HomeMy WebLinkAboutOP-05-2022-172152.tif . CATAWBA COUNTY Case# OP-05-2022-172152
Public Health Department Subdivision
P Nun s Environmental Health Division PIN# 369804743141
s. PO Box 389.25 Government Drive.Newton,NC 28658 LOT#
Site Address: 6550 LITTLE MOUNTAIN RD, SHERRILLS FORD NC 28673
Name on Permit: CATAWBA COUNTY
Property Size: Acres 606.06
Directions: Hwy 150 E, left Little Mountain Rd, property on right past Ingleside Dr
6554 Little Mountain Rd. Pump Track
Operation Permit
Permit Category: New Septic Wastewater Flow: 615 g.p.d.
Type of Facility: Public Park, Pump track-system#2
Basement? No Basement Plumbing? No Bedrooms:
Water Supply: Private Well Maximum Occupants:
System Type: V .- Flow Equalization
Description: 25%REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
Types V and VI systems expire in 5 years.
Owner must contact Environmental Health 6 months prior to expiration for permit renewal.
System Installation Comments:
PERMIT CONDITIONS:
1. All maintenance, monitoring, &performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961
2. Operation&Maintenance Specifics:
Subsurface system operator required'? Yes_X_ No
This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
WESSON SEPTIC TANK SERVICE INC -1027 02/11/2022
System Installer Installation Date
.141A 1114
05/23/2022
Authorized State Agent Permit Issuance Date Form F
rhpenn0 05.23.2022 15.48
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Hugh Creed Associates, Inc. P.A.
Consulting Engineers & Land Surveyors
1306 W.WENDOVER AVENUE P.O.BOX 9623
GREENSBORO,N.C. 27408 GREENSBORO,N.C. 27429
TELE: (336)275-9826 OR (336)275-8084 FAX: (336)275-3379
FIRM LICENSE#C-0551 E-MAIL:HCA( TRIADBIZ.RR.COM
May 13, 2022
North Carolina Dept. of Health and Human Services
Division of Public Health
On-Site Wastewater Engineering
5605 Six Forks Road
Raleigh, NC 27609
Attn: Ms. Tricia Angoli, P.E.
Re: Mountain Creek Park, Catawba County,NC
6554 Little Mountain Creek Road, Sherrills Ford, NC
Engineering Certification of Construction
Project Number: 2021-24
Dear Ms. Angoli,
This letter is to certify, based on periodic inspections by myself, or others under my
supervision, and a final inspection on May 12, 2022, that the above referenced project
was completed in accordance with the approved Engineering Plans and Specifications.
Sincerely,
Hugh Creed Associates, Inc., P.A.
Norris Z. Clayton, P.E., P.L.S.
'.'*Q.�Na�GARo7s,,,
SEAL
10727
'PA, 'Vol Net �p�.
August 13, 2013
DocuSign Envelope ID:DBEBC008-C196-40F2-829A-23F83B6015D3
STATE OF NORTH CAROLINA
COUNTY OF CATAWBA
AGREEMENT FOR INSPECTIONS OF ON-SITE WASTEWATER SYSTEMS TYPE V
This Agreement is entered into this 18th day of May, 2022 ("Effective Date"), by and
between Wesson Septic Tank Service Inc., a North Carolina Corporation of Cleveland County,
North Carolina (hereinafter "ORC" or Operator in Responsible Charge) and Catawba County, a
body politic(hereinafter"Owner").
Preamble
The ORC is contracting with Owner to provide inspection services as described on
Attachment A for the fees or charges also shown in Attachment A.
Owner owns or controls the property upon which a ground absorption sewage treatment
system ("System") is installed, such System being designated as a Type V system under the
Rules for Sanitary Sewage Collection Treatment and Disposal found at 15A N.C. Admin. Code
18A, 1900 ct seq., and 15A N. C. Admin. Code 18A.1961 requires that a condition of the
Operation Permit for Type IV & V systems be that a properly executed inspection contract
between the System Owner and a management entity shall be in effect for as long as the System
is in use. ORC is a management entity which employs certified operators of a type authorized by
15A N.C. Admin. Code 18a.1961 to manage and inspect Type II, III, TV,and V systems.
