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RBPR-12-2021-39532.TIF
AEG THIS IS NOTA PERMIT Case# RI3PR-I2-2021-39532 Q" Iwo tin 't CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \84 Residential Building= Plan Review- BuildingNew IMPROVEMENT- AUTH CONST- NEW WELL SLri Contact Person NEST HOMES EEC (ALLEN VANNOPPEN),236 RACEWAY DR SUITE 7,MOORESVILLE NC 28117 13;7044028594 C:8284433366 AVANNOPPEN@NESTHOMES.COM Contractor *NEST HOMES L1.0 (ERIC WOOD), PO BOX 3965,MOORESVILLE NC 28117 I1:98033748138:7042084251 C:7044339947 HOME:9803374813 OTHER:9805001226 JDUBOIS4ANES"IlI OMES.COM Land Owner TREEI.INE HOLDINGS EEC,9190 GREENWOOD RI),TERRELL NC 28682 NAME TO APPEAR ON PERMIT *Nest Homes LLC (Eric Wood) SITE ADDRESS: 7089 COBBLEFIELD LN,DENVER NC 28037 PIN# 460603027469 NAME of SUBDIVISION: COBBLESTONE Lot# 20 SccuonBlock PROPERTY'SIZE: Square Feet Acres 1.11 DIRECTIONS: Slanting Bridge Rd south/left Burris Rd/right on Cobblefield PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLON PER DAY: 480 WATER SUPPLY: Private Well DESC BE WOR : 7/12/23 REVISED TO a2 AC 5/1/2023 REVISED TO a2 IP County issued AC and well house size 47 x 69 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 69 #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: REPLACE WELL?: NO �•Lapph,❑ro.n 07/12/2023 14:05 Page I 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 r L County: CC.'[cuwhCr //CONSTRUUCTION AUTHORIZATION FOR G.S.130A-335(a2)/SL2022-11 f PIN/Lot Identifier: �U V`c' 03 0 Issued To: \AQ..- [ ai'st\Ct°S (^ � k Property Location:10'3fIC�h�,e-et-6‘, l...v, '1`.�.,,-,v-2( 1V Q, Qcti3?)'7" t. AOWE/PE Plans/EvaluationsEvB Provided: Yes ' iNo 0 If yes,name and license number of AOWE/PE&4'\gA 4111 Ptrd� 41t10.a C.. Facility Type: C ea.ca."'o� S,c ►C��c., I eiNew ❑Expansion 0 Repair System Relocation 0 Basement? 0 Yes No Basement Fixtures? 0 Yes 0 No Type of Wastewater System"* 1J n 1'5t'f�.+ v/L.f' ,(Initial) >�r '}> >- (L f (Repair) Design Daily Flow: 4414V GPD Wastewater Strength:Ed-domestic 0 high strength ❑Industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? 0 Yes CAGY Installation Requirements/Conditions Septic Tank Size: I U 00 gallons Total Trench/Bed Length: 2_ --. feet Trench/Bed Spacing: feet on center Drainfield square footage: , S-4Li Trench/Ben Width: Z 1/ inches LTAR: ` '3 gpd/ft2 Soil Cover: r id dl {t. Inches Slope Adjusted Maximum Trench/Bed Depth: 3`� Inches 1--© 17F. Aggregate Depth: inches above pipe inches below pipe inches total Pump Tank Size(if applicaye): 1 Q 00 gallgnsc 4ecuires more than 1 pump? ❑Yes No --�, heet? tiro', 11 �t 4,, . JLltC[�l �l 1 I Pump Requirements, 5 ft.TDH vs. GPM Grease Trap Size(if applicable): gallons Distribution Method: 0 Serial ❑D-Box or Parallel 0 Pressure Manifoid(s) IE LPP 0 Other: Artificial Drainage Required: Yes❑ No(2-1f yes,please specify details: Legal Agreements(lf the answer is"Yes"to any type of legal agreements,please attach a copy of the agreement.) Multi-party Agreement Required[.1937(h)]: Yes 0 No Et-- Easement,Right-of-Way,or Encroachment Agreement Required f.1938(j)]: ❑Yes CJ No Declaration of Restrictive Covenants: ❑Yes LzNo **If applicable: 1 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❑ No®' p,A Conditions:4..V' 1�4-`mac\r-�/F.tec!i�xR.