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HomeMy WebLinkAboutLSSP-06-2022-172771.tif Megen McBride From: Caroline Edwards <cjedwards234@gmail.com> Sent: Tuesday, May 23, 2023 4:13 PM To: Megen McBride Subject: Re:Avian Woods Megen, Doing fine,thanks, hope all is well with you. I appreciate this information and the question. I had thought that the Covid permits with NOI expired, glad to know they do not. I would prefer that each new owner get their own permit through the county. If they/you wish to use my covid permit information to assist with that; i.e. the site plan and soils data, that is fine. Also we can be hired to do an IP/CA for each lot owner and use their new site plan. They may contract with us directly; I am best reached by email. Thank you very much and let me know any questions. Best regards, Caroline J. Edwards NC Licensed Soil Scientist#1220 NC Authorized On-site Wastewater Evaluator#10035E NC Land Application of Bio-Solids #10006173 SC Professional Soil Classifier #117 EARTHWISE DESIGNS 991 Duncan Rd Rutherfordton, NC 28139 828)289-0122 cell. Cjedwards234@gmail.com. On Mon, May 22, 2023 at 3:44 PM Megen McBride <MMcBride@catawbacountync.gov> wrote: Hi Caroline—hope you're doing well. 1 Just wanted to clarify how you wanted to proceed with the 10 lots you did COVID permits for in Avian Woods. COVID permits where an NOI was approved, do not have an expiration date. (COVID submittals where an NOI was not approved expired 12/31/22) Also, approved COVID permits represent the equivalent of an IP and AC... so they are good for both subdivision and installation. I doubled checked with the state on what to do when property tied to an approved COVID permit is sold. They said it was up to the LSS as to whether they wanted the COVID permit to transfer to the new owner. Let me know if you want the 10 COVID permits for the lots in Avian Woods to transfer to the new owners, or if you want the new owners to get county permits. Transferring your COVID permit to a new owner would require, at a minimum, that the new owner wanted the same number of bedrooms, same house footprint, and same house dimensions as what you originally permitted. Thank you, Megen Megen McBride, REHS Environmental Health Administrator 25 Government Drive, Newton, NC 28658 (828) 465-8268 office (828) 465-8276 fax https://ww w.catawbacountync.gov/county-services/environmental-health/ cat awba county 2 LIii p- o6 -2°Z2 - 1727f l ;"7 , ROY COOPER •Governor P'f i QS': NC DEPARTMENT OF �' +�p ,, .�;`A5 KODY H.KINSLEY•Secretary l\`''i.' ,� HUMAN SERVO ES HELEN WOLSTENHOLME•Interim Deputy Secretary for Health - MARK T.BENTON•Assistant Secretary for Public Health Division of Public Health COMMON FORM FOR LICENSED SOIL SCIENTIST COVID-19 PERMIT OPTION FOR NON-ENGINEERED SYSTEMS See Instructions for Use in Appendix A Except for"Date received',this Section to be completed by the LSS in accordance with S.L.2020-97,Section 3.19 and G.S. 130A-336.2 // �n LHD USE ONLY: Initial submittal of this NOt received: — ( —2-7— _ by C)! Dote lnhigh PART 1:Notice of Intent to Construct(NCH)-Please check all that apply V Single System or ❑ Multiple Systems AND ®New ❑ Expansion ❑ Relocation of all or part of the Existing System ❑Relocation of Repair Area ❑ Repair—LHD Permit Number —❑ Repair—EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name:(Owner,Company Name,Utility,Partnership,Individual,etc.): Avian Woods LLC c/o Cole Gaither Mailing address: 5835 Walnut Grove Ln City:Hickory State: NC Zip:28602 Telephone number: 843-530-8901 E-mail Address: _cagalther@me.com 2. Licensed Soil Scientist (L55)name:Caroline Edwards LSS License number 1220 Mailing address: 991 Duncan Road City:Rutherfordton State: NC Zip:28139 Telephone number: 828-289-0122 E-mail Address: cjedwards234@gmail.com 3. Licensed Geologist(LG)(if applicable)name: NA License Number: Mailing arldrecc' City: _ _ State: Zip- Telephone number: E-mail Address: 4. Proof of Errors and Omissions or other appropriate liability insurance for the following persons is attached that includes the name of the insurer, name of the insured and the effective dates of coverage: FA Lss E LG 5. Property location(physical address,tax parcel identification number or subdivision lot,block number of the property to be permitted): 0 Harger Lee Dr. Newton Lot 9 of 372011667084 County Name:Catawba 6. Type of facility: 0 Place of residence No. Bedrooms: 4 No.Occupants:2 ❑ Place of business Basis for flow calculation: _ ❑ Place of public assembly Basis for flow calculation: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Raleigh, NC 27609 MAILING ADDRESS;1642 Mail Service Center, Raleigh,NC 27699-1642 www ncdhhs.gov • rEL:919-707-5874 • FAx-919-845-3972 AN EQUAL OPPORTUNITY 1 AFFIRMATIVE ACTION EMPLOYER ( COVID-19 Permit Option Common Form LHD Reference: ` '� Y '06 —Z©LZ 12 71 7. Factors that would affect the wastewater load: NONE 8. Type and located of proposed wastewater system: 1Ug Left Side Yard of home 9. Design wastewater flow; 480 gpd Design wastewater strength: ®domestic high strength ❑industrial process(For industrial process wastewater,a Professional Engineer licensed in accordance with G.S.69E shall design the o n-site wastewater system.) 10. A plat as defined in G.S. 130A-334(7a) is attached: ❑Yes V No A site plan as defined in G.S.130A-334(13a)is attached: ®Yes E No 11. Location of proposed or existing wells(drinking water, irrigation, geothermal,groundwater monitoring, sampling, etc.)and any potable and non-potable water conveyance lines is indicated on attached plans and complies with 15A NCAC 18A.1950: V Yes ❑No This Is a saprolite system. Yes ® No 12. 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 13. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑ Yes ®NA 14. Proposed landscape,site,drainage,or soil modifications are attached: El Yes ® NA Attestation by 155 pursuant to S.L 2020-97,Section 3.19 and G.S.130A-336.2 1 Carol ine J.Edwards hereby attest that the information required to be included with Licensed Soil Scientist(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws, regulations,rules and ordinances,and that the proposed system does not require a Professional Engineer,licensed in accordance with G.5.89C,and in accordance with 15A NCAC 18A.1938 and activities determined to be engineering as determined by the North Carolina Board of Examiners for Engineers and Surveyors. CtLk Ct.\ Ste` , 5• 1 . 22— Signature of Licensed Soil Scientia Date Owner self-submittal of NOf: hereby submit this NOI prepared by Print Name of Owner Print Name of Licensed PE pursuant to G.S.130A-336.1. Signature of Owner Date DHHS/FHS/OS WP-1 SS C-]9 COMMON FORM Updated April 2022 Page 7 of 6 I COVID-19 Permit Option Common Form LHD Reference: rr ZD 21 J r�27� 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 LSS COVID-19 Permit Option(S.L.2020- 97,Section 3.19(d)and G.S. 130A-336.2()) RIGHT OF ENTRY: The submittal of this Notice of Intent to Construct grants right of entry to the Local Health Department and the State to the referenced property. ISSUANCE OF BUILDING PERMIT, Once the LHD deems that the Notice of Intent to Construct is complete via signature in the section below, the owner may apply to the local permitting agency for a permit for electrical, plumbing,heating,air conditioning or other construction,location,or relocation activity under any provision of general or special law pursuant to G.S. 130A-338. DHHS/ENS/OSWP—LSS C-19 COMMON FORM Updated April 2022 Page 3 of 6 • COVID-19 Permit Option Common Form l HD Reference: l SAP '+ o'L2- 721 Re-submittal of NOI with missing items included This Section is for use by owner to submit items noted as missing during LHD Completeness Review above. Resubmittals must be accompanied by a cover letter from the LSs. LHD USE ONLY: This NOI resubmittal received: by Dore inriols Item#from initial NOI Resubmittal description Attestation by LSS pursuant to S.L.2020-97,Section 3.19 hereby attest that the information required to be included with Licensed Soil Scientist(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws, regulations, rules,and ordinances. Signature of Licensed Soil Scientist Date The section below is for Local Health Department use after submittal of Items noted as missing above. LHD