HomeMy WebLinkAboutIMPV-09-2022-179319.TIF `7, ('ATM%OACOCN11
�%J. Public!teeth Detartmcnt 1 elry it i
Subrnun HEFNER HEIGHTS
` F wirnnmentat llohh the iron' NW 372412854111
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PO lk+s 30.25 Government Drive.Nrwtun,NC 2A6515 1.(714 1-4
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Sit*Address: 3525 33RD ST OR NE.HICKORY NC 28601
Name on Permit: 'FOUR CORNERS OF CHARLOTTE LLC
Property sue: Acres 0.46
Directions: Left off of Sulphur Springs Rd onto 34th Ave Ct NE.Right onto 33rd St Dr NE.3rd lot on left(corner lot)
14
Owner/Authorized Representative Acknowledgement of Permit Receipt
certify that I am the(miler or authorized agent(owner's authorization required)representing the owner of
the property described aft it e.
�(
►` gels the property owner or authorized representative.I have received the above referenced
permit(s)as requested in the application for service Rlll'It-Oh-2022-42074,by the following method(s):
Received in Person
_7_ Facsimile Transmittal(Return form with signature required)
n �I Electronic Image Transmittal/E-mail (Return receipt required)
. As the property owner or authorized representative I have reviewed and understand the specitic conditions
r of the permit issued, and further understand that all applicable regulatory requirements specified under the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC ISA.1900),
and/or Well Construction Standards(15A NCAC 2C.0100), shall apply to the issuance of this permit and
the construction of the wastewater system andiior water supply well permitted.
Permit Issue Date:02/28/2023
•
Owner/Authorized Representative Signature _
�r Date 3 7( /2
t�
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by _ _(mime of person
ssenling perm!)
Signature s _ Date/Time `' 111)3
Method: Fas v Entail US Mail Other
Owner's request to send by the abm a indicated method id-transmittal in lieu of sir„nature
We wantt tto hear horn yoa.Please*take a few rnomentts tto cornplette our custtorner service survey att
http://www.surveymonkey.rom/s/ENCusttomerServire
Vb. tin I edrnetta(J Auld. et.)l
algrenmr u_.'n 1o'I II,r l
•
County: Catawba
IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11
PIN/Lot Identifier: 372412854111
Issued To: Four Corners of Charlotte, LLC
Property Location: 33rd Street Drive NE, Hickory, NC 28601
Subdivision: Heffner Heights Lot#: 1-4 Block: F Section:
LSS Report Provided: Yes Q No❑
If yes,name and license number of LSS: Larry Thompson, LSS
New Q Repair❑ Expansion ❑ System Relocation ❑
Proposed Structure: Single-family residence
Proposed Wastewater System Type: Accepted (Initial) Exempt (Repair)
Fill System: ❑Yes ✓❑No If yes,specify:❑New ❑Existing (when adding more than 6 inches of fill to system area please provide a fill plan)
Proposed Design Daily Flow: 360 GPD Proposed LIAR(Initial): 0.3 Proposed LIAR(Repair): 0,3
Design Wastewater Strength:0 domestic ❑high strength ❑industrial process
Number of bedrooms: 3 Number of Occupants: 6 Other:
Pump Required: ❑Yes No ❑ May be required based upon final location and elevations of facilities
Artificial Drainage Required: ❑Yes 0No If yes,please specify details:
Type of Water Supply:❑Private well ❑ Public well ✓❑Municipal Supply 0 Spring ['Other:
Drainfield location meets requirements of Rule.1945: Yes ✓❑ No 0
Drainfield location meets requirements of Rule.1950: Yes 0 No❑
Permit valid for:❑ Five years[site plan submitted pursuant to GS 130A-334(13a)) ❑No expiration[plat submitted pursuant to GS 130A-334(7a)]
Permit conditions:
Licensed Soil Scientist Print Name: Larry Thompson, LSS
Lary Thompson DghaIy signed by Larry Thompson 8/17/22
(
Licensed Soil Scientist Signature: + P Date'2022.08.1720'11'01-04'00' _ Date:
The L55 evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2).