✓ �v t(, 11 c 2� }� �� The construction and installation requirements of Rules.1950,.1952,.1954,.1955,.1.956,.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: • A AC.Y\S AOWE/PE Signature: % (4 f?eZV, ,[�„ Date: S J Z.5 = , . This AO�"JE/PE submittal is pursuant o and meets the requirements of G.S.130A-335(a2)and(a5)t.r�d � itt� Y . 'Sse attached site sketch* $' �"`�, �/.a . * �•ilari con . rl =C i 'V E D w r = '{ Uuntibc►C ti * 11{ 416. J U L 1 0 2023 • y-24 s,> P►'�in°a Y'. ' Environmental Health K4Y'A: � THIS IS NOT A PERMIT Case# RBPR-12-2021-39532 � CATAWBA COUNTY HEALTH DEPARTMENT �V ,,1.91 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 sm Residential BuildingPlan Review- BuildingNew IMPROVEMENT-AUTH CONST- NEW WELL 511 (-)3 &SO-- Applicant *NEST HOMES LLC (ERIC WOOD),PO BOX 3965,MOORESVILLE NC 28117 H:9803374813B:7042084251 C:7044339947 HOME:9803374813 OTHER:9805001226 JDUBOISaNESTH 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 JDUBOISaNESTH OMES.COM Land Owner TREELINE HOLDINGS LLC,9190 GREENWOOD RD,TERRELLNC 28682 NAME TO APPEAR ON PERMIT *Nest Homes LLC (Eric Wood) SITE ADDRESS: 7089 COBBLEFIELD LN,DENVER NC 28037 PIN# 460603027469 NAME of SUBDIVISION: COBBLESTONE Lot# 20 Section/Block PROPERTY SIZE: Square Feet Acres 1.11 DIRECTIONS: Slanting Bridge Rd south/left Burris Rd/right on Cobblefield PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GA • 480 WATER SUPPLY: Private Well IBE WORK: /1/2023 REVISED TO a2 IP County issued AC and well house size 47 x 69 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 69 #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: chapplieaiio❑ 05/01/2023 14:21 Page 1 of3 1-ot Zo County:Cotkumttek IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: "1Of O C. O3O2-1 isi(10k Issued To: Z.vww. Gobble. Hollow Dcv, LI-C# Property Location: loisek G O tkte-f- c) Lr. Subdivision: C.(166C.$/COrie. Lot#: 70 Block: Section: LSS Report Provided: Yes lig No 0 If yes,name and license number of LSS: SC.Yv+t.MLA Ntash%el fRokkw1S * n.3l New® Repair 0 Expansion 0 System Relocation 0 Proposed Structure: 9 St S<r51t, hutv^t\ iLevoC.V1t,e., Proposed Wastewater System Type: ??tC4`z low PTSAvt _ (Initial) Scr"e-- (Repair) Fill System:❑Yes RI 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: L'1`d0 GPD Proposed LTAR(Initial): O O. Proposed LTAR(Repair): O. 3 Design Wastewater Strength:Di domestic 0 high strength 0 industrial process Number of bedrooms: 4 Number of Occupants: 6 Other: Pump Required: fitYes 0 No 0 May be required based upon final location and elevations of facilities Artificial Drainage Required: 0 Yes IN 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 Ile 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: Sew deS:5n Licensed Soil Scientist Print Name: Sa Lit- I I�\Q ( 10.]