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HomeMy WebLinkAboutEOP-09-2022-179945.tif EOP-ATO CORNETTE WASTEWATER, (Repair) EOP-09-2022-179945 Engineer Option Permit Common Form LHD Reference: C. *PiZ -1) .) 3 - /(S 3 PART 3: Authorization to Operate(ATO) LI c)C: +r er rya inD,- Except for date received,the Section below is to be completed by the Owner or the PE. • n LHD USE ONLY: Initial submittal of request for ATO received: I 5 d "2 3 by Jr-..' /- Date Initials Date of Post-construction Conference: 1-1)I 2- Post-construction Conference waived in accordance with G.S. 130A-336.1(j): T he following items are included in this submittal for an Authorization to Operate under an EOP: 1. Signed and sealed copy of the Engineer's report that includes the information in G.S. 130A-336.1(k)(1)and 15A NCAC 18A.1971(f) X❑Yes ❑ No a 2. Operation and management program and ORC contract,if applicable El Yes ❑ No '.-1 3. Fee (as applicable) X❑Yes ❑ No 4. Notarized letter documenting Owner's acceptance of the system from the PE El Yes ❑ No U 5. Owner meets requirements of ownership or control of the system �i per 15A NCAC 18A.1938(j) 0 Yes ❑ No 6. Easement,right of way,or encroachment agreement required per 15A NCAC 18A.1938(j) ❑Yes X❑ No 7. Multi-party agreements required,as applicable, pursuant to 15A NCAC 18A. .1937(h) ❑Yes X❑ No If yes, agreements filed in County Register of Deeds in Deed Book Page Attestation by the Owner or the PE for Authorization to Operate Michael Lash, PE. hereby attest that all items indicated above have been provided to the Print name of Owner or Professional Engineer Catawba County LHD and tie system shall meet applicable federal,State,and local laws, regulations, rul•. ,nd ordin /in ac . •.nc h OA-336...�)►.A,,," A I/,/,/, 4‘, ...141Kir.de-.14 Agoo Ari.,t e. O.ner or Professi E .1 ng' eer Z •aSEAL Q ';dr- 7A'z e i • /'j This section for LHailse Qnly. 14265 A"- LI-ID Review of required information for the ATO ;4' �IGI ' +Z`;� ❑ INCOMPLETE .,tiF,.iLw. Based upon review of information submitted in the Section above,the fi ff�g items are missing from the information required for an Authorization to Operate for an EOP: • Copies of this signed form were sent to the design PE 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 Date COMPLETE Based upon review of information submitted in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336.1(m). A copy of this complete NOI/ATO with tracking information was sent to the State on - S I Z3via I- i'it ,i i / 1 j �II ? Doe Email,FAX,LISPS,Hand-delivered ij tin, rll .t- 11,r- �tti�G I. r, 2 —2 l 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 ATO 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/EHS/OSWP—EOP COMMON FORM Updated April 2022 Page 6 of 6 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 tow boi LHD Reference Number Eof--0CJ - 2o,y7 _I7 I 1 14 5 _ Permitting backlog as of date of NOI submittal(#days) 3o dAy5 Number of days to process the NOI(#days) 10 d 015 Number of days to process re-submitted NOI(#days or"NA") d A1S Facility typeype 4 g eitmom Haase Domestic,High Strength or IPWW po ines.ki Design Daily Flow L OV 50 Residential or Commercial ip,QSideln4i01, System type(per Rule.1961) lc Qteiattimen4 it D-gox Date of Post-construction conference 1/31 23 Date Authorization to Operate issued 111 2,3 Fee charged for EOP yes I 135, 0 c Is fee sufficient to cover LHD costs? 16 Date LHD notified of EOP malfunction 1 Date LHD notified of Owner complaint DHHS/EHS/OSWP—EOP Appendix A Updated February 2022Page 4 of 4 Zt1 eac`e�. 43 1 0 z N ° 0 a SITE Zoav ion Mao No$cn/e T 1 "D" BOX TREATMENT AREA 0 s , k � I „TM ��_ SITE . ------ _l___N.\ / 11 _ ` i / / AREA NT , j ° Y / --_______ .....„1/ / / / CORNETTE Colleen Cornette WASTEWATER FACILITY 4297 Pointe Norman Dr. lake Norman, NC. -Catawba County Sherr lls Ford NC. 28673 Taos Parcel ID.-460719602970 704214-1355 colleencometts777Qgmall.com Scale: 1'= 50' Date:8-9-2022 Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning 1 104 Cindy Carr Drive Matthews,NC 28105 Phone: 704-847-3031 mikela,LashEngineering.com Lash Engineering, Inc. Cornette Wastewater Facility Sub-Surface Wastewater Repair EOP — ATO Submittal 1-27-2023 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. Installer Certificate of Insurance 6. EOP revised with Stevens Installer 7. EOP - ATO Pg.#6 sealed 8. Installers Certificate of Insurance - Stevens 9. Special Inspections & Report on Contractor 10.Owner's Operation & Maintenance Form 11.Operator Maintenance Agreement 12. Installer Statement of Installation 13. Engineers Certification with Seal 14. Notarized Form for Engineer to Owner System transfer 15. Engineering Plans Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning 1104 Cindy Carr Drive Matthews,NC 28105 Phone: 704-847-3031 mikel(LashEngineering.com Lash Engineering, Inc. January 27, 2023 Colleen & Michael Cornette 4297 Pointe Norman Drive Sherrills Ford, NC. 28673 Catawba County, NC. 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@CatawbaCountvNC.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. Earthwise Designs Soils&Land Evaluation 7/15/22 REPAIR Site and Soil Evaluation Wastewater System Recommendation for Four (4) Bedroom Residence 4297 Pointe Norman Dr. Sherrills Ford 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 Site and Soils Report is for a repair wastewater system for a four-bedroom residence with flow calculated at 480 gal/day. SYSTEM PROPOSAL: Wastewater strength: This design proposal is for a REPAIR drain field to utilize a Pretreatment aerobic tank with gravity flow to the 2 current trench lines and one new line of PPBPS;treat to a minimum TS-I standard. This allows the new line to be within the 35'-50' setback from the lake. This is not a saprolite system. This report includes site features, soil conditions and descriptions,an LTAR for the repair area, and other site-specific requirements for installation, site preparation, and modifications. Water is provided by a community system. Part 1: Site features and geo-morphological description This site slope ranges from 4%west of the house to 2%east of the house;with the aspect to the west. Two (2)pits were dug on the site which comport with the County Soil Survey mapping unit of the Cecil soil series. The Cecil series consists of very deep, well drained moderately permeable soils on ridges and side slopes of the Piedmont uplands. They are deep to saprolite and very deep to bedrock. They formed in residuum weathered from felsic,igneous and high-grade metamorphic rocks of the Piedmont uplands.They are well drained with medium to rapid runoff and moderate permeability. TAXONOMIC CLASS: Fine,kaolinitic,thermic Typic Kanhapludults Description of Cecil: Setting • Landform:Interfluves • Landform position(two-dimensional): Shoulder,backslope • Landform position(three-dimensional): Side slope 2 • Down-slope shape: Convex • Across-slope shape: Linear • Parent material: Saprolite derived from granite and gneiss and/or schist Typical profile • Ap-0 to 8 inches:sandy loam • Bt-8 to 42 inches: clay • BC-42 to 50 inches: clay loam • C-50 to 80 inches: loam Properties and qualities • Slope: 6 to 10 percent • Depth to restrictive feature:More than 80 inches • Drainage class:Well drained • Capacity of the most limiting layer to transmit water(Ksat):Moderately high to high(0.57 to 1.98 in/hr) • Depth to water table: More than 80 inches • Frequency of flooding:None • Frequency of ponding:None • Available water supply,0 to 60 inches:Moderate(about 7.6 inches) See Soils Field Sheet for specific descriptions of 2 pits; and Site Map for pits location. These soils are Group III with a proposed LTAR of 0.40 gal/sq.ft./day. Part 2: Recommended System Design Due to the limited available space and need for TS-I to set one line within the setback zone,the recommendation is made to use Aerobic pretreatment for this Repair Drain Field. Use proposed LTAR of 0.40 gal/sq.ft./day. Gravity flow may be possible; use current septic tank in place and install Aerobic pretreatment tank nearby. Drain Field Recommendation: Divide flow into thirds (160 gal/line); gravity flow; and utilize 3 lines as follows: • Use 2 current lines(150')with new system of aerobic pretreatment: 320/.4/3 x 50%= 133' min. • Install 1 new line PPBPS: 160/.4/3 x 50%=68' min. PPBPS at 8' o.c. downslope of last line; also receiving aerobically pretreated effluent. (Pit 1) • PPBPS line: Horizontal Installation;Trench width: 36 inches; Trench bottom: 26 inches. • Area Available: Sufficient space is available for this Repair system as shown on Site Map. 3 Future Repair Area: sufficient area remains available in front yard,aerobically treated to drip tubing. (Pit 2) 480/0.3/2=800 lin. feet min. drip tubing 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 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. 3. Drain Fields will be fenced or otherwise protected from vehicle parking; and mowed with light-weight mowers. 4. 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. Sincerely, Caroline J.Edwards NC Licensed Soil Scientist#1220 SC Professional Soil Classifier#117 NC Land Application of Bio-Solids#10006173 { soy Attachments: (' rj` v .�ir J1- Site Map 1220 Soils Field Sheet Site Map: 4 Bedroom Repair System Residence 4297 Pointe Norman Dr. Sherrills Ford 1 ' I I i ;, �I i ; ; `� � ► ail ► / 1 �, I t I / I I I t 11 I I /l f ( i 1 fl l I I r 1 i I I 1 I / I �� , - / / I t t I �_- ,' I I , '5 I t / / 1 ► If I /� 1 i / I '� / / I ;:, I r I l j l dlstUrbed 1 :' / ~ I• 1` area/ 1 / / �/ current0 OUS@ / ew / i uppew4 / i jl // j i lines j / / 2_/ -.1 / / / ' _ 1i '/ r / ,---------_______I ` ( I � tV a / . / / , / /~``� , -r 11 1 / I r % y I it / / \ ► i / / / / < < �� �� 1/ / I1� ► II /111 /I / / 1t—./ 1 1 1 1 1/ I i �� ✓✓✓ ✓1 t, /I l / I // �✓ i/r ✓/ \` � II • I I / .----------/ .-- , i� 1 'r 1 Colleen Corvette 4297 Pointe Norman Dr. lase Norman,NC.-Catawba County Sherrills Ford NC. 28673 Tax Parcel ID.-460719602970 704-214-1355 wAeencomette777@gmall.com Install Aerobic pretreatment unit, gravity to Dbox f Install new aerobic line PPBPS i t Aerobic to 2 current lines um.. Graphic Scale: 50' Current septic tank Earthwise Designs 7/15/2022 828) 289-0122 Soils & Land Evaluation CJEdwards234@gmail.com A I , , . . Q c v�44 ........1 1 \ t 0 ) _ • "f. .- /%"%.1N;. \\\ fop S z V\ -A \\A, � �' y(q ! WZ:(Pitdillr • . • '�c L onigkiv.4,, .. _ ._ „....„ ,, . 2 w S ;�r�r g y'1► N W Q O S _J ° \�\���� , c. py "C p •x -a �v - - 6oq La J u�j 2'0 0 Q A L � %it v¢ya ..