`see attached site sketch*
The LSS/LG evaluation(s) attached to this application is to be used to issue an Improvement Permit in accordance with
G.S. 130A-335(a2)and (a3).
County: Catawba
This Section for Local Health Department Use Only
Initial submittal received:8/31/22 by RP
Date Initials
Permit Number: IMPV-09-2022-179319
G.S. 130A-335(a4)states the following: 'If a local health department fails to act on an application for an improvement permit
submitted pursuant to subsection(a3)of the section within 10 business days of receipt of a complete application, the local health
department shall issue the improvement permit.'
In accordance with G.S. 130A-335(a3)the improvement permit application is:
❑ Incomplete(If box is checked,information in this section is required.)
The following items are missing:
Copies of this were sent to the LSS and the Owner on
Date
State Authorized Agent: Date:
❑ Denied (See attached report.)
Copies of this were sent to the LSS and the Owner on
Date
State Authorized Agent: Date:
Complete �,(�/�, /,�—
State Authorized Agent: i�i� ""'- t4 / Date of Issuance: 9/2/22
This Improvement Permit is issued pursuant to G.S.130A-335(a2),(a3),and(a4)using the signed and sealed LSS/LG evaluation(s)
attached here. The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The
permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to
revocation if the site plan, plat,or the intended use changes,or if information submitted in the application was falsified,
inaccurate or misleading. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is
subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this
permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the
responsibility of the owner.
The Department,the Department's authorized agents,and the local health departments shall be discharged and released from
any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to
evaluations,submittals,or actions from a licensed soil scientist or licensed geologist pursuant to GS 130A-335(a2).
Improvement Permit Expiration Date: 9/2/27
*See attached site sketch*
WI-
# 13329 V y
WARRANTY DEED. ,.,,.,,,„.....,,,,.,,...
• SSTTATEOF NORTH CAROLINA-Catawba Comm.
mbiA 18ee1, Made this._.......--•-lath----_--......_....day d._._..._..__._Hay_..__.._..._._._.„.._...__....___..19..la,by....—_........
.3.oyd A Shook and_wifey Nina L Shook
et _._—Ctatealan_. .._._.._--_--.County and State ot._.North parties.„»____.._._.of the riot part,to
aggas..k. ultdlD I.irige.ranatt Cc any. Inc., and$'lyd Fox and.7iplee..,tognthy_'ox_._.__.____
....,..._-------'--"Catadba..........____._ County sad States d..„.�2t4k1 Carolina,�9itr Stxl._...._„... ._...of the second part:
WITNFSS$TH,that whid_..._.___.�aT'ties..�T1�.f 1£BS..Ffsrtt.._ _.. ......
iu consideration erg untreti.C$11 )...Doi]are.-anti.„uthe.r_good..and.�mluahle_roneideratioca.._-_r.._.-ease is
them paid by._..„ __.._,ps,rtiea...of_the..sacond_,part __ _........„..„_„._
the receipt of which is hereby acknowledged,have Chars)bargained and wild,and by them primate do(sl grant,bargain,sell and convey m mid _
parties of the second part, their
heir,and assigns,a certain tract,lot,or paced of land in.....„.___..... Catawba. County,State of
North Carolina,adjoining the lands of..........„..„.._.._ _._
I
r,_..__.-_.._...And othe bounded as follows.els.:
BEGINNING At an iron stake at intersection of Reese Drive and Cook Street and running with Reese
Drive South 66* 17' West 200 feet to an iron stake; thence, South 23* 43' East 100 feet to an
iron stake; thence North 66* 17' East 200 feet to an iron stake on Cook Street; thence with said
Street North 23* 43' West 100 feet to the point of BEGINNING, and being Lots Nos. 1, 2, 3 and 4
in Block 1F',in Hefner Heights near Hickory, North Carolina, Catawba County, according to a plat
recorded in Plat Book No. 9, at Page No. 106, Catawba County Registry.
• The conveyance of the above described lots is subject to the following reservations and restrictions:
1. No houses shall be erected on these lots that contain less than 1,000 square feet of heated
floor space, exclusive of porches, breezeways or garages.