/l l/ Ucensed Soil Scientist Signature: <�t� Date: 7 ` The LSS evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* ill.,LNI111,11 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 XAuthorization to Construct ❑New Septic 0 Septic Repair/Malfunction ❑Septic Relocation ❑Septic Expansion Existing System Inspection or Reconnection New Well ❑Replacement Well 0 Well Abandonment ❑Well Repair Property Address 7089 Cobblefield Lane Acres 1.11 ac Subdivision Cobblpstnne Lot# 2U Driving Directions to Property Slanting Bridge Road, Right on Burris Rtt Rigth on Cobhlefield I ane Describe work New construction of a single family residence Applicant Name Nest Homes I I C Applicant Address PO Box 3965 . Mooresville NC 24117 hposton©nesthomes.com Phone 980-500-1238 I Cell Phone Owner Name Brown Cobble Hollow Development Owner Address PO Box 3965 Mooresville NC 28117 Phone 980-500-1238 Cell Phone Contractor Name License# Contractor Address Phone Cell Phone Name to Appear on Permit? 0 Owner "Applicant 0 Contractor Who will be the Primary Contact? 0 Owner 'Applicant 0 Contractor Proposed New Construction-Residential Primary Residence 'New Residence 0 Addition to Residence #of New Bedrooms*.. 4 #of Occupants 8 Project Description New construction of a single family residence Structure Dimensions,also specify dimensions of decks&porches 47' x 69' Basement 0 Yes 0 No Basement Plumbing 0 Yes 0 No Accessory Dwelling #of New Bedrooms*f #of Occupants Structure Dimensions Basement 0 Yes 0 No Basement Plumbing 0 Yes ❑ No Accessory Structures)Describe Structure(s)Dimensions Plumbing 0 Yes ❑No Describe Plumbing Needed Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*f #of Occupants Structure Dimensions Basement 0 Yes 0 No Basement Plumbing 0 Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type VI 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?'Yes 0 No catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive ( 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 ❑ No Basement Plumbing ❑Yes ❑ No Existing Water Supply ❑Individual Well ❑ Shared Well—Number of Connections ❑Community Well ❑County/City/Township Water Line Is a public water supply available?** ❑ Yes ❑No Commercial ❑Proposed New Construction ❑Existing/Change of Use ❑Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare❑Yes ❑No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑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. Ifjhe answer to any question is"yes",applicant must attach supporting documentation. ❑Yes gNo Does the site contain any jurisdictional wetlands? ❑Yeso Does the site contain any existing wastewater systems? ❑Yeso 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? EYes 0 No Are there any easements or right of ways on this property? Describe sewer 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 Y 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(SEE FEE 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 P legal agent of the owner. �� 1 rl Signature of Owner or Legal Agent �,L Date LI-•2g# % Printed Name of Owner or Legal Agent Re - i( Po skin , SUIt ;& FORESTRY SERVICES CAR0LINJA`S, R A. www.soilandforestryservices.com Attached is a proposed design for a PPBPS Septic System with low pressure distribution for a 4 bedroom single family residence at 7089 Cobblefield Ln Subdivision,Denver 28037,Catawba County,NC.PIN#:460603027469 Contents: Pane Information for the Installer-------- — 1 Design Information Layout Specifications--- — _ 2 System Tapsheet 3 Site Plan/System Plan----- 4-5 Subdivision Plat — — 6 Profile Descriptions----- v -,�-_---- 7-8 t � �� �o�� Session Law Form-------- `�rY,�.