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HomeMy WebLinkAboutRBPR-12-2021-39533.TIF A �$ •� THIS IS NOTA PERMIT Case# RBPR-1 2-202 1-39533 CATAWBA COUNTY HEALTH DEPARTMENT 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 5. Residential BuildingPlan Review- BuildingNew IMPROVEMENT-AUTH CONST- NEW WELL Contact Person NEST HOMES I,I,C (ALLEN VANNOPPEN),236 RACEWAY I)R SUITE 7,MOORESVILLE NC 28117 13:7044028594 C:8284433366 AVANNOPPEN@NESTHOMES.COM Contractor *NEST HOMES LLC (ERIC WOOD).PO BOX 3965,MOORESVILLE NC 28117 H:980337481313:7042084251 C:7044339947 HOME:9803374813 0"1'HER:9805001226 JDUBOISnNESTII 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: 7015 COBBLEFIELD EN, DENVER NC 28037 PIN # 460603022975 NAME of SUBDIVISION: COBBLESTONE I of# _ 24 Section/Block PROPERTY SIZE: Square Feet Acres 1.01 DIRECTIONS: Slanting Bridge Rd south/left Burris Rd/right on Cobblefield PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBEINDR7c7,, 7/12/23 REVISED TO a2 AC } 5/1/23 REVISED TO a2 IP COUNTY ISSUED AC AND WELL. HOUSE SIZE 47X71 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 71 #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 07/12/2023 14:03 Page 1 of 3 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 , County: QwbG` (� CONSTRUCTION AUTHORIZATION FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: ,`(NO `(�0 a J 12 `]`-- `S-- Issued To: \\.‘,25,4- k \Q,` 1 _ Property Location:10 L)CJ \6,e-cte.11 Lr^ INJjw-c( Q. cacto37e ' /� p, 1 AOWE/PE Plans/Evaluations Provided:id Yes B' �No❑ If yes,name and license number of AOWE/PE;. m ut4 hkii 15011P� 4160.VC Facility Type:4 C ckoo \ ',K..cS tcka v C�V C A Q/New 0 Expansion 0 Repair System Relocation ❑ Basement? 0 Yes �No Basement Fixtures? ❑Yes 0 No /� Type of Wastewater System** ACC 4Q.4 -I-P►" (Initial) .i.{�BPS ""I TT (Repair) c_ Design Daily Flow: —1`'6C) GPD Wastewater Strength:lidomestic ❑high strength 0 industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? ❑Yes C3'N-O Installation Requirements/Conditions Septic Tank Size: ((T QO gallons Total Trench/Bed Length: 411 Od feet Trench/Bed Spacing: 1 feet on center Drainfield square footage: , (L-°0 Trench/Bea Width: 36 inches�7z LIAR: d .3 gpd/ft' Soil Cover: Ip inches • Slope Adjusted Maximum Trench/Bed Depth:- 5J inches (d`i'1 b-C Aggregate Depth: _ inches above pipe inches below pipe inches total Pump Tank Size(if applicatiile): i 0 00 gallons Requires more than 1 pump? 0 Yes El No -•�, �7� ,t I►,1+t�r ortc m4,.�Sc�u Lit. Pump Requireinenfs: 5 ft.TDHHvs. GPM\__Grease Trap Size(if applicable): gallons Distribution Method: 0 Serial ❑D-Box or Parallel J Pressure Manifod(s) ❑LPP ❑Other: Artificial Drainage Required: Yes❑ No la'1f yes,please specify details: Legal Agreements(If the answer is"Yes"to any type of legal agreements,please attach a copy of the agreement.) Multi-party Agreement Required(.1937(h)): Yes❑ No B Easement,Right-of-Way,or Encroachment Agreement Required(.1938(j)): 0 Yes GLFda Declaration of Restrictive Covenants: ❑Yes P4 o **If applicable: —1 I understand the system type specified Is different from the type specified on the application. 1 accept the specifications of this permit. Owner/Legal Representative Print Name: Owner/Legal Representative Signature: _ Date: Pre-Construction Conference Required: Yes 0 No IW Conditions: -A�S I F n5)I ItieJL-✓ t o*Le Ir t"�11t1SC `c►•-4Q 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: A \`GYU f� ,+ 7 . :. ,„itaimiksf.'1.i:,,,., , AOWE/PE Signature: vl �� l.0 c tom.._ Date: //-02 This AOWE/PE submittal is pursuant to and meets the requirements of G.S.130A-335(a2)and(a5)t,i'l;&.,V a � ; *See attached site sketch* 1 btte1..,,*� ;�e nEcovED • +O iv ir-b, .sv,.''' lion ; w , „: JUL0,,,,ttki,-.:. re% ivi77 _, ,,,41"•,,,=.,•••• .., ...i,,, _.. ,..1k, 1 0 2U ': -vo v �0 4�,--J Environmental Health 1w• THIS IS NOTA PERMIT Case# RBPR-12-2021-39533 F" t 4CATAWBA COUNTY HEALTH DEPARTMENT ' ,, ,, ..,...