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HomeMy WebLinkAboutLSSP-12-2022-185382.tif Lot 9- Millstone 5099 Water Wheel Drive LSSP-12-2022-185382 State of NC LSS Permit Option COVID-19 • LHD Reference: PART 3: Authorization to Operate(ATO) g6pR.11 _70), -393/1 Except for date received,the Section below is to be completedy by the Owner. LHD USE ONLY: Initial submittal of request for ATO received: 3 -p - 2 3 by )L A k I to Initials Date of Post-construction Conference: The following items are included in this submittal for an Authorization to Operate under an LSS COVID-19 permit: 1. Signed and sealed copy of the LSS's report that includes: a. Signed and sealed evaluation of soil conditions and site features ®Yes ❑No b. Drawings,specifications, plans X❑Yes ❑No c. Reports on special inspections and final inspection ®Yes ❑ No d. Management Program manual ❑X Yes ❑ No e. On-site Wastewater Contractor's signed statement ®Yes ❑ No 2. Fee (as applicable) ®Yes ❑ No 3. Notarized letter documenting Owner's acceptance of the system from the LSS X❑Yes ❑ No 4. On-site Wastewater Contractor name: Sid Gaskins License number: 1077 Mailing address: 4744 Celia Creek Road City: Lenoir State: NC zip: 28645 Telephone number: 828-244-9765 E-mail Address: sid@watermanagementnc.net W 5. Proof of Errors and Omissions or other appropriate liability insurance for the On-site Wastewater Contractor is attached and includes the name of the insurer, name of the insured,and the effective dates of coverage. X❑Yes ❑ No Attestation by the Owner for Authorization to Operate Century Complete hereby attest that all items indicated above have been provided to the Print name of Owner Catawba County LHD and the system shall meet applicable federal,State,and local laws, regulations, rules and ordinances. Glenn Bird(Feb 14,2023 15:20 EDT) 02-14-23 Signature of Owner Date This section for MD Use Only. LHD Review of required information for the ATO ❑ INCOMPLETE Based upon review of information submitted by the Owner in the Section above,the following items are missing from the information required for an Authorization to Operate for an LSS COVID-19 permit: • Copies of this signed form were sent to the LSS 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 by the Owner in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336.2(m). A copy of this,complete NOl/ATO with tracking information was sent to the State on 3i LL it tJV►' ia - 1(.I LA.* I //,�j,� 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 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/ENS/OSWPB-LSS COVID-19 COMMON FORM Effective September 8,2020 Page 6 of 6 LSS COVID-19 Permit Option 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 answer any questions on the implementation of the LSS COVID-19 permitting process. Tracking information for LSS COVID-19 permits (Required) County Coc-lk, Leti LHD Reference Number LS5C.. 12-20• _ IQ s3V- Permitting backlog as of date of NOI submittal(#days) 3 dials (J Number of days to process the NOI(#days) 35 Cka vs Number of days to process re-submitted NOI(#days or "NA") Facility type S 9)edxbolvk Domestic,High Strength or IPWW DolyteA (.., Design Daily Flow 360 �A_ Residential or Commercial System type(per Rule.1961) ]] Date of Post-construction conference N R-ydGti V et' Date Authorization to Operate issued 3191 z 3 Fee charged for LSS COVID-19 v fs s ci0, 00 Is fee sufficient to cover LHD costs? Te S Date LHD notified of LSS COVID-19 malfunction Date LHD notified of Owner complaint DHHS/EHS/OSWP—COVID-19 Appendix A Updated February 2022 Page 4 of 4 February 13, 2023 RE: Septic System Installation Lots 9 and 22—Millstone Conover, NC 28613 The purpose of this letter is to confirm that the septic system installations for Lots 9 and 22— Millstone have been installed in general accordance with the proposals submitted to your office by Larry Thompson, LSS. Sincerely, Sire L, gad U Jr. Sidney L. askins,Jr.(Feb 14,2023 04:27 EST) Sid Gaskins Water Management of North Carolina, LLC AORU® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) 2/24/2023 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 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 Betsy Darst I FAX 128 NC-65 (Arc.No.ExU:336-280-0316 1 Lc No):800-899-0146 Reidsville NC 27320 E-MAIL bdarst@bankersinsurance.net INSURER(S)AFFORDING COVERAGE NAIC# License#:6387078 INSURER A: Frankenmuth Mutual Insurance Company 13986 INSURED WATEMAN-01 INSURER B: Water Management of North Carolina, LLC 4744 Celia Creek Rd INSURERC: Lenoir NC 28645-6706 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:420022805 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD VD POLICY NUMBER (MMIDDrYYYY) (MMIDDIYYYYI A X COMMERCIAL GENERAL LIABILITY 6657470 2/26/2023 2/26/2024 EACH OCCURRENCE S 1,000,000 CLAIMS-MADE n OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY n PRO- JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 6657469 2/26/2023 2/26/2024 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) A X UMBRELLA UM X OCCUR 6657470 2/26/2023 2/26/2024 EACH OCCURRENCE S5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$in nnn $ A WORKERS COMPENSATION 6657468 2/26/2023 2/26/2024 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 A Leased/Rented Equipment 6657470 2/26/2023 2/26/2024 Max Per Item(ACV) I $100 000 Deductible $500 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) The Workers Compensation policy contains an Owner/Member exclusion for Sidney Gaskins. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Thompson Environmental Consulting P.O. Box 541 Midland NC 28107 AUTHORIZED REPRESENTATIVE I a, , Aevut- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Century Complete 9325 Center Lake Dr.,Suite 160 Charlotte, NC 28216 Subject: Septic System Installation Lots 9 and 22—Millstone Conover, NC 28613 The septic systems installed on the above-referenced properties were specified by Larry Thompson, LSS, and installed by Sidney Gaskins. We do hereby accept the septic system installation for Lots 9 and 22—Millstone,Conover, NC 28613. (---- -)::3 -,,,, --______ a//3/a3 NORTH CAROLINA NOTARY ACKNOWLEDGMENT THE STATE OF NORTH CAROLINA COU TYOF Un\(:)im 1,- rya - k)(f-NcOn, Notary Public,do hereby certify that 6?. Q't1 gS . (name of individual(s)whose acknowledgment is being taken) personally appeared before j his day and acknowledged the due execution of the foregoing instrument.tr Witness my hand and official seal this I '3day of �.Y),2 CX7:---.. . Notary Public Signature Pri 1 tom AROD(nSCY My commission expires: a I 0 �� (�d.ibrp1) '#,I,�r'NOSN,`‘‘` THOMPSON ENVIRONMENTAL CONSULTING , INC . le,AThR. • W.'.A .S' TF_' IVATER • IF li TLANDS February 14, 2023 RE: Septic System Installation Lots 9 and 22— Millstone Conover, NC 28613 The purpose of this letter is to confirm that the septic system installations for Lots 9 and 22— Millstone, Conover, NC 28613 were installed in general accordance with the proposals submitted to your office. These systems have been inspected for the LSS COVID-19 permit closeout process. Sincerely, l f Larry B.Thompson, Jr. PO BOX 541 • MIDLAND, NC • 28107 PHONE: 704-301-4881 • EMAIL: LARRY@THOMPSONENV.COM WED: \VWW.THOMPSONENV.COM Residential Subsurface Wastewater Treatment and Disposal System COV I D-19 Proposal for Lot 9 — Millstone 5099 Water Wheel Drive Conover, NC 28613 Tax Parcel # 374414440084 October 23, 2021 Prepared for: to SOIL se/F Glenn Bird Century Complete 1' ' • 9325 Center Lake Dr., Suite 160 yr� "�'� Charlotte, NC 28216 /' Ss 1287 1-833-791-0192 ck r o ' Prepared by: Larry Thompson, REHS, LSS �.•�so` N,CAA? 4,,, Thompson Environmental Consulting, Inc. OQ:• oSTE/Fa..!/,�' PO Box 541 � '•� r. Midland, NC 28107-0541 r. ' SEAL 1208 Phone: 704-301-4881 �� ;� larry@thompsonenv.com Irt,P.O... 4/.HEAL �./ Lot 9-Millstone Details Century Complete has contracted with Thompson Environmental Consulting, Inc. (TEC) to prepare a septic proposal for a 3-bedroom single family residence to be located on Lot 9 -Millstone, 5099 Water Wheel Drive, Conover, North Carolina. Based upon an investigation performed by TEC, it was determined that a sufficient amount of "Suitable" Group IV soils are available for the installation of a Gravity Flow Horizontally Installed Prefabricated Permeable Block Panel System for a 3-bedroom residence (the proposed repair system will be a Horizontally Installed Prefabricated Permeable Block Panel System as well). The property will be served by a municipal water supply. The enclosed Licensed Soil Scientist Evaluation is being submitted pursuant to and meets the requirements of SL 2020-97 Section 3.19. Century Complete would like to request that Catawba County Environmental Health (CCEH) issue the appropriate permits for a subsurface wastewater treatment and disposal system based upon the enclosed LSS COVID-19 permit option. Location From Newton, take NC-16 North, turn left onto County Home Road, right onto Lee Cline Road, left onto Houston Mill Road,and right onto Water Wheel Drive. Property is located in the cul-de-sac. References Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A, Section .1900, Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, April 1, 2017. Design, Installation and Maintenance of the T&J Panel Wastewater Treatment System; Sixth Edition,published by T&J Panel. Primary Investigator's Credentials NC Registered Sanitarian No. 1208 NC Licensed Soil Scientist No. 1287 SC Certified Professional Soil Classifier No. 111 NC Subsurface Septic System Operator No. 22199 NC Grade IV Wastewater System Installer No. 1762 NC Certified Wastewater System Inspector No. 17621 2 Lot 9-Millstone Plans and Specifications A. Septic Tank 1. The septic tank shall be State approved (Section .1953 of 15A NCAC 18A), watertight, structurally sound, and 1,000 gallons in capacity. 2. The septic tank shall be fitted with an approved effluent filter. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tanks have had time to properly cure and are free of cracks or other structural deficiencies. B. Pipes and Fittings 1. All discharge piping,connectors and supply lines should be made of SCH 40 PVC. 2. All joints must be properly"welded"utilizing the appropriate PVC cement for each application. 3. The supply line will be approximately 31 feet long from the second septic tank to the distribution box. C. Distribution Method 1. The drainlines will be fed a distribution box. Distribution box shall be water tested at the time of the final inspection. D. Drainfield Installation 1. The proposed drainfield location has been marked on-site utilizing metal stemmed flags. Once this area has been approved by the county, the property owner/builder should mark this area and isolate it as much as possible from construction traffic. Prior to the system installation, the septic contractor shall contact the county for a preconstruction conference at which time the drainfield area will be re-verified. 2. Under no circumstances shall any construction take place within the drainfield area while the soil is in a wet condition. If the installer has doubts as to whether the drainfield area is dry enough to begin construction, the environmental health specialist for this area should be contacted for permission to proceed with the installation. 3. The specified system is a Type II le pre-fabricated permeable block panel system— specifically the horizontally installed 16-inch panel system manufactured by T&J Panel Wastewater Treatment System, Patent No. 4013559; telephone: 1-800-222- 2577. The installer must follow the manufacturer's guidelines for installing the T&J Panel System and should request an installation manual from the manufacturer prior to beginning construction. 