+: b / r , Septic Application + ' + �.� jai 7, -SUBMITTED 40 AN Ut, g. ***PROFEESIONAL ENGINEER REQUIRED TO PROVIDE DESIGN SPECIFICATIONS FOR EXISTING FORCE MAINS PRIOR TO ISSUANCE OF AUTHORIZATION TO CONSTRUCT. March 14,2022 Project#:21-0093 Design By: Soil&Forestry Services of the Carolinas,PA 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 NC 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. Where required by the county health department,post installation inspections by the designer must be scheduled 5 week days in advance. - 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 a PPBPS installation with low pressure distribution. - Repair is specified as a PPBPS installation with low pressure distribution. - Backfill 4-6"of material(County Approved)over panels,rake trench walls, lime side- walls,install trenches 24"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 20A.Supply lines were installed per expired IP. 4 7089 COBBLEFIELD LANE Project#:21-0093 LAYOUT FOR 4 BEDROOM HOME March 14,2022 FLAG FLAGGED DESIGN LINE# COLOR BS BI FS ELEVATION LINE LENGTH LINE LENGTH TBM See Site Plan 4.3 104.3 100.00 INSTR. I HOUSE CNR 11.40 92.90 P.TANK 26.20 70.10 PRIMARY ONSITE 1 RED 3.40 100.90 46 46 2 ORANGE 4.30 100.00 72 72 3 BLUE 5.20 99.10 103 100 4 YELLOW 6.50 9Z80 114 100 REPAIR OFFSITE 20A TBM See Site Plan 3.0 103 100.00 I;, RED 2.90 100.10 100 100 2 ORANGE 3.40 99.60 98 98 3 YELLOW 4.70 98.30 98 98 Total 631 614 SOIL LOW SIDE LINE LTAR SYSTEM LTAR TRENCH TRENCH J.,ENGTII GPD/FT2 TYPI GPD/F12 SYSTEM DISTRIBUTION DEPTH *System 272 0.300 MOD. 0.300 PPBPS LOW 30" CONY. PRESSURE Repair 296 0.300 MOD. 0.300 PPBPS LOW 30" CONY. PRESSURE Notes: **All septic lines and pits located via GPS and Tape Measure **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags 5 LP PPBPS TAPSHEET-7089 Cobblefield Lane SYSTEM Ups I Color Elevatioq Una Ode Size Flow/hole Trench Area Number of Panels 2 ORANGE loam 72 41136 0.41 144 17 3 BLUE 99.10 100 0.156 0.41 200 23 4 YELLOW 97.80 100 0.156 0.41 200 23 total feet = 272 gal/min= 25.83 63 Des.Flow 480 Pump Run= 8.78 soil LTAR 0.3 LTAR+5% 0.315 LTAR with mod. 0.6 LTAR with mod-+5% 0.63 .158 equals 5/32 Inch hole 7 ,...,, N , ,9 c)%b r ) (bC5 .11 - 61.-) ill g:°1\'° a I i II ' 3 7 - 44. -e SCALE 9 y203 114, 0a' r ,4 ® 1 " = 50 ' w ® r9� �, --) , vr / ' 4 ' e si, '' o ► 0" °, moo, p0 0 v?0,7 .1 Ao 4 444* gyp, 0 .eoet, ® 0_14 ���o 0 o�p � o- 0. l i� _..... ._ 6>. L 2 .� s J . _.>L9 / \ - -q ....,,, m0 'it \ 9) Gri fik. a \7 'C ' . C) ft tio� c 9_____/ ti 20 ' � 0 o t a, Gay :„ ....,, ") raj fti CO 0 0 r5 d// 7 •ts) Ull CO \ ,(6°) ) 0 I r4' // • 11 g Sheet I of L PROPERTY ID#:1-11.0o0 ' COUNTY:CC qo.. SOLE/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: s* {y;�!p� rr L:-C _ APPLICATION DATE ADDRESS: P,OC.P...)4:. CrSM* .