�$'l PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES la 2 set Residential Building Plan Review-Building New IMPROVEMENT-AUTH CONST- NEW WELL hI23 RAA sec) 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 TREELIKE HOLDINGS LLC,9190 GREENWOOD RD,TERRELL NC 28682 NAME TO APPEAR ON PERMIT *Nest Homes LLC (Eric Wood) SITE ADDRESS: 7015 COBBLEFIELD LN,DENVER NC 28037 PIN# 460603022975 NAME of SUBDIVISION: COBBLESTONE Lot# 24 Section/Block PROPERTY SIZE: Square Feet Acres 1.01 DIRECTIONS: Slanting Bridge Rd south/left Burris Rd/right on Cobblefield PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well S WORK: 5/1/23 REVISED TO a2 IP COUNTY ISSUED AC AND WELL. HOUSE SIZE 47X71 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 71 #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 15:12 Page 1 of3 L,p 2.9" County:C c'kC dtC . IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: L(4 0 603 022611 S Issued To: ilrows. CO WIC_ HO %OW DeV, LI-C. Property Location:L 701S Gobble c i tACI L r1 Dort✓'Gt "2 groVi Subdivision: G Lot#: Z'1 Block: Section: LSS Report Provided: Yes lig No 0 If yes,name and license number of LSS: SuMve.\ Nolo\%CI ?o\ A' rul New® Repair 0 Expansion 0 System Relocation 0 Proposed Structure: 14 CST Str'\Z. futv•I %eve)Ch.e. Proposed Wastewater System Type: P1win- 2 S/, fC.> 1 M (Initial) tAod,UAW, SO).(C441.4, LOw PrtStNG(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: 'I iS0 GPD Proposed LTAR(Initial): 0.S Proposed LIAR(Repair): O•3 Design Wastewater Strength:®domestic 0 high strength 0 industrial process Number of bedrooms: 9 Number of Occupants: $ Other: Pump Required: KYes 0 No 0 May be required based upon final location and elevations of facilities Artificial Drainage Required: 0 Yes 01 No If yes,please specify details: Type of Water Supply:gi Private well 0 Public well 0 Municipal Supply ❑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: S� des:yc\ Licensed Soil Scientist Print Name: S 1./e / An,, /�o/(ar>1 �/ Licensed Soil Scientist Signature: Tyc% .c�) �-/CR.��C�-c_. _ Date: 7 Z/ 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: JeY New Construction ❑Existing Facility Improvement Permit XAutborization to Construct ❑New Septic ❑Septic Repair/Malfunction ❑Septic Relocation ❑Septic Expansion ❑Existing System Inspection or Reconnection KNew Well ❑Replacement Well ❑Well Abandonment ❑Well Repair Property Address 7015 Cobblefield Lane, Denver NC 28037 Acres 1.01 ac Subdivision Cobblestone Lot# 24 Driving Directions to Property Slanting Bridge Road, Burris rd, riath on Cobblefield Describe work New construction of a single family residence Applicant Name Nest Homes LLC Applicant Address p0 Box 3965 , Mooresville NC 28117 hposton@nesthomes.com Phone 980-500-1238 Cell Phone Owner Name Brown Cobble Hollow Development Owner Address PO Roy 3965 Mnoresville NC 2R117 hposton@nesthomes.com Phone 980-500-1238 Cell Phone Contractor Name License# Contractor Address Phone Cell Phone Name to Appear on Permit? ❑Owner pplicant ❑Contractor Who will be the Primary Contact? ❑Owner ®Applicant ❑Contractor Proposed New Construction-Residential Primary Residence 471 New Residence ❑ Addition to Residence #of New Bedrooms*t 4 #of Occupants R Project Description New construction of a single family residence Structure Dimensions so specify dimensions of decks&porches 47'x 71' Basement ❑Yes 21 No Basement Plumbing ❑Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions Basement ❑Yes ❑No Basement Plumbing ❑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 ❑Yes ❑ No Basement Plumbing ❑Yes ❑ No Well Construction/Abandon i i ent/Repair Proposed Well Type Y Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?