2. No houses shall be built with concrete or cinder blocks shoving and all houses built shall
have exterior principally of brick, stone, wood siding of eight inches or larger.
3. No building of any nature or kind shall be erected upon the premises within 35 feet of the
front property lines or within 10 feet of either of the side property lines.
4. All the property shall be used for residential purposes and/or church purposes and/or school
purposes.
Rev .10
TO HAVE AND TO HOLD the ulorMaid tract.lot.or parcel of and all privileges and appiuteiviceA e'13eba{ i ter`(Co-IDF9QR
__T _Rarties of tie second,part,, their
,_»_„„„._....„......_,.heirs and Maigoa,ter._„,......-,.„the.LX-._.._.»..ady um and behoof forever.
And the mkt partiwa of thei fi rat ,;arl'.._._........_...._....-... for... thinsad 7CCF„„„.�._.-..ndLhr tt..hek,,rserutua
and administrators.meeaonn ..._..with via.._.__._.._ _lie .O.e.1. ._tdl�second Dart. their
-_ ...»_.......... .„Leas and a�sR that...._ _ *hay_.are__ _ - __ I
mixed of mid premises to fee and have fine)light to convey in fee simple,that the same are free and elms from all encumbrance,and that......a ,r.
do.__»„....hereby fosterer warrant fortes defend We said title to the same against the claims of all persons,whomsoever..._.__
ssi
IN TESTIMONY WHEREOF.th. ,..........._...Eartie_q-0�.th _Yi e, r .__ „ -
ha._Y.C_.__.hereunto sat..._tt ' .X......-_..haod(s)and malts).the day and year heat above written.
Floyd A Shook .(SEAL)
NinaL Shook —_,___ (MEAL)
_ —.mist)
Attest:.._. - ._ . • _ _----- _ -..- (SEAL)
STATE OF NORTH CAROLINA,Catawba Canary.
._......_— .................„....._..__...._. ._.......„._.._..........._....._ -_ __.-•-----'----._._.„....._»»......._....,hereby entity that
_._...... ......... and.,_ ...and......_ „.....„.......„..„._.—_._._._...„„....................».._._
• his wife,personally appeared before me this day and acknowledged the due execution of the annexed Deed of Conveyance:and the said -
helot by me privately trammed,separate and apart
from her said husband,touching her voluntary execution of the same.doth state that the signed the same freely and voluntarily.without fear or eempuleloo
of bar said husband or any other person,and that she doth still voluntarily asatat thereto. Let the instrument with this certificate,be registered.
Witness my band and notarial seal,this -..._..-_ day of _.__..---.---_..__.._......_,._ _».__..__.,A.D.19_..__
My commission empires aI..S.) .» _---
-' — —ems._
i
STATE OF NORTH CAROLINA,Catawbs County. -•».,,„�.„--- . '
---_..14-.1 s.tb11-BimAaOri,...$0tAllf.Pfthiir. ,hereby certify that
.k.lu]f.St A S�#.1?.QA��a41__KixC.,..�Vi.tla,..,L...&llQQk _._---• .personally eppared before me this day and
acknowledged the due exeeutioo of the concord Deed of Conveyance. Let the tnstrvmeat.with thin certificate.be registered
Witness my band and notarial pall,this - .22nd. _._,,.day of...._...._-.__..I3(.$ ..„,_.___-._ A.D.19 6.5
My eommimtion expires...._.....i�,-Q.-19 ._.(*) IL.S.) MffiTCtbeS...Uffia11.011.-HOtAX7.211bliC
STATE OF NORTH CAROLINA,Catawba County.
The foregoing certificate of...„,,„........_.__ Martha SipaP5Qn .,,.,,,,,,••• a Notary Public
II of _ meld_—_...„..„...„„„„....__-.Connt7,Is ad)+sAged to be..._„....... ---
......r
Let the instroment,with...._„,....._.—__.. the certificate be registered_
Wituem my hand .........„.......__....__.-..this 26th ,day of NBY
rA.n.is115-
......,.g_Lial`.W Maunpxa-Asot--_.......
