Yes 0 No l - Conditions: �. ,," V / ► ��^^ �n c `v J`;►iS !r+.eA.-✓ t'o✓C.e 1►'lcl�tn.JC.��I•..� • The construction and installation requirements of Rules 1950,.1952,.1954,.1955,.1956,.1957,.1958,and.1959 are incorporated by reference into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. AOWE/PE Print Name: " AV....r\;� • • AOWE/PE Signature: af,L.�.. .,/\ I f ,�t�t____, 712 % ... ;•Date: // i , This AOWE/PE submittal is pursuant to and meets the requirements of G.S.130A-335(a2)and(a5). �'ili+•ani , See attached site sketch* ,.L�:4%� e'•••**.eirtiter fig tir tf y t � .. • ••.,,•..• .n• 4 L. - Environmental Health r %\1*.,\ THIS IS NOTA PERMIT Case# RBPR-1 2-202 1-3 95 3 1 Q" r,� , "3 CATAWBA COUNTY HEALTH DEPARTMENT i PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES � `'$ 2 sM Residential Building Plan Review-Building New IMPROVEMENT-AUTH CONST- NEW WELL 5 I -)3 RRvi std Applicant *NEST HOMES LLC (ERIC WOOD),PO BOX 3965,MOORESVILLE NC 28117 H:9803374813B:7042084251 C:7044339947 HOME:9803374813 OTHER:9805001226 JDUBOIS@NESTH OMES.COM Contact Person NEST HOMES LLC (ALLEN VANNOPPEN),236 RACEWAY DR SUITE 7,MOORESVILLE NC 28117 B:7044028594 C:8284433366 AVANNOPPEN@NESTHOMES.COM Contractor *NEST HOMES LLC (ERIC WOOD),PO BOX 3965,MOORESVILLE NC 28117 H:9803374813B:7042084251 C:7044339947 HOME:9803374813 OTHER:9805001226 JDUBOIS@NESTH OMES.COM Land Owner TREELINE HOLDINGS LLC,9190 GREENWOOD RD,TERRELL NC 28682 NAME TO APPEAR ON PERMIT *Nest Homes LLC (Eric Wood) SITE ADDRESS: 7039 COBBLEFIELD LN,DENVER NC 28037 PIN# 460603024802 NAME of SUBDIVISION: COBBLESTONE Lot# 23 Section/Block PROPERTY SIZE: Square Feet Acres 1.03 DIRECTIONS: Slanting Bridge Rd south/left Burris Rd/right on Cobblefield PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLO, . - : ' ,Y: 480 WATER SUPPLY: Private Well SCRIBE WOR • 5/1/23 REVISED TO a2 IP. COUNTY ISSUED AC AND WELL HOUSE SIZE 47X 76 new single family dwelling 70 x 70/4 bedrooms SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? Yes Property Easements Description: 20 ft easement for supply lines APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF vacant lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 47 X 76 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: - Individual Well REPLACE WELL?: NO ehapplication 05/01/2023 14:28 Page 1 of3 Lot County:Coa vi/6C& IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: 96 O fa d3OZ 14%O22 Issued To: &o.rv. cobbit. t4O1104) Qev, Property Location: 7° 4 C*FAG F r1c Lr "K OeA .r -2to'37 Subdivision: C.,c�Ub1GS +C.. Lot#: Z 3 Block: Section: LSS Report Provided: Yes lig No 0 If yes,name and license number of LSS: StMnvC.\ 1hle.I ?off\CAWS %L31 New® Repair 0 Expansion 0 System Relocation 0 Proposed Structure: I'I ZT f d% A itemach,e,. Proposed Wastewater System Type: Accee‘ia..S educ., PP- (Initial) ree0574J 1vw PrOlLrf., (Repair) Fill System:0 Yes No If yes,specify:0 New 0 Existing (when adding more than 6 inches of fill to system area please provide a fill plan) Proposed Design Daily Flow: y$0 GPD Proposed LTAR(Initial): O. Proposed LTAR(Repair): 0.3 Design Wastewater Strength:A domestic 0 high strength ❑industrial process Number of bedrooms: M Number of Occupants: t Other: Pump Required: atYes ❑No 0 May be required based upon final location and elevations of facilities Artificial Drainage Required: 0 Yes rai No If yes,please specify details: Type of Water Supply: Private well 0 Public well 0 Municipal Supply 0 Spring 0 Other: Drainfield location meets requirements of Rule.1945: Yes® No 0 Drainfield location meets requirements of Rule.1950:'Yes® No 0 Permit valid for:® Five years[site plan submitted pursuant to GS 130A-334(13a)] 