4. The initial drainfield consists of four(4) lateral trenches, each being 3-feet wide by 50 feet long. 5. It is essential that the lateral trenches be constructed on contour with the land, with each trench being excavated level from beginning to end. The use of a tripod 3 Lot 9-Millstone mounted engineer's level is essential to assure that each trench is constructed as level as possible. 6. The maximum trench depth for this system shall be 22 inches (high side). Each trench shall be placed on a minimum of 9-foot on centers. 7. Once trenches are dug, the side walls shall be raked, and a light dusting of lime applied. 8. Backfill the trench with 6 inches of sand and level to grade. Once leveled, place 1 x 4 or 6-inch boards on top of the sand the entire length of each trench. Once the grade boards have been set,the panels may be set into the trench. The panels should be placed 6 inches apart. 9. Once the panels have been set, line the top portion of each chamber with the T&J supplied sand alternative product (SAP—geotextile fabric). GE Foam Sealer or tar seal rope should be placed in the bottom of the U outs to form seals around the pipe as shown in earlier drawings. 10. Tar seal rope, or approved foam, should be placed in the "U" outs of each end of the panel to form seals. Once the tar rope is in place, the Schedule 40 PVC connectors can be added, and the seal completed by the addition of more tar rope on the top and sides of the pipe. Now that the connection and seals are complete, a block cap is placed on each end of the panel so that all openings are covered. 11. Once the panels for each trench have been installed and the top of the panels closed, the trench is ready to be backfilled to the top with the sand used in the trench bottom. At this point, the trenches should be left open for the final inspection by the county environmental health specialist. E. Backfill 1. Backfill sand shall be clean, washed, medium sand that is naturally occurring and falls within the gradation of ASTM C-33 specification (used in the ready-mix industry and is readily available). F. Final Landscaping 1. As previously stated, the final soil cover over the drainfield shall be a minimum of 6 inches deep. Additional soil cover will be required for this system. 2. The drainfield shall be shaped to shed rainwater and be free from low spots. 3. The drainfield area should be planted with grass as soon as possible to prevent erosion. The soil should be properly tilled, limed(if necessary) and fertilized prior to planting. After applying grass seed, the area should be heavily mulched with straw or other suitable material. G. Utility Conflicts 1. The builder and property owner must take special care in planning for water,power, gas, telephone and cable lines. These utilities shall be kept clear of all parts of the septic system and its proposed repair area. Improper planning for underground utilities can negatively impact the installation and, in some cases, cause irreparable 4 Lot 9-Millstone damage and permit revocation. If there are any questions regarding preferred routes, contact system designer as soon as possible. 2. Lawn irrigation should not be placed over the drainfield area. Maintenance H. In General 1. The homeowner must maintain the drainfield area through periodic mowing. The drainfield must not be allowed to become overgrown. 2. The septic tank should be pumped every 4 years or when the solids within the septic tank reach an elevation that is equivalent to 25 percent of the volume of the tank. In some situations, the tanks may need to be pumped more frequently. If using a garbage disposal, it is recommended that the homeowner has the septic and pump tanks cleaned out annually. 3. When it becomes necessary to clean the effluent filter,the filter should be removed, and the accumulated debris washed back into the septic tank—not onto the lawn. 4. Any damp areas, leakages, or malfunctions in the drainfield area should be addressed immediately. 5. Divert gutter downspouts and surface water runoff away from the septic and pump tanks. Design Specifics Daily Design Flow: 360 GPD—3 bedroom house Septic Tank Size: 1,000 gallons(minimum) Effluent Loading Rate: Design=0.3 gpd/ft2 Drain Field Type: Horizontal PPBPS Distribution Method: Distribution Box Number of Drainlines: 4 Drainlines: (4) 3' Wide x 50' Long Total Trench Length: 200 Linear Feet Total Number of Panels: 44(See Attached Sheet) Maximum Trench Depth: 22 Inches (high side) Final Cover Requirement: 6 Inches(minimum) Repair Specifics Repair System Type: Horizontal PPBPS 5 Lot 9-Millstone Repair System LIAR: 0.3 gpd/ft2 Required Linear Footage: 200 Square Feet Available Linear Footage: 240 Linear Feet Installation Depth: 22 Inches(high side) Final Cover Requirement: 6 Inches 6 • PPBPS Design Worksheet File#: Tax#: 374414440084 System Requirements Address:5099 Water Wheel Drive Design Flow 360 gpd Conover,NC 28613 LIAR 0.300 gpd/ft.^2 Consultant: Larry Thompson Linear footage 400 ft.(conventional) Phone:704-301-4881 Linear footage 200 ft.(50%Reduction) Reviewed By: Design Layout Date: Laterals Length(ft) #Panels Line#1 50 11 Line#2 50 11 Line#3 50 11 Line#4 50 11 Totals 200 44 Absorption Area Length(ft) Width(ft) Area(fl^2) 200 3 600 T&J Panels Linear Feet #Panels 50 11 60 14 70 16 80 18 90 21 100 23 RW =Korn CJr rrk T t SF = SQUARE FEET J = SMOOTH ROD FOUND 4,hu I. = SIDE YARD SETBACK l Ihilk -TELEPHONE PEDESTAL 913 /163 SRP TACK.IN STONE FOUND 1 US TILITY STUB WM = WATER METER 4157 303 •C11. LOT 21 PR 63 PG 41 03 O PN 0374444441175 ssa al>r " . ;• .'s, z,AA 3 e 3004 5�vJ „ t1NETYPE LEGEND. L1 r 1 �ioo 26 � " - .a. .3-" =LINES SURVEYED \�996 `�,Pr ".3 \ __.. _ — — =LINES NOT SURVEYED SO r• 3Ir-- - - =ROAD RIGF4S OF WO - letli 7 • l \ " - -SETBACK LINES I. f4X 4 r +" ' 3 0 9 �2976 T� • 1...... H 973 29.0. .. -- To BERKSHIRE , .'s..