._
C Clerk SuperlQ Cast
Filed for resistntaon an the 26 ..day of .....HELY „,„.,19.xrLL5.,IL LO 90 ceeseyk A ,M,.add
• registered in the office of the Register of Deeds for Catawba County.N.C.,this.........._....26_._„...„.,,....,...day
19..115...at...11.12.5.._....o'doek.._-,..A...M.,In Book E116 et Deeds,oo psee J
Keener and Butner Resister J Dveda
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PHASE PARCEL ID: 372412854111
sTREETADDREss; 3525 33RD ST DR NE
Hickory, NC 28601
Please print:
Property Owner: Four Corners of Charlotte, LLC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Larry Thompson, LSS of Thompson Environmental Consulting, Inc.
(Contractor/ Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
1612 Seattle Slew Court, Waxhaw NC 28173
Telephone: 704-713-2602
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
The LSS/LG evaluation(s) attached to this application is to be used to issue an Improvement
Permit in accordance with G.S. 130A-335(a2) and (a3).
Ow gnature: Owner Signature:
ramon gonzalez(Aug 17,2022 18:58 EDT)
Date: Aug 17, 2022 Date:
•
Residential Subsurface Wastewater
Treatment and Disposal System Proposal
for
Lots 1-4, Block F — Heffner Heights
3525 33rd Street Drive NE
Hickory, NC 28601
Tax Parcel # 372412854111
August 17, 2022
Prepared for: p Solt
G 1)1 o 4,, le
Four Corners of Charlotte LLC �► `�o � _
1612 Seattle Slew Court 'ga
Waxhaw, NC 28173 'lAt�,
704-713-2602
(le cp,
Atieni
Prepared by:
.10%Hllp rtfo.�I
Larry Thompson, REHS, LSS . ‘"1Rp'w•,,
Thompson Environmental Consulting, Inc. .1` 0 :�cSISTE84 ,
PO Box 541 .'
Midland, NC 28107-0541 ' SEALC-• . 1208 gird
Phone: 704-301-4881 =
la riy@thorn son n "�14'
p e v.com ��•'� ••. AC HE�t`�..•, ��
3525 33rd Street Drive NE
Details
Four Corners of Charlotte, LLC has contracted with Thompson Environmental Consulting,
Inc. (TEC) to prepare a septic proposal for a new 3-bedroom single family residence to be
constructed at 3525 33rd Street Drive NE, Hickory, North Carolina (Catawba County
Parcel Number: 372412854111).
Based upon a soil investigation performed by TEC, it was determined that a sufficient
amount of"Suitable" Group IV soils are available for the installation, and repair, of a
Gravity Flow Accepted System for a 360 gallon-per-day residence at a 0.3 GPD/sq/ft
long-term acceptance rate (LTAR). The property will be served by a municipal water
supply.
This property appears in a subdivision plat that was recorded with the Catawba County
Register of Deeds Office on August 14, 1958, and is considered to be "repair exempt" per
15A NCAC l8A .1945 AVAILABLE SPACE.
The LSS/LG evaluation(s) attached to this application is to be used to issue an
Improvement Permit in accordance with G.S. 130A-335(a2) and (a3). The owner
would like to request that Catawba County Environmental Health issue the appropriate
permits for a subsurface wastewater treatment and disposal system based upon the
following proposal and the enclosed Licensed Soil Scientist Evaluation.
Location
From Newton, take NC-I 6 N. Turn left onto County Home Road, left onto Springs Road,
right onto Sulphur Springs Road NE, left onto 34th Avenue Ct. NE, and right onto 33rd
Street Drive NE. Lot is on the left.
References
Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A, Section
.1900, Department of Environment and Natural Resources, Division of Environmental
Health, On-Site Wastewater Section, April 1, 2017.
Accepted Wastewater System No. AWWS-2005-02-R6; North Carolina Department of
Environment and Natural Resources, Division of Environmental Health, On-Site
Wastewater Section, August 21, 2015.
