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HomeMy WebLinkAboutEOP-07-2021-154341.tif I NC-10 HWY ('''. .,a, 19To John Propst I -p 4544 PAINT SHOP ROAD Site LINCOLNTON, N.C. I GRACE CHURCH ROAD 28092 Contact Person: N„ Stefanl Haynor I (828) 729-3004 N Date: 5-20-22 I V1CININ MAP not to scale I I U HOUSE SETBACK PROPERTY LINE I SETBACK Wastewater Facility for: John Propst AREA" 4023 Plateau Road I / TREHONEW —_ -_" Newton,NC HOUSE , ::;, I AQUASAFE --: IAR 1 UNIT ���� -� . �� NI ....., ......, ..,... I ._ ____ , , _. ___ _.-,____ ___________ ___,--/___. • !um LJ:_ _ _� - _ - -- LASH - __ — —c ENGINEERING I \ \ - + , Consufrang CIA Engineer/Planner �• / / 1104 Candy Cur Drive • / Matthews.N.C. 28105\ • Phone:7041847-3031 \ \\ , / ce email:mlkalolashenglneeHng.com I �` /' license SC-2433 • tip I / 1 Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning ' 1104 Cindy Carr Drive Matthews,NC 28105 Phone: 704-847-3031 ' mikel@LashEngineering.com Lash Engineering, Inc. ' Haynor-Propst Wastewater Facility Sub-Surface Wastewater System EOP — ATO Submittal 5-20-2022 1 Table of Contents EOP — ATO Submittal 1. As-Built Title Sheet ' 2. Table of Contents 3. Owner to Health Dept Letter ' 4. Earthwise Designs - Soils Report 5. Soil Scientist Certification of Installation 6. EOP-NOI — Approved ' 7. EOP-ATO Page #6 - sealed 8. Owner's Operation & Maintenance Form 9. Special Inspections & Report on Installer ' 10.Installer Statement of Installation 11. Engineers Certification with Seal ' 12. Notarized Form for Engineer to Owner System transfer 13. Engineered Plans of Proposed System t 1 Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning ' 1104 Cindy Carr Drive Matthews,NC 28105 Phone: 704-847-303 1 mikel@LashEngineering.com tLash Engineering, Inc. May 17, 2022 Stephani Haynor or John Propst 4544 Paint Shop Road ' Lincolnton, NC. 28092 Catawba County Final Submittal Letter for Owner to Health Department The following is a list of documents that are required for submittal to the Health Department from the Owner or ' their representative. Owner shall submit to the Health Department: ' 1. A copy of the Engineer's Report. 2. The signed and notarized letter stating receipt of Engineer's Report. 3. There may be a fee required for the Certification process. ' The address & contact information for the Health Department is below: Catawba County Department of Public Health ' 25 Government Drive Newton, NC 28658 Contact: ' Catawba County Department of Public Health Megen McBride, REHS Environmental Health Administrator ' MMcBride@CatawbaCountyNC.gov 828-465-8268 ' The Health Department has 15 calendar days to verify that the information has been submitted in conformance with the EOP process. Upon verification, the Health Department will issue the Owner a letter of confirmation that states the documents and information contained herein have been received and that the wastewater system may operate in accordance with rules adopted by the Commission. This will complete the EOP wastewater permitting process. ' If there are any questions, then please do not hesitate to call. Thanks, Michael Lash, PE. 1 1 Earthwise Designs Cg)-449 Soils & Land Evaluation 6/9/21 Site and Soil Evaluation tWastewater System Recommendation For Three (3) Bedroom Residence ' 4023 Plateau Road Newton NC 28658 Catawba County This report is submitted under the rule: 15A NCAC 18A .1971 ENGINEERED OPTION PERMIT ' PART 1: Submittal of Notice of Intent to Construct(NOI) ' Project: This is for a new three(3)bedroom residence with flow calculated at 360 gal/day. Earthwise Designs has performed a soils and site evaluation of the lot referenced above. We have found the lot Provisionally Suitable for the following: Initial: Type Vc. (aerobic) gravity system to ' 8"diam. Large Diameter Pipe; and Repair: Type Vc. (aerobic)pump system to drip tubing. This is a saprolite system. Public water will be used. Details are discussed below and in the attached documents. This report includes site features, soil conditions and descriptions,an LTAR for initial and repair areas, and other site-specific requirements for installation, site preparation, and modifications. ' Site features and aeo-morphological description ' This site is located on wooded side slopes beside Pott Creek. A drainageway separates the initial and repair sites. ' Initial Field Area The slope ranges from 12-16%with the aspect to the south. Pits were dug on the site which confirm the Soil Survey mapping unit of Madison-Bethlehem complex. This typical Piedmont soil is too ' mixed to be mapped as one or the other; and varies from being deep and well drained with medium permeability to shallow weathered rock with less permeability. This site has characteristics of primarily the Bethlehem soil type,being rockier and shallower. Taxonomic Class: Fine, kaolinitic, thermic Typic Kanhapludults ' Catawba County, North Carolina Soil Survey MhE2—Madison-Bethlehem complex, 10 to 25 percent slopes, moderately eroded ' Map Unit Composition • Madison, moderately eroded, and similar soils: 48 percent r i ' 2 • Bethlehem, moderately eroded, and similar soils: 45 percent ' Description of Bethlehem, Moderately Eroded Setting ' • Landform: Hillslopes on ridges • Landform position (two-dimensional): Backslope • Landform position (three-dimensional): Side slope ' • Down-slope shape: Linear • Across-slope shape: Convex • Parent material: Residuum weathered from metamorphic