0 No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: See. des5 Licensed Soil Scientist Print Name: Sa rig✓e-( A, (( ct vS fi� / Licensed Soil Scientist Signature: Date: `> Z AS The LSS evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* Catawba county public health Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: X New Construction 0 Existing Facility Improvement Permit X Authorization to Construct New Septic ❑Septic Repair/Malfunction 0 Septic Relocation ❑Septic Expansion 0 Existing System Inspection or Reconnection KNew Well 0 Replacement Well 0 Well Abandonment ❑Well Repair Property Address 7039 Cobblefield Lane Acres 1.02 Subdivision Cobblestone Lot# 23 Driving Directions to Property Slanting Bridge Road. travel to Burris Rd. rigth on Cobblefield Lane Describe work New construction of a single family residence Applicant Name Nest Homes LLC Applicant Address PO Box 3965 , Mooresville NC 28117 hposton@nesthomes.com Phone 980-500-1238 Cell Phone Owner Name Brown Cobble Hollow Development Owner Address PO Box 3965 , Mooresville NC 28117 hposton@nesthomes.com Phone 980-500-1238 Cell Phone Contractor Name License# Contractor Address Phone Cell Phone Name to Appear on Permit? ❑Owner 'V Applicant 0 Contractor Who will be the Primary Contact? 0 Owner ,Applicant 0 Contractor Proposed New Construction-Residential Primary Residence VI New Residence ❑ Addition to Residence #of New Bedrooms*t 4 #of Occupants 8 Project Description New construction of a single family residence Structure Dimensions,al o specify dimensions of decks&porches 47' x 76' Basement 0 Yes [ No Basement Plumbing 0 Yes 0 No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions Basement 0 Yes 0 No Basement Plumbing 0 Yes 0 No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions Basement 0 Yes ❑ No Basement Plumbing 0 Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type "Individual Well 0 Semi-Public Well 0 Community Well Abandonment Type 0 Drilled 0 Bored 0 Dug 0 Unknown Well Repair Requested 0 Yes 0 No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?0 Yes 0 No catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. Existing Structures on Site Describe Structure Dimensions #of Bedrooms* #of Occupants Basement ❑Yes El No Basement Plumbing El Yes ❑ No Existing Water Supply 0 Individual Well 0 Shared Well—Number of Connections 0 Communit y Well 0 County/City/Township Water Line Is a public water supply available?** 0 Yes 0 No Commercial 0 Proposed New Construction 0 Existing/Change of Use 0 Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare 0 Yes ❑No #of Children #of Employees per Shift #of Shifts Commercial Kitchen 0 Yes ❑No Residential Kitchen ❑Yes ❑No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow,Commercial t (This value will be determined by EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If a answer to any question is"yes",applicant must attach supporting documentation. ❑Yes o Does the site contain any jurisdictional wetlands? ❑Yes No Does the site contain any existing wastewater systems? ❑Yes >i No Is any wastewater going to be generated on the site other than domestic sewage? ❑ es No Is the site subject to approval by any other public agency? 'Yes 0 No Are there any easements or right of ways on this property? Describe 20' septic line easement If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other X Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. **If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEEEE SCHEDULE) Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years); with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes.Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Signature of Owner or Legal Agent Date 4 28.23 Printed Name of Owner or Legal Agent liertthit PO Sib el '40* SOIL & FORESTRY -_O f 1:I 4 I L:'A,i :f=7 1,,I N A-5,, ;F www.soiiandforestryservices.com Attached is a proposed design for an Accepted(25% reduction)Septic System with Pressure Manifold distribution for a 4 bedroom single family residence at 7039 Cobblefleld Ln Subdivision Lot 23A,(PIN#:460603128135),Denver NC,28037. Contents: Page Information for the Installer--- ____________—________— 1 Design Information Design Specifications----- --- -----__.___-, 2-3 Layout Specifications --- 4 System Tapsheet — --- — 5 Pressure Manifold Diagram --- ------------ -------___-- 6 Site Plan/System Plan -- -- 7 Calculations ---- -------_----• 8 Profile Descriptions -- -- -------------- 9-10 Subdivision Plat ------- — 11 Session Law Form --- -- 12 Application -- -- SUBMITTED ***PROFEESIONAL ENGINEER REQUIRED TO PROVIDE DESIGN -� SPECIFICATIONS FOR EXISTING FORCE MAINS PRIOR TO 54 suit k ISSUANCE OF AUTHORIZATION TO CONSTRUCT. 101 A. i, March 17 2022 `' j )J /JI'• ProjectNo.21-0093 ' Design By: Soil&Forestry Services of the Carolinas,PA 0 A ' D ,1. INFORMATION FOR THE INSTALLER: -- The permit should be read very carefully prior to bidding. The following are details that must be considered along with all other considerations. Tanks shall be approved by DHHS,and certification supplied by the manufacturer. - Tanks shall be water tested prior to installation. - The installer shall be responsible to the owner for placement of the tanks and to insure that final grades are returned to the original natural grade,with exception of added structural features. - The supply trench shall be compacted to eliminate cavities left during initial fill placement. - Installation of the system shall be during dry conditions in order to protect the soil structure. All fittings shall be pressure rated fittings. All joints shall be cleaned with PVC pipe cleaner and a heavy bodied glue applied to weld all joints. - Trenches shall be carefully excavated so the bottom is within 2"from the highest to . the lowest points of elevation within the trench. If the bottom elevation needs adjusting after it has been trenched, it will be done by removing high points rather than filling low points. It is extremely important to insure that trenches are not over excavated during initial trenching. All fine grading within the trench will be hand done with a shovel. No loose material will be left in the trench All pipe openings in the tanks shall be properly grouted. This also applies to the joints around the riser. - All tanks shall be properly back filled and compacted to prevent slump at a later date. - Earth dams,constructed of relatively impervious material, shall be installed at the beginning and end of each lateral. - No heavy equipment shall be used on the field during or after installation. The use of a small loader(i.e. Bobcat)or a trencher(i.e. Ditch Witch 2300/2310)may be used for installation. - Elevations at pinflag locations should be checked by the installer prior to beginning trenches. Pumptank riser should be 6"above grade, control panel should be 12"above grade. Septic tank riser shall be a minimum of 6"above finished grade. - System is specified as an Accepted 25%reduction installation w/Pressure Manifold. - Repair is specified as a PPBPS 50%reduction installation w/Low Pressure Distribution. - Rake trench walls,lime sidewalls,install trenches 36" wide and have no more than 1/4" fall in 10 feet. - Repair Supply line size,length and elevation head must be provided prior to AC - Repair is offsite on Lot 23A.Supply lines were installed per expired IP. 4 Layout Specifications - 7039 Cobblefield Ln-:Lot23A Project#:21-0093 LAYOUT FOR 4 BEDROOM HOME , March 17,2022 FLAG FLAGGED DESIGN LINE# COLOR BE HI FS ELEVATION LINE LENGTA LINE LENGTH TBM 1.50 101.5 100.00 HOUSE PUMP TANK INSTR. 