Primary Investigator's Credentials
NC Registered Sanitarian No. 1208
NC Licensed Soil Scientist No. 1287
SC Certified Professional Soil Classifier No. 111
NC Subsurface Septic System Operator No. 22199
NC Grade IV Wastewater System Installer No. 1762
2
3525 33rd Street Drive NE
NC Certified Wastewater System Inspector No. 17621
Plans and Specifications
A. Septic Tank
1. The septic tank shall be State approved (Section .1953 of 15A NCAC 18A),
watertight, structurally sound, and 1,000 gallons in capacity.
2. The septic tank shall be fitted with an approved effluent filter.
3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank
prior to accepting delivery to assure that the tanks have had time to properly cure
and are free of cracks or other structural deficiencies.
B. Pipes and Fittings
1. All discharge piping,connectors and supply lines should be made of SCH 40 PVC.
2. All joints must be properly"welded"utilizing the appropriate PVC cement for each
application.
C. Distribution Method
1. The drainlines will be fed via a distribution box.
2. Distribution box shall be water tested at the time of the final inspection.
D. Drainfield Installation
1. The drainfield has been previously laid out on-site utilizing metal stemmed flags.
The property owner/builder should mark this area and isolate it as much as possible
from construction traffic.
2. Under no circumstances shall any construction take place within the drainfield area
while the soil is in a wet condition.
3. The specified system is an accepted wastewater system, specifically the Infiltrator
Quick 4 chamber system or any other system with a state-approved 25%reduction
in required drainline length.
4. The drainfield consists of four(4) lateral trenches to be constructed 3-foot wide by
75 feet long. Total drainline length is 300 feet.
5. The maximum trench depth for this system shall be 26 inches (low side).
6. The laterals are to be installed on contour with the land, keeping the individual
trench bottoms level from beginning to end.
7. The trenches should be left open for the final inspection by the local health
department.
E. Final Landscaping
1. Final cover over the drainfield shall be at least 6 inches deep. Additional soil cover
may be required to achieve the 6 inch requirement.
2. The drainfield shall be shaped to shed rainwater and be free from low spots.
3
3525 33rd Street Drive NE
3. The drainfield area should be planted with grass as soon as possible to prevent
erosion. The soil should be properly tilled, limed (if necessary)and fertilized prior
to planting. After applying grass seed, the area should be heavily mulched with
straw or other suitable material.
F. Utility Conflicts
1. The builder and property owner must take special care in planning for water,power,
gas,telephone, and cable lines. These utilities shall be kept clear of all parts of the
septic system and its proposed repair area. Improper planning for underground
utilities can negatively impact the installation and, in some cases, cause irreparable
damage and permit revocation. If there are any questions regarding preferred
routes, contact the local health department as soon as possible.
2. Lawn irrigation should not be placed over the drainfield area.
Maintenance
G. In General
1. The homeowner must maintain the drainfield area through periodic mowing. The
drainfield must not be allowed to become overgrown.
2. The septic tank should be pumped every 4 years or when the solids within the septic
tank reach an elevation that is equivalent to 25 percent of the volume of the tank.
In some situations, the tanks may need to be pumped more frequently. If using a
garbage disposal, it is recommended that the homeowner has the septic and pump
tanks cleaned out annually.
3. When it becomes necessary to clean the effluent filter, the filter should be removed,
and the accumulated debris washed back into the septic tank—not onto the lawn.
4. Any damp areas, leakages, or malfunctions in the drainfield area should be
addressed immediately.
5. Divert gutter downspouts and surface water runoff away from the septic and pump
tanks.
Design Specifics
Daily Design Flow: 360 GPD—3 bedroom house
Septic Tank Size: 1,000 Gallons (minimum)
Effluent Loading Rate: 0.3 GPD per sq. ft.