- cn� U f1+ a+ "alr° j T 7.G — > If 0 V. $ i ,1II E ;"wv. I , w 7 a4C ea vi O ' µ cd ,et ▪ ti 1 ' _ a ~ G l�_�` " u �" W u a g : 3 t ` � � ova ° wv �E EU>_(` 42 bG d v C . �' � H eA ' K '- o , N ❑ N t � U a a f�.j 0 •0 '0 4 — - ? ,a'� v U� v' a'U Ca U) m L o E• a co g Sa U p_, I k « _.443 3 , , 1 __) .._, j .5 'th- •,?:i•'0" :;_,cg E6 OS > vs 'a �'TEL, 1 N " �e .C, a a U C . ) Og N �I� c .c A I c "n V J E S GJ i\-s '� . , a ▪,.. •It ' N cv'°0 �w �s vi 8(+.0 E >,u b A > u N a:: d A Z S =▪ 16. co) ;Y .\ N�U_� a 3 j t. • O - —°° f�1 w U 1 q" TG) Pg- og _Z(92-1—Ifi 3 �STA7Eq° . EOP-09-2022-179945 ydN„lna"" Nod ROY COOPER•Governor NC DEPARTMENT OF ,f a 4 KODY H. KINSLEY•Secretary 'J1 � £ HEALTH AND if HUMAN SERVICES HELEN WOLSTENHOLME• Interim Deputy Secretary for Health MARK T. BENTON•Assistant Secretary for Public Health Division of Public Health RECEIVED EOP-Cornette 4 bdrm Reppir-Residential System COMMON FORM FOR ENGINEERED OPTION PERMIT See Instructions for Use In Appendix A JAN 2 7 2023 Except for"Date received",this Section to be completed by the Professional Engineer licensed in accordance with G.S.89C LHD USE ONLY: Initial submittal of this NOI received: 8-Z-9-'La- by AI' Environmental Health Date Initials PART 1:Notice of Intent to Construct(NOI)-Please check all that apply ®Single System or El Multiple Systems AND ❑New ❑Expansion ❑Relocation of all or part of the Existing System ❑Relocation of Repair Area E Repair-LHD Permit Number 7115 ❑ Repair-EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name:(Owner,Company Name,Utility, Partnership, Individual,etc.): Colleen Cornette Mailing address: 4297 Pointe Norman Dr, City: Sherrills Ford State; NC. Zip: 28673 Telephone number: (704)214-1355 E-mail Address: colleencornette777@gmail.com 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 3. Licensed Soil Scientist(LSS)name: Caroline J.Edwards License number: #1220 Mailing address: 991 Duncan Road City: Rutherfordton State:NC. Zip:28139 Telephone number: 828-289-0122 E-mail Address: cjewards234@gmail.com 4. Licensed Geologist(LG)(If applicable)name: N/A License number: Mailing address: City: State: Zip: Telephone number: E-mail Address: Stevens Truck 8,Septic Service 5. On-Site Wastewater Contractor name; Icense number: 0- #18791 Mailing address: 3317 New Salem Rdty: •Oherry lile Monroe State: NC. Zip: 28021 28110 Telephone number: 704-201-9849-mail Address: mysepticneeds@gmail.com 6. 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: EJ PE El LSS ❑ LG 0 On-site Wastewater Contractor 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 • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER EOP-09-2022-179945 ,,,„ sTnrew ROY COOPER•Governor i I - , �y NC DEPARTMENT OF KODY H.KINSLEY• Secretary g s T..!----- 9 HEALTH AND Y S' =�.r HUMAN SERVICES H'ELEN WOLSTENHOLME•Interim Deputy Secretary for Health \,,,,.,. ''xi; MARK T.BENTON •Assistant Secretary for Public Health n}:y1W,\'Ap, "'�'""x Division of Public Health EOP-Cornette 4 bdrm Repair-Residential System COMMON FORM FOR ENGINEERED OPTION PERMIT See 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 LHD USE ONLY: Initial submittal of this NO1 received: '61 11 fr2— by r'V"` Date Initials PART 1:Notice of Intent to Construct(NOI)-Please check all that apply ®Single System or ❑ Multiple Systems AND ❑x 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.): Colleen Cornette Mailing address: 4297 Pointe Norman Dr. City: Sherrllls Ford State: NC. Zip: 28673 Telephone number: (704)214- 1355 E-mail Address: colleencornette777@gmail.com 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 3. Licensed Soil Scientist(LSS) name: Caroline J. Edwards License number: #1220 Mailing address: 991 Duncan Road City: Rutherfordton State:NC. Zip:28139 Telephone number: 828-289-0122 E-mail Address: c)ewards234@gmail.com 4. Licensed Geologist(LG) (if applicable)name: N/A License number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 1st Choice Septic&Environmental Services #63058 5. On-Site Wastewater Contractor name; License number: Mailing address: 3661 Eaker Road City: Cherryville State: NC, Zip: 28021 Telephone number: 704-447-5500 E-mail Address: info@lstcholceservicenc.com 6. 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: X❑ PE X❑ LSS ❑ LG X❑On-site Wastewater Contractor RECEIVED NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Slx Forks Road,Raleigh,NC 27609 A U G 1 1 2 2022 MAILING ADDRESS:1642 Mall Service Center,Raleigh,NC 27699-1642 1 www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Environmental Health Engineer Option Permit Common Form LHD Reference: EOP 09 2022 179945 7, Property location (physical address,tax parcel Identification number or subdivision lot,block number of the property to be permitted):4297 Pointe Norman Road, Sherrills Ford, NC,28673. Tax Parcel ID:460719602970 County Name: Catawba 8. Type of facility: X❑ Place of residence No. Bedrooms: 4 No,Occupants: ❑ Place of business Basis for flow calculation: 4 Bedrooms @ 120 gpd=480gpd ❑ Place of public assembly Basis for flow calculation: 9. Factors that would affect the wastewater load: Standard Residential Wastewater 10, Type and location of proposed wastewater system: Aerobic treatment, to existing gravel trenchs+T&J panel disposal. type Vc. 11. Design wastewater flow: 480gpd. gpd(For flow>3,000 gpd and industrial process,duplicate plans shall be sent to the State.) Design wastewater strength: X❑domestic ❑high strength ❑ industrial process 12. A plat as defined In G.S. 130A-334(7a)is attached: 0 Yes ❑ No 13. 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 compiles with 15A NCAC 18A.1950: ®Yes ❑ No This is a saprolite system. ❑Yes X❑No 14. Evaluation(s)of soil conditions and site features In accordance with G.S,130A-335(a1)signed and sealed by a LSS Is attached: ®Yes ❑ No 15. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑Yes X❑NA 16, Proposed landscape,site,drainage,or soil modifications are attached: Q Yes ❑ NA Attestotlon by Professional Engineer licensed In North Carolina pursuant to G.S.89C 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 federal,S5 a e, and local laws,regulations,rules,and ordinances In accordance with G,S. 130A-32 41( )(6). ij ! - ;2%7 ii /� ,I,,,,,lklNryl,•/ :4f/k/Z Z. Signature of Licens dprof sslonal Engineer � �,• i�'of ssO SEALA/j; 14265 21 ti � INSe'.•� ' \, . DHHS/EHS/05WP—EOP COMMON FORM Updated February 2022 Page 2 of 6 Engineer Option Permit Common Form LHD Reference: EOP 09 2022 179945 This section Is for Owner use to either designate PE as their legal representative or to self-submit the NO/. Designation of Registered Professional Engineer as legal representative of Owner for this Notice of Intent: I, Q�\1 13 C ({S `i-- hereby designate Michael Lash, PE. Print Name of Owner Print Name of Registered Professional Engineer as my al representative-'forp J y.. - ,,f this otice of Intent pursuant to G.S. 130A-336.1. t Signature of Owner Date Owner self-submittal of NOI: I, 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 Dote 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 Engineer Option Permit(G.S. 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 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. EOP-09-2022-179945 Engineer Option Permit Common Form LHD Reference: 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 deportment 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 all 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 NO1 is determined to be: V INCOMPLETE(If box is checked,Information in this section Is required.) Based upon revie i of Information submitted In Part 1,the following Items are missing: few1 L iv.- lhtelr(ir.>Liy C. ,i26111,41 111:1.1.-4 Copies of this form listing missing items were sent to the design PE and the Owner on (-2 4— ZZ _ Date via j-i'hr l with directions to re-submit missing items using Page 5 of this form. Email,FAX,USPS,hand-delivered b tit!I.( P1.�.leir 414/1 /IUD y, ZO-ZZ Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date ❑ COMPLETE (If box is checked,information in this section is required.) Based upon review of information submitted in Part 1 of this form,this NOI is deemed COMPLETE. Copies of this signed form were sent to the design PE and the Owner on via . Date Email,FAX,USPS,hand-delivered A copy of this NOI and tracking information was sent to the State on via Date Email,FAX,LISPS,hand-delivered Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date DHHS/ENS/OSWP—EOP COMMON FORM Updated February 2022 Page 4 of 6 EOP-09-2022-179945 Engineer Option Permit Common Form LHD Reference: Re-submittal of NOI with missing items Included This Section is for use by the owner or P£to submit items noted as missing during LHD Completeness Review above. Resubmittals must be accompanied by a cover letter from the P£, LHD,)A6E ONLY: This NOI resubmittal received:. g-Ipt. -2 t by '~- Dote ini loin Item II from initial NOI Resubmittal description PG,/l3 r ,e 994.12 Attestation by Professional Engineer licensed in North Carolina pursuant to G.S.89C i, Mi WOZ.