Follow-up Completeness Review of Notice of Intent to Construct This follow-up review for completeness of this Notice and Intent was conducted in accordance with G.S. 130A- 336.2(c). This NOI is determined to be: ❑ INCOMPLETE Based upon review of information submitted in the RESUBMITTAL above,this Notice of Intent remains INCOMPETE because the following items from Part 1 of this form remain missing: Copies of this signed form were sent to the L55 and the Owner on via Dote Email,FAX,LISPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the(HD Date ❑ COMPLETE Based upon review of information submitted in the RESUBMITTAL above in addition to information provided in Part 1 of this form,this NOI is deemed complete. Copies of this signed form were sent to the L55 and the Owner on via Date Email,FAX,LISPS,Hand-delivered A complete copy of this form with tracking information was sent to the State: via Date Email,FAX LISPS,hand-delivered Print name of authorized Agent of the LI-ID Signature of authorized Agent of the 1HD Dote DHHS/ENS/OSWP—LSS C-19 COMMON FORM Updated April 2022 Page 5 of 6 Lsrl�- o6-2DZ —(7277( COVID-19 Permit Option Common Form I HD Reference: PART 3: Authorization to Operate(ATO) Except for dote received,the Section below is to be completed by the Owner. LHD USE ONLY: Initial submittal of request for ATO received: by Dote Initials Date of Post construction Conference: The following items are included in this submittal for an Authorization to Operate under an LSS COVID-19 permit: 1. Signed and sealed copy of the LSE's report that includes the information in G.S. 130A-336.2(k) ❑Yes ❑ No 2. Operation and management program ❑ Yes ❑ No 3. Fee (as applicable) ❑ Yes ❑ No 4. Notarized letter documenting Owner's acceptance of the system from the L55 ❑Yes ❑ No 5. On-site Wastewater Contractor name: License number: Mailing address: City: State: Zip: Telephone number: _ E-mail Address: 6. Proof of Errors and Omissions or other appropriate liability insurance for the On-site Wastewater Contractor is attached and includes the name of the insurer, name of the insured,and the effective dates of coverage. ❑Yes ❑ No Attestation by the Owner for Authorization to Operate hereby attest that all items indicated above have been provided to the Print name of Owner County LHD and the system shall meet applicable federal,State,and local laws, regulations,rules,and ordinances. Signature of Owner Date This section for£110 Use Only. LHD Review of required information for the ATO ❑ INCOMPLETE Based upon review of Information submitted In the Section above, the following Items are missing from the information required for an Authorization to Operate for an LSS COVID-19 permit: Copies of this signed form were sent to the L55 and the Owner on via Date Email,FAX,LISPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Dote ❑ COMPLETE Based upon review of information submitted in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336,2(m). A copy of this complete NOI/ATO with tracking information was sent to the State on via Dote Email,FAX,LISPS,Hond-0e1ivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ISSUANCE OF CERTIFICATE OF OCCUPANCY: Once the!HD determines completeness based upon the A TO submission,the owner may apply to the local permitting agency for permanent electrical service to a residence,place of business or place of public assembly pursuant to G.S.130A-339. DHHS/ENS/OSWP—15S C-19 COMMON FORM l!Mated April 2022 Page 6 of 6 • AcoRD CERTIFICATE OF LIABILITY INSURANCE DATE(MhyDD/YWY) 03/0612022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC TE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Hiscox Inc. PHONE 520 Madison Avenue (A/C.No.Eau: (888}202 3007 FAX Idol_ 32nd Floor AEDDREsontact@hiscox.com New York,New York 10022 INSURER(S)AFFORDING COVERAGE RAW# INSURERA: HISOOX Insurance Company Inc 10200 INSURED INSURERS: Earthwise Designs INSURER C: 991 Duncan Rd - Rutherfordton, NC 28139 INSURER o INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR MED YfVO POUCY NUMBER IMMIOOITYYY) IMM/oarYYYYI COMMERCIAL OENERAL LIABILITY EACH OCCURRENCE I$ UAMA(Jh O}IENI ED CLAIMS-MADE