In consideration of the premises and of the mutual covenants and promises contained in
this Agreement, it is hereby agreed by and between the Owner and the ORC as stipulated below.
Conditions of the Contract
• ORC,in consideration of the payment by Owner as set out in the schedule of set-vices and
charges in Attachment A, incorporated herein, agrees:
• To provide the services set out in Attachment A according to the minimum
schedule of inspections/services required by regulations for the lots or parcels set
out in Attachment B.
• To report results of the inspections to the local environmental regulatory agency
having jurisdiction as required by applicable laws or regulations.
• If inspections indicate the need for System repairs:
• To notify the local environmental regulatory agency within 48 hours.
• To give notice to the Owner of needed repairs, and if the necessary
repairs are outside the scope of routine maintenance described in
Attachment A, then Owner may request ORC to provide an estimate. At
the authorization of Owner, ORC will perform the necessary repairs at
ORC's then prevailing charges for services and materials.
DocuSign Envelope ID:DBEBC008-C196-40F2-829A-23F8386015D3
• If ORC's services are terminated, ORC will notify the local environmental
regulatory agency within 48 hours.
• Owner, in consideration of the services performed,agrees:
• To pay ORC for its services according to the schedule of charges as set out in
Attachment A.
• Within 30 days of receipt of notice of repairs under 1 (c) above, Owner must
provide proof that repairs have been performed by a licensed or qualified entity
and the System is functioning properly or request and authorize ORC to complete
the needed repairs.
• To notify ORC promptly of any emergency or malfunction known to it which
may violate environmental, health, or other laws and regulations, and to authorize
immediate repair as necessary to restore the System to proper function and
operation.
• To use reasonable efforts to provide and to maintain at all times, such access to
the Systems as is reasonably necessary for ORC to comply with its obligations
under this Agreement.
Terms of the Agreement
• This Agreement shall be effective for one year from the Effective Date.
• The real property to be serviced under this contract is listed on Attachment B.
• This Agreement automatically terminates if the Operation Permit for the system is
revoked and all appeals of the revocation are exhausted or time for making an appeal has
passed.
• This Agreement terminates at the end of the current term. Either party may terminate this
Agreement with or without cause by providing ten (10) days written notice to the other
party. In the event of termination, ORC will be paid for all services performed and actual
expenses incurred up to the date of termination.
• This Agreement may be terminated for cause if the breach is not remedied after fifteen
(15) days written notice to the defaulting party.
Limited Warranty
THE ORC'S SOLE DUTIES AND RESPONSIBILITIES UNDER THIS AGREEMENT IS TO
PROVIDE INSPECTION AND ROUTINE MAINTENANCE ONLY AS SPECIFIED IN THIS
AGREEMENT. INSPECTIONS WILL COMPLY WITH APPLICABLE CODES, LAWS,AND
REGULATIONS IN FORCE AT THE TIME OF THE INSPECTION AND REPORT. WORK
AND MATERIALS USED IN REPAIRS ARE WARRANTED ONLY TO BE OF GOOD
WORKMANSHIP, FREE OF DEFECTS, AND CONFORM TO THE SYSTEMS
DocuSign Envelope ID:DBEBC008-C196-40F2-829A-23F8386015D3
SPECIFICATIONS AND EQUAL TO THE ORIGINAL PARTS AND EQUIPMENT. THE
OWNER'S SOLE REMEDY UNDER THIS EXPRESS WARRANTY IS REPAIR OR
REPLACEMENT AND CONSEQUENTIAL DAMAGE OR DAMAGES FOR DELAY ARE
LIMITED TO TOTAL SUMS PAID THE ORC UNDER THIS AGREEMENT FOR THE
PARTICULAR LOT OR PARCEL FOR THE THEN CURRENT YEAR. ALL OTHER
WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING MERCHANTABILITY OR
FITNESS FOR PARTICULAR PURPOSE, ARE EXPRESSLY AND SPECIFICALLY
EXCLUDED. REPAIRS, REPLACEMENTS, ADDITIONS AND CHANGES BY OTHERS
TO THE SYSTEMS COVERED BY THIS AGREEMENT WITHOUT PRIOR NOTICE TO
THE ORC OR ACCEPTANCE OF THE WORK BY THE ORC DURING THE TERM OF
THIS AGREEMENT VOIDS ANY WARRANTY GRANTED HEREIN AS TO THE ORC.