- Zy¢✓' }71 hereby attest that the information re-submitted for this Notice of Licensed Professional Engineer(Print Name) 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 1 s, reg flans,rules and dinances in accordance with G.S. 130A-336- /z57 zz., Signature of Licensed Professional ngl r D. The section below Is for Local Health Department use after submittal of Items noted as missing above. LND 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- 336.1(c). This NO1 is determined to be: ❑ INCOMPLETE Based upon review of Information submitted In the RESUBMITTAL above,this Notice of intent remains 1NCOMPETE because the following items from Part 1 of this form remain missing: • Copies of this signed form were sent to the design PE 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 • Date OMPLETE 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 PE and the Owner on 1 J via �+ tt' Date Email,FAX,USPS,Hand-delivered A complete copy of this form with tracking information was sent to the State: via Date Email,FAX,USPS,hand-delivered 1-7—2:2- Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date DHHS/EHS/OSWP-EOP COMMON FORM Updated February 2022 Page 5 of 6 NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY, INC. CERTIFICATE OF LIABILITY INSURANCE 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 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 pollcy(ies)must 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). INSURED Stevens Septic Services Company LLC CERTIFICATE Lash Engineering NAME AND PO Box 385 HOLDER 1104 Cindy Carr Drive ADDRESS Wingate, NC 28174 Matthews, NC 28105 mike)@lashengineering.com COVERAGES 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. x TYPE OF INSURANCE IAr RS CL POLICY NUMBER (MPOLICY/YYY) (POIC P) LIMITS ® COMMERCIAL GENERAL LIABILITY GL 0555003 12/12/2022 12/12/2023 GENERAL AGGREGATE $2,000,000 OCCURRENCE PRODUCTS-AGGREGATE COMP/OPS $2,000,000 GEN'L AGGREGATE APPLIES PER POLICY PERSONAL&ADV INJURY $1,000,000 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 PREMISES fEa OccrarenceL MED EXP(Any one person) $5,000 EACH OCCURRENCE $ BUSINESSOWNERS AGGREGATE COMBINED SINGLE LIMIT $1,000,000 AUTOMOBILE LIABILITY (Each accident) BAP 2203675 11/15/2022 5/15/2023 BODILY INJURY(Per person) $ SCHEDULED AUTOS ❑ HIRED AUTOS BODILY INJURY(Per accident) $ ❑ NON-OWNED AUTOS PP or BERa DAMAGE nt) ❑ GARAGE LIABILITY ❑ (Other) EACH OCCURRENCE $ ❑ EXCESS LIABILITY— AGGREGATE $ OCCURRENCE WC STATUTORY LIMITS ® WORKERS COMPENSATION N/A AND EMPLOYERS'LIABILITY WC 0264338 12/12/2022 12/12/2023 E.L.EACH ACCIDENT $1,000,000 E.L.DISEASE-EA EMPLOYEE $1,000,000 POLICY APPLIES TO THE WORKERS COMPENSATION LAW IN THE STATE OF NC E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED AUTHORIZED REP- �1 IVE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE ' DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DATE 1/27/2023 COI 0910 Firefox about:blank 3317 New Salem Rd Monroe Nc,28110 704-776-4082 1nysenticneedsepmail.corn January 19th 2023 Job for. Mike Cornett 704-578-9746 colleencomette777@gmail.com Property: Pointe Norman Drive Lake Norman of Catawba, North Carolina 28673 At the above location address;Septic system went In as designed by Mike Lash at Mike Lash Engineering and is operational. Sincerely, Chris Stevens NC License 1761 1 of 1 1/27/2023,9:30 AM E Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning 1104 Cindy Carr Drive Matthews,NC 28105 Phone: 704-847-3031 mikel@LashEngineering.com Lash Engineering, Inc. January 27, 2023 Colleen & Michael Cornette 4297 Pointe Norman Drive Sherrills Ford, NC. 28673 Catawba County, NC. 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. Mr. Stevens and I have completed several projects together. In relation to the project, there are no special inspections necessary that require an acknowledgment. His contact information is: Terry's Enterprises, Inc. Dba Stevens Truck&Septic Service 3317 New Salem Road Monroe, NC 28110 stevenssepticservice@vahoo.com 704-201-9849 If there are any questions, then please do not hesitate to call. Thanks, Michael Lash, P.E. 16 WASTEWATER FACILITY ,.� •� ► Maintenance Plan and Schedule �� for Owner LASH ENGINEERING Wastewater Facility Maintenance Plan - Subsurface Drip Common Maintenance Issues Wastewater Disposal Facilities require plant,soil,and sometimes mulch maintenance to ensure optimal infiltration,storage,and pollutant removal capabilities. Disposal System 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. The tubing is buried 6"deep. 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. 5. " 3+(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. One common problem occurs when the drip tubing becomes Page 1 of 4 clogged. Flushing through the drip tubing is an everyday occurrence and is built into the automatic process of the system. There are 2 filters that are automatically cleaned by the system so clogging should not occur. If the water continues to pond for more than 12 hours,then remove the top few inches of material and inspect the tubing and area for damage.If excessive ponding still occurs,more extensive investigation is required. 6. Fencing: (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, 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 restricting access from rabbits,dogs, opossum,etc. that could cause burrowing and digging issues. Examples of When to Perform Maintenance • Fill disposal area shows signs of erosion or excess sediment deposition. • Anywhere that ponding has occurred. • Surface of ground anywhere around the facility is damp on a dry day. • Plants are in need of water or need to be replaced. Important inspection and maintenance procedures: —Immediately after the Disposal Area is established,the plants should be watered 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. — 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 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. 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: 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 established. Provide lime and a one-time fertilizer application. Ponding has occurred. Uncover the tubing. Inspect for damage. Call the Operator if repair required. Lash Engineering, Inc. Page 2 of 4 Area of Inspection: Potential problems: How to remediate the problem: Ponding has occurred. Check for ground subsidence. Call Operator if repair required. 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 problems with erosion. All diversion ditches should be free flowing,vegetated,mowed and maintained. The Pretreatment Area 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. 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 the area after grading. Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or riprap if needed to prevent future erosion problems. Weeds are present. Remove the weeds. 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 dying. problem:soils,hydrology, disease,etc.Remedy the problem and replace plants. Provide a one-time fertilizer application to establish the ground cover if a soil test indicates it is necessary. Grass/Weeds are high. Grass should be mowed to an optimum height for the grass species. Care should be taken not to disturb drip tubing(it's staked to the ground) 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 drip tubing, random void areas.Replace however if the design whole mulch layer if necessary. constituted using the mulch as Remove the remaining mulch a cover then: and replace with triple Mulch is breaking down or has shredded hard wood mulch at a floated away. maximum depth of three inches. Soils and/or mulch are clogged Determine the extent of the with sediment. clogging-remove and replace Lash Engineering,Inc. Page 3 of 4 Area of Inspection: Potential problems: How to remediate the problem: 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 mulch at a maximum depth of three inches.Search for the source of the sediment and 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. Lash Engineering, Inc. Page 4 of 4 OPERATION& MAINTENANCE CONTRACT ON-SITE SEWAGE DISPOSAL SYSTEM SUBSURFACE T&J PANEL DRAINFIELD WITH AQUA-SAFE PRETREAT UNIT The following terms and conditions for the monitoring and inspection of the on-site sewage disposal system for Comette Residence,4297 Pointe Norman Drive, Sherrills Ford,NC 28673, 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 is$250.00,payable at the time of each inspection and becomes binding. The property owner and the contractor may renew this contractor annually if mutually agreeable. Semi-annual site visits shall include the following: A. Inspection of the inlet end and outlet end of the existing septic tank. Check for solids level and Remove and clean effluent filter if present. B. Inspection of the Aqua-Safe Pretreatment Unit,including visual inspection, testing, and cleaning of the unit's aerator filters. The control panel operations will also be tested,including alarm. C. Visual inspection of the drain field area while under a normal dosing cycle, to check for seepage, unusual ground saturation, broken or damaged pipes and chambers. The field shall also be checked for any areas of erosion,proper vegetation cover, and diversion of surface water. D. Once a year, the contractor shall collect effluent samples from the pump tank. These samples shall be delivered to a state-approved testing lab the same day as taken.A copy of the test results will be sent by e-mail to the County and to the homeowner. Any system found to be dramatically outside of the normal limits of the parameters tested will be repaired at a cost to be determined and shall be re-tested at an additional cost to the owner after repairs are completed.After a period of 2 years, the testing frequency can be changed to match the state or County Requirement. E. Tim Barbee may incorporate the services of a sub-contractor and/or a representative from the system manufacturers to perform any of the contractor's duties under this agreement. Normal activity as covered by this contract as specified, and preformed by the above listed parties, will be done at no additional charge to the property owner.Tim Barbee shall remain responsible for the work preformed by a sub contractor or systems representative. System Warranty:All new system components are covered by the standard manufacturer's warranties, which range from two to three years. 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 property owner for parts,unless over-ridden by a manufacturer's limitation. The labor portion of the repairs may be billable and will be stated in writing in advance.The warranty does not cover system components damaged or destroyed due to system abuse,misuse, or by an Act of God. Required System repairs after the warranty period will be done on a time-and-material basis,with a written proposal submitted for approval prior to work being performed. Page 2 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, supply and return lines. C. Repair or replacement of any system piping, including drip tubing. D. Repair of replacement of pumps,floats, and control panel components. E. Laboratory Analysis of effluent samples as required by the State over and above normal testing. F. Other special requests by the homeowner. A copy of each inspection report shall be: A. E-mailed to the property owner B. Forwarded to the Engineer by e-mail. C. Placed in a permanent job file to be maintained by the Inspecting Contractor. Notification of any required system modifications,repairs, or component replacement shall be left with the property owner and a copy forwarded to the local health department within 48 hours of site visit,or as required by State regulations.The property owner 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 within 48 hours, or as required by State regulations. Agreed: Prope Owner Contractor 0.0 . ,lr� Timothy K. Barbee 1-29-2023 Rik M e'er 1421 Hickory Woods Dr. Monroe, NC 28112 704-589-0595 TBARBEE5(a)carolina.rr.com Tim Barbee Operators License#993958 i_ _ Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning 1104 Cindy Carr Drive --t Matthews,NC 28105 Phone:704-847-3031 mike)cr,LashEngineering.com Lash Engineering, Inc. January 30, 2023 Colleen & Michael Cornette 4297 Pointe Norman Drive Sherrills Ford, NC. 28673 Re: Cornette Repair Wastewater-Sub-Surface Disposal, Certification EOP Permit for ATC - 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. Colleen Cornette (Owner), Chris Stevens (Installer), Caroline Edwards (Soil Scientist) and Michael Lash (Engineer)were invited for the conference. The Catawba County Environmental Health Department was invited to attend on 1-27-2023 by email. 