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Home My WebLink AboutRBPR-12-2022-42982.TIF gA •G THIS IS NOT A PERMIT Case# RBPR-I2-2022-42982 , O 7, CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES $42 sM Residential Building Plan Review-Building New NEW WELL - ENGINEERED OPTION Contractor JUAN CARLOS ROCHA,, C:7042423202 CARLOSSEPTIC rr,GMAIL.COM Owner *MATTHEW BENSON,2016 BEACON PL,RESTON VA 20191-4843 C:7032004956 MATT.BENSON@LONGANDFOSTER.COM LONGANDFOSTER.COM NAME TO APPEAR ON PERMIT *Matthew Benson SITE ADDRESS: 8347 DRENA DR,SHERRILLS FORD NC 28673 PIN # 461601286348 NAME of SUBDIVISION: RALPH M SIGMON Lot# 6 Section/Block A PROPERTY SIZE: Square Feet Acres 0.65 DIRECTIONS: Slanting Bridge Rd,left Drena Dr on right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: EOP submittal for new 4 bedroom home with pool. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES',then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? Yes Property Easements Description: Duke overhead service lines APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: TBD #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: Pump to PPBPS APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO elia�+plit a,r,n 12/09/2022 15:04 Page 1 of3 ...ry„• CATAWBA COUNTY Case q RBPR-12-2022-42982 F� t It ,y Public Health Department Subdivision RALPH M SIGMON d '-1 Environmental Health Division ''11�,,•j PI Nit 461601286348 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 w NAME ON PERMIT: (*MATTHEW BENSON),2016 BEACON PL,RESTON VA 20191-4843 ('Matthew Benson) Site Address: 8347 DRENA DR,SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.65 Directions: Slanting Bridge Rd,left Drena Dr on right Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA5 FEENAME DATE FEE AMOUNT EOP 12/09/2022 $135.00 Well Permit&Inspection Fee 12/09/2022 $300.00 TOTAL FEES $435.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) el applicanon 12/09/2022 15:04 Page 2 of 3 catawba county ANY'? 1),)00 4)5g'a public health Engineer Option Permit and Application for Environmental Health Services Well Permit Application THIS IS NOT A PERMIT RECEIVED Application is for: El