[ Yes ❑No catawbacountync.gov Environmental Health Catowbo 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 El Yes ❑ No Basement Plumbing El Yes ❑ No Existing Water Supply ❑Individual Well 0 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._Ife answer to any question is"yes",applicant must attach supporting documentation. ❑Yes M)To 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? ❑Yes 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,10'drainage 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 IV 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 legal agent of the owner. Signature of Owner or Legal Agent s .. '' ,"— Date •I •20Z3 Printed Name of Owner or Legal Agent He a+h c r Two s+%)n ® r � X FORESTRY SERVICES 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 7015 Cobblefield Ln Subdivision Lot 24A,(PIN#:460603126245),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 Subdivision Plat 10 Session Law Form ---- — — 11 Application--------- ---- --- SUBMITTED ***PROFESSIONAL ENGINEER REQUIRED TO PROVIDE DESIGN SPECIFICATIONS FOR EXISTING FORCE MAINS PRIOR TO ISSUANCE OF AUTHORIZATION TO CONSTRUCT. I o Ella e) March 17,2022 © , Project No.21-0093 g `6.,j�+r', . Design By: Soil •&Forestry Services of the Carolinas,PA !. � U8s1 Nei o 0 I 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. - Supply line size,length and elevation head must be provided prior to AC - Repair is offsite on Lot 24A.Supply lines were installed per expired IP. 4 Layout Specifications-7015 Cobblefield Ln-Lot24A Project#:21-0093 LAYOUT FOR 4 BEDROOM HOME March 17,2022 FLAG FLAGGED DESIGN LINE# COLOR BS BI FS ELEVATION LINE LENGTH LINE LENGTH TBM 1.90 101.9 100.00 HOUSE PUMP TANK INSTR. 1 OFFSITE 24A 1 RED 2.20 99.70 42 42 2 BLUE 2.80 99.10 68 68 3 YELLOW ` 3.60 98.30 90 90 4 ORANGE 4.10 97.80 112 100 5 PINK 5.00 96.90 114 100 6 RED 5.60 96.30 107 100 7 BLUE 6.00 95.90 103 100 8 YELLOW 6.60 95.30 35 35 9 ORANGE 7.20 94.70 23 23 Total 694 658 - SOIL 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 GRAVITY 33" Repair 294 0.300 MOD. 0.300 50%RED LOW 33" (12', 14',T,3') CONV.. 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. **Property lines located by Licensed Surveyor. 5 PRESSURE MANIFOLD TAPSREET- 7015 Cobblefield Lane-Lot 24A SYSTEM LhLeA Color )Elevation Leneth Hole Size flow/Tap Trench Area Line LTAR 4 ORANGE 97.80 100 SCH 4012 7.11 300 0.15 5 PINK 96.90 100 SCH 401/2 7.11 300 0.15 6 RED 96.30 100 SCH 4012 7.11 300 0.15 7 BLUE 95.90 100 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 ......p O tags fe ".'''''',., P / „, \ m \\Jo 7--\ / \ 1 / \ 0 4.1111* 11:ilkii /4„\\ 15 . Ar - ii pg I; \ / I II I '\ ill ` e. P r AN -.4!' Vt, \ i 4r( . -''-, y 004t \. - id ,i , # • i \1st( 0 -.74to. ,, Ito �.� p 2 itij in ipli ...s \ ._.> -5- -Di.___X 4, c5 5r s --Do c5' 4) ce, ii,... ' ° p #' �otioGs �`os•o�%> C0 L1‘1" 1: 6 "?/e ler 51/4\* <51/4 ?ir \ .9.? .e. 4, . yer 4% e \ ,i - - 0 . -1k- (0 0,. ., t .tsN 4 cS CP- °\ ' ° V ili ts3"' \ - 4 o, L. •o\0 41r' 0 1' �'` O SCALE ,�' 0t, 1 " = 50 ' �� o os <7 0 'e o- • a � 0�9 4.,,E °- s ---?O 44) A. • 6- c9Li , 4114;‘z jo 'f" F %5'..- ‘,� qg (1 5S\ti) � \ ,,,p4Y,,,,., toy e \ icl<eAr q3(0 .5‘, .e. ®< .. \ 0 co 4y _ , to t--k 0, to u-A 1110 . . 