`l (Y OLYr4.1: , }•.;:. �o � ,, ., cad T0 1_f DATE EVALUATED: p���/ PROPOSED FACILITY: 9t� PROPOSED DESIGN FLOW1(.1949 :(AV Os) I PROPERTY SIZE: 1,11 LOCATION OF SITE: �1 (fie S7 pc,� ' .c (it a./U -e [_o i f 0 PROPERTY RECORDED: ''r e WATER SUPPLY: vate ❑Public ❑Well ❑Spring 0 Other EVALUATION METHOD: ❑Auger Boring 3-Pir ❑Cut TYPE OF WASTEWATER: &SS:Wage 0 Industrial Process 0 Mixed • 0, P SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS 1 .1940 LANDSCAPE HORIZON POSITION/ DEPTH .1942 PROFILE # SLOPE% (I) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPR RESTR <AR TEXTURE MINERALOGY COLOR DEPTH 0 HORIZ CLASS 0-16 g`1 ‘Ir 1".55 5P.5e /-3 1 og 1 / Ito-3 .i�:-. wrki.r 5 .:f' W d 6.4 RB!'.t ,,,l: / 77 5 5 512 2 L�d� Ic7~ ?� ^`:,,lr/ 'c Iii S� 5,4� . ..,..: CO 49- "n R ...ihtir -1;;-5� AD • ter,'4 ..n 1.' n..7 Lam. 6 - 1-'; "- �flT: PS. i rJ/ d J ;,.a^ ee,rrjjf kr. .c. `> 5¢ So 3 i1744 f c -1tt vo,, 1' -' SS 5P tf(r_ '4 1<EI Vvs(5 .ir 'r S S 5,. 4Ala,r/sPP 0 R t5Isr re. 05X P (1--1 Z.. fig Cu/ :` j v. v. w 4 S. 4 (4)% 7 Z , kY�Ie -a g _ DESCRIPTION 1NITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): '/ 4' i SITE CLASSIFICATION(.1948): .1�1b1;11ff . Available Space(.1945) S S �` � ` ,� //�; EVALUATED BY: j / ( ~t f - / System Type(s) P iP Qi 40 5 P P B PS OTHERS PRESENT: \ ri` ". 15, Site LTAR 0>3 ( ,3 , ac , 1 a)1 , opy/ COMMENTS: C3 e o:r1 `"°mow. Updated February 2014 SOIL/SITE EVALUATION sheet c9. of a (Continuation Sheet-Complete all field in full) PROPERTY ID#:y(00(0(} 7U(e DATE OF EVALUATION: Of(o'o^ ' COUNTY: C :,;__.. P P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZ .1942 POSITION? .1941 .1941 SOIL ON .1943 .1956 .1944 PROFILE # SLOPE% DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS .) TEXTURE MINERALOGY COLOR DEPTH CLASS HOAR <AR 1:7 to-70 SICIA."-sb 14 40- I t t^ 4- — �. c Cr a 0 0!30 i3 45c1 r/cE rv4 f p ( 5 !v (54.10 TO 0,3 a.c4 COMMENTS: Updated February 2014 cataa ba county 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 Licensed Soil Scientist("LSS")entity through his/her signature below makes the following statements: 1. The LSS 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:7O Sq P'Cieka LAne 1cyec 1JC assc9 ,,, 141.-Signed this day of ,203a.. 176:1- Sly 3 , Printed Name: vrs.v2,k Art44,ext Y.6\\ot1S North Carolina Licensed Soil Scientist :\ .= • Maiiing Address: t'RccCeu;tie hlCallls `ti p; ' Office Number:`iO4-"iyir,- Cell Number: ► - • Sl Email address: C1,14rAte.kk6W2.ns Co In 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. By: Printed Name: Maiiing Address: Office Number: Cell Number: Email address: catawbacountync.gov Environmental Health Combo County Guvuinmen' Cenlei 25 Government Dave j I'0 Box 389 I Newton NC 28658 1828.465.8270 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, / PIEDMONT DESIGN ASSOCIATES, P.A. ���� CM , "i,,��� r �;r !}�/ o / ►i SEAL 17327 Donald L.Munday,P.E. °y'••• gn :.