\) w 9� B-RH in kr) 2795 M 4 •, JOHN G.J)kIt4ES.Et A.L. � Olt e 1.aisa a DB 2073 PG 410 o 6- ' PIN#374414344555 2 • -LW- B iy to 0 21.3' i el -JD r.4. , - 75{ 2779 C 1:: ;:94.7 ` b &NC 1i '� ?1 r '.��,r `;1iN "' ••al"'Z ,. CY HATCH LEGEND . 'm rm LEGEND tiib CI c'' US Catawba County GIS 2-ft Contour Lines 1'60 • v wM W SR MI Septic Tank moo 2''f CPO` `` 2 - Supply Line /- - Septic Drain lines /' \e' \ - - - Septic Repair Lines F SRF WATER WHEEL COURT,\ ''4b 1( 45' PUBLIC RW so • Soil Boring Locations PB 53 QG 41 27a 0 ' Date: Proposed Septic Layout October 2021 Figure �1DInviro Lot 9 - Millstone Emiranmenq Prepared For: scale: onsultinR 5099 Water Wheel Drive o 15 30 ft Century Complete Conover, NC 28613 'TEC Job #: Catawba County 21-186 Thompson Environmental Consulting,Inc. Sheet I of I PO Box 541 PROPERTY ID#: �7'1'-( I'-I(-1;4 CyJE(( Midland,NC 28107 COUNTY: CGI, ci�Li fr t SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: LI I f J-c r ADDRESS: 1.(� 1-7q 0 \=c r 1/�,,, _ 0)C �.2,-'E; DATE EVALUATED: 4- 7 2 1 '6• ?3 PROPOSED FACILITY: ` IROPOSED DESj N FLOW(.1 49): �� v y-! PROPERTY SIZE: C LOCATION OF SITE: i V. o IK-.L: •-c C.)cr":-/ (, rL;; 1 ,0 ,� D . b `� r �>.;% cv �/� PROPERTY RECORDED: WATER SUPPLY: ❑Privat )(Public ❑Well ❑Spring J❑Other EVALUATION METHOD: (Aup�er Boring 0 Pit ❑Cut TYPE OF WASTEWATER: '/�> Sewage ❑Industrial Process 0 Mixed • P R o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION/ DEPTH PROFILE .1942 # SLOPE% (IN.) .1941 .1941 SOIL .1943 1956 1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 0 s T', 6i i. 4 c7,,,A6,-;:k_./y,,,./: t/J ., , 13/ Ll 04 • ' ° .D I � C lb i • • p3 Ly '; c.)y/ c� / t;17, 1 , 3 3r _ ,l , A; . '. I, l G5 ) /3 / 1 , DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) j SITE CLASSIFICATION(.1948): i (I) ^ : •)1 , ;. %f C- Systart Type(s) s EVALUATED BY: I t. • Uc)'..,c • • t OTHER(S)PRESENT: ` , f. ..,/1 Site LTAR .) . '-) , COMMENTS: Updated February 2014 LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE ,1955 LIAR" ,1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain) CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive) D(Drainage Way) CR(Crumb) DS(Debris Slump) II SL(Sandy Loam) 0.5.0.6 0.4-0.3 GR(Granular) FP(Flood Plain) L(Loam) SBK(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) Ill Si(Silt) 0.6-0.3 0.3-0.15 PL(Platy) L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic) N(Nose Slope) CL(Clay Loam) R(Ridge) SCL(Sandy Clay Loam) MOIST WET S(Shoulder Slope) SiL(Sift Loam) I(Terrace) VFR(Very Fnable) NS(Non•siicky) IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) SS(Slightly Sticky) SiC(Silty Clay) F7(Firm) S(Sticky) C(Clay) VFI(Very Firm v.Very Sticky) VS(Very Sticky) 0(Organic) Nonc None EFI(Extremely Firm) NP(Non-plastic) SP(Slightly Plastic) *Adjust LIAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic) NOTES VP(Very Plastic) HORIZON DEPTH In inches below natural soil surface DEPTH OF F'ILI. In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROL.ITE S(suitable)or U(unsuitable) SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chrome 2 or less-record Munscll color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate(LTAR):gal/day/ft2 Show profile locations and other site features(dimensions,reference or benchmark,and North), • r ,.....-" e 0 t.... . • Updated February 2014 LJf f - (7-2cz2.—I '382_ STATE. �a�" K, do ROY COOPER•Governor A�p p2 -it-Z d,�i _ 3'7 �� u g 4"s NC DEPARTMENT OF KODY H. KINSLEY•Secretary /C i1k ' ES HELEN WOLSTENHOLME• Interim Deputy Secretary for Health ., ; ,. , MARK T. BENTON•Assistant Secretary for Public Health Division of Public Health COMMON FORM FOR LICENSED SOIL SCIENTIST COVID-19 PERMIT OPTION FOR NON-ENGINEERED SYSTEMS See Instructions for Use in Appendix A Except for"Date received",this Section to be completed by the LSS in accordance with S.L.2020-97,Section 3.19 and G.S. 130A-336.2 LHD USE ONLY: Initial submittal of this NOI received: II —2.. — Z 2 by gP Dote initials PART 1:Notice of Intent to Construct(NOI)-Please check all that apply 0 Single System or ❑Multiple Systems AND ❑■ New ❑ Expansion ❑ Relocation of all or part of the Existing System ❑ Relocation of Repair Area ❑ Repair—LHD Permit Number ❑Repair—EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name:(Owner,Company Name,Utility, Partnership, Individual,etc.): Century Complete Mailing address: 9325 Center Lake Dr., Suite 160 City: Charlotte State: NC Zip: 28216 Telephone number: 833-791-0192 E-mail Address: glenn.bird@centurycommunities.com 2. Licensed Soil Scientist(LSS)name: Larry Thompson, LSS LSS License number: 1287 Mailing address:PO Box 541 City: Midland State: NC Zip: 28107 Telephone number: 704-301-4881 E-mail Address: larry@thompsonenv.com 3. Licensed Geologist(LG)(if applicable) name: NSA License Number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 4. Proof of Errors and Omissions or other appropriate liability insurance for the following persons is attached that includes the name of the insurer, name of the insured and the effective dates of coverage: Q LSS ❑ LG 5. Property location (physical address,tax parcel identification number or subdivision lot, block number of the property to be permitted): Lot 9-Millstone, 5099 Water Wheel Drive, Conover, NC 28613 County Name: Catawba 6. Type of facility: ❑■ Place of residence No.Bedrooms: 3 No.Occupants:6 ❑ Place of business Basis for flow calculation: ❑ Place of public assembly Basis for flow calculation: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Raleigh,NC 27609 MAILING ADDRESS:1642 Mail Service Center,Raleigh,NC 27699-1642 www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY I AFFIRMATIVE ACTION EMPLOYER COVID-19 Permit Option Common Form LHD Reference: /Z-Zoiz �OS ?�? 7. Factors that would affect the wastewater load: Design is for domestic strength wastewater only. 8. Type and located of proposed wastewater system: Gravity-flow PPBPS located behind the proposed house site. System Type III(e). 