Drainfield Type: Accepted 25% Reduction
Distribution Method: Distribution Box
Number of Drainlines: (4) 3-ft Wide x 75-ft Long
4
352E 33rd Street Drive NE
Total Trench Length: 300 Linear Feet
Maximum Trench Depth: 26 Inches(Low Side)
Final Cover Requirement: 6 Inches
5
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PRELIMINARY SOIL AND SITE EVALUATION
Heffner Heights
Lots 1-4, Block F
33' Street Drive NE
Hickory, NC 28601
Prepared For:
Four Corners of Charlotte LLC
1612 Seattle Slew Court
Waxhaw,NC 28173
Prepared By:
Thompson
Environmenta
Consulting
WATER • WASTEWATER • WETLANDS
Thompson Environmental Consulting, Inc.
PO Box 541
Midland, NC 28107
D SO4 S
April 18, 2022 0 I Ho4i 0,
et Arrt7 14
. 41.4.,A4-,.. . __ .
, i 1267 oil
14'1'0;114 C
INTRODUCTION & SITE DESCRIPTION
This Soil and Site Evaluation was performed on a 0.46-acre lot (combined Lots I-4, Block F of
Heffner Heights), located on 33rd Street Drive NE, Hickory, North Carolina (Catawba County
Tax Parcel ID: 372412854111).
Thompson Environmental Consulting, Inc. (TEC) was retained to determine whether the soils
were suitable for onsite subsurface wastewater treatment and disposal. The property was
evaluated in accordance with North Carolina statutes for waste disposal ("Laws and Rules for
Sewage Treatment and Disposal Systems", amended April 1, 2017).
INVESTIGATION METHODOLOGY & SITE PHYSICAL CHARACTERISTICS
Individual soil borings were evaluated, and soil color was determined with a Munsell Soil Color
Chart. Observations of the landscape (slope, drainage patterns, etc.)as well as soil properties
(depth, texture, structure, seasonal wetness, restrictive horizons, etc.) were recorded.
The property is currently undeveloped and is vegetated with a mixed deciduous forest.
FINDINGS
A field survey was conducted on April 11, 2022. Borings were advanced within the project
study area and locations noted in the attached Figure 1.
Borings rated as Provisionally Suitable for the installation of a subsurface wastewater treatment
and disposal system utilizing Accepted System and Prefabricated Permeable Block Panel System
drainfield products are denoted in the attached Figure as green points. Surfaces typically
exhibited friable loam with weak, medium, granular structure 2 to 3 inches in depth. Upper
subsurface horizons exhibited firm clay loam to clay textures with moderate, medium,
subangular blocky structure to greater than 41 inches. A long-term acceptance rate (LTAR) of
0.3 gal./day/sq. ft. would be recommended for these soils.
DISCUSSION
The lot appears in a plat recorded with the Catawba County Register of Deeds Office on August
14, 1958, and would be considered"repair exempt per 15A NCAC 18A .1945 AVAILABLE
SPACE, which states in part:
(c) The repair area requirement of Paragraph (b) of this Rule shall not apply to a lot or tract
of land:
(1) which is specifically described in a document on file with the local health
department on July 1, 1982, or which is specifically described in a recorded deed
or a recorded plat on January 1, 1983;
The soils observed within the project study area will support the installation of a subsurface
wastewater treatment and disposal system utilizing Accepted System or Prefabricated Permeable
33""Street Drive NE I April 18, 2022
Preliminary Soil and Site Evaluation
•
Block Panel System drainfield products. Approximately 3,300 square feet of suitable soil area
would need to be designated and left completely available for a 4-bedroom Accepted System
installation.
The required square footage can be reduced by 25% if using a Prefabricated Permeable Block
Panel System drainfield.
CONCLUSION
The findings presented herein represent TEC's professional opinion based on our Soil and Site
Evaluation and knowledge of the current laws and rules governing on-site wastewater systems in
North Carolina. Soils naturally change across a landscape and contain many inclusions. As
such, attempts to quantify them are not always precise and exact. Due to this inherent variability
of soils and the subjectivity when determining limiting factors, there is no guarantee that a
regulating authority will agree with the findings of this report.