••••',p'�•�� N.C. Registration No. 17327 iq 4110 i 1 MJa``� cc: Allen VanNoppen,Nest Homes 04/05/2022 tpOr w s u�ocIok�k a ouisr,«>�va - Om AJ NNif OO Vi3AVI�'O ' �„. _ t r ,., ` i n,R 3,1119 IP.ogrf01•d.1 tb9'/L-88L-10L' ` I 6l iBZ ON '3TIhSOW va'aelQposs�,. anrlla aoaxwH�o BIG avOg s Ic,H � s 9 ! V Iona Eni c'I r::;,� NOISIAIQSt1S St�IOJSS'IHHO0 Q�d m bJQJ Q,zNf�WQ id\EI' �Ir, NYId DMLLf10U NMI R3ao --. i a i . \ . , ,•t } -r • r /•.:r; --\V� _ - i• �:I.ry.r iir �i':''S•it•'t�,`� �(i i � a _� 4: ' ,'•/ /` i-i' grtir; r/� b•����'fr :, a+' : Its;\ , 1 '•'`'• '•,'t``�‘\ t, Er I• ...��A777 '` J /// / ,/ /a.. / -'s., _•4T't',� it 't+,',i1',: ` `` R , ` h ,rr-JlCF • 7 /. '•'/ .'/i'/r i 'r;J• •. .� c sl .4 ,�- , is • frf `\ • ; `11� 1' s ' ,7:,_, .. 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', ' - ;�"-�, _ ...;_._: _ 1#1�1f'ti ilt�ll!1#!l'1�1!!!tt'!i� ty 1E�ri1'!�!i(ilit!!' , b!�:lti l!roll it a!i 1.1. �et.a 3��tf alai�1'.�#�i w,wrwnv.NV,OA.......040.1.mamma wm ...a,u®a DS DON ALLEN"Since 1971& A "SSOCIATES , P. A. Commercial * Residential * Mortgage Surveys * Multi—Family Construction Staking * Subdivision Design * Topographical 131 Crosslake Park Drive — Suite 102 * Mooresville * NC * 28117 (704) 664-7029 (704) 664-8041 Fax I, certify that this map was drawn under my supervision from an actual survey made under my supervision recorded in deed book 3213 , page 1653 and/or plat book 66 , page 64 , that the ratio of precision is 1':10,000, that this map was prepared in accordance with the General Statutes of North Carolina Chapter 89C. my hand and seal on the 15__, day of JUNE , i ri A.D. 20 22 REVISED 04/27/23 ye °• ee MOVED & FLIPPED HOUSE 3 .. �"t. ' ' WILIJAM tf. •• N, P�' ;�:y VANNIE M. SIGMONT. SEAL cbo / 1821/106 ;y% � v 4. \......................,,,,. •'..1, • .10% ® Li VICINITY MAP'+NJO SCALE 30' REAR T \ a a VI LOT 20 m l•• 1.11 AC. LOT 19 NEST HOMES LLC. 3 3724/1040 M t En lb CS N MPT GIW 2M o 8 a- -- t 4 MOURNING DOVE I:,': lI LOT 21 �l NEST HOMES LLC. ._1'. 3724/1040 CONC. CALL. al.s' ;ss- _ 4i.5 DRIVE = 2,317 SQ. FT. WALK = 176 SQ. FT. LEGEND o rua = P.P. = POWER POLE I' QY�c I.P.S. = #4 REBAR SET Y +I C100��� R/W = RIGHT—OF—WAY Q'ti q 11V403 ���� 12 �.4 CP = COMPUTED POINT • g B R A.E. TBM TOP MH (4.3') •'•t'`•' N. ri l O a WELL • 'I., Q, 30' FRONT R/W ; S5229'24"E RA,/.�. �.� .� 136.38 410 �.� ;i"' yQ�p;^�N.NS'�'oNif^��O'r pO obi •}( ^� =Nf��^��Nh���y•► � Qgn�m �pv to e• '�. ����' "�r Qns'v� � Rrt:.�8:aRRR>RR=.rtni 7tTi� iR€18>Zia8gi�ase-RSiiiga"�Sii�9R k "li ��a,� mean ro^ �i�`rt�siBsiE F7llsg 7Ert8gs�X'A "5E.1( e4iY�lO N a R_ix5I8_i>!.tt RR R � � o n �4�'a + �,8�8�((888c8gt8888�{{888pp ���s�3 9S��aR�SP ��33 ��$g� 3 g9��ss_aaie _ =.Z;Z^����pa Sf 'Z ��NWS v�i�N�iN��+S yh t�p�yf •� C,1 � � . ° d .�+ �.�g6bO qq p�p`�r6hl�Yo ry�•w��0 a � �$`i p� _ N�bqN MMynf`^N r5 F .`IrQ O.� t71 d 4�cNic�vc�i�c^i8�i���� QIra^4 ,gsAKafi uy 8 � is„esaeaaRsR�aF=aiis�s>:zia�osaai ai��aai s i=�f�rtiiRrt9 1" 14 �tfR4sq�:gxrtgkiaX��iArtAaE"-3���ggNNRi R� +!i g E is a o � •cs p�l0.cm 8 .Q � ;Ru4�d $g �;_� € S It P. fill •is R l e � 0 3 §jl E� i P I$ � g !