9. Design wastewater flow: 360 gpd Design wastewater strength: ■❑domestic ❑high strength D industrial process(For industrial process wastewater,a Professional Engineer licensed in accordance with G.S.89C shall design the on-site wastewater system.) 10. A plat as defined in G.S. 130A-334(7a)is attached: ❑Yes ■❑No A site plan as defined in G.S. 130A-334(13a)is attached: ■❑Yes ❑No 11. Location of proposed or existing wells(drinking water,irrigation,geothermal,groundwater monitoring, sampling,etc.)and any potable and non-potable water conveyance lines is indicated on attached plans and complies with 15A NCAC 18A.1950: ■❑Yes ❑No This is a saprolite system. ❑Yes ■❑ No 12. Evaluation(s)of soil conditions and site features in accordance with G.S.130A-335(a1)signed and sealed by a LSS is attached: M Yes ❑ No 13. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑Yes ❑■ NA 14. Proposed landscape,site,drainage,or soil modifications are attached: ❑Yes 0 NA Attestation by LSS pursuant to S.L.2020-97,Section 3.19 and G.S.130A-336.2 Larry Thompson, LSS hereby attest that the information required to be included with Licensed Soil Scientist(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws,regulations,rules and ordinances,and that the proposed system does not require a Professional Engineer, licensed in accordance with G.S.89C,and in accordance with 15A NCAC 18A.193_ ti,ities determined to be engineering as determined by the North Carolina Board of Examiners for ngi and rveyors. 11-28-22 Signature of tic oirr fentist Date / Olive seif-submittal of NO!: 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 Date DHHS/EHS/OSWP—LSS C-19 COMMON FORM Updated April2022 Page 2 of 6 COVID-19 Permit Option Common Form LHD Reference: 1---4 fp-n -2022 51S Z NOTES: LIABILITY: The Department, the Department's authorized agents,or local health departments shall have no liability for wastewater systems designed,constructed,and installed pursuant to an LSS COVID-19 Permit Option[S.L.2020- 97,Section 3.19(d)and G.S. 130A-336.2(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. DHHS/EHS/OSWP-i55 C-19 COMMON FORM Updated April2022 Page 3 of 6 COVID-19 Permit Option Common Form LHD Reference: Lsi —12—Ze Z'Z fOs3d'2 This section for Local Health Department use only. PART 2: LHD Completeness Review of the Notice of Intent to Construct "(c) Completeness Review for Notice of intent to Construct.—The local health department shall determine whether the notice of intent to construct required pursuant to subsection(b)of this section is complete within five business days after receiving 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 local health department shall notify the owner and list the information needed to complete the notice.The owner may then submit additional information to the local health department to cure the deficiencies in the initial notice. The local health department shall make a final determination as to whether the notice of intent to construct is complete within five business days after the department receives the additional information.If the local health department fails to act within any time period set out in this subsection,the owner may treat the failure to act as a determination of completeness. The owner shall be able to apply for the building permit for the project upon the decision of completeness of the notice of intent by the local health department or if the local health department fails to act within the five business day time period." The review for completeness of this Notice of Intent was conducted in accordance with G.S. 130A-336.2(c). This NOI is determined to be: ❑ INCOMPLETE(If box is checked,Information in this section is required.) Based upon review of information submitted in Part 1,the following items are missing: Copies of this form listing missing items were sent to the LSS and the Owner on Date via with directions to re-submit missing items using Page 5 of this form. Email,FAX,USPS,hand-delivered Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date Er 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 LSS and the Owner on 12-1a22 via ttrati, Dote Email,FAX,USPS,hand-delivered A copy of this NOI and tracking information was sent to the State on via Dote Email,FAX,USPS,hand-delivered P-e 1,h,,t /'A.R(pr /AA 1'14 2—I-2_2 Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date DHHS/EHS/OSWP—LSS C-19 COMMON FORM Updated April 2022 Page 4 of 6 COVID-19 Permit Option Common Form LHD Reference: Re-submittal of NOI with missing items included This Section Is for use by owner to submit items noted as missing during LHD Completeness Review above. Resubmittals must be accompanied by a cover letter from the LSS. LHD USE ONLY: This NOI resubmittal received: by Date Initials Item#from initial NOI Resubmittal description Attestation by LSS pursuant to S.L.2020-97,Section 3.19 I, hereby attest that the information required to be included with Licensed Soil Scientist(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws, regulations, rules,and ordinances. Signature of Licensed Soil Scientist Date The section below Is for Local Health Department use after submittal of Items noted as missing above. LHD Follow-up Completeness Review of Notice of Intent to Construct This follow-up review for completeness of this Notice and Intent was conducted in accordance with G.S. 130A- 336.2(c). This NOI is determined to be: ❑ INCOMPLETE Based upon review of information submitted in the RESUBMITTAL above,this Notice of Intent remains INCOMPETE because the following items from Part 1 of this form remain missing: Copies of this signed form were sent to the LSS 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 Dote ❑ COMPLETE Based upon review of information submitted in the RESUBMITTAL above in addition to information provided in Part 1 of this form,this NOI is deemed complete. Copies of this signed form were sent to the LSS and the Owner on via Date Email,FAX,LISPS,Hand-delivered A complete copy of this form with tracking information was sent to the State: via Date Email,FAX,LISPS,hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Dote DHHS/EHS/OSWP—LSS C-19 COMMON FORM Updated April2022 Page 5 of 6 COVID-19 Permit Option Common Form LHD Reference: PART 3: Authorization to Operate(ATO) Except for date received,the Section below is to be completed by the Owner. 