2. The Septic Tank is existing and during the repair of the system, it was found to be sound. 3. As-Builts of the T&J panels installation were submitted and checked for completeness, line length and conformance with the plans. 4. Prior to the installation of the system, Caroline Edwards (Soil Scientist) verified the location and alignment for the panels. 5. An as-built of the system was not necessary as the installation was made per the plans. A letter from the installer (Chris Stevens) is included in this submittal. 6. The Owner has a contract/agreement for Service and Maintenance on the system. The Operator has made a site visit and is a qualified operator for the AquaSafe aerobic unit. The agreement for their services 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. Michael Lash, E. _ °SEAL• 14265 ,.?3 • Lash Engineering, Inc. Civil/Consulting/Wastewater/Planning Y : #' 1104 Cindy Carr Drive Matthews,NC 28105 Phone:704-847-3031 mikel(a,LashEngineering.com Lash Engineering, Inc. Colleen& Michael Cornette January 27, 2023 4297 Pointe Norman Drive Sherrills Ford, NC. 28673 Catawba County, NC. Engineer to Owner Package The following is a list of documents that are required for submittal to the Owner or their representative(Sergio Luna)by the Engineer. 1. Engineer to Owner package Notarized Receipt. 2. EOP Engineer's Certification for ATO(Authorization to Operate) 3. A copy of the proposed plans updated to reflect the alignment of the drip tubing. 4. The Engineer's Report-which includes: a. Cover Sheet b. Table of Contents c. Soils Report d. Operation&Maintenance Form e. Operator Agreement f. Report for Contractor g. Installer Certification Letter The Owner or their representative shall by their notarized signature below, document their acceptance of the wastewater system from the Engineer. State of No5I1Cfrolinia County of ew The foregoing Instrument was acknowledged before me thiscday of\j/t=,2023, by CL UJ 'v signature of owner or representative. 7,e Company&Title. In witness whereof, I have hereunto set my official signature and affixed my seal the de`�'ar da �oye written. My commission expires: Notary Public dC4,- .,i- r �OTA,q� • The owner hereby accepp responsibility for the wastewater system frorrthe',Ennigeer. `fthere ate;any questions, please do not hesitate to call. 's C1 UB L U Thanks, 1111100. Michael Lash, PE. 1, � 'r,,. W a� .§1 II Oi W - 111111 1i1 *t; JHh ili , -IT---- t ] pEpE Jh !11 "g t 1 NI,w ��ov. $ E N-" r \ �1N/0 o I \ U) r - \ \ W. 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' ‘N ''--- ------- ON-- — IN INU 1 2 Nh o�W JJ , �4' ` oo� �I !4 '7b•> •,� . , .. „ moa . , . \ C Ec? - o1 2o22- 1fl' f5 42-617 i)61Ake, NinAn br EU- 19R- -24)2-1-411s3 STATE a'1,, ,,,.,,�No� ROY COOPER•Governor g \'s, NC DEPARTMENT OF KODYei.KINSLEY•Secretary _.. li: HEALTH AND /� HUMAN SERVICES HELEN WOLSTENHOLME• Interim Deputy Secretary for Health • MARK T. BENTON•Assistant Secretary for Public Health Division of Public Health EOP-Cornette 4 bdrm Repair-Residential System COMMON FORM FOR ENGINEERED OPTION PERMIT See 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 LHD USE ONLY: Initial submittal of this NOI received: p'ZS` LZ by ) ! Dote Initials PART 1: Notice of Intent to Construct(NOI)-Please check all that apply ®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 7115 ❑ Repair—EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name:(Owner, Company Name, Utility, Partnership, Individual,etc.): Colleen Cornette Mailing address: 4297 Pointe Norman Dr. City: Sherrills Ford State: NC• Zip: 28673 Telephone number: (704)214- 1355 E-mail Address: colleencornette777@gmail.com 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 3. Licensed Soil Scientist(LSS) name: Caroline J. Edwards License number: #1220 Mailing address: 991 Duncan Road City: Rutherfordton State:NC. Zip:28139 Telephone number: 828-289-0122 — E-mail Address: cjewards234@gmail.com 4. Licensed Geologist(LG) (if applicable) name: N/A License number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 1st Choice Septic& Environmental Services #63058 5. On-Site Wastewater Contractor name: License number: Mailing address: 3661 Eaker Road City: Cherryville State: NC. Zip: 28021 Telephone number: 704-447-5500 E-mail Address: info@lstchoiceservicenc.com 6. 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: X❑ PE X❑ LSS ❑ LG X❑On-site Wastewater Contractor 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 • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER EO P-09-2022-179945 Engineer Option Permit Common Form LHD Reference: 7. Property location(physical address,tax parcel identification number or subdivision lot, block number of the property to be permitted):4297 Pointe Norman Road, Sherrills Ford, NC, 28673. Tax Parcel ID: 460719602970 County Name: Catawba 8. Type of facility: X❑ Place of residence No. Bedrooms: 4 No,Occupants: ❑ Place of business Basis for flow calculation: 4 Bedrooms @ 120 gpd=480gpd ❑ Place of public assembly Basis for flow calculation: 9. Factors that would affect the wastewater load: Standard Residential Wastewater 10. Type and location of proposed wastewater system: Aerobic treatment, to existing gravel trenchs+T&J panel disposal. type Vc. 11. Design wastewater flow: 480gpd. gpd(For flow>3,000 gpd and industrial process,duplicate plans shall be sent to the State.) Design wastewater strength: X❑ domestic ❑ high strength ❑ industrial process 12. A plat as defined in G.S. 130A-334(7a)is attached: E Yes ❑ No 13. 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 1SA NCAC 18A .1950: ®Yes ❑ No This is a saprolite system. ❑Yes X❑ No 14. Evaluation(s)of soil conditions and site features in accordance with G.S. 130A-335(a1)signed and sealed by a LSS is attached: E Yes ❑ No 15. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑Yes X❑ NA 16. Proposed landscape,site, drainage,or soil modifications are attached: X❑Yes ❑ NA Attestation by Professional Engineer licensed in North Carolina pursuant to G.S.89C 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 federal,Ste,and local laws,regulations, rules,and ordinances in accordance with G.S. 130 )_1 )(6). / /7 CA13�•y /z z Signature of Licensed Pr ssional Engineer /' . ,.. S 8/���(,% Date 2• S. SEAL - 7 14265 • ZZ DHHS/E1-15/OSWP—EOP COMMON FORM Updated February 2022 Page 2 of 6 EOP-09-2022-179945 Engineer Option Permit Common Form LHD Reference: This section is for Owner use to either designate PE as their legal representative or to self-submit the NOI. Designationna_ of Registered Professional Engineer as legal representative of Owner for this Notice of intent: I, C 1(2N C(N �L hereby designate Michael Lash, PE. Print Name of Owner Print Name of Registered Professional Engineer as my al representative for p . .,f this otice of Intent pursuant to G.S. 130A-336.1. Signature of Owner Date Owner self-submittal of NOI: 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 Dote NOTES: LIABILITY: The Department, the Department's authorized agents, or local health departments shall hove no liability for wastewater systems designed,constructed, and installed pursuant to an Engineer Option Permit[G.S.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 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. EOP-09-2022-179945 Engineer Option Permit Common Form LHD Reference: This section for LocahHealth 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 all 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 fails 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: L" INCOMPLETE (If box is checked, Information in this section is required.) Based upon revie of information submitted in Part 1,the following items are missing: OA( f 1 r in k afrst.Fly C lay L, /I�.-. Copies of this form listing missing items were sent to the design PE and the Owner on (-2-1— Date via I..- r. ( 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 ❑ COMPLETE(If box is checked,information in this section is required.) Based upon review of information submitted in Part 1 of this form,this NOI is deemed COMPLETE. Copies of this signed form were sent to the design PE and the Owner on via 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 Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date DHHS/EHS/OSWP-EDP COMMON FORM Updated February 2022 Page 4 of 6 Engineer Option Permit Common Form LHD Reference: EOP 09 2022 179945 Re-submittal of NOI with missing items included This Section is for use by the owner or PE to submit items noted as missing during LHD Completeness Review above. Resubmittals must be accompanied by a cover letter from the PE. LHD.,USE ONLY: This NOI resubmittal received: 8'"-2 A ""2.1 by ,e-r Dote Initials item#from initial NOI Resubmittal description P ./6 7' G#.ft a'rIJ r.51//2 Aox Attestation by Professional Engineer licensed in North Carolina pursuant to G.S.89C I, frile-,1 Z-- hereby attest that the information re-submitted for this Notice of Licensed Professional Engineer(Print Nome) 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 I s,regu tions,rules and dinances in accordance with G.S. 130A-336- Z9 zz Signature of Licensed Professional ngi : r D. 