OCCUR PREMISES(Ea occurrarrel S MED UP(My one person) S _ PERSONAL 6 ADV INJURY 5 GEN1 AGGREGATE LIMIT APPLIES PER; GENERALAGGREOATE f --- POLtC"C_i ECOT I I LOC PRODUCTS-COMP/OP AGO $ OTHER: AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT S ._(Ea accident) ANY AUTO BODILY INJURY(Per wow) f ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERZ�AMAGE ~ HIRED AUTOS _ AUTOs (Per accident) $ UMBRELLA LIAS _ OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I RETENTIONS _ S WORKERS COMPENSATION PPEATUTE pTH- AND EMPLOYERS'LIABILITY Y/Id ANYPROPRIETORIPARTNEREXECUT VE - E.L.EACH ACCIDENT S OFF10EWMEMBEREXCLUDED7 NIA (Mandatory In NH) EL.DISEASE-EA EMPLOYEE S If yes describe under DESCRIPTION OF OPERATIONS below .E.L.DISEASE-POLICY LIMIT S A Professional Liability P100.217.339.8 04/20/2022 04/20/2023 Cach Claim:$2.000,000 Aggregate.$2,000,000 1 _ DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (ACORO 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Earthwise Designs Soils & Land Evaluation 8/6/2021 Site and Soils Report with System Design Four-Bedroom SFH Wastewater System Lot 9, Avian Woods Phase IV Parcel ID of Subdivision Tract: 3720-1166-7084 Newton, NC Catawba County Prepared for Avian Woods LLC This report is submitted under the rule: LSS COVID-19 PERMIT pursuant to S.L. 2020-97, Section 3.19 and G.S. 130A-336.2 PART 1: Submittal of Notice of Intent to Construct(NOI) Earthwise Designs has performed a soils and site evaluation of the lot referenced above. We have found an area Provisionally Suitable for the following initial system: 4-bedroom III g. gravelless trench,Accepted system with 25%reduction. Repair is pumped to the same system type.Neither is a saprolite system. A new well will be dug. Details are discussed below and in attached documents. System Specifications Initial:III g. gravelless trench, Accepted system with 25%reduction. Gravity fed. Use a d-box with an at-grade access riser feeding three 100' lines. See site plan. • Soils: Group III—Clay Loam • LTAR: 0.4(See detailed soil descriptions.) • Line length required = 300' o Three 100' lines. • Trench width 36" • Trench bottom: 26"on downhill side of trench. • Septic tank: 1000 gallons Repair: III b.g. gravelless trench, Accepted system with 25%reduction. Pumped to d-box. • Soils: Group III—Clay Loam • LTAR: 0.4(See detailed soil descriptions.) • Line length required=300' o Four 75' lines. See site plan. • Trench width 36" • Trench bottom: 26"on downhill side of trench. • Other site-specific requirements and notes: 1. Floor elevation must be raised above the septic tank location shown on site plan for a gravity system. 2. Heavy machinery over the drainfield area must be avoided after installation. No structures or roads can be placed there. 3. We recommend the at-grade distribution box be inspected every 1-2 years by a private inspector. 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. 5. Earthwise Designs makes no guarantees regarding installation, maintenance and operations. System design may not be accurate if improper site alterations occur prior to permitting and installation. Thank you and please contact me for further information, if needed. Caroline J. Edwards NC Licensed Soil Scientist#1220 0� tp£s°fiogr SC Professional Soil Classifier #117 s" NC Land Application of Bio-Solids #10006173 (` r0' v'� r 7 � Attachments: 444, , , Soils sheet1n,OR,F,c ' Site Plan Plat EARTHWISE DESIGNS 991 Duncan Rd Rutherfordton, NC 28139 Ciedwards234@gmail.corn 828)289-0122 cell Earthwise Designs Lot 9, Avian Woods Phase IV Soils & Land Evaluation Newton, Catawba Co.,NC Parcel ID: 3 72 0-1166-7084 August,2021 See written report for system details. Legend& Notes for attached Site PIan • Circled dots 16-17=pit numbers and locations. • Layout performed as indicated on 9' centers. o B=Blue flagging stakes;P=Pink;Y=yellow. o Double stakes mark the end of lines. • R=repair. • House envelope corners marked by surveyors with wooden stakes and blue flagging. Additional locations from fixed points: PC1-PC2=property corners marked by pins and wooden stakes. 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