1 OFFSITE 23A J- BLUE 1.40 100.10 79 79 2 PINK 2.70 98.80 44 44 3 ORANGE 2.70 98.80 85 85 4 BLUE 3.75 97.75 115 100 5 PINK 5.00 96.50 125 100 6 YELLOW 6.10 95.40 125 100 7 RED 6.70 94.80 108 100 8 ORANGE 7.90 93.60 104 104 9 BLUE 9.20 92.30 44 44 Total 829 756 SOIL 1 LOW SIDE LINE LTAR SYSTEM LTAR TRENCH TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH *System 400 0.300 ACCEPT. 0.300 25%RED PRESSURE 30" MANIFOLD Repair 429 0.300 MOD. 0.300 PPBPS LOW 30" Plus(15',25',25',8) CONY. PRESSURE on lines 4,5,6,7, Notes: **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **Nitrification lines were located by GPS and Tape Measure. 5 PRESSURE MANIFOLD TAPSHEET-7039 Cobblefield Lane-Lot 23A SYSTEM Unit Color Elevation Lenet6 Hole Size Flow/Tap amthAtt. Une LIAR 4 BLUE 97.75 100 SCH 40 1/2 7.11 300 0.15 5 PINK 96.50 100 SCH 40 1/2 7.11 300 0.15 6 YELLOW 95.40 100 SCH 40 1n 7.11 300 0.15 7 RED 94.80 100 SCH 40 1/2 7.11 300 0.15 total feet = 400 gaUmin- 28.44 Des.Flow 480 Pump Run= 6.43 soil LTAR 0.3 LTAR+5% 0315 LTAR with ACCEPTED 0.4 LTAR with ACCEPTED+5% 0.42 V0OA • P . 888E r ti , R ay. N. �\ 11\.... . 9 \ tk'A ._• Jo.,,,,„ . . 1 i • ' N/ ,z5 g I i \Ai 474 ' I \ P --.4„ , v-,.. i . ,,, ,, il -, \ u 1 " ., rIf 0 Ar Asr; 2 .4... 4c,*.- --,-- 4 \ 4-G.A: -. ..14A6#; ,_ \ ?"4-ev ‘ Nittig) \ A,,,--- 4,,, ,...t , , Ap4(0 -,k. / , . N.,. ; •• . . , ./ ,A,,, . ..,.,..,,, ., 1 \ / , . 4 U if ---)o ' V �d • '''' , s 4s % *lir ' ,07 •eoer r 7 , • 7- / . 0 'c>>ol ® ,(r. o 0 .k CP 'so c. o s�, 0 �J © 'o- so- O, 0' \ II l 4 ® 0 -/ c'er .,14 ° 'cam -c? %0 �() -.e (,..-4.-% vrr,- -0 ..e. A i \, t. `- 0 ')4N 0(1) % ) 0 ,(b`i' % 6 ct -..i • SCALE (z7 1 " = 50 ' 'Tie \ 0 .„.„, ,0/- 3':v-. (it_cr4 0,/, .." , ,, d11 0 -e. �o� ii[ _>> Nin ., (.1 il /0 \ o lqt\c_ iS 4,, _—__ yap, oN � � Cc G ^ 2� rs\_CO tirj, h -1 \,3 �ti ,,...... & Ore „..,...._:_. 11 lb . 0 ,s<> N5C-i- rAi 106, L9 o �9 .o -ooCS:?__sc o Q ,yobh h •3 (, \Ih b P7 c, c) ^ do LJ 1 _ - F14- 11/Q.4 y 4 /5 l4 P6 ' ' 9 eN • c)) :1 1 6 ' :, ilk (t/ el lagil V L.P 5 /13C) j\I 0 Do . 1\3 P4 44 ..-•"*>:X SCALE -4:),..,„ 9, JO ' (I fit lips q Sheet 1 of Z. 2 1 - &se d .-PROPERTY ID#: COUNTY:fte, SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM A ' (Complete all fields in full) OWNER: /VPS4 NLNwg S 1..L.C, _ APPLICATION DATE ►e ADDRESS: 493(p rare . V r 3;4 a 1 VThafeev(fie q ca��4117 DATE EVALUATED: PROPOSED FACILITY: '• PRODESIGNPOSED FI OOWL19449) PROPERTY SIZE: (1,1014 C. LOCATION OF SITE: r70341 Cobbla4Iaid £ , I 1044 23 4.4- PROPERTY RECORDED: frr$ WATER SUPPLY: ❑Private 0 Public lWell 0 Spring 0 Other EVALUATION METHOD: 0 Auer Boring Prir 0 Cut TYPE OF WASTEWATER: [QS'rwwage 0 Industrial Process ❑Mixed • r P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON _ POSITION/ DEPTH .1942 PROFILE i SLOPE% MO .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAAPR RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH 0 HORIZ CLASS Q . 7 .st 5 v ff55a ' 17 7- 70 ?kc L L t4 t4 il PI ?u /°s' 1 1,_ / t\o„i t o ,p l 0 — 1 3`?l,5 ti/ F'Ss ,441 7— 06 p..F-tor4Miov !.1 r -- -fi' b/k ,is. t0IS .s • a' 5 3 CItA.-4/ sC.45.5/V-f L s- 1 ( w►.51+k. I. It a si 1'5 3 S 0-V ki)c.,\w4 aSS? (414 r5 Co— 3$ R$CA.ir4Ag, tc t`6( 4 01, 38" , 2S- _ ,a DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): ;.^ 'ate�l irj'� Available Space(.1945) P.S �S SITE CLASSIFICATION(.1948): 7S 'wR+ ', f''..;�f� System Type(s) AUd 4Ot T Pg EVALUATED BY: S.AS1'1) R00ons (�-/ tfif,r,fli,... OTHER(S)PRESENT: ac _ r►Fe , / '` ;. .f 1 }a f Site LTAR Co 1 3 p.3 /,� ;.. 