Miscellaneous
• Assignment of rights,responsibilities,and duties under this Agreement by any party shall
be valid only on written notice and consent signed by all parties, which consent shall not
be unreasonably or arbitrarily withheld.
• ORC may perform its duties and responsibilities by subcontract, but ORC will remain
directly liable and responsible to Owner under the terms of this Agreement.
• Waiver of default or a breach of the Agreement by any party shall not operate nor be
construed as a waiver of further or subsequent defaults or breach of this Agreement.
Failure to take action in any default or breach does not bcar action on such default at any
time subsequent to such breach or default.
• This Agreement constitutes the entire agreement of the parties, incorporating, and
superseding all prior representations and negotiations and may not be changed or
amended except in writing signed by the parties. The Agreement shall be interpreted
under North Carolina law. Any part of the Agreement declared void, illegal, or
unenforceable will not affect other provisions of the Agreement. Venue for any
adversarial proceeding is Catawba County.
• Disputes arising under this Agreement shall be resolved by mediation or in a court of law.
• The work to be performed by ORC under this Agreement shall be performed entirely at
ORC's own risk. ORC shall indemnify and save harmless Owner, its commissioners,
employees, agents and representatives from any and all liabilities and claims of every
kind, including attorney's fees, to which Owner may be subjected on account of loss,
destruction or damage to property or injury to or death of persons, including ORC and
persons employed by ORC, arising out of or in connection with performance of this
Agreement. The provisions of this paragraph shall not be applicable to loss or damage
caused by the negligent act of omission of Owner or its employees.
• ORC shall comply with the requirements of Article 2 of Chapter 64 of the North Carolina
General Statutes. Further, if ORC uses a subcontractor, ORC shall require the
subcontractor to comply with the requirements of Article 2 of Chapter 64 of the North
Carolina General Statutes.
• ORC will maintain at all times during the term of this Agreement,at ORC's sole expense:
A. Commercial General Liability Insurance
ORC shall maintain Commercial General Liability insurance, including coverage
for products and completed operations liability, contractual liability,liability from
DocuSign Envelope ID DBEBC008-C196-40F2-829A-23F83B6015D3
independent contractors, property damage liability, bodily injury liability, and
personal injury liability with limits of not less than $500,000 per occurrence, and
$500,000 annual aggregate. The limits may be satisfied by a combination of
primary and excess insurance. The coverage shall be written on an occurrence
basis.
B. Business Automobile Insurance
At all times while the Contractor's representatives are conducting on-site work,
the ORC shall maintain Business Auto insurance for any owned, hired, rented, or
borrowed vehicle with a limit of not less than $500,000 per occurrence combined
single limit for bodily injury and property damage liability. The limit may be
satisfied by a combination of primary and excess insurance.
C. Workers Compensation&Employers Liability Insurance
At all times while the ORC's representatives are conducting on-site work, ORC
shall maintain statutory Workers Compensation insurance in accordance with the
laws of North Carolina. ORC shall also maintain Employers' Liability insurance
with limits of not less than $100,000 per accident and $100,000 each employee
for injury by disease.
D. General Requirements
1. ORC has provided a Certificate of Insurance ("COI"') which is attached
hereto as Attachment C. ORC agrees to indemnify County if the
insurance policy referenced in the COI does not contain, at a minimum,
the coverage amounts listed on the COI.