11 „re. * o,.2 -9,-), -ek, \ .c# 4, - -0 , e D /) vo 0) o O SCALE ,e O1, 1 " = 50 ' �e9 ° �s ° a .� Sheet ' of 1 • PROPERTY ID#: ° 714--Fs: 4g COUNTY: -•t-;$ SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in fill) OWNER: f.1" '7 14'a_l^ 1,.<t _ APPLICATION DATE ADDRESS: '='.,n Race c►� Dr,I+�',..2 t,2, of. A1,:w.vr�,' , !!f:. ,..1... .E DATE EVALUATED: o't f PROPOSED FACILITY: L1 K. PROPOSED DESIGN FLOW(.1949): l4 O pc PROPERTY SIZE: el LOCATION OF SITE: 7b 1S Cewel -t tit. r I.o4WI•A :-;-:;;,•,.;.r,.1 PROPERTY RECORDED: `/'r WATER SUPPLY: ❑Private 0 Public 121jell 0 Spring 0 Other EVALUATION METH l,�A OD: u4er Boring 0 Pit 0 Cut s TYPE OF WASTEWATER: CiSewage 0 Industrial Process 0 Mixed s P o SOIL MORPHOLOGY OTHER F (1941) PROFILE FACTORS 1 .1940 LANDSCAPE HORIZON POSTtION/ DEPTH PROFILE # SLOPE% (IN .1941 .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPR RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH 0 HORIZ CLASS O— 9 Rawl ae,6&. V rs ,PS-Akp P 9 — 32. •3Re.wftikfAU IA Vt -1 P-5 1 L-I toi% 12.— ss Rbel,,,,F'rbk N. w. w ti -C-c5'1 ss Ps - 01 i - , , •; cc- 7Z_ gar SI wv,tir ' w K 11 O - tj 8sl 5, Fc °i - Z$ iktcw a,.m i Fr*1p yp -C it'e`ki p, P 5 2 L f °/a Lg - GoG�w.ksl!t- f r% f<f, ,1 e6 P5 _ ®,Zs S:,alto,w r 9 g311're. G v— 7Z fat 5{ tea.. t ter, s R. 0" 8 (j w k's 4 k. Pr 5S m)i—,4l - 25 tB(wtA& 6 ' l4 ,l P 72 t/516 , • 0 — 7 Q I w..4s(ik. i '`'+ p 1 - 34 $.ge w sa It t. t•r k 0 ►./ 1 .-( P4', 4 L (14.1. ' i-t _ ?q 1404W0, i ,. I u. 4i ,/ • _ — r) - f • •A (O4 1pA - _ ; l�J. DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): O� . t;,`',1`'� SITE CLASSIFICATION(.1948): VS. , JJJ „..-rt.; f,�� ,Aj � Available Space(.1945) ' r� / •,g.r ®. r� q a� EVALUATED BY: .�,��.A .13'ry �at?Oa 5:, --. /- System Type(s) , G ftew t r� a�. r tf S 1r` OTHER(S)PRE '., 1rt.11 a, SENT: `.a.$ ��.. ,iI � .���� �i� Site LTAR Cj 3 ,7s `��,, r-1 1,4) `' • COMMENTS: 0 `� Updated February 2014 c atawbe 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(H8374)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 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 1SS Evaluation is being submitted pursuant to and meets the requirements of SL 2018-114 Section 11.(c). 3. The 1SS 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: 7° /5 CObi f'fr;e Id,Ill,e fives 'Signed this day of , .® o ,_. ///'j a/ 0 ♦O ''�j�r Y -a t Printed Name:Cu5Anue\ �1\ t�S Leo �'a ~ }R` North Carolina Licensed Soil Scientist • Mailing Address: yet S6�'a.riVese ;We ktailib © a ► �., .R Office Number:104-'1ct(,,- cab Cell Number: i - ,- ►"� ,.° °- Email address: Q�143.ACeA s Ositr t\.CC ,"‘ 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. 4By: Printed Name: Mailing Address: Office Number: Cell Number: Email address: catawbacountync.gov Environmental Health to:owbo County Goveimr:en; Center 25 Government Dive I PO Box 389 I Neueton NC 2865E 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, ` tttlIrrrr,, PIEDMONT DESIGN ASSOCIATES,P.A. ����`� CARrt,i,�,,� • o / A( // SEAL • Donald L.Munday,P.E. ��� ..` N.C. Registration No. 17327 �'�•"�D L. MV����� ��hrrrnnt��` cc: Allen VanNoppen,Nest Homes 04/05/2022 v9conva®mmvowaanmmwaa u,m.wrrm aei..4a Id.II xn a1t[P 11 1:f1 pcla t Is�a t tp li op it i � . •.. _. \ '. (, , hittliii I!till I `tt, F r Il li pi I:t IF op _ i. ,`.'.',•,,.' \ „;. :, , r / �t =i[�[-�l e MN i }�1i [eFlt�tl ii�`3�1 ll� ,`.\' \'. ,"1';,i l �; .,}!, �I/''/,% I I .[ 41,1tlJ�i"( I ; iir11 'k� , It'ite�1 o ;Ip1[tii ,(, �it tt ti`tii, . \ /g1.1g [1 : tll It11i � lt ' • f`,i \` �W it t=tit!y11 P±i"i I hi 1 1 1 1I 11 11.fi --- \•, •`.1 ,.��__ �1', • a i :1 I �a.#'t!i• ! 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