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- 336.1(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 design PE and the Owner on via Dote Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date Or-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. r� Copies of this signed form were sent to the PE and the Owner on r via Date Email,FAX,USPS,Hand-delivered A complete copy of this form with tracking information was sent to the State: via Date Email,FAX,USPS,hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date DHHS/EHS/05WP—EOP COMMON FORM Updated February 2022 Page 5 of 6 Engineer Option Permit Common Form LHD Reference: PART 3: Authorization to Operate(ATO) Except for date received,the Section below is to be completed by the Owner or the PE. LHD USE ONLY: Initial submittal of request for ATO received: by , Date initials Date of Post-construction Conference: The following items are included in this submittal for an Authorization to Operate under an EOP: 1. Signed and sealed copy of the Engineer's report that includes the information in G.S. 130A-336.1(k)(1)and 1SA NCAC 18A.1971(f) ❑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 PE ❑Yes ❑ No 5. Owner meets requirements of ownership or control of the system per 1SA NCAC 18A.1938(j) ❑Yes ❑ No 6. Easement, right of way,or encroachment agreement required per 15A NCAC 18A.1938(j) ❑Yes ❑ No 7. Multi-party agreements required, as applicable, pursuant to 15A NCAC 18A. .1937(h) ❑Yes ❑ No If yes, agreements filed in County Register of Deeds in Deed Book Page Attestation by the Owner or the PE for Authorization to Operate I, hereby attest that all items indicated above have been provided to the Print name of Owner or Professional Engineer County LHD and the system shall meet applicable federal,State,and local laws, regulations,rules and ordinances in accordance with G.S. 130A-336-.1(e)(6). Signature of Owner or Professional Engineer Date This section for LHD 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 EOP: • Copies of this signed form were sent to the design PE and the Owner on via Date Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ❑ COMPLETE Based upon review of information submitted in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336.1(m). A copy of this complete NOI/ATO with tracking information was sent to the State on via Date Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ISSUANCE OF CERTIFICATE OF OCCUPANCY: Once the LHO determines completeness based upon the ATO 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/EHS/OSWP—EOP COMMON FORM Updated February 2022 Page 6 of 6 I catawba count Geospatial , ,.,.,., ,rr„y Information Services Real Estate Search I 9.12 11. 4 v`' I 1324 :: $ 11.92 `Jr?, 290.54 I7.11T ►- 8.69 9.01 7.27 - A A L 13.02 v 7.13 •..4 16.66 a I 9.56; •.4 11.82 11.72 249.37 N O 2�.12 N I ^ co I C) M � rV �. OQ,ee- ry / k Oa / *. , I /� (lit/ .'rV Q. h� I 265,35 0 Co I ca in N. /F.v 1 N w -c 1 in=60ft I s Parcel: 460719602970, 4297 POINTE NORMAN DR SHERRILLS FORD, 28673 Owners: CORNETTE MICHAEL K, CORNETTE COLLEEN M I Owner Address: 4297 POINTE NORMAN DR I Values - Building(s): $601,000, Land: $145,200, Total: $746,200 I This map/report product was prepared from the Catawba County.NC Geospatlal Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user The County of Catawba,its employees.agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability.whether direct,indirect or consequential which arises or may U arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 08/11/2022 I I I I L Lash Engineering, Inc. civil/Consulting/Wastewater/Planning 1104 Cindy Carr Drive Matthews,NC 28105 Phone: 704-847-3031 I mikelnLashEngineering.com Lash Engineering, Inc. Project Summary for: ICornette Wastewater Repair 4297 Pointe Norman Dr. Sherrills Ford,NC. ICatawba County,NC. I The project is for a repair system that consists of an existing 4-bedroom residential house. The house and proposed wastewater facilities are shown in plan. A Sub-Surface T&J Panel Wastewater Disposal system is proposed because of some good soils found on site. The Soils I investigation was conducted by Caroline Edwards with Earthwise Designs. Their report is included in this submittal. The repair soil disposal area has an associated treatment level of TS- 1. The repair system for the residence will consist of an existing 1,000ga1 septic tank and a new I AquaSafe 600L EZ system by Ecological Tanks. The system will be gravity through the AquaSafe unit and through a Distribution Box to two existing gravel trench lines and one new line of T&J Panels. This system was chosen because the system needs the "D" Box at the top of I the drain field to feed each run. This design creates a consistent high level of treatment and disposal, efficiency of power consumption, a 50%smaller footprint with ease of maintenance. I The system utilizes an AquaSafe Control Panel for the PreTreat unit. The panel is housed within a NEMA 4X enclosure that is setup for the internal monitoring of the system. I The proposed AquaSafe PreTreat is made of fiberglass at the factory, assembled at the factory and shipped to the site ready to be installed. Floatation of the tanks is not a factor as the units are being installed well above the lake and not subjected to flooding, saturation or ponding. Once Ithe treated effluent has been processed, the effluent is discharged by gravity to the panel lines. Site Specific Information I The design flow as reflected on the site plan for the residence is 480 gallons per day or (4 bedrooms x 120 gallons per bedroom). Based on an in-field soils analysis performed by Caroline Edwards with Earthwise Designs, the design LTAR is 0.4, and utilizing a 50% reduction for I pretreat and the panels, results in a required area of 600 square feet for the repair area. Utilizing the T&J Panels at 8' o.c. with a saturation trench width of 3' requires a need for 200' of trench and T&J panels. Based on the site's topography, available space, required setbacks, and system Iperformance, the system is designed with 2 existing lines at 75'and one new line of T&J panels at a minimum of 68' in length. I The house, driveway, and deck are built on the side of a slope that drains toward the lake. The house and drive are near the top of the lot to allow for the improvements and drain field below the house (where the better soils are located). The treatment level was increased to TS 1, because the system is installed on a gentle slope toward a lake. ' All major system components have been reviewed and approved for this application by the State of North Carolina, and several systems of this type have already been installed and certified in ' North Carolina. The system shall be installed by certified contractors, and the entire system shall be certified as complete and operational by Lash Engineering, Inc. The AquaSafe unit must be installed by a State Licensed Grade IV Installer, and under the State's approval requirements, ' must be inspected twice a year. The inspector must be a minimum of State Grade 1 sub-surface operator and shall be certified as an AquaSafe inspector/operator. The unit will be tested within 180 days following the installation completion and shall be tested for BOD & TSS. Test results ' will be a matter of public record, and a copy of the inspection report shall be forwarded to the local environmental health office. The operator/inspector shall visit the site every six months (min.) or as required by the permit and shall check the system for such items as proper panel ' performance, PreTreat status, pump operation, alarm conditions, high-level alarm condition, and document any fault conditions that have occurred and what was done to correct the problem. The pretreat system needs to be inspected and cleaned as required, with all residuals being washed ' back into the septic portion of the system. The panel system must be inspected twice a year to; check for leaks, make sure the control panel and the alarms are working, run the system through a manual cycle, and verify valves and filters are working properly. The drip field should be ' checked thoroughly for leaks or ponding, which could indicate a problem with the disposal system. The Engineer has provided the Owner a Check Sheet for evaluating the system on a monthly basis. Any issues should be brought to the attention of the Operator. ' Lash Engineering, Inc., in conjunction with Tim Barbee (operator), and the installer will provide a final certification packet including a letter stating that the system was installed properly, and that all connections and programming have been checked. If significant changes have occurred ' during the construction process, then a final "As-Built" drawing showing those changes made due to site-specific conditions will be supplied to the Owner along with the Certification. Please contact Lash Engineering, Inc. if you have any questions or concerns at 704-847-3031. I I 1 ' �"- Earthwise Designs Soils& Land Evaluation 7/15/22 REPAIR Site and Soil Evaluation Wastewater System Recommendation for Four (4) Bedroom Residence 4297 Pointe Norman Dr. Sherrills Ford ' 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 Site and Soils Report is for a repair wastewater system for a four-bedroom residence with flow calculated at 480 gal/day. SYSTEM PROPOSAL: ' Wastewater strength: This design proposal is for a REPAIR drain field to utilize a Pretreatment aerobic tank with gravity flow to the 2 current trench lines and one new line of PPBPS; treat to a minimum TS-I standard. This allows the new line to be within the 35'- 50' setback from the lake. ' This is not a saprolite system. ' This report includes site features, soil conditions and descriptions,an LTAR for the repair area, and other site-specific requirements for installation, site preparation,and modifications. Water is provided by a community system. Part 1: Site features and geo-morphological description This site slope ranges from 4 %west of the house to 2%east of the house; with the aspect to the west. Two (2) pits were dug on the site which comport with the County Soil Survey mapping unit of ' the Cecil soil series. The Cecil series consists of very deep, well drained moderately permeable soils on ridges and side slopes of the Piedmont uplands. They are deep to saprolite and very deep to bedrock. They formed in residuum weathered from felsic, igneous and high-grade metamorphic rocks of the Piedmont uplands. They are well drained with medium to rapid runoff and moderate permeability. TAXONOMIC CLASS: Fine, kaolinitic, thermic Typic Kanhapludults Description of Cecil: Setting 'I . Landform: Interfluves • Landform position (two-dimensional): Shoulder,backslope • Landform position(three-dimensional): Side slope r I 1 1 2 • Down-slope shape: Convex • Across-slope shape: Linear • Parent material: Saprolite derived from granite and gneiss and/or schist Typical profile 'I . Ap-0 to 8 inches: sandy loam • Bt-8 to 42 inches: clay • BC -42 to 50 inches: clay loam ' • C- 50 to 80 inches: loam Properties and qualities • Slope: 6 to 10 percent • Depth to restrictive feature: More than 80 inches • Drainage class: Well drained • Capacity of the most limiting layer to transmit water(Ksat):Moderately high to high (0.57 to 1.98 in/hr)• Depth to water table: More than 80 inches • Frequency of flooding: None ' • Frequency of ponding:None • Available water supply, 0 to 60 inches: Moderate(about 7.6 inches) See Soils Field Sheet for specific descriptions of 2 pits; and Site Map for pits location. These soils are Group III with a proposed LTAR of 0.40 gal/sq.ft./day. ' Part 2: Recommended System Design Due to the limited available space and need for TS-I to set one line within the setback zone, the recommendation is made to use Aerobic pretreatment for this Repair Drain Field. Use proposed LIAR of 0.40 gal/sq.ft./day. Gravity flow may be possible; use current septic tank in place and install Aerobic pretreatment tank nearby. ' Drain Field Recommendation: Divide flow into thirds (160 gal/line); gravity flow; and utilize 3 lines as follows: ' • Use 2 current lines (150')with new system of aerobic pretreatment: 320/.4/3 x 50%= 133' min. • Install I new line PPBPS: 160/.4/3 x 50% = 68' min. PPBPS at 8' o.c. downslope of last line; also receiving aerobically pretreated effluent. (Pit 1) ' • PPBPS line: Horizontal Installation; Trench width: 36 inches; Trench bottom: 26 inches. • Area Available: Sufficient space is available for this Repair system as shown on Site Map. t t I t3 Future Repair Area: sufficient area remains available in front yard, aerobically treated to drip tubing. (Pit 2) 480/0.3/2 = 8001in. feet min. drip tubing ' Part 3: Other site-specific requirements for system design, installation, site preparation, modifications,and final landscaping tThe following requirements are made: 1. The preservation of the original structure of the soil in the drain field 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. 1 2. Drain field area shall be prepared in a manner that minimizes site disturbance. 3. Drain Fields will be fenced or otherwise protected from vehicle parking; and mowed with light-weight mowers. 4. 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 maymake other requirements. Please contact me for further information 8n Y �l if needed. Sincerely, ' Caroline J. Edwards NC Licensed Soil Scientist#1220 ' SC Professional Soil Classifier#117 NC Land Application of Bio-Solids 410006173 ��°sorc sO4� Attachments: ('` a• 9Q�� $ .•. Site Map Soils Field Sheet `A I I Site Map: 4 Bedroom Repair System Residence I 4297 Pointe Norman Dr. Sherrills Ford I 1 I i t i , ! f ( I 1 r \ ti I I I r i / 1 1 ' �� � I 1 I I ( � 1 f f ,' I i ( 1 f 4 i i i ( I 1 1 c I 1 f/ / � I r• I ( 1 � / f ! I �� I f / 1 .. � I , �lstt�1 f 1 rb , f I area d f / ( Io�rse 1�lrrenf r r I 1 � // !r `, per 4 ', f I / / 1 ! - / r line / 1 i '/ / • S / Z , I f1 p /J ; f / 11 1 / = 1.1V@�� ( y II1/ II 11 /1 I/ ff I 1 f1 ,/ /I I/ I/ If II i \, \ � . 1 ! \ 1 ( If II ( r/ t \ 1 l ti 1 I ,I lI 1I .; , f �-ry 1 i I I t fI I ` r ( I r l r ( I f i / 1 t f ,' i �, I 1 / • I . / / 1 Colleen Cornetts 4297 Points Haman Dr. Laos Norman,NC-Comwbo County I Shari IIs Fond NC. 28673 704 Tc Parcel ID.-46071960291D .214-1355 ole iaorrrsms777OgnaILaom Install Aerobic pretreatment unit, gravity to Dbox [ J Install new aerobic line PPBPS Aerobic to 2 current lines somma Graphic Scale: 50' I Current septic tank 111 I Earthwise Designs 7/15/2022 828) 289-0122 Soils&Land Evaluation CJEdwards234@gmail.com I I -411 v 1 "A. y �` Y. `� I\-- L S oI g k Ai '. :51'ilatAir gi '-$ 11tfttigliPli°01s,- , !..,.. . 4 11 14 ' lini1140" I AA � 1 - a• 0 t-i-u- — 1.1 a j ‘T2 TIE f ij / 'V I l 4 A V I 6 . aegliN• — 4 '- ..NI A ji; Itcjg]0 > t O 3 S y-)c,y1dbi8SU r'i hp . O rt; I � _ 1 6 d Qa k e VVVV U a. a i7 1 0 j .) . .`n v � C] I w ii) a i F j� `+1 :-' 0 W W N a IB y y i b a • •8 • N �:. n C� .. _ u izi.5!›.. IL b et I g i " . !41 a ) DATE(MM/DO(YYYYI ACOREP CERTIFICATE OF LIABILITY INSURANCE �� 08/09/2022 1 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 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►he certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 Janice Adams NAME: Insurance Management Consultants.Inr. 1 t O No,Ect): (704)799-1600 (vc Nod: P O Box 2490 ADDRE cerll©imcipls.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC o Davidson NC 28036 INSURER A: RLI Insurance Company 13056 ' INSURED INSURER B: Lash Engineering,Inc. INSURERC 325 Matthews Mint Hill Road INSURER D: ' Suite 201 INSURER E: - Matthews NC 28105 INSURER F: COVERAGES CERTIFICATE NUMBER: 2022-2024 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER jMMIDDIYYYY) (MM/DD(YYYY) LIMITS I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR PREMISESO(Ea occurrence) $ MED EXP(Any one person) S _ _ PERSONAL&ADVINJURY $ GE N'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE S POLICY JE% LOC PRODUCTS-COMP/OP AGG $ OTHER S ' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea acadenl) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY IPer accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY �. AUTOS ONLY — {Per acadenq S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED , [RETENTION $ _ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E L DISEASE-EA EMPLOYEE 5 If yes descnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ Professional Liability A ROP0047800 08/04/2022 08/04/2024 Per Claim S1,000.000 Aggregate S 1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached i1 more space is required) I CERTIFICATE HOLDER CANCELLATION 1 1 ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN FOR INSURANCE PURPOSES ONLY ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ��� , 1 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(201fi103) The ACORD name and logo are registered marks of ACORD I TOF Ac Ro® CERTIFICATE LIABILITY INSURANCE DATE(MMlDD/YYYY) `...---- 03/06/2022 I 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. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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: I Hiscox Inc. PHONE 888 202-31)07 FAX WC.No.Extl: ( ) (A/C,No): 520 Madison Avenue E-MAIL contact@hiscox.com 32nd Floor ADDRESS: Gc� New York, New York 10022 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc 10200 111 INSURED INSURER B: Earthwise Designs INSURER C 991 Duncan Rd Rutherfordton,NC 28139 INSURER D: I 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 I 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 EXP TYPE OF INSURANCE _DAD WVD POLICY NUMBER ,IMM/DD/YYYY)Jf,IM/DD fYYY L. LIMITS ' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAG"b TO PREMISES(EaENTED occurrence) $ MED EXP(Any one person) $ I PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNEDUTOSPROPERTY DAMAGE $ (Par accident) I HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ U DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE OTH- ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A I (Mandatory In NH) _ E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability P100.217.339.8 04/20/2022 04/20/2023 Each Claim:$2,000,000 I Aggregate:$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION. All rights reserved. iACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I -m � CERTIFICATE OF LIABILITY INSURANCE DATE ACORD ke....---- 8/10/2022 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT RIC. a Bankers Insurance Company PHONE NAME: Betsy Darst FAX I 128 NC 65 [Arc. E�dl E•MAIL 336-280-0316 INC,No):800-899-0146 Reidsville NC 27320 ADDRESS: bdarst®bankersinsurance.net • INSURERS$)AFFORDING COVERAGE NAIC N License :B367078 INSURER A:Frankenmuth Mutual Insurance Company 13986 I .. INSURED 1 STCHOI-09 INSURERS: 1st Choice Service 3661 Eakers RD INSURER C: Cherryville NC 28021 INSURER!: I INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER:1353387833 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 I 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 ILTR I TYPE OF INSURANCE MDWV!) POLICY NUMBER P EFF POLICY EXP UIITS (MWMID Y D/YYYYIMtM[ lDDlYYYY] ' X COMMERCIAL GENERAL UABIUTY 8818000 5/1/2022 5/1/2023 EACH OCCURRENCEDA RENTED 51,000,000 CLAIMS-MADE [X OCCUR PREMISES SES(GE Ea occurrence) S 500,000 MED EXP(Any one person) $5,000 _ PERSONAL&ADV INJURY $1,000,000 I __i GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 32,000,000 X POLICY JET LOC PRODUCTS-COMP/OPAGO $2,000,000 OTHER' S • I A. AUTOMOBILE LIABILITY 6618999 5/1/2022 5/1/2023 COMBINED SINGLE LIMIT $1 000,000 (Ea accident) X ANY AUTO I BODILY INJURY(Pa pawn) S OWNED • SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS V HIRED x NON-OWNED PROPERTY DAMAGE $ I _ AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB X OCCUR 8619000 5/1/2022 5/1/2023 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ IDED X RETENTIONS 1n nnn $ A WORKERS COMPENSATION 8618998 5/1/2022 5/1/2023 X STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE Y NIA E.L.EACH ACCIDENT $1,000,000 OFFICE RIME MBE R EXCLUDED I (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE ;1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $1,000,000 IDESCRIPTION OF OPERATIONS/LOCATIONS)VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached I/more apace le required) Workers Compensation exclusion applies to the following individuals:Jon Watts and Erin Watts. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For General Purposes Please contact agent to add Certificate Holder AUTHORIZED REPRESENTATIVE I ;= V,i.b I ©1988-2015 ACORD CORPORATION. All rights reserved. 1 ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1 1 clogged. Flushing through the drip tubing is an everyday occurrence and is built into ' the automatic process of the system. There are 2 filters that are automatically cleaned by the system so clogging should not occur. If the water continues to pond for more than 12 hours,then remove the top few inches of material and inspect the tubing and area for ' damage. If excessive ponding still occurs,more extensive investigation is required. egg (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, 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 restricting access from rabbits,dogs, opossum,etc. that could cause burrowing and digging issues. ' Examples of When to Perform Maintenance ' • Fill disposal area shows signs of erosion or excess sediment deposition. • Anywhere that ponding has occurred. • Surface of ground anywhere around the facility is damp on a dry day. • Plants are in need of water or need to be replaced. Important inspection and maintenance procedures: — Immediately after the Disposal Area is established, the plants should be watered 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. — 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 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. ' Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately. ' Area of Inspection and Maintenance Provisions for Wastewater Facility Potential problems: How to remediate the problem: 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 t ditches have formed. remove the ditch,and then plant a ground cover and water until it is established. Provide lime and a ' one-time fertilizer application. Ponding has occurred. Uncover the tubing. Inspect for damage. Call the Operator if repair required. Lash Engineering, Inc. Page 2 of 4 1 ' Area of Inspection: Potential problems: How to remediate theproblem: Ponding has occurred. Check for ground subsidence. ' Call Operator if repair required. 