2. Catawba County shall be named as an additional insured under ORC's
automobile and general liability insurance. In the event of a loss arising
out of, or related to the ORC's services performed under this Agreement,
ORC's Liability insurance shall be primary with respect to any other
insurance which may be available to the County, regardless of how the
"other insurance" provisions may read.
3. The workers' compensation policy must contain a waiver of subrogation
in favor of the County
4. ORC shall be responsible for insuring all of his/her own personal property,
improvements,and betterments.
5. All insurance policies put forth to satisfy the above requirements shall
require the insurer to provide a minimum of sixty (60) days' notice to the
County of any material change in coverage,cancellation,or non-renewal.
6. All insurance put forth to satisfy the above requirements shall be placed
with insurance companies licensed to provide insurance in the state of
North Carolina. Any deductibles or self-insured retentions in the required
insurance shall be subject to approval by the County.
7. ORC shall provide certificates of insurance to the County as evidence of
the required coverage. ORC agrees to provide complete copies of policies
if requested. Failure of ORC to provide timely evidence of insurance, or
to place coverage with insurance, or to place coverage with insurance
companies acceptable to the County, shall be viewed as ORC's delaying
performance entitling the county to all appropriate remedies under the law
including termination of the contract.
DocuSign Envelope ID: DBEBC008-C196-40F2-829A-23F8386015D3
• The individuals signing this Agreement hereby warrant that he/she has the legal authority
to execute this agreement on behalf of the respective party, and that such binding
authority has been granted by proper order, resolution, ordinance or other authorization of
the entity. Each party is fully entitled to rely on these warranties and representations in
entering into this agreement or any amendment hereto.
• Notices are deemed delivered if delivered in person; by certified or registered mail; by
courier: or delivery service, if properly reccipted, charges and postage prepaid, as
follows:
Owner:
Catawba County
Attn: John Cameron
25 Government Drive
PO Box 389
Newton,NC 28658
Company:
Wesson Septic Tank Service Inc.
707 Poplar Springs Church Road
Shelby,NC 28152
Environmental Regulation Agency:
Catawba County Environmental Health
25 Government Drive
PO I3ox 389
Newton, NC 28658
A party may change its address by giving notice in the manner provided above.
Each party has executed this Agreement with full power, authority, and legal right to
enter into; to bind itself to the rights, duties, and responsibilities under this Agreement,
which is binding to the parties, their successors and assigns, heirs and personal
representatives, on the date first above written.
ATTEST: OWNER. CATI ,WA COUNTY
t�i n.d Y
6D5EADSSDED 4
•
DocuSign Envelope ID:DBEBC008-C196-40F2-829A-23F83B6015D3
,+ WESSON E IC TANK SERVICE [NC.
ATTEST: BY: t � +7 •1r� /
TITLE: , E3J aLrJJ�T
License numbers: (
Lc, 7—
THIS INSTRUMENT has been preaudited in the manner required by the Local Government
Budget and Fiscal Control Act as amended.
r--DocuSign.d by:
5/23/2022 11 A.i4ok,
Date: \---FaCF3.1O40E423.
Mary Morrison, Assistant Finance Director
Account Number. 110-440151-842 510
Amount: MS, Q10 D4)7 g00.00 wt.
Grant Name& Number(if applicable):
APPROVED AS TO FORM - Docu5Ign•d by:
5/23/2022
Date: _ \-111ee2AF4A9O4450_.
Jodi Stewart,County Attorney
Doeu5lgn•d by:
Date: 5/23/2022
Risk ,Ma bb1 3 e3 4.
•
DocuSign Envelope ID:DBEBC008-C196-40F2-829A-23F8386015D3
ATTACHMENT A
TYPE ll, III, IV, V
MONITORING & INSPECTION PLAN
COST: INITIAL CONTRACT YEAR:
S650.00(*4 required inspections)
SO (required labs)
52,600.00 Total Initial Year
The Owner shall pay to ORC the aforementioned sums for each parcel listed on
Attachment B. The initial annual fees are payable upon the execution of the contract. Annual
billings will be made thereafter and payable within 30 days of billing. The annual billings will be
made on the anniversary dates. The annual renewal fees may increase no more than 5% per year.