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 LSS COVID-19 permit: 1. Signed and sealed copy of the LSS's report that includes the information in G.S. 130A-336.2(k) ❑Yes ❑ No 2. Operation and management program ❑Yes ❑No 3. Fee (as applicable) ❑Yes ❑No 4. Notarized letter documenting Owner's acceptance of the system from the LSS ❑Yes ❑ No 5. On-site Wastewater Contractor name: License number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 6. Proof of Errors and Omissions or other appropriate liability insurance for the On-site Wastewater Contractor is attached and includes the name of the insurer,name of the insured,and the effective dates of coverage. ❑Yes ❑ No Attestation by the Owner for Authorization to Operate 1, hereby attest that all items indicated above have been provided to the Print name of Owner County LHD and the system shall meet applicable federal,State,and local laws, regulations,rules,and ordinances. Signature of Owner Date This section for!HD Use Only. LHD Review of required information for the ATO ❑ INCOMPLETE Based upon review of information submitted in the Section above,the following items are missing from the information required for an Authorization to Operate for an LSS COVID-19 permit: Copies of this signed form were sent to the LSS 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-336.2(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 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—!SS C-19 COMMON FORM Updated April 2022 Page 6 of 6 DATE(MMIDD/YYYY) • AR v CERTIFICATE OF LIABILITY INSURANCE 9/7/2022 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 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: DBVIOf Vaughan Higginbotham Insurance Agency, Inc. PHONE FAX 500 W. 13th Street (A C.Lo.Exti:9187797880 IA/IC,No:817-882-9284 EA Fort Worth TX 76102 ADDRESS: dlvjr{athigginbotham.net INSURER(S)AFFORDING COVERAGE NAIC# License#:2081754 INSURER A:Mid-Continent Casualty Company _ 23418 INSURED THOMENV-01 INSURER B:Hartford Underwriters Insurance Company 30104 Thompson Environmental Consulting, Inc. PO Box 541 INSURER C: Midland NC 28107-0541 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1600075032 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. TYPE OF INSURANCE ADDL SUER. POLICY EFF POLICY EXP LTR INSD,WVD POLICY NUMBER (MM/DD/YYYYI IMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 04-GL-001086672 9/25/2022 9/25/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $100,000 X Professional MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY Li PRO I_i LOC PRODUCTS-COMP/OP AGG $3,000,000 X JECT L OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO RETENTION$ $ g WORKERS COMPENSATION 38WECNW6175 10/17/2021 10/17/2022 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE N!A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED7 (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 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Informational Purposes AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Residential Subsurface Wastewater Treatment and Disposal System COVID-19 Proposal for Lot 9 — Millstone 5099 Water Wheel Drive Conover, NC 28613 Tax Parcel # 374414440084 November 28, 2022 Prepared for: op soli Hou Sc' Glenn Bird �" �', ' , �a• oa ' Century Complete ` "�� ,. 9325 Center Lake Dr., Suite 160 Charlotte, NC 28216 / `-.4, 1287 1-833-791-0192 C� clen c Prepared by: wAs Larry Thompson, REHS, ' LSS �''. - S p :'cog ocabon •: Thompson Environmental Consulting, Inc. Number o 10018E PO Box541 ' V ' � ` Z Midland, NC 28107-0541 • Phone: 704-301-4881 larry@thompsonenv.com ,Yq L U A1O; r :r 4. Lot.9-Millstone Details Century Complete has contracted with Thompson Environmental Consulting, Inc. (TEC) to prepare a septic proposal for a 3-bedroom single family residence to be located on Lot 9 - Millstone, 5099 Water Wheel Drive, Conover, North Carolina. Based upon an investigation performed by TEC,it was determined that a sufficient amount of "Suitable" Group IV soils are available for the installation of a Gravity Flow Horizontally Installed Prefabricated Permeable Block Panel System for a 3-bedroom residence (the proposed repair system will be a Horizontally Installed Prefabricated Permeable Block Panel System as well). The property will be served by a municipal water supply. The enclosed Licensed Soil Scientist Evaluation is being submitted pursuant to and meets the requirements of SL 2020-97 Section 3.19. Century Complete would like to request that Catawba County Environmental Health (CCEH) issue the appropriate permits for a subsurface wastewater treatment and disposal system based upon the enclosed LSS COVID-19 permit option. Location From Newton, take NC-16 North, turn left onto County Home Road, right onto Lee Cline Road,left onto Houston Mill Road, and right onto Water Wheel Drive. Property is located in the cul-de-sac. References Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A, Section .1900, Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, April 1, 2017. Design, Installation and Maintenance of the T& J Panel Wastewater Treatment System; Sixth Edition,published by T&J Panel. Primary Investigator's Credentials NC Registered Sanitarian No. 1208 NC Licensed Soil Scientist No. 1287 NC Authorized Onsite Wastewater Evaluator No. 10016E SC Certified Professional Soil Classifier No. III NC Subsurface Septic System Operator No. 22199 NC Grade IV Wastewater System Installer No. 1762 NC Certified Wastewater System Inspector No. 17621 2 Lot 9-Millstone Plans and Specifications A. Septic Tank 1. The septic tank shall be State approved (Section .1953 of 15A NCAC 18A), watertight, structurally sound, and 1,000 gallons in capacity. 