2N : r COMMENTS: ' (,,,, Updated February 2014 SOIL/SITE EVALUATION Sheet 2 of 2 23 (Continuation Sheet-Complete all field in full) \01( PROPERTY ID#: -Sam DATE OF EVALUATION: Sa"' COUNTY: Same, P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS I .1940 L LANDSCAPE .1942 HORIZ POSITION/ ON .1941 .1941 SOIL .1943 .1956 .I944 PROFILE # SLOPE% STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS DEPTH TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ &LTAR lc,/ o- SH cic,k,4•s1. cisc't Sq _ ° o- s- as% -\b �a(A Pi"-r '� • 27 Ct \kii \\- oil W.-v/0°�*mo , y( P 6 s �3-(07 R•ic.Aon,doc {(sSP ez c,0 • , Si , L1Li 0 . � 5�' 0 3 SO COMMENTS: Updated February 2014 ,10 ©nl4al:lll1ba c icenty • public health ' The North Carolina Department of Health and Human Services,Division of Public Health,issued a position statement on July 24,2018 pursuant to Session Law 2018-114(HB374)Sections 9 through 12 regarding the implementation of Session Law Provisions. The completion of this form is necessary to conform with the requirements. The NC Ucensed Soil Scientist("LSS")entity through his/her signature below makes the following statements: 1. The iSS Evaluation attached to this application is to be used to produce design and construction features for permitting in accordance with SL 2018-114 Section 11.(c). 2. The LSS Evaluation is being submitted pursuant to and meets the requirements of SL 2018-114 Section 11.(c). 3. The LSS maintains an errors and omissions liability insurance policy issued by an insurer,as required by North Carolina State Law,in an amount commensurate with the risk of performing the work referenced herein. Property Address: 031 *A , a .' a.- 1::. • , 6 4Signed this day of 20,a o o $(f S .• Printed Name. s1. _Ska\os‘s. North Carolina Licensed Soil Scientist . Mailing Address: '�j,L Sa 'a.Mei:0eav;We tLC tti'.7 • pal ���,°� '•' Office Number` CM-"14(r,-S6-U1 Cell Number. � - .` ► i'''+:..° Email address: tJ� 1R.4,KM‘o,, %01m o:A.C9M Acknowledged by Owner/Owner's Legal Representative(Circle correct one.) if signed by owner's legal representative,the appropriate legal documentation must be attached hereto. 4. By: Printed Name: Mailing Address: Office Number: Cell Number: Email address: catawbacountync.gov Environmental Health Co'uwbo County Guvernrnen Censer 25 Government Drive I PO Box 389 I Newton NC 28658 i 828.465.8270 PIEDMONT DESIGN ASSOCIATES,P.A. 125 East Plaza Drive I Suite#101 Engineering Mooresville,NC 28115 Surveying Phone: 704-664-7888 I Fax: 704-664-1778 Planning Email: dmunday@pdapa.com April 5,2022 Catawba County Health Department PO Box 389 Newton,NC 28658 Attn: Robbie Phelps,REHS RE: Offsite Effluent Force Mains serving Lots 18-20&Lots 23-25 Burris Road and Cobblefield Lane, Cobblestone Subdivision Catawba County,North Carolina Dear Mr. Phelps: ENGINEERS CERTIFICATION I, Donald L. Munday, as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe periodically the construction of the referenced project, (6) Offsite Septic System Supply Lines to serve Lots 18 (18-A), 19 (19-A), 20 (20-A), 23 (23-A), 24 (24-A) & 25 (25-A) in Cobblestone Subdivision, located in Catawba County,NC,hereby state that,to the best of my abilities, due care and diligence was used in the observation of the testing such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. Please note that this certification is NOT for the actual systems themselves but for the supply lines from the individual residence(s) to the offsite easement area(s) only. Sincerely, ��11N I It1/ PIEDMONT DESIGN ASSOCIATES,P.A. ```` ARct7 // ,r i /� SEAL - ° 17327 ••• ••. 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