Owner shall pay to ORC its normal and customary fees for any authorized work performed on
the System as a result of non-scheduled service or maintenance calls. These fees are due and
payable within 30 days of billing. Payments due to the ORC and unpaid by the Owner after 30
days shall be assessed late payment fee of$5.0o per month for every month thereafter.
PERFORMANCE DUTIES:
• Inspections and services that meet requirements, i.e., inspections of System using an
itemized check list, monitoring "septic tanks" to insure proper operation, and make
adjustments of imbalances to systems through the distribution devices.
• Inspections and required lab work performed as per Attachment.
• Inspections report copies are sent to the environmental regulatnry agency (if applicable)
and Owner.
• New Owner Package(educational material about their septic system)is provided.
• Emergency service calls at no additional charge.
• 24- hour availability.
• The Owner will be advised of any repairs needed and estimated cost or repairs. Repairs
will not be made without Owner authorization.
• Owner will be advised when pumping is recommended.,
DocuSign Envelope ID: DBEBC008-C196-40F2-829A-23F83B6015D3
ATTACHMENT B
PHYSICAL ADDRESS OF SYSTEM(S):
• 6550 Little Mountain Road, Sherrills Ford, NC 28673
• 6554 Little Mountain Road, Sherrills Ford,NC 28673
• 6562 Little Mountain Road, Sherrills Ford,NC 28673
DocuS.ign Envelope ID:DBEBC008-C196-40F2-829A-23F83B6015D3
ISA NCAC 18A.1959 PRIVY CONSTRUCTION
An"approved privy"shall consist of a pit, floor slab, and seat assembly housed in a building which affords privacy and
reasonable protection from the weather,
(1) The pit shall consist of an excavation at least 42 inches square and in no case shall the bottom of an
excavation be closer than one foot from the seasonally high water table or rock.
(2) The pit shall be property curbed to prevent caving. In sandy or loose soil, the curb should extend the
full depth of the pit In tight soils,partial curbing is acceptable if a prevents caving.
(3) The privy floor stab shall be constructed of reinforced concrete. Where it is impractical to secure or
construct reinforced concrete floor assemblies, wood construction shall be acceptable provided the
floor slab is made of rough sub-flooring and covered with tight tongue-and-groove flooring or other
type flooring materials to provide strength and prevent entrance of flies and mosquitoes to the privy
pit. Where wood construction is used,floors shall be anchored to at least four-inch by four-inch sills.
(4) Wood used for riser, seat assemblies, and the floor slab shall be tongue-and-groove or plywood
(exterior or marine)material.
(5) Privies shall not be used for the disposal of water-carried sewage
History Note: Authority G S. 130A-335(e):
Eif.July 1, 1982:
Amended Ff December 1. 1990.
I5A NCAC 18A.1960 MAINTENANCE OF PRIVIES
(a) Any person owning or controlling the property upon which a privy is located shall be responsible for these
requirements:
(1) The privy building shall afford a reasonable degree of protection from bad weather conditions.
(2) When the pit becomes filled to within 18 inches of the top of the ground, the privy building shall be
moved to a new pit and the old pit completely covered with earth.
(3) If the pit caves in,a new pit shall be provided.
(b) The tenant or person occupying the property shall be responsible for these requirements:
(I) The walls, floors,and seat of the privy and grounds immediately adjacent to the building shall be kept
in a clean and decent condition.
(2) Fowl and other animals shall not be harbored in the privy building.
(3) Scat cover shall be hinged and closed at all times when the privy is not in use.
(4) Flies shall be excluded from the pit at all times.
(5) Ashes,garbage,and:rash shall be kept out of the pit.