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 problems with erosion. All diversion ditches should be ' free flowing,vegetated,mowed and maintained. The Pretreatment Area 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. 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 the area after grading. ' Erosion has occurred. Provide additional erosion protection such as reinforced turf matting or riprap if needed to prevent future erosion ' Weeds are present. problems.Remove the weeds. 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 dying. problem:soils,hydrology, ' disease,etc.Remedy the problem and replace plants. Provide a one-time fertilizer ' application to establish the ground cover if a soil test indicates it is necessary. Grass/Weeds are high. Grass should be mowed to an ' optimum height for the grass species. Care should be taken not to disturb drip tubing(it's staked to the ground) 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 drip tubing, random void areas.Replace however if the design whole mulch layer if necessary. constituted using the mulch as Remove the remaining mulch a cover then: and replace with triple Mulch is breaking down or has shredded hard wood mulch at a floated away. maximum depth of three ' inches. Soils and/or mulch arc clogged Determine the extent of the with sediment. clogging-remove and replace Lash Engineering, Inc. Page 3 of 4 1 I Area of Inspection: Potential problems: How to remediate the problem: 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 mulch at a maximum depth of three inches.Search for the source of the sediment and ' 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. I 1 I I I t r I I Lash Engineering, Inc. Page 4 of 4 I ECOLOGICAL TANKS, INC. I AQUASAFE ® 1 "The standard by which the performance of other units is compared"" IClass I Wastewater Treatment Plants OWNER'S MANUAL I I if I 1 I I! r�'~';, __ --J -PAY P.�� 4'teal i \ ' 4'Outlet t` ' I \ i . 'I 4'Outlet %I I' '1/4 0 .t i1 II. ;I. • 1 :• I US,Patent Numbers 5,549,818;6,096,203;0432,638;6,180.034;D426.866: D424.659:D539.383;D539382;13510,757 Other Patents Pending 1 ❑ AS500 ❑ AS800 ❑ AS "NR" Series ❑ AS520 ❑ AS 1000 ❑ AS "L" Series I ❑ AS600 ❑ AS1100 ❑ With EZ Top I ❑ AS750 ❑ AS1500 ❑ AS "CU" Series ❑ AS "Trio" Series ❑ AS "0" Series ❑ AS "Duo" Series I "Copyright Notice" I No part of this publication may be reproduced, stored in any retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise I without the prior written permission of Ecological Tanks. Inc_ IMfg. By NSF Ecological Tanks, Inc. 2247 Hwy 151 North Dow•nsville, LA 71234 PH (318)644-0397 * FAX (318) 644-7257 I Certified to NSIF/.1NSl Standard 441 All\l dels Certified to NSI'/.1NSI Standard 243 NR Series Only '('2018 I 1 1 INTRODUCTION All Aqua Safe® series models are certified based on provisions in NSF/ANSI Standard 40. The Ecological Tanks, Inc., Aqua Safe® model AS500 has been tested by the ' Baylor University Department of Environmental Studies according to requirements listed in NSF/ANSI Standard 40, and meets or exceeds Class 1 effluent requirements. Installation needs vary by state. Therefore your wastewater treatment plant may contain additional components with the treatment plant which are not furnished by Ecological Tanks, Inc. Included in this owners manual are the Aqua Safe® models AS500, ' AS500L, AS520, AS520L, AS600, AS600L, AS750, AS800L, AS1000, AS1100L and AS1500 series wastewater treatment plants. ' State and/or local regulations govern the installation and use of individual aerobic wastewater treatment systems. All permits required by state and/or local regulations should be obtained prior to the Aqua Safe® plant installation. It is the responsibility of the end user (owner) to see that the Aqua Safe® plant and associated auxiliary component items are installed in accordance with all applicable laws, regulations and guidelines in effect in your respective state. Please consult your local sanitarian or environmentalist prior to system installation. ' AQUA SAFE WASTEWATER TREATMENT PLANT PROCESS DESCRIPTION ' Ecological Tanks, Inc., Aqua Safe® model numbers AS500, AS500L, AS520, AS520L, AS600, AS600L, AS750, AS800L, AS1000, AS1100L and AS1500 are made up of an outer mixing compartment and a center settling or clarifier compartment. They are in many ways similar to large township or municipality sewage treatment plants. They employ an extended aeration activated sludge process. This type of treatment depends primarily upon the use of air that is introduced by air passing ' from the aerator compressor to four air lines located around the perimeter of the aeration mixing compartment. As wastewater enters the aeration mixing compartment simple hydraulic displacement is accomplished by the introduction of air which promotes the growth of aerobic organisms in much larger quantities than would occur naturally. These bacteria break down the organic solids in the wastewater. From the aeration mixing compartment, mixed liquid enters the cone shaped settling or ' clarifier compartment from the bottom. No mixing occurs in this quiet zone where solids separate from the liquid and settle to the bottom of the clarifier and re-enter the mixing compartment. The liquid that separates from the solids in the clarifier continue to t flow upward to the discharge pipe. The results of the Aqua Safe process are a clear, odorless effluent discharge, which meets and exceeds state and national water quality standards. ' AQUA SAFE RECOMMENDED PLANT INSTALLATION INSTRUCTIONS 1. Inspect entire treatment plant and component parts. ' 2. Select location of plant site which is accessible to the home sewer discharge line, at least ten (10) feet from the home foundation, in an area that will not receive vehicular traffic. Prepare an excavation site by digging a hole at least one (1) foot larger than the 1 2 treatmentplant and a depth that will allow for sufficient coverage leavingapproximately P g PP Y three (3) inches of the inspection port to extend above normal ground level. The depth of the plant will be controlled by the depth of the building, sewer outlet line plus the amount of proper fall required from the building outlet sewer line to the inlet invert of the plant. The prepared excavation should have a solid, level bottom that will eliminate ' plant settling. Additionally, the bottom of the excavated hole should be free of rocks or sharp objects. Aqua Safe® plants should be installed on a bed of sand on undisturbed soil to provide a solid flat base. 3. Utilizing lifting lugs provided, carefully place the plant in the excavation. The inlet line should slope down toward the plant and the outlet line should slope down away ' from the plant. The plant should be level within one (1) inch, edge to edge. Aqua Safe® wastewater treatment plants should only be connected to properly trapped and vented plumbing systems in compliance with state and local plumbing codes. 4. Position the inlet and outlet lines and make the necessary connections. Clean-outs should be installed at the building sewer tie-in, any changes in direction of flow and at ' maximum intervals of seventy (70) feet when using four (4) inch piping. The inlet line should be inserted and glued into the inlet elbow and the discharge line should be inserted and glued into the outlet coupling. Open the inspection port on top of the plant ' and make sure the discharge tee assembly is level and centered in the clarifier prior to connecting discharge piping. Fill the tank with water to the point of flowing discharge before backfilling. Backfill evenly around the plant, up to the bottom of the inlet and outlet piping, taking care not to damage the tank or dislodge the piping. Backfill ' material must be void of rocks, gravel, heavy clay or any type of material which might damage the tank. 5. The aerator compressor must be installed in a well ventilated, relatively clean and dry location. Install the aerator compressor on the treatment plant's tank top or at a remote location no more than one hundred (100) feet from the treatment plant. The t aerator compressor is supplied complete with all discharge fittings. Install 3/4" Sch. 40 PVC piping (supplied by others) between the aerator and treatment plant. A minimum of twelve (12) inches ground cover is recommended over the 3/4" Sch. 40 PVC air piping. 6_ The electrical control for the aerator compressor, visual and audible alarms for aerator failure and high water conditions are contained in a weather proof enclosure. It may be installed in any above ground area where the alarms are easily noticed by the occupants. It is recommended that the control box be at least six (6) inches above ' ground level and in view of the aerator compressor. All electrical wiring should be installed by a qualified person and must comply with NFPA 70, 1999, National Electrical Code. All electrical components not supplied must comply with U.L. Standards. ' 7. Install electrical wiring (provided by others) to interconnect the aerator compressor and alarms to the electrical control panel. A minimum of twelve (12) inches of ground cover is recommended over underground electrical conduit and wiring. ' 8. The aerator compressors used on Aqua Safe® wastewater treatment plants run continuously. They provide relatively quiet, energy efficient operation. Once properly connected, the electrical control box is to be closed. Operate the aerator compressor by placing the on/off electrical circuit (provided by others) in the AON@ position. 9. Turn on aerator compressor and check all air piping and fittings for leaks. This can be accomplished by preparing a saturated solution of soap and water and applying to entire run of pipe and fittings. If a leak is detected, effect repairs. I 10. Carefully backfill all underground lines and the rest of the plant's excavation in a manner which will not cause damage to the completed installation. 