rock and/or schist Typical profile ' • Ap - 0 to 8 inches: gravelly sandy clay loam • Bt. - 8 to 30 inches: clay • BC - 30 to 34 inches: gravelly sandy clay loam ' • Cr - 34 to 45 inches: weathered bedrock • R - 45 to 80 inches: unweathered bedrock Properties and qualities ' • Slope: 10 to 25 percent • Depth to restrictive feature: 20 to 40 inches to paralithic bedrock; 40 to 80 inches to lithic bedrock ' • Drainage class: Well drained • Runoff class: High • Capacity of the most limiting layer to transmit water (Ksat): Very low to low ' (0.00 to 0.01 in/hr) • Depth to water table: More than 80 inches • Frequency of flooding: None • Frequency of ponding: None ' • Available water capacity: Low (about 4.1 inches) • Land capability classification (nonirrigated): 4e • Hydrologic Soil Group: C ' See Soil Field Sheet attached for specific descriptions of 2 pits; and Site Map for location. These soils are Group IV with a proposed LTAR of 0.40 gal/sq.ft./day. ' Recommended Initial System Design ' Due to high volume of gravels at 22", the recommendation is made to utilize an aerobic treatment unit with gravity flow to a Distribution Box with outlets to 8" Large Diameter Pipe. ' 360/0.40/2' = 450 ft. min. length 8" Large Diameter Pipe Trench Bottom: 16" downhill side. Trench Width: 15" t Lines 1,3, 5 will be fed from the Dbox; Lines 2, 4,6 will be serially fed from the line above; or equivalent. Speed Levelers may be utilized for differing line lengths. 1 EARTH WISE DESIGNS 991 Duncan Rd Rutherfordfon, NC 28139 Ciedwards234a(�gmail.com 828)289-0122 cell ' 3 Repair Area: Saw soil series ' The slope ranges from 20-28 %with the aspect to the south. Pits were dug on the site which confirm the Soil Survey mapping unit of Pacolet-Saw complex. This typical Piedmont soil is too mixed to be mapped as one or the other; and varies from being deep and well drained with medium permeability to shallow weathered rock with less permeability. This site has characteristics of primarily the Saw soil type, being rockier and shallower. tTAXONOMIC CLASS: Fine, kaolinitic,thermic Typic Kanhapludults ' PsF—Pacolet-Saw complex, 25 to 45 percent slopes, stony Map Unit Composition • Pacolet, stony, and similar soils: 45 percent ' • Saw, stony, and similar soils: 40 percent • Minor components: 5 percent Description of Saw, Stony ' Setting • Landform: Hillslopes on ridges • Landform position (two-dimensional): Backslope ' • Landform position (three-dimensional): Side slope • Down-slope shape: Linear • Across-slope shape: Convex ' • Parent material: Saprolite derived from granite and/or gneiss Typical profile • Ap - 0 to 5 inches: gravelly sandy clay loam ' • Bt - 5 to 20 inches: clay • BC - 20 to 26 inches: sandy clay loam • C - 26 to 29 inches: sandy loam • R - 29 to 80 inches: unweathered bedrock ' Properties and qualities • Slope: 25 to 45 percent • Surface area covered with cobbles, stones or boulders: 0.1 percent ' • Depth to restrictive feature: 20 to 40 inches to lithic bedrock • Drainage class: Well drained • Runoff class: Very high ' • Capacity of the most limiting layer to transmit water (Ksat): Very low to low (0.00 to 0.01 in/hr) • Depth to water table: More than 80 inches ' • Frequency of flooding: None • Frequency of ponding: None • Available water capacity: Low (about 3.5 inches) Minor Components ' Rock outcrop • Percent of map unit: 5 percent ' • Landform: Hillslopes on ridges • Landform position (two-dimensional): Backslope • Landform position (three-dimensional): Side slope 1 EARTHWISE DESIGNS 991 Duncan Rd Rutherfordton, NC 28139 Cjedwards234(Wgmail.com 828)289-0122 cell r I ' 4 Recommended Repair System Design See Soil Field Sheet attached for specific descriptions of 2 pits; and Site Map for location. These soils are Group IV with a proposed LTAR of 0.2 gal/sq.ft./day. Due to steeper slopes with the high volume of gravels and stones at 16",the recommendation is made to utilize an aerobic treatment unit pumped to drip tubing. 360/0.2/2' =900 ft. min. length drip tubing Trench Bottom: 6". Trench Width: 2" ' Area Available: Sufficient space is available for both the Initial and Repair Fields, with the 50 ft. setback to the creek and a 10 ft. property line setback. Part 3: Other site-specific requirements for system design, installation, site preparation, modifications,and final landscaping The following requirements are made: ' 1. The preservation of the original structure of the soil in the drain field and repair areas is essential to maintaining the absorptive capacity of the soil.No activity other than removal of debris ' is allowed within these areas before, during and after installation of the system. 2. Drain field area shall be prepared in a manner that minimizes site disturbance. No ' equipment shall cross the field areas during rainfall events, or when the soil moisture content of the fields is above field capacity (too wet to plow). ' 3. Only equipment light enough to not compact the soil shall be used to remove trees, roots, and rocks and other debris with hand incorporation of select fill material used to eliminate weak ' spots where roots or boulders must be removed. 