History Note. Authority G.S. 130A-333(e)and 0,
Ffl July 1, 1982:
Amended Lff January I, 1990
ISA N(:AC I8A .1961 MAINTENANCE OF SEWAGE SYSTEMS
(a) Any person owning or controlling the property upon which a ground absorption sewage treatment and disposal
system is installed shall be responsible for the following items regarding the mainterttnce of the system:
(I) Ground absorption sewage treatment and disposal systems shall ' operated and maintained to prevent
the following conditions:
(A) a discharge of sewage or effluent to the surface of the ground, the surface waters, or directly
i*,tom gtaondwatcr at ally ti,..c,Of
(U) a back-up of sewage n, effluent into the facility, building drainz, collection eystrm, or
freeboard volume of the tanks;or
(c) a free liquid surface within three inches of finished grade over the nitrification trench for two
or more observations made not less than 24 hours apart. Observations shall be made greater
than 24 hours after a rainfall event.
DocuSign Envelope ID:DBEBC008-C196-40F2-829A-23F83B6015D3
The system shall be considered to be malfunctioning when it fails to meet one or more of these requirements, either
continuously or intermittently,or if it is necessary to remove the contents of the tank(s) at a frequency greater than once
per month in order to satisfy the conditions of Parts(A), (B), or (C)of this Paragraph. Legal remedies may be pursued
after an authorized agent has observed and documented one or more of the malfunctioning conditions and has issued a
notice of violation.
(2) Ground absorption sewage treatment and disposal systems shai, oc checked, and the contents of the
septic tank removed, periodically from all compartments, to ensure proper operation of the system.
The contents shall be pumped whenever the solids level is found to be more than I13 of the iiquid
depth in any compartment
(b) System management in accordance with Tables V(a)and V(b)of this Rule shall be required for all systems installed
or repaired after July 1, 1992. After July 1, 1992,system management in accordance with Tables V(a)and V(b)shall be
required for all existing Type V and Type VI systems.
(e) No Improvement Permit or Construction Authorization shall be issued for Type iV, Type V,or Type VI systems,
unless a management entity of the type specified in Table V(b) is specifically at,liorized, funded, and operational to
carry out this management program in the service area where the proposed system ,o be located.
(d) A local health department may be the public management entity only for systems classified Type iV,V(a)and V(b)
and only when specifically authorized by resolution of the local board of health.
(e) A contract shall be executed between the system owner and a management entity prior to the issuance of an
Operation Permit for a system required to be maintained by a public or private management entity. unless the system
owner and certified operator are the same. The contract shall include the spet,ific requirements for maintenance and
operation.responsibilities of the owner and system operator, provisions that the contract shall be in effect for as long as
the system is in use, and other requirements for me continued proper performance of the system. it shall also be a
condition of the Operation Permit that subsequent owners attic system execute such a contract.
(f) Inspections of the system shall be performed by a management entity at the fr..aucncy specified in Table V(b). The
management entiy shall report the results of their inspections to the local health depanmen: at the specified reporting
frequency. However,where inspections indicate the need for system repairs,the management entity shall notify the local
health department within 48 hours in order to obtain a Construction Authorization for the repairs.
(g) The management entity shall be responsible for assuring routine maintenance procedures and monitoring
requirements in accordance with the conditions of the Operation Permit and the cony-act
(It) Sewage systems with multiple components shall be classified by their hip' ;t or most complex system type in
accordance with Table V to determine local health department and management entity responsibilities_
(i) Sewage systems not identified in this Rule shall be classified by the Division of Environmental Health after
consultation with the appropriate commission governing operators of pollution control facilities.
(j) The local health department shall routinely review the performance and operation reports submitted in accordance
with Table V(b)of this Rule and shall perform an on-site inspection of the systems as required in Table V(a)_
(k) The certified operator shall hold a valid and current certificate from the appropriate commission, and nothing in this
Section shall preclude any requirements for system operators, in accordance with Article 3 of G.S.90A.