�# y a �j fi '`' � a N f il ill' 'a E t �' 4 a � S R _..,,eA'gxr =�•�RsyB �11 r�yM �� �g � P� �� 13'�s��$ p� 1 gE aF e i i ui ^J uw a fKn U e <$ X: F� § $t �� ,�•��� � E �•S Ra � �'�`_ � a v� ` 1� / �� Fra � a'J��a�' fill . aa �c .......... , — I s . $ #a � d n =�'. �`�� •;�y � �� HzoHc r,aots Hss � b •, t.. .; � �� � a �g�j ; — €a '+''+«...p��P'� Ir•,ol3g� 1 o�•ras,r.Hrose � \� 9 opp ,� �� �� �� % lie $fi Cm ccYY �•Y ff�T �+ r II.HS,Or CrS ^ 3� 'O 3 o o► a �I I o n,Hroress 8 = $ i . � o r.Hsocies 3 x�x� j[� Y = •r ; ate g + o �'� O�.o �I ..$� �I OF I 3"e 6S'oLr �i � S ° ���m x b'o $ e'� nN� � ''� •.� •k $o HSOrdSH Vy Kox "� �� ZA a 0 $ Sol b�HHaIs � $ € * �� �� c4 j I � r c k�� r,Hsos.�ss I i+ �•�� �� � � �a � �s� a�s �'' "�� � � � � B � $ � � $ n x # 14. I � I a 'iNy �o� aRgos `' Rg '3 ;bt4i $ fi a s r,Hz,rRgss FR Groos e s 3$ r,ar,rggss ° a7i° �° Es r.Hz,ralges� o �j p.. ♦ 3 aV e o b ul j 1 S � Id W §5 ig • { #AP 2 o.F bt �i I bW e g M v Y 'dC4 e{ g Br'86r fHT x '�a o �° 'OC 9 g I t;; ili li 'X.1 ''�'�� 8$ r.Bd;TR �` ——— i g� 8� � i � 'Ti. 2 J U e 3 •� � ''r:�jWjj�3ssij!` HI.Or LrS d` ri �� ,e +Pt7t d r � ����� � $ 1Hr•or.��a� � � \ � � ft g _v $' Y '= i ' — —x a! T ,oH7 x I$~ R E " r.Hr,oscas �a gg # �� �� s bQ¢ •�o � 3y��j � r/ i79� ,oa ,� >,$y �N �v►�` N R j � (zsgr •u-s) proa owne 0) SIR N ti (RI7S 1a- aoa t-3<?5 CATAWBA COUNTY CASE#: ONENVIRONMENTAL HEALTH DIVISION PIN#:460603027469 111:�rr-� ! PUBLIC HEALTH DEPARTMENT SUBD:COBBLESTONE LOT:20 PO Box 389,25 Government Dr,Newton,NC 28658 1} , oc, d- WeIi Site Address:7089 COBBLEFIELD,DENVER,NC 28037 Name on Permit: Nest Homes LLC Property Size: 1.11 acres Directions:Slanting Bridge Rd south,left Burris Rd,right on Cobblefield NEW WELL APPLICATION (e.V,sc.A Opp\tom 0, THIS IS NOT A PERMIT Primary Contact?: APPLICANT Owner Name: Treeline Holdings LLC Contractor Name: Nest Homes LLC Owner Email: Contractor Email: Owner Phone: Contractor Phone: 704-433-9947 Owner Mailing Addr: 9190 Greenwood Rd,Terrell NC 28682 Applicant Name: ADD PROPER APPLICANT TO THIS... Applicant Email: Applicant Phone: Applicant Mailing Addr: NOT KNOWN AT TIME OF ENTRY UNKNOWN,UK 00000 Scope of Work 12/4/2024 Revised New site map received wanting to move the well location.5/1/2023 REVISED TO a2 IP County issued AC and well house size 47 x 69new single family dwelling 70 x 70/4 bedrooms Property Type: Residential #Structures Using Well: 1 Shared Well Connections: 0 Struct.Dimensions(ft.): 47x69 Does the site contain any existing septic systems?: Are there any easements or right of ways on this property?: If so,describe the easements or right of ways: • Application Conditions Re-trip to the property and/or permit redesign will incur an additional charge(see Catawba County Fee Schedule) Fees become non-refundable once a site visit is made and permitting work has begun. All lot corners must be true corners(iron pins,axles,etc.)and marked and readily identified in the field.Some sites will require all lot sidelines flagged or strung the entire length and width of the lot.A professional land surveyor may be required.Lake front properties may require the 50 foot and/or 30 foot lake buffer to be surveyed.Environmental Health Specialist permitting the well will make the final determination on surveying requirements. Completed applications are valid for