4. The owner must ensure that the field is installed as described above; will be maintained to reduce erosion,shed water, retain a vegetative cover and not be disturbed. The Initial Drain Field will be fenced or otherwise protected from vehicle parking or other usage; and mowed with a light-weight mower. r EARTHWISE DESIGNS 991 Duncan Rd Rutherfordton, NC 28139 Ciedwards2340amail.com 828)289-0122 cell I I 5 Earthwise Designs makes no guarantees regarding installation,maintenance, and operations. System design recommendations may not be accurate if site alterations occur prior to permitting and installation. The designer of the system may make other requirements. Please contact me for further information ' if needed. ' Caroline J. Edwards �S�p SOIC SC�F NC Licensed Soil Scientist #1220 SC Professional Soil Classifier. #117 ; NC Land Application of Bio-Solids #10006173 1220 NORTH Attachments: Soils Field Sheet Site Maps—2 ps. t 1 I EARTHWISE DESIGNS 991 Duncan Rd Rutherfordton. NC 28139 Ciedwards234(a�gmail.com 828)289-0122 cell I Site Map for Initial System: Pretreated to 4023 Plateau Rd 8" LDP, 450 Linear ft. min. I 3 Bedroom Residence Available Space: >8,000 sq.ft. N Pits 3, 4 !4 r- I r44**ft . .... Is\ 1 4, 19. •a y ' ` .yam ...r r Ile oftI 4• s ,w e L. \ ! ` j t If, ...-,,,,ig I It C e / 1 .4,1-E'- I t.t t 1 I /4 -411 4 I � � { r ' I `Sa" 6/10/21 Earthwise Designs ` '`•``-, "_- CJEdwards234 a(�gmail.com Soils & Land Evaluation I ;` 828)289-0122 I I Site Map for I 4023 Plateau Rd Repair System: Pretreated to Drip Tubing, 900 Linear ft. min. I 3 Bedroom Residence Available Space: >9,000 sq.ft. 1--- N Pits 1 , 2 I I 4, I , I i . $ 1 cusli 2 1 it .44 0 I i ta i -. tz i , ! I — • :. I mi q 4 4 84, ski. I / 4v 111 -. t Q, I .. , tik- ' ----..,:• r4 , ,i I fit -f- -•.. 40) a I 101 1 • Earthwise Designs ,k g Soils & Land Evaluation I 6/10/21 I , I 1' i / ill ,:<.:,.:::::t•--Y9 i i ,,, I 0 iv, ,; / I CJEdwards234gmail.com 828)289-0122 s I 10 46 / / I I I G> • 0 7 ;� J ti V 1~`�'� 0plc �,T h �4- h 0 ,.Amt.. x -- Y 447 t - ' " ' 9 filf/Arr , o ,,,,,4•Cizy2-lior • at o ` c z � r J3 o wa - • , •A. 4111 ci ' : -6.'' .÷: c+ it aA N oc VI 7 i • Q - s+ . i SCoY • s � mv a▪ . t.. 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I ' c.)v" V cn +- > LL 4 0 � rttT4 ''°I4- ( 1 '/ qI OViw��-aJ� OVJ1y I a ' 6 I .� + r 1 u c, w s � CIIIIH N6,--, '" 10 ._ --~' ca To d O ��v f/ u gti c — x a TE > �'Ini c aJ� N � JV` . � C r I 0 OM P. os u 0 0 cJ o I i- I: I 1 ti�:z r - r Earthwise Designs RJ `' Soils& Land Evaluation 5/19/22 ' Environmental Health Supervisor Catawba County Department of Public Health ' Re: Verification of Three Bedroom Wastewater System 4023 Plateau Road,Newton,NC Catawba County ' For John Propst, Stefani Licensed Soil Scientist- Verification of EOP Installation ' Health Supervisor: Dear Environmental ' This letter is to certify that the system at the above referenced address was installed consistent with the Soils and Site Report provided to Mr. Michael Lash, P.E. and as utilized for the Engineered ' Option Permit. Please contact me if you have any questions. ' Sincerely yours, ' Caroline J. Edwards 0.OsotSC� • ), NC Licensed Soil Scientist #1220 117 ' SC Professional Soil Classifier#117 NC Land Application of Bio-Solids #10006173 ��N, r I I RECEIVED 1:it i, �n` ,. ?.i`' .- JUN 2 4 2021 `. ll I IDEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health DIVISION OF PUBLIC HEALTH Ii ROY COOPER MANDY COHEN,MD,MPH GOVERNOR SECRETARY U DANIEL STALEY Propst Wastewater Improvements DIRECTOR COMMON FORM FOR ENGINEERED OPTION PERMIT ISee Instructions for Use in Appendix A Except for"Date received",this Section to be completed by the Professional Engineer licensed In accordance with G.S.89C I LHD USE ONLY: Initial submittal of this NOI received: v-2- -1( by T2t' Dote Initials I PART 1:Notice of Intent to Construct(NOI) x❑ New ❑ Expansion ❑ Repair—LHD Permit Number ❑ Repair—EOP Permit Number I1. Facility Owner's name:(Owner, Company Name, Utility, Partnership, Individual,etc.): John Propst IMailing address: 4544 Paint Shop Road City: Lincolnton State: NC Zip: 28092 Telephone number: 828-729-3004 E-mail Address: stefaniallred@gmail.com I 2, Professional Engineer(PE)name: Michael Lash, PE. License number:NC.#14265 Mailing address: 1104 Cindy Carr Drive City: Matthews State: NC Zip: 28105 Telephone number: 704 847 3031 E-mail Address: mikel@lashengineering.com I3, Licensed Soil Scientist(LSS)name: Caroline J. Edwards License number: #1220 Mailing address: 991 Duncan Road City: Rutherfordton State: NC. Zip: 28139 ITelephone number: 828-289-0122 E-mail Address: CJEdwards234@gmail.com 4. Licensed Geologist(LG) (if applicable) name: N/A License Number: I U Mailing address: City: State: Zip: Telephone number: E-mail Address: 5. On-site Wastewater Contractor name: Matt Fisher License number: #2384 IMailing address: 50 Flat Creek School Road City: Weaverville State: NC. Zip:28787 Telephone number: 828-779-8155 E-mall Address: mattfishe45@gmail.com I6, Proof of Errors and Omissions or other appropriate liability insurance for the following persons is attached that Includes the name of the insurer, name of the Insured and the effective dates of coverage: I '' IT PE ® LSS ❑ LG ® On-site Wastewater Contractor WWW.NCDHHS.GOV TEL 919-707-5874•FAX 919-845-3972 I LOCATION:5605 Six FORKS RD•RALEIGH,NC 27609 MAILING ADDRESS: 1642 MAIL SERVICE CENTER•RALEIGH,NC 27699-1642 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER IState of NC EOP LHD Reference: POP'47-26.2(-- )5 Y 3`t I 7. Property location(physical address,tax parcel identification number or subdivision lot, block number of the property to be permitted): 4023 Plateau Road, Newton, NC.; 28658 Tax#269804917925 