TARLE V(a)
LOCAL HEALTH DEPARTMENT RESPONSIBILITIES
Minimum
System System
S
Y System Permits Review
Classification Description Required Frequency
Type i S.Privy Improvement N/A
b.Gbc nic..l wild Pc nnit.CtInSittuctuni
C.incinerating toilet Auttuarization,and Operation
d.Other toilet system Permit
e.Grease trap
Type II a.Conventional septic system Improvem.,it v/A
DocuSign Envelope ID:DBEBC008-C196-40F2-829A-23F83B6015D3
(single-family or 480 GPD Permit,Construction
or less) Authorization,and
b.Conventional septic system Operation Permit
with 750 linear feet of
nitrification lint or less
c.Conventional system with
shallow placement
Type III a.Conventional septic system Improvement 5 yrs. (Illb
only)
>480 GPO(excluding Permit,Construction
single-family residence) Authorizati,..and Operation
b.Septic system with Permit
single effluent pump
or siphon
c.Gravity fill system
d.Dual gravity field system
e_PPBPS system,gravity dosed
f.Large diameter pipe system
g.Other non-conventional
trench systems
Type TV a.Any system with LPP Improvement 3 yrs.
distribution Permit,Construction
b. System with more than Authorization,and Operation
I pump or siphon Permit
Type V a.Sand filter pretreatment Improvement 12 mos.
system Permit,Construction
b.Any>3,000-GPD septic Authorization,and Operation
tank system with a Permit
nitrification field
designed for> 1500 GPD
c.Aerobic Treatment Unit(ATU)
d.Other mechanical,biological,
or chemical pretreatment plant
(<3000 GPD)
.Type VI a.Any>3,000 GPD system Improvement 6 mos.
with mechanical,biological, Permit,Construction
or chemical pretreatment Authorization,and Operation
system plant Permit
b.Wastewater reuse/recycle
TABLtt V(b)
MANAGEMENT ENTITY RESPONSIBILITIES
Minimum System
System Management Inspection/Maintenance Reporting
Classification Entity Frequency Frequency
DocuSign Envelope ID:DBEBC00S-CI96-40F2-829A-23F83B6015D3
Type I Owner N/A N/A
Type 11 Owner N/A N/A
Type ill Owner N/A N/A
Type 11/ Public Management 2/yr. 12 mos.
Entity with a
Certified Operator or a
private Certified Operator
Type V Public Management a, 2/yr(0-1500 GPD) 6 mos.
Entity With a 4/yr(1500-3000 GPO)
Certified Operator or a 12/yr(3000-10000 GPO)
private Certified 1/wk(> 10000 GPr r
Operator b. 12/yr(3000-100r CPU)
1/wlt(> 10000 GPD)
c.4/yr,
d. 12/yr.
Type VI Public Management Entity a. I/wk(3000-10000 GPO) 3 mos.
With a Certified Operator 2/wk(t0000-25000 GPO)
3/wk(25000-50000 r;?D)
5/wk(>75000 GI-,)
b. 12/yr.
(I) A sewage collection, treatment,and disposal system that creates or has created a public health hazard or nuisance by
surfacing of effluent or discharge directly into groundwater or surface waters,or that is partially or totally destroyed shall
be repaired within 30 days of notification by the state or local health department unless the notification otherwise
specifies a repair period in writing if a svctem described in the preceding sentence has for any reason been
disconnected, the system shall be repaired prior to reuse. The state or local health department shall use its best
professional judgement in requiring repairs that will reasonably enable the system to function properly. If, for any
reason, a sewage collection, treatment, and disposal system is found to be nonrepatrable, or is no longer required, the
system shall riot be used, and may be required to have any contents removed, collapse any components and backfill,or
otherwise secured as directed by the authorized agent to protect the public health and safety.
(m) When necessary to protect the public health, the stale or local health department may require the owner or controller
of a malfunctioning system to pump and haul sewage to an approved wastewater sy rem during the time needed to repair
the system.