33'd Street Drive NE 2 April 18, 2022
Preliminary Soil and Site Evaluation
Thompson Environmental Consulting,Inc. Sheet/off
PO Box 541 PROPERTY ID#:3?02 9/Z 5"S1////
Midland, NC 28107
COUNTY: C4`'14-) 4:11
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
owNER: Four Corners of Charlotte, LLC tJ
ADDRESS: DATE EVALUATED: _! -// zZ
PROPOSED FACILITY: Re PR POS D DEMON FLOW(.1949): UI gpd. PROPERTY SIZE: c
LOCATION OF SITE: rd 5ftt lc.kc/ PROPERTY RECORDED:
WATER SUPPLY: 0 Private [(Public C Well 2 Spring ]Other
EVALUATION METHOD: BP-AU ter Boring 0 Pit C Cut TYPE OF WASTEWATER: i.Zwage ❑Industrial Process 1 Mixed
P
R 0 SOIL MORPHOLOGY OTHER
F (.1941) PROFILE FACTORS
1 -1940
E LANDSCAPE HORIZON
POSITION/ DEPTH PROFILE
.1442
M SLOPE•h (p"11 .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR it LTAR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
d - Z MEI ♦
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use the following standard abbreviations
SOIL CONVENTIONAL LPP MINERALOGY/
LANDSCAPE POSITION GROUP TEXTURE ,I955 LIAR" ,1957 LIAR" CONSISTENCE STRUCTURE
CC(Concave Slope) I S(Sand) 1.2•0.8 0,6•0 4 SEXP(Slightly Expansive) G(Singk Grain)
CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive)
13(Drainage Way) CR(Crumb)
DS(Debris Slump) II SL(Sandy Loam) 0.8-0.6 0.4-0.3 . OR(Granular)
FP(Flood Plain) L(Loom) SBK(Subangular Blocky)
FS(Foot Slope) ASK(Angular Blocky)
H(Head Slope) III Si(Silt) 0 6-0.3 0.3-0.15 PL(Platy)
L(Linear Slope) SICL(Silty Clay Loam) PR(Prismatic)
N(Nose Slope) CL(Clay Loam)
R(Ridge) SCL(Sandy Clay Loam) MOIST WET
S(Shoulder Slope) SiL(Silt l.,oam)
I(Terrace) VFR(Very Friable) NS(Non-sticky)
IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) SS(SlI bdy Sticky)
SiC(Silty Clay) Ft(Finn) S(Sticky)
C(Clay) VF)(Very Finn v.Very Sticky) VS(Very Sticky)
0(Organic) None None EFI(Exveoaty Firm) NP(Non-plastic)
SP(Slightly Plastic)
*Adjust LIAR due to depth.consistence,structure,soil wetness,landscape,position,wastewater flow and quality. p(Plastic)
asersaVP(Very Plastic)
HORIZON DEPTH In inches below natural soil surface
DEPTH OF FILL (n inches from land surface
RESTRICTIVE HORIZON Thickness and depth from land surface
SAPROLITE S(suitable)or U(unsuitable)
SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with cltroma 2 or less-record Mansell color chip designation
CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable)
Evaluation of saprolile shall be by pits
Long-term Acceptance Rate(LTAR):gaVdaylfti
Shaw oflle locations and tl her site features(dimensions.reference or benchmark.and North).
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ara4i.0..we� uw,r..r►wrr �, r, °.. ..a.,. APPROVED APPROVf� FOR RECORDING
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STANDARD CHAMBER
52"
0uick4 Standard Chamber
(EFFECTIVE LENGTH)
a
12"
8" I 11 II II 1111111111111
34„ SIDE VIEW
SECTION VIEW
MultiPort End Cap IL
4&11114
rfo)\A , ,6"12" �
34" SIDE VIEW TOP VIEW
FRONT VIEW
Quick4 Standard Chamber Nominal Specifications MultiPort End Cap Nominal Specifications
Size(WxLxH) 34"x52"x12" Size (W x L x H) 34"x16"x12'
Effective Length 48" Invert Height 8"or 1.25"
Invert Height 8"
INFILTRATOR SYSTEMS.INC.STANDARD LIMITED WARRANTY
lay The sitoctt.ral rtegity of ea&chamber gird Owe.wedge and other accessory rnr",tacawed by in5tra'o 1'unhas).wirer installed and operated
it a Imchfhl at an onsee septc system in at.' y1 rce wrth Mlrator's elsa elyea.a wand red:o to uryr.fl ptaehsfr rHolde^I agorae defective
nee ends and...numeraly be Crest year from the date that the septe,paters!rs leased to the septic system contalehg the Inlets:prodded.bestrew.