2. The septic tank shall be fitted with an approved effluent filter. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tanks have had time to properly cure and are free of cracks or other structural deficiencies. B. Pipes and Fittings 1. All discharge piping,connectors and supply lines should be made of SCH 40 PVC. 2. All joints must be properly"welded"utilizing the appropriate PVC cement for each application. 3. The supply line will be approximately 31 feet long from the second septic tank to the distribution box. C. Distribution Method 1. Due to unequal line lengths, the system will be fed via drop boxes and serial distribution.. D. Drainfield Installation 1. The proposed drainfield location has been marked on-site utilizing metal stemmed flags. Once this area has been approved by the county, the property owner/builder should mark this area and isolate it as much as possible from construction traffic. Prior to the system installation, the septic contractor shall contact the county for a preconstruction conference at which time the drainfield area will be re-verified. 2. Under no circumstances shall any construction take place within the drainfield area while the soil is in a wet condition. If the installer has doubts as to whether the drainfield area is dry enough to begin construction, the environmental health specialist for this area should be contacted for permission to proceed with the installation. 3. The specified system is a Type IIIe pre-fabricated permeable block panel system— specifically the horizontally installed 16-inch panel system manufactured by T&J Panel Wastewater Treatment System, Patent No. 4013559; telephone: 1-800-222- 2577. The installer must follow the manufacturer's guidelines for installing the T&J Panel System and should request an installation manual from the manufacturer prior to beginning construction. 4. The initial drainfield consists of six(6) drainlines comprised of(1) 3-ft wide x 38- foot long drainline,(1)3-ft wide x 37-foot long drainline,(1)3-ft wide x 32-ft long, (1) 3-ft wide x 22-foot long, (1) 3-ft wide x 50-foot long, and (1) 3-ft wide x 41-ft long drainline. Total drainline length is 220 feet. 3 Lot 9-Millstone 5. It is essential that the lateral trenches be constructed on contour with the land, with each trench being excavated level from beginning to end. The use of a tripod mounted engineer's level is essential to assure that each trench is constructed as level as possible. 6. The maximum trench depth for this system shall be 22 inches (high side). Each trench shall be placed on a minimum of 9-foot on centers. 7. Once trenches are dug, the side walls shall be raked, and a light dusting of lime applied. 8. Backfill the trench with 6 inches of sand and level to grade. Once leveled, place 1 x 4 or 6-inch boards on top of the sand the entire length of each trench. Once the grade boards have been set,the panels may be set into the trench. The panels should be placed 6 inches apart. 9. Once the panels have been set, line the top portion of each chamber with the T&J supplied sand alternative product (SAP — geotextile fabric). GE Foam Sealer or tar seal rope should be placed in the bottom of the U outs to form seals around the pipe as shown in earlier drawings. 10. Tar seal rope, or approved foam, should be placed in the "U" outs of each end of the panel to form seals. Once the tar rope is in place, the Schedule 40 PVC connectors can be added, and the seal completed by the addition of more tar rope on the top and sides of the pipe. Now that the connection and seals are complete,a block cap is placed on each end of the panel so that all openings are covered. 1 1. Once the panels for each trench have been installed and the top of the panels closed, the trench is ready to be backfilled to the top with the sand used in the trench bottom. At this point, the trenches should be left open for the final inspection by the county environmental health specialist. E. Backfill 1. Backfill sand shall be clean, washed, medium sand that is naturally occurring and falls within the gradation of ASTM C-33 specification (used in the ready-mix industry and is readily available). F. Final Landscaping 1. As previously stated,the final soil cover over the drainfield shall be a minimum of 6 inches deep. Additional soil cover will be required for this system. 2. The drainfield shall be shaped to shed rainwater and be free from low spots. 3. The drainfield area should be planted with grass as soon as possible to prevent erosion. The soil should be properly tilled,limed(if necessary)and fertilized prior to planting. After applying grass seed, the area should be heavily mulched with straw or other suitable material. G. Utility Conflicts 1. The builder and property owner must take special care in planning for water,power, gas, telephone and cable lines. These utilities shall be kept clear of all parts of the septic system and its proposed repair area. Improper planning for underground 4 Lot 9-Millstone utilities can negatively impact the installation and, in some cases, cause irreparable damage and permit revocation. If there arc any questions regarding preferred routes, contact system designer as soon as possible. 2. Lawn irrigation should not be placed over the drainfield area. Maintenance H. In General 1. The homeowner must maintain the drainfield area through periodic mowing. The drainfield must not be allowed to become overgrown. 