County Name: Catawba I8. Type of facility: ® Place of residence No. Bedrooms: 3 No.Occupants: 5 avg. ❑ Place of business Basis for flow calculation: I ❑ Place of public assembly Basis for flow calculation: 9. Factors that would affect the wastewater load: Standard Residential Wastewater I10. Type, location,and classification (per Rule.1961)of wastewater system: Aerobic Treatment with 8"large dia. pipe 1 1/2"line to"D"Box; gravity to Vc(Aerobic to 8'Large dia pipe);Treatment @right side of house; disposal on North I 11. Design wastewater flow: 360 side of driveway near entrance. gpd(For flow>3,000 gpd and industrial process,duplicate plans shall be sent to the State.) Design wastewater strength: ® domestic ❑ high strength ❑ industrial process I 12. A plat as defined In G.S. 130A 334(7a)is attached: © Yes ❑ No 13. Owner meets requirements of ownership or control of the system per 15A NCAC 18A.1938(j): ®Yes ❑ No I 14. Easement, right of way or encroachment agreement required per 15A NCAC 18A.1938(J): ❑Yes ® No If yes, documentation filed In County Register of Deeds In Deed book Page 15. Multi-party agreements required, as applicable, pursuant to 15A NCAC 18A.1937(h): ❑Yes ® No IIf yes,agreements filed In County Register of Deeds In Deed book Page 16. Location of proposed or existing wells(drinking water, Irrigation,geothermal,groundwater monitoring, Isampling,etc.)and any potable and non-potable water conveyance lines Is indicated on attached plans and complies with 15A NCAC 18A.1950: ®Yes ❑ No I This Is a saprollte system. ®Yes ❑ No 17. EvaluatIon(s) of soil conditions and site features in accordance with G.S. 130A-335(al)signed and sealed by a LSS Is attached: ®Yes ❑ No I18. Evaluation of geologic and hydrogeologlc conditions signed and sealed by a LG Is attached ❑Yes ® NA 19, Proposed landscape,site,drainage, or soil modifications are attached: ❑Yes © NA 111 Attestation by Professional Engineer licensed in North Carolina pursuant to G.S.89C I 1 Michael Lash, PE. hereby attest that the information required to be Included with Registered Professional Engineer(Print Name) this Notice of Intent to Construct Is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable fe ral,State, and local laws, regulations, rules and ordinances In accordance with I G.S.; 13 3 .1(e)( / /f l� Z z �/ I v Signature of !tense roJesslonul Engineer ••a•�`� Cq,,, Date `, libf4 ect-.,o,Ess,p••.�. 2.•4S EALTti��'7 " I = 14265 . / OHHS/EHS/OSWPB`—I ,I fORM Effective June 1,2018 I State of NC EOP LHD Reference: (- o o7 ZUZ( /S f 3 1-?( This section is for Owner use to either designate PE as their legal representative or to self-submit the NOI. ' Designation ofRegistered Professional Engineer as legal representative of Owner for this Notice of Intent: , 1 7 1L hereby designate Michael Lash,PE. Print Name of Owner Print Name of Registered Professional Engineer ' as my lrepresentative for purposes of this Notice of Intent pursuant to G.S.130A-336.1. r j 22- 2->z/ re of Owner Date Owner self-submittal of NO1: hereby submit this NOI prepared by Print Nome of Owner Print Name of Licensed PE pursuant to G.S.130A-336.1. Signature of Owner Date 1 NOTES: ' LIABILITY: The Department, the Department's authorized agents or local health departments shall have no liability for wastewater systems designed,constructed and installed pursuant to an Engineered Option Permit.((NC General Statute 130A-336.1(f)) ' RIGHT OF ENTRY: The submittal of this Notice of Intent to Construct grants right of entry to the Local Health Department and the State to the referenced property. ' ISSUANCE OF BUILDING PERMIT: Once the LHD deems that the Notice of Intent to Construct Is complete via signature in the section above,the owner may apply to the local permitting agency for a permit for electrical, plumbing,heating,air conditioning or other construction,location or relocation activity under any provision of general or special law pursuant to G.S.130A-338. 1 1 1 1 Page 3 of 6 DHHS/EHS/OSWPB—COMMON FORM Effective June 1,2018 r State of NC EOP LHO Reference: I-��! _U�-2o2{— JS� 3 II This section for Local Health Department use only. ' PART 2: LHD Completeness Review of the Notice of Intent to Construct "(c)Completeness Review for Notice of Intent to Construct,—The local health department shall determine whether a notice of intent to construct,as required pursuant subsection(b)of this section,is complete within 15 business days after the local health ' department receives the notice of Intent to construct, A determination of completeness means that the notice of intent to construct includes ail of the required components. If the local health department determines that the notice of Intent to construct is incomplete,the department shall notify the owner or the professional engineer of the components needed to complete the notice. The owner or professional engineer may submit additional Information to the department to cure the ' deficiencies in the notice. The local health department shall make a final determination as to whether the notice of intent to construct is complete within 10 business days after the department receives the additional information from the owner or professional engineer. if the department falls to act within any time period set out in this subsection,the owner or professional engineer may treat the failure to act as a determination of completeness." ' The review for completeness of this Notice of Intent was conducted in accordance with G.S. 130A-336.1(c). This NOI is determined to be: ' ❑ INCOMPLETE (If box is checked, Information in this section is required.) Based upon review of information submitted by the PE in Part 1,the following items are missing: Copies of this form listing missing items were sent to the design PE and the Owner on Date ' via with directions to re-submit missing Items using Page 5 of this form. Email,FAX,USPS,hand-delivered Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date ' II "COMPLETE(If box is checked,information in this section is required.) Based upon review of information submitted by the PE in Part 1 of this form,this NOI is deemed COMPLETE. 