that e a septa peer,is flat required by applicable law to warranty pried red begin upon the date that vs:raeton Of the septic system Cannerscgs
Of the es wan defect
rues.HddOtto, must rosy eaceme n ware al toOrvixwiteermat Headquarters In rtee t Old Seybrdob.C.is Lard hd Warn Mleen MI I�FI LT T R
days of the alleged tlelac M9Tata we supply replacement Units la Uvls tletertttned by batiste to be covered by this Larded Warranty
nriaaree a Lshky a edficdly excludes the cost 0l removal and/'Chr retaliation OI the Units
at THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE EXCLUSIVE.THERE ARE NO OTHER WARRANTIES WITH RESPECT
TO THE UNITS.INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE SYSTEMS I N C
NI Thle Limited Warmly shall be void anyy part of to chamber syaten a rnanufactved by&lychee otter Mar rebate The Linatud Warranty dues
not extend to Inddenial.consequential.special or erdiect demagea Iralllraca trail not be lade for pennies or liquidated damages inducing g loss of Environmental Onaite Wastewater Solutions-
protLrlhn end profs.labor and materiels,overhead coats or other Iowa a expenses insured by the Holder to tiny teed party Speciiraar
*Aided Awn Linked Warranty COvefKe are deluge to to Units Ma to ackdry wear atria tear.aaecbn,accident misuse.abuse a neglect of
the Unto,the Leits being atr;arted b vele*traffic or other corrdtbe which are rot damated by the srretaaseon r audio e.mare to ma ntaer tee 6 Business Park Road •P.O. Box 768
adman ground coils set kirk In the nsiraecn nstrod a-s.Me placement Of enptper materials into the system cOI1)WIOg the Um.Wert of
the Unite a the septic aprm Ali to improper reap or improper sang ercasree wale usage,improper grease disposal or improper operas.,or Old Saybrook, CT 06475
• e"em nr catered by Wender The Larded Warranty shell ab0eevoid a the Hridr in this to comply with al of the tame set forth ie Limited
860 577 7000• FAX 860 577 7001
Further.In no event shell hereto,be reaponsible tor any loss or mere.or from any product toothy darns Helder or any third party Fa that to Lmited Warranty Holder the tto as or�the I Odd n arty "be insg talled in a n "- 800-221-4436
Mel ell see conditions required by state and local coded as other applicable laws.and nettrato s ns:Mahon instructions
Id No representatr a of nfdator has the aurahy to charge at extend this Limited Warranty No warranty access TO any party other then the ore*
rat Hobs
The above repressed'the Sradrd United Warranty Oared by Infiltrator A Untied our tr of states and cantles have deferent warranty regard
monk Any pachelar of Units alhors 1 connect infusions Corporate Headrkenen h Old Sarbrod e.Correstiast Ie sin sl dh pvehaee.To obi*.a
copy ef de appe able warranty.end ahorld csoMy read that warranty price to the ptresree of Una;
U.S.Patents:4,759,661;5.017,041;5,156,488;5,338,017;5.401,118;5.401,459;5,511.903:5,716.163;5.588,778,5,839.844 ♦s
Canadian Patents:1,329.959:2.004.564 Other patents perking. p
r r�
InbItratcr,EquaNzer and Sidewinder are registered trademarks of Inhllralor Systems Inc.Infiltrator is a reyistered trademark in France.Infiltrator Systems Inc.
Is a registered trademark in Mexico.Contour,Contour Swivel Connection,Mirroleaching,POhyTUlf.SnapLock.OhamberSpacer,PosiLoclt,tjickCUt.OuiCePlay AECYCLibPAPER
and Qtick4 are trademarks of Infiltrator Systems Inc.0 2003 In itrator Systems Inc.Printed in U.S.A. 001120.3HP-0