2. The septic tank should be pumped every 4 years or when the solids within the septic tank reach an elevation that is equivalent to 25 percent of the volume of the tank. In some situations, the tanks may need to be pumped more frequently. If using a garbage disposal, it is recommended that the homeowner has the septic and pump tanks cleaned out annually. 3. When it becomes necessary to clean the effluent filter,the filter should be removed, and the accumulated debris washed back into the septic tank—not onto the lawn. 4. Any damp areas, leakages, or malfunctions in the drainfield area should be addressed immediately. 5. Divert gutter downspouts and surface water runoff away from the septic and pump tanks. Design Specifics Daily Design Flow: 360 GPD—3 bedroom house Septic Tank Size: 1,000 gallons(minimum) Effluent Loading Rate: Design=0.3 gpd/ft2 Drain Field Type: Horizontal PPBPS Distribution Method: Drop Boxes- Serial Number of Drainlines: 6 Drainlines: (1)3-ft Wide x 38-ft Long (1)3-ft Wide x 37-ft Long (1)3-ft Wide x 32-ft Long (1)3-ft Wide x 22-ft Long (1)3-ft Wide x 50-ft Long (1)3-ft Wide x 41-ft Long Total Trench Length: 220 Linear Feet Total Number of Panels: 48 (See Attached Sheet) Maximum Trench Depth: 22 Inches(high side) 5 Lot 9-Millstone Final Cover Requirement: 6 Inches(minimum) Repair Specifics Repair System Type: Horizontal PPBPS Repair System LTAR: 0.3 gpd/ft2 Required Linear Footage: 200 Square Feet Available Linear Footage: 216 Linear Feet Installation Depth: 22 Inches(high side) Final Cover Requirement: 6 Inches 6 • PPBPS Design Worksheet File#: Tax 4:374414440084374414440084 System Requirements Address:5099 Water Wheel Drive Design Flow 360 gpd Conover,NC 28613 LTAR 0.300 gpd/ft."2 Consultant:Larry Thompson Linear footage 400 ft.(conventional) Phone:704-301-4881 Linear footage 200 ft.(PPBPS) Reviewed By: Design Layout Date: Laterals Length(ft) #Panels Line#1 38 8 Line#2 37 8 Line#3 32 7 Line#4 22 5 Line#5 50 11 Line#6 41 9 Totals 220 48 Absorption Arca Length(ft) Width(ft) Area(ft^2) 220 3 660 Trench Spacing Is 9-ft OC T&J Panels Linear Feet #Panels 50 11 60 14 70 16 80 18 90 21 100 23 \\N...- --------1— gs.91 ct' 4145•004,4"/i 996 446 Ot v i. ° _ _ __-- V/1°Itt. it/O.*. tb7t4/J7 bp- 416 - - 10 .` . .1L•1110,........ ..001fr,-:.. 26 400 .yam A41P '110.214____ 1 eipit 0 0 0 0 I......": ,1 9.el ifl") - i oft pi: ,ipli ,itc,-)..,. '.1"- 4 AO. 4 4111111k.j'r-11k; .0.-iL • 9-3 �X� .1,- ".. 1. 4e 29 .0 , loz0� . ., ' �, to.t,.•,! p11irA_ ist._,. .. . l, AI,.. 4 i10ii k:40114!. '''sr4411, ,, retr#,0 0 I i Ilii 1 re,404411 I I,„4,40,: . 1 lt- 000 ,.-- 1101041CO 1031 °III ;49. 1011A ,cP olligt ,a i` ! ,oa 31 „I .De#37 V4111, 1 , OAS 'WIPP 1049 , . o ;II° :fir-ia.mitillso 10gyp`''dII ` ivink Alp Y LEGEND �°'� • /111101Vir"- Pd Contours �,� Water Line � Septic Tank 1 ] ,+SEE.COU Supply Line -9) Pli011 PPBPS Septic Drainlines r �r 05� 53 , Irry h Septic Repair Lines saws / Pit Locations • i I .00 ti%.'I Roby ti Date: Proposed Septic Layout November 2022 Figure Thnmpsa EnvirOnrnenta Prepared For: Lot 9 - Millstone scale: iiiii;mmisultmg 5099 Water Wheel Drive o 15 30 a Century Complete Conover, NC 28613 TEC Job#: Catawba County 22-19 • Thompson Environmental Consulting,Inc. • !Sheet I of PO Box 541 PROPERTY ID#:_' '1,(U i'-i'-i_1 n'l 'C.{ Midland,NC 28107 COUNTY: Cal ct,,Jl•�Ck SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM I OWNER: L �c.- ` ADDRESS: Vt) 3 7 (o \-t C V j L,, _ ev C (C "3 DATE EVALUATED: -1- 7-2/ '6- '23�, PROPOSED FACILITY: I1 PROPOSED DE iN FLOW{.I 49): , —r O PROPERTY SIZE: (� . �, LOCATION OF SITE:' V,o I.K4.-:-.-c, c—t30('r ;.dd,rL j- 1�1,.,1ci_-y,c ./Qf PROPERTY RECORDED: WATER SUPPLY: ❑Privat Public 0 Well 0 Spring ❑Other EVALUATION METHOD: I Aug, r Boring 0 Pit O Cut TYPE OF WASTEWATER: v;` Sewage U Industrial Process 0 Mixed r P o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS I .1940 E LANDSCAPE HORIZON POSITION/ DEPTH PROFILE t SLOPE% (IN.) .1942 .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ )Q s q, 6 iC /_<,/- eV/1E1)(4,4:r ,/, / . �Y r` L. 11 (1-,) • ,) r 2 / 1 D . -� : -, , ,. , - - - .� ` �,3 L� i _Z 01/4vr� ! �r)' '. ,) J `, _ 'L r 3 i 5/ ..-- , ,- . , 4 . /, r ) DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): r"--:0.SOk j ) '/- SITE CLASSIFICATION(.1948): i . /_'S i 4' Available Space(.1945) 1 + K---' ;� I EVALUATED BY: 4't. t v • �, , . .SO .t System Type(s) u \1 t � 's+`; '�+ Z OTHER(S)PRESENT: ; } r r i'�`," + _f hi i'�. , Site LTAR \ '1 f ,: f 7 COMMENTS: .. Updated February 2014 CI, ' LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE ,1955 LIAR* ,1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain) CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive) D(Drainage Way) CR(Crumb) DS(Debris Slump) 0 SL(Sandy Loam) 0.8-0.6 0.4-0.3 GR(Granular) FP(Flood Plain) L(Loam) SBK(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) III Si(Silt) 0,6-0.3 0.3-0.15 PL(Platy) L(Linear Slope) SiCI.(Silty Clay Loam) PR(Prismatic) N(Nose Slope) CL(Clay Loam) R(Ridge) SCL(Sandy Clay Loam) MOIST WiZ S(Shoulder Slope) Si!.(Silt Loam) T(Terrace) VFR(Very Friable) NS(Non-sticky) IV SC(Sandy Clay) 0.4-0.1 0.2.0.05 FR(Friable) SS(Slightly Sticky) SiC(Silty Clay) FI(Firm) S(Sticky) C(Clay) VFI(Very Firm v.Very Sticky) VS(Very Sticky) 0(Organic) None None EFI(Extremely Fum) NP(Non-plastic) SP(Slightly Plastic) *Adjust LTAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic) NOTES VP(Very Plastic) HORIZON DEPTH In inches below natural soil surface DEPTH OF FILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITL• S(suitable)or U(unsuitable) SOIL WKINESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less-record Munsell color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate(LTAR):gal/day/Rr Show profile locations and other site features(dimensions,reference or benchmark,and North). • • er_fr____ ...--.-7.___:_ ei,„ .2 , i • . _ • . . Updated February 2014