1 Z` / f Copies of this signed form were sent to the design PE and the Owner on —'5 vla Date Email,FAX,USPS,hand-delivered A copy of this NOI and tracking information was sent to the State on via Date Email,FAX,USPS,hand-delivered (2_0 ) :3 r, p).12'(pr 4' - P114i 7-1j=2( Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Dote 1 1 Page 4 of 6 DHHS/ENS/OSWPB—COMMON FORM Effective June 1,2018 I I State of NC EOP LHD Reference: E'cue-07_2021 _I PI J Lf( Haynor-Propst Residential Wastewater EOP-ATO IPART 3: Authorization to Operate(ATO) Except for date received,the Section below is to be completed by the Owner or by the PE designated to act as their legal representative for U the EOP. LHD USE ONLY: Initial submittal of request for ATO received: S—18-2 2-- by fl-f Date Initials I Date of Post-construction Conference: 5-2-12` 21 The following items are included in this submittal for an Authorization to Operate under an EOP: I 1. Signed and sealed copy of the Engineer's report that Includes: a. Signed and sealed evaluation of soil conditions and site features ©Yes ❑ No b. Drawings,specifications,plans ®Yes ❑ No I c. Reports on special inspections and final inspection X❑Yes ❑ No d, Management Program manual X❑Yes ❑ No e. On-site Wastewater Contractor's signed statement 0 Yes ❑ No f. Signed and sealed statement pursuant to 1SA NCAC 18A.1938(h) 0 Yes ❑ No 2. Fee (as applicable) ®Yes ❑ No 3. Notarized letter documenting Owner's acceptance of the system from the PE X❑Yes ❑ No I Attestation by the Owner or the PE for Authorization to Operate 1, Michael Lash, PE. hereby attest that all items indicated above have been provided to the I Print name of Owner or Professional Engineer ,�a,�N CA�jt i �y� Catawba County LHD and the system shall meet applicable federal,State,a ai' Sl regulati and - anc ccor ce wi G.S. 130A-336-.1(e)(6), , .;"Q -�tyy� SE AL�, Z I S� z 14265 Signature of Owner or P tonal Engineer e 7 �j _�p rCilNt:� This section for LHD Use Only. +s"4 i W,�/•tmac I LHD Review of required information for the ATO yI�I��...w•N`. ❑ INCOMPLETE I Based upon review of information submitted by the Owner or PE in the Section above,the following items are missing from the information required for an Authorization to Operate for an EOP: I Copies of this signed form were sent to the design PE and the Owner on via Date Email,FAX,LISPS,Hand-delivered' I Print name of authorized Agent of the CND Signature of authorized Agent of the LHD Dote OMPLETE Based upon review of information submitted by the Owner or PE in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336.1(m). IA copy of this complete NOI/ATO with tracking information was sent to the State on _ via l= a' 12 O � Y pl dJ14 //11 '/ Dote Emal,FAX,LISPS,Hon d-delve d J` zn— rk- i I 2 iI Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ISSUANCE OF CERTIFICATE OF OCCUPANCY: Once the LHD determines completeness based upon the PE submission,the owner I may apply to the local permitting agency for permanent electrical service to a residence,place of business or place of public assembly pursuant to G.S. 130A-339. IPage 6 of 6 DH1-1S/EHS/05 WPB—COMMON FORM Effective June 1,2018 I EOP Tracking information The LHD completes this form for each NOI/ATO submitted to their offices. The LHD updates this information and re- sends it throughout the process as appropriate. The Department will use this data to draft required legislative reports on implementation of the EOP. Tracking information for Engineered Option Permits (Required) County GotiaWSa LHD Reference Number Epp-07-202.I- I543ti Permitting backlog as of date of NOI submittal(#days) 30 Number of days to process the NOI(#days) 15 day5 Number of days to process re-submitted NOI(#days or 'r "NA") N k Facility type 3 bedil }foie. Domestic,High Strength or IPWW pbMGSifL Design Daily Flow 360,3pd Residential or Commercial IDS t lAi System type(per Rule.1961) IrG Date of Post-construction conference 5 win Date Authorization to Operate issued 5 ZO 12,1, Fee charged for EOP Y`S 1 10.00 Is fee sufficient to cover LHD costs? yt5 1 Date LHD notified of EOP malfunction Date LHD notified of Owner complaint DHHS/EHS/OSWP—EOP Appendix A Updated February 2022Page 4 of 4 I ■ WASTEWATER FACILITY , •� Maintenance Plan and Schedule '��, for Owner LA H ENGINEERING Wastewater Facility Maintenance Plan — Subsurface Disposal Common Maintenance Issues Wastewater Disposal Facilities require plant,soil,and sometimes mulch maintenance to ensure optimal infiltration,storage,and pollutant removal capabilities.Disposal System t maintenance requirements are typical landscape care procedures and include: 1. Watering:Watering should not be required after establishment (about 2 to 3 years). However,watering may be required during prolonged dry periods after plants are ' established. 