Fitstory Note. Filed as a Temporary.Intendment En. July 3. 1991.for a period of 180 days to expire on December
30, /991;
led as a Temporary Amendment Ehr June 30, 1990.Jo, a period of 180 doy,t to expire on Uecrrnber
27, 1990;
Authority G_S_ 130A-333(c),09;
Eff July 1, 1982,
Amended Eff August 1, 1991;October 1, 1990;January 1, /99t, august 1, /988,
TemporaryAmendment Eff January 20, /997;
I
•• A
DocuSign Envelope ID:DBEBC008-C196-40F2-829A-23F83B6015D3
ACORD' r ti ( I { L WESSSEP-02 )(PRITCHARD
�� CERTIFICATE OF L!A ILL INSURANCE °"'E`"""°°'Y'""
-- 5n 9f2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES
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 poticy(ies)must have ADDITIONAL INSURED provisions or be endoised-
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}.
pRoouce, UcerLse d 1000000384 Veer Wendy Men
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Hub International Carolinas PAX
1213 West Morehead Street PHONESiss EA: I IA/c mot;
Suite 410 .wendy.allenI hubinternational.com
Charlotte,NC 2820E-0013
INsu AFFO(iDIN RAC t
n+smitRRA:Penn National Security Insurance Company 32441
•
INSURED INSURER a:Penn National Mutual Casualty 14990
Wesson Septic Tank Services,Inc. INSURER C:Builders Mutual Insurance Company 10844
707 Poplar Springs Church Road INSURER o
Shelby,NC 28152.8676 _-_ - - .
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. NOT A THSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT MATH 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 P��Oy�L��,,ICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
liSlt ��
TYPE or INSURANCEPOLICY RIMIERPOLICY POLICY IMP
A X cOMueaccALGFJIERA.LIAsuvr J ar►rrT1 -111YI000OOtzL Rams
EncNOCCURRENCE i 1,000,000
^ -I'DE Ifil: )( X CX9 0766376 .TO RENTED
9110/2021 9/10/2022 pR yF 5 ra,actizmince3 i 500.000
— WO ExP dam one .r!l ; 10,000
p
PERS _ RY $ 1,000,000
GEIY L AG(7tF ATE LIMIT APPLIES PER GENERAL A(,( GATE 2,000,000
PoucY X Ta t OC PRODUCTS-CONIcror AGO 1 2,000,000
OTHER
I
AUT�OMOep,E 6tA9alrtr o SINGLE urrr(Ea eameNel = 1,000,000
A X my Auto gip X x AX9 0766376 9110/2021 911012022 @OD<y y(PerPpna) i
A�p� ONLY ^_ rW qSi y � 9 IOItY Efj y Per r1 7
X AUTOS ONLY X p1,IT6 ONLQ PfftTV ..
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B X MORELLA USI$ X OCCUR 944UleRENCI s 4,000,000
excessuAa CIAIM$#MDE X X UL9 0766376 9/1012021 9110l2022AoGrir GATE ; 4,000,0(0
De0 X RETENTION$ 10,000
C VIOIB(ERS COMPENSATION -- -- $
AHO EMPLOTEI(S'LIABILITY X STATU OpFI-
ANT PROPRIETp1i PARTNEW!1fECUTIVE X %CP 0043560 9/10/2021 9/10/2022 1,000,000 Fi Finrt�j EXCLU�OR N MIA ,E t-E-C.H ACCIDENT S
NFi ,E L.DISEASE.EA EU EF PLOVv3 1,000,000
sa.GFduba,c,dN
O StRIPTIQN OF OPERATIONS brio* E L DISEASE•PQIICY FAIT 1,000,000
OESCRIPT1ON OF OPERATIONS/LOCATIONS I VEHICLES IACORD 101,AVBRIorkil Rar.arks Scrim:Am,may As*Bathed N more apxr m requlnwl
Catawba County and Catawba County Environmental Health are Additional Insureds wilt respects General Liability and Automobile Liability,if required by
'written contract The Umbrella Is follow form.A Waiver of Subrogation applies with respects General Liability,Automobile Liability and Worker's
Compensation,H required by written contract The Umbrella Is follow form.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Catawba County
Attn:John Cameron
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROvISIONS-
25 Government Drive
PO Box 389 AUTHORIZED REPRESENTATIVE -
Newton,NC 28658 � S-...
1
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