11. The Aqua Safe® plant is ready to receive incoming sewage. AQUA SAFE PLANT START UP ' Initially, the Aqua Safe® wastewater treatment plant is filled with clean water, usually from an owner's water supply. As stated in the installation instructions, once all proper ' connections have been completed and it is filled with water and the aerator turned on, the system is now in operation. ' For the treatment plant to be biologically stable, it will take from four (4) to twelve (12) weeks after first using the plant to develop a population growth of microorganisms (bacteria). It is these bacteria which make the treatment system operate. ' OWNER MAINTENANCE CARE AND OPERATION INSTRUCTIONS tAqua Safe® home wastewater treatmentplants have been designed andbuilt q g ed by ' Ecological Tanks, Inc., to provide long term, reliable and cost efficient service. Our treatment plants will operate with a minimum amount of attention. If service is required, reference the system's DATA PLATES located on the Aqua Safe® control panel or aerator compressor for the plant's model number, the name, address and phone number of the local service person that can provide service. The following procedures should be performed on a routine basis to insure proper plant operation: DAILY: Check the warning light and audible alarm located on the plant's control panel for ' an air supply malfunction or a system high water indication. If an alarm condition is observed, it is an indication of malfunction. First check the electrical circuit providing power to the system to insure the circuit is closed. Check the aerator compressor to be sure it is operating. Check for over heating, excessive vibrations and unusual noises. If an aerator compressor failure is observed, call your service provider for service. After a power outage, an alarm condition may exist. Should an alarm remain on for more than ' thirty (30) minutes after power is restored, you should call your local service provider to report the alarm. WEEKLY: Check the treatment plant for offensive odor. If present call for service. PERIODICALLY: Check and clean the air filter on the aerator compressor. Rinse with ' warm water to clean if necessary. Make sure filter is dry and re-install on aerator compressor. ' RECOMMENDED: The frequency of solids removal is no more often than every two (2) to five (5) years. Determination of the need for pumping can be made only by a trained service person by testing the tank contents and/or effluent. WARNING - Hydraulic displacement and tank flotation may occur whenever tanks are pumped. Additionally, care should be taken not to damage internal component parts. A certified Aqua Safe® service technician should oversee tank pumping. I _} I ' OWNER'S RESPONSIBILITY It is the owner's responsibility to operate the Aqua Safe® wastewater treatment plant to the best of their ability. To keep maintenance to a minimum and insure high effluent quality, the following items should not be permitted to enter the treatment plant: ' 1_ Strong disinfectants or bleaches, other than small amounts used in day to day house cleaning and laundries. Recommended detergents are low-sudsing, low phosphates and biodegradable. Recommended cleaning products are non-chlorine, non-toxin, non- corrosive and biodegradable. Anti-bacteria soaps should be avoided. t 2. Backwash discharge fromtype of water softeners. any YP 3. Citrus products, coffee grounds, chemical wastes, paint or paint thinners, oils or grease (such as used cooking grease), pet shampoo, pet dip disinfectant, pesticides, herbicides, automotive fluids or any other toxins. ' 4. Disposable diapers, tampons, sanitary napkins, large quantities of paper products, tobacco products, or similar items. Home brewery waste, strong medicines and ' antibiotics. 5. Waste material from a garbage disposal is not recommended without the use of a ' trash trap or pretreatment tank preceding the Aqua Safe® plant. Food waste represents additional loading the aerobic treatment unit would have to digest, increasing pump out intervals. ' 6. The Aqua Safe® wastewater treatment plant is designed for the treatment of domestic wastewater and nothing else should go into it. ' During extended periods of intermittent or non-use, such as vacation time, the aerobic bacteria inside the plant will decrease due to no food in the form of incoming wastewater. The treatment plant will become biologically stable again soon after the resumption of normal loading. The aerator compressor should be left on during periods of vacation time. During extended periods of absolute non-use (3 months or longer) the ' aerator compressor should be removed, cleaned and stored with the compressor's inlet and outlet sealed. Additionally, the air line piping should also be capped to prevent debris from entering air distribution system. The Aqua Safe® plant will not perform to its fullest capabilities if subject to hydraulic overloading. This condition exists whenever excessive water, above the plants designed treatment capacity, is allowed into the plant. Leaking plumbing fixtures or ' excessive water use may cause this condition. Hydraulic overload may also occur on wash days, when multiple loads of laundry are washed in succession. ' Ecological Tanks, Inc. is not responsible for the infield operation of our plants. The proper operation of this wastewater treatment plant depends upon proper organic and hydraulic loading of the plant. We cannot control the loading of substances in our ' plants that may upset its biological balance. We can only provide a complete owner's manual which outlines materials that should be kept out of the treatment plant. User operation instructions must be followed or warranties are subject to invalidation. WARNING! Ants and rodents are destructive to the mechanical and electrical equipment on wastewater treatment plants. Care should be taken to prevent infestation 5 of ants near the plant. Damage or destruction of mechanical or electrical equipment 9by ants or rodents is not covered under manufacturers' warranty. ' Any and all safety requirements such as the electrical wiring, blower operation or plant discharge concerning the owner, their families, friends, or guests is the sole liability of the owner (see warranty and service policy). The electrical control panel contains a schematic for the system. However, the ' electrical control panel is sealed and contains no user serviceable parts. Test and alarm silence switches are located on the outside of control panel. ' WARNING! Service to the electrical control panel by a non-qualified person may result in an electrical shock hazard resulting in serious injury or death. If service is required contact your local authorized installer representative or maintenance provider. ' Many states already require the use of a chlorination unit behind all mechanical treatment plants for total effluent disinfection prior to final discharge. Ecological ' Tanks, Inc. recommends the use of a disinfection device behind its mechanical plants for total effluent disinfection prior to final discharge. 1 1 1 1 1 1 I I SOURCES FOR OBTAINING REPLACEMENT PARTS OR COMPONENTS IReplacement parts or components may be obtained from your local installer or from Ecological Tanks, Inc., 2247 Highway 151 North, Downsville, LA 71234. IOffice: 318-644-0397 *Fax: 318-644-7257 *E-mail: aquasafe@bayou.com I HiBlow(HP)and Jefie Aire(JA)Linear Compressors IREPAIR PARTS Il UPPER HOUcM6 • ` ....� tit PILTen I �.' i oovEn I N. ,. ‹.4 ‘...,..44), I i i45111*MEAD-1. y �11s• i I Aasuw.r .. LceR .O i 6 r .. 45 DiAPMAOII / °H, /I� RM1G V . i J• •M fARTI' ouuNwAUY '.,(Ile-�J laRpr I GI.PNNI.GY 'I ` 17L I a U '9 I n(CI 41 I I i!!I I ill I I 1 11 I 1 i � I . Alarm Module I 0 V I Replacement alarm module available for all HP and Jaffe Are Models (except HP200 and JA800). I I _ ,Is, I ,,, .... a) r a� • co ` a) .L (c. , s. ) U I \:, �, U U i C � � a)I ,� O E V� ' CD ca I._ Y 0 CD I / j\41. ce -/-7177,10) r— \ . .------ -- \ E ,..: CI i 4-- I a° cn Q v) m .(r) o��a 1 _ A I z ` r'--7,")) J V tx 41 .._______29/ 2 I w ix (111/1/7•0___;1 cn CC as Q t = Np LC) 1 1- O ^ Si1\177 — LI a u) •C -oNI '. 1 = 0) N 111 w M ll Li_ col O a I I - O 1 I I I a 0 c— CV Cr) Lf) x I w I8 • INITIAL SERVICE POLICY • The local dealer/installer from whom you purchased your Aqua Safe® wastewater treatment plant is responsible for routine inspections for the first two years from the original date of installation. The plant will be checked for proper • operation at each inspection. If a problem exists, service will be performed at no charge to the owner unless the required maintenance is not warranty related. These service call/inspections shall include at least four inspections over the • two year period and shall include the following: 1. Adjustment of the electrical control, if applicable, and servicing of the • mechanical component parts to ensure proper function. 2. An effluent quality inspection consisting of a visual check for color, turbidity, • scum overflow, and an examination for odors. • 3. Immediate notification to the owner/warrantee in writing of any improper observation which cannot readily be repaired. This notification will or shall advise said owner of the problem, if it is covered by warranty and estimated date for correction of said problem. Pumping of sludge build up from the treatment plant, if necessary, IS NOT INCLUDED in the initial service policy. An annually renewable service policy affording the same coverage as the initial al service policy is available. Consult your local dealer for pricing information. a • a • • • • 9 a I ;, ts I ` ` � rd—i ri �a ' ./q/ 4- N It It 1 O N-.a `L çc L I Q¢ lli f� ,-z0zczrr, � y i{ oo I ! 11 22J1UJ PAN2LS. `�` ! 111111 _�!1� {E O j'`!� ^�N X 1 � se•liar.,PANELS \fie` I a r� it o O r / ___--___-_Exisnk,c_GR,VFt yy ] Irrr E=KTiNG GR U7 3; ; TRENCH _T______ ! ` PI-if •�a f !-- I) t I \ O .R' .90 In A I C3 lsl a : 1 R �R �� � �R ! I!t '!Jt! ci 1 5 qIiiiii #.% N!1 :if 11 ,e, iv,41-111 Aix130 / _ 1 ill R66 i4i bf 011431 ,-. .1, P iiiii ! ' P lOg 3 i • o Y. r 1 �, /� 1 n r � R 4f� 1 I 24sia I J ;-I!Ii •. Q i I i ! 1 X-C) ! I Ma."o 1iliiiiiIii . 1 i -i'[.. i.,. 1 L. i _i s I I / g�� i g° 8 � •1, -yet,,' 1111 mil' novo. is 4 gi loll I 9 . I ! g 10 /.1 1 i 11 r r .�. i d#li i It�ti 1 : i ' I '�iIIIil \ VI 5 * i /4 1 Ell I I 4 °I A 11 I ! : yY uhi II lAin 'C` m� �_ i b R f u4 f ✓' ".�° ! I !#I! pril / 1 ill 1'11 ��l,.,,,t„ ,, .. IiiiVff p 1 i i i I .V - ir , ,a N *t 1