a period of 2 years.Well permits are 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/existing structure changes.Permits may be revoked if site conditions are altered such that they effect permit conditions or well construction requirements. CATAWBA COUNTY CASE#: REF#-000028908 ENVIRONMENTAL HEALTH DIVISION PIN#:460603027469 PUBLIC HEALTH DEPARTMENT SUBD: COBBLESTONE LOT:20 APO Box 389,25 Government Dr,Newton,NC 28658 Site Address:7089 COBBLEFIELD,DENVER,NC 28037 Name on Permit: Nest Homes LLC Property Size: 1.11 acres The applicant(if different from the owner)certifies that they are authorized to act as agent on behalf of the owner. Additionally,the applicant has read this application and certifies that the information provided herein is true,complete,and correct. (Enter Your Full Name Here) The applicant certifies they have the authority to authorize county and state officials be granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules and hereby grants the aforementioned right of entry. (Enter Your Full Name Here) The applicant understands that they are 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. (Enter Your Full Name Here) By selecting"I Agree",I am signing this form electronically,and I agree that my electronic signature is the legal equivalent to my manual signature. AREA5 Application Paid Date: ` NOTE: P ` 1.BUILDER ASSUMES RESPONSIBILITY FOR GRADING LOT AND/OR DESIGNING STEPS.PORCHES.DECKS.ETC.AS NECESSARY TO PREVENT ENCROACHMENT ..\ INTO SETBACKS. 2.HOUSE DIMENSIONS AND OPTIONS SHOULD BE VERIFIED WITH CONTRACTOR PRIOR TO CONSTRUCTION. 3.SETBACKS/EASEMENTS SHOULD BE VERIFIED WITH DEVELOPER AND LOCAL OFFICIALS PRIOR TO CONSTRUCTION. -N- 4.THIS IS A CONCEPTUAL DRAWING AND CONTENTS SHOWN HEREON ARE SITE I SUBJECT TO CHANGE UPON FINAL CONSTRUCTION. </H� C'ai,fib q z aN j Z al SrMITING BRIDGE, I NOW OR FORMERLY VICINITY MAP VANNIE MAE SIGMAN NotDB 652 PG 320 To Scale ZONED-R-40 - --__ N 53'01'10" W 72.99' < \ / 30'REAR YARD L2 /� r .--\\ 61 I. e qg a #7089 5! 48,314 Sq,Ftf m E1.10 Ac.f X Inn C x 195.7' 3 ICI Tr) © U) W O Mn _ _ o � CA 4.4. ; 21 y) I to co. DECK n —f-45.6'I 49.0 I�""� GARDENIA'Y —I40 5 GAARR LEFT L-1 S+ RBASEMENT W/P BRICK B/6/19 \ NI7 el 13.5 ti;001 •00. 8$Jai' ofIZ' %B 'L 30'SETBACK SANITARY 138.38' SEWER EASEMENT N 52'29'24" W COBBLEFIELD LANE 50' PUBLIC RIGHT—OF—WAY LINE BEARINS, DISTANCE L1 N 09'OB 56'E 36.32` L2 S 60 O1'52'E 40.74' THIS DRAWING DOES NOT , REFLECT AS—BUILT INFORMATION THIS PROPERTY MAY BE SUBJECT TO ANY AND ALL APPLICABLE DEED pg iM1NARy PLAT RESTRICTIONS,EASEMENTS.RIGHT—OF—WAY, UTILITIES AND RESTRICTIVE COVENANTS WHICH MAY BE OF RECORD OR IMPLIED NOT FOR RECORMTION.OONVEYANCES.OR SALM. 60 0 60 HOUSE LOCATION PLOT PLAN FOR SCALE: 1'= 60' 2 SUDIV ON EASTOVER LOT ow, COBBLESTONE County, North Carolina Creek Township, Catawba County, North Carolina LAND SURVEYING COMPANY, PA PROPERTY OF: CENTURY COMMUNITIES LAND SURVEYORS— PLANNERS— (C-1833)10430 PARK ROAD. SUITE#300 MAP BOOK_GSLPAGE 64 HEED REFERENCE CHARLOTTE, NORTH CAROLINA 28210 PHONE AX (704)980 927309-8080 0842 DRAWN BY: CAF DATE: MAY 8, 2024 FAX (980) 309-0842