2.Erosion Control: Inspect tubing areas for leaks,ponding,or surface overflow areas ' periodically. Replace soil,plant material,and/or mulch in areas where erosion has occurred. Erosion problems should only occur during extreme weather events. If sediment is deposited in the Disposal area,immediately determine the source,remove excess deposits,and correct the problem. ' 3.Plant Material: Occasional pruning and/or removal of dead plant material may be necessary. Replace any dead plants or dead areas immediately upon discovery. If specific ' plants consistently have a high mortality rate,alternate similar approved species may be used.Periodic weeding is necessary until groundcover plants are established.Weeding should become less frequent as the design density is accomplished. Plants (grass) should be ' mowed at a height consistent for good growth of cover. 4.Nutrients and Pesticides: The soils are existing and have not been augmented. Nutrient and pesticide inputs should NOT be required and will degrade the pollutant processing ' capability,as well as contribute to additional pollutant loading to receiving soils or waters. By design,Disposal facilities are typically specified in areas where phosphorous and nitrogen levels are often elevated. Therefore,these should not be limiting nutrients with regard to plant health.If in question,have the soil analyzed for fertility. §.-Mulch:(if used) Replace mulch annually in Disposal facilities where required and where heavy metal deposition is likely(e.g., drainage areas that include commercial/industrial ' uses,parking lots,or roads). In residential or other settings where metal deposition is not a concern,replace or add mulch as needed to maintain a 2 to 4 inch depth at least once every two years. ' (if used) Soil mixes for Disposal facilities are designed to maintain long-term fertility and pollutant processing capability.Estimates from metal attenuation research ' indicate that metal accumulation should not present a toxicity concern for at least 20 years (USEPA 2000).Further,replacing mulch where heavy metal deposition likely occurs provides an additional factor of safety for prolonged Disposal performance. If in question, have soil analyzed for fertility and pollutant levels. When the filtering capacity diminishes substantially(e.g.,when water ponds on the surface for more than 12 hours),remedial actions must be taken. Page 1 of 4 I I I 6:Feneing (if used)The fence is to protect the Wastewater Facility against outside intrusion. It should be capable of being locked. Public access should never be allowed so the locking mechanism should be kept operable. Should the fence become damaged, I it is the Owners responsibility to have it fixed or repaired in a timely manner. Once the fence has been repaired and the disposal area secured, the site should be investigated to ensure that the area is complete. For most settings,the fence should be capable of I restricting access from rabbits,dogs,opossum,etc. that could cause burrowing and digging issues. Examples of When to Perform Maintenance I • Fill disposal area shows signs of erosion or excess sediment deposition. • Anywhere that ponding has occurred. I • Surface of ground anywhere around the facility is damp on a dry day. • Plants need water or need to be replaced. IImportant inspection and maintenance procedures: — If the Disposal Area had to be stabilized then immediately begin watering the plants I twice weekly if needed until the plants become established (commonly six weeks). —Snow,mulch or any other material should NEVER be piled on the surface of the Disposal Area. I -Heavy equipment should NEVER be driven over the Disposal. —Special care should be taken to prevent sediment from entering the Disposal Area. After the Disposal Area is established,inspection is required once a month and within II 24 hours after every storm event greater than 1.0 inches (or 1.5 inches if in a Coastal County). Records of inspection and maintenance will be kept in a known set location and will be available upon request. III Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately. Inspection and Maintenance Provisions for Wastewater Facility Area of Inspection: Potential problems: How to remediate the problem: I The entire Wastewater Facility Trash/debris is present. Remove the trash/debris. Areas of bare soil and/or erosive Re-grade the soil if necessary to ditches have formed. remove the ditch,and then plant a ground cover and water until it is I established. Provide lime and a one-time fertilizer application. Ponding has occurred. Uncover the disposal product. Inspect for damage. Call the I Operator if repair required. Ponding has occurred. Check for ground subsidence. Call Operator if repair required. I Erosion is occurring. Re-grade the swale if necessary and provide erosion control devices such as reinforced turf matting or rip/rap to avoid future Lash Engineering, Inc. Page 2 of 4 I 1 Area of Inspection: Potential problems: How to remediate the problem: problems with erosion. II All diversion ditches should be free flowing,vegetated,mowed and maintained. I The Pretreatment .._c.. Flow is near pretreatment area Re-grade if necessary,to route and/or gullies have formed. all flow away from the pretreatment area. Re-stabilize the area after grading. U Sediment has accumulated to a Re-grade if necessary,to route depth greater than three inches. all flow away from the pretreatment area. Re-stabilize I the area after grading. Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or riprap if needed Itoprevent future erosion problems. Weeds are present. Remove the weeds. I The Disposal Area Plants Best professional practices Prune according to best show that pruning is needed to professional practices. maintain optimal plant health. Plants are dead,diseased or Determine the source of the I dying. problem:soils,hydrology, disease,etc.Remedy the problem and replace plants. I Provide a one-time fertilizer application to establish the ground cover if a soil test indicates it is necessary. I Grass/Weeds are high. Grass should be mowed to an optimum height for the grass species. I Tree stakes/wires are present Remove tree stake/wires six months after planting. (which can kill the tree if not removed). The Disposal Area:soils and Mulch is typically not used with Spot mulch if there are only mulch subsurface systems,however if random void areas.Replace the design constituted using the whole mulch layer if necessary. mulch as a cover then: Remove the remaining mulch 111 Mulch is breaking down or has and replace with triple floated away. shredded hard wood mulch at a maximum depth of three inches. III Soils and/or mulch are clogged Determine the extent of the with sediment. clogging-remove and replace either just the top layers or the entire media as needed. Dispose of the spoil in an appropriate off-site location. Use triple shredded hard wood III mulch at a maximum depth of three inches.Search for the source of the sediment and Lash Engineering, Inc. Page 3 of 4 1 Area of Inspection: Potential problems: How to remediate the problem: remedy the problem if possible. ' An annual soil test shows that Dolomitic lime shall be applied pH has dropped,or heavy as recommended per the soil metals have accumulated in the test and toxic soils shall be ' soil media. removed,disposed of properly and replaced with new planting media. 1 I 1 ii 111 Lash Engineering, Inc. Page 4 of 4 OPERATION & MAINTENANCE CONTRACT ON-SITE SEWAGE DISPOSAL SYSTEM AQUASAFE SYSTEM PUMPED TO A 10"LDP CORRUGATED PIPE DRAINFIELD The following terms and conditions for the monitoring and inspection of the on-site sewage disposal ' system for the Propst-Haynor Residence,4023 Plateau Road, Newton, NC 28658, Catawba County, are in compliance with the North Carolina Rules for Sewage Treatment and Disposal. ' Tim Barbee(the Contractor)will provide the services of a Certified Sub-Surface Operator and will provide the required inspections, tests, maintenance, and monitoring services for a period of one year from the date of this agreement. The cost of each semi-annual inspection will be$200.00 and will be due ' following each semi-annual inspection. This agreement is in effect and binding for one year. The homeowner and the contractor may renew this contractor annually if mutually agreeable. ' Semi-Annual Inspections shall include the following: A. Inspection of the septic tank inlet end for solids accumulation. Inspection of the outlet end and removal and cleaning of the effluent filter. ' B. Inspection of the Aquasafe Unit to verify the airflow levels at the tank, clean the filter on the aerator housing cover, verify control panel operations including alarm and silence switch. C. Inspection of the pump tank, including checking all floats, pump, and control panel operations. ' D. Visual Inspection of the drainfield areas to check for leaks. Drainfield shall also be checked to make sure the area is protected from vehicular traffic and to verify no erosion issues exist. E. Tim Barbee may incorporate the services of a sub-contractor to perform the system inspections but ' shall remain responsible for the system inspections. System Warranty: The Aquasafe Unit is covered by a three-year manufacturer's warranty;The plastic ' tanks are covered by a five-year warranty: The pump and control panel are covered by a three-year warranty. Any system component failure during the applicable warranty period shall be repaired or replaced by the approved representative of the manufacturer at no charge to the homeowner for parts, unless over-ridden by a manufacturer's limitation. Labor rates shall be$60.00 per hour. The warranty does not cover system components damaged or destroyed due to system abuse,misuse,or by an Act of God. Items not covered by this contract include the following: A. The repair or replacement of any system component after expiration of the stated warranty. B. Removal of obstructions in sewer pipes and supply lines. C. Repair or replacement of any system piping, including drainfield components D. Laboratory Analysis of effluent samples if required by the State. E. Other special requests by the homeowner. A copy of each inspection report shall be: A. E-mailed to the property owner. B. One copy shall be forwarded to the Engineer. C. One copy sent as a courtesy to the County Health Department. D. One copy shall be placed in a permanent job file to be maintained by the contractor. I Page 2 Notification of any required system modifications, repairs, or component replacement shall be sent by e- mail to the homeowner and the homeowner shall be given an estimate of the price and time to make required repairs and shall notify the contractor of their intent to have said required repairs preformed as soon as possible,or as required by State regulations. Agreed: Homeowner Contractor 79 22- Timothy K. Barbee 5-18-22 4Lifts______±. 4.2Z _ 1421 Hickory Woods Dr. ' Monroe,NC 28112 ' 704-589-0595 UTBARBEE5@carolina.rr.com Tim Barbee Operators License#993958 111 1 1 ' Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning ' 1104 Cindy Carr Drive Matthews,NC 28105 Phone: 704-847-3031 ' mikel(a�LashEngineerin$ .com Lash Engineering, Inc. ' May 17, 2022 ' Stephani Haynor or John Propst 4544 Paint Shop Road Lincolnton, NC. 28092 Re: Contractor/Installer Responsibility This installer of the wastewater system was chosen for this project because of his experience and performance on other wastewater projects. He has the necessary credentials with the State and has ' completed similar projects in the past. He was contacted and agreed to review the plans. We discussed the project and he prepared an estimate/proposal for the project and was chosen as the contractor/installer for the project. He thereby submitted the required General Liability Insurance requirements as part of the EOP process. In relation to the project, there are no special inspections necessary that require an ' acknowledgment. His contact information is: 1111 Matt Fisher Dba: Matt Fisher Grading 50 Flat Creek School Road Weaverville, NC. 28787 828-779-8155 IMattfishe45@gmail.com If there are any questions, then please do not hesitate to call. Thanks, Michael Lash, P.E. I IMatt Fisher Grading IMichael Lash, PE. May 17, 2022 I Lash Engineering, Inc. 1104 Cindy Carr Drive Matthews, NC. 28105 IRe: Haynor-Propst Residence Wastewater System I The wastewater system was installed with no substantial changes from the engineered drawings and meets the requirements of the manufacturers of the components and North Carolina requirements and is ready for operation. IPlease call me if there are any questions. IThanks, IMatt Fisher I II ' Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning 1 104 Cindy Carr Drive Matthews,NC 28105 ' Phone: 704-847-303I mikel( LashEngineering.com ' Lash Engineering, Inc. May 17, 2022 Stephani Haynor and John Propst 4544 Paint Shop Road Lincolnton, NC. 28092 Catawba County ' Re: Haynor-Propst WW -Sub-Surface Disposal, Certification EOP Permit for ATO - Catawba County, NC. ' The following are items that were checked during our"Conference" and observations that were made throughout the installation and final process. ' 1. Stephani Haynor(Owner), Matt Fisher (Installer), Caroline Edwards (Soil Scientist), Tim Barbee (Operator) and Michael Lash (Engineer) were invited for the conference. The Catawba County Environmental Health Department was invited to attend by email and phone. 2. The AquaSafe tanks were opened and checked for completeness with effluent filter, soundness, and rim to ground clearance with grading away from the tank, and control panel performance. 3. The Installer checked to be sure that a pump was necessary. The draw required the pump, so the installation was in conformance with the plans therefore, the plans were not necessary to as- built. 4. Prior to the installation of the system, Caroline Edwards (Soil Scientist) verified and flagged the location and alignment for the disposal. ' 5. The Owner has an agreement for Service and Maintenance on the system. The Operator contract is included in this submittal. Based upon the above items; I, Michael Lash, PE., as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe periodically the construction of the project for the Permittee hereby state that, to the best of my abilities, due care and diligence were used in the observation of the construction such that the construction was observed to be built within substantial compliance of this permit and the approved plans and specifications. s i gel Lash, P = :Q SRO :Z S 14265 EALJ/=/ cly I IL Lash Engineering, Inc. Civil/Consulting/Wastewater Planning 1 104 Cindy Carr Drive Matthews,NC 28105 I Phone: 704-847-303 I mikela .ashF:nginecrin,.com Lash Engineering, Inc. I Stephani Haynor or John Propst 5-16-2022 I 4544 Paint Shop Road Lincolnton, NC. 28092 Engineer to Owner Package I The following is a list of documents that are required for submittal to the Owner by the Engineer. I 1. Engineer to Owner package Notarized Receipt. 2. EOP Engineer's Certification for ATO(Authorization to Operate—Page#6 of EOP form) 3. A copy of the proposed plans updated to reflect any changes during construction(if any). 4. The submittal package includes. U a. Cover Sheet b. Table of Contents c. Soils Report I d. Operation & Maintenance Form e. Operator Agreement f. Report for Contractor g. Installer Certification Letter I h. Engineer's Certification The Owner or their representative shall by their notarized signature below, document their acceptance of the wastewater U system from the Engineer. State of North Carolina County of (((-ii wb(t. The fore oin instrument was acknowled ed before me this / % of Iti9II foregoing 9 �l day �, 2022, .• �(` signature of owner or representatiye`' LIIby (jI(�ne�' Company Title. �.,y Q qq, c3: 1111 In witness whereof, I have hereunto set my official signature anfaffixed y seapip triti-day aid year above written. My commission expires: Nota .1:1 blic p U 51/9 0a7 ; U B r � A IP ., Owner hereby accepts responsibility for the wastewater system from th Erigygcpn'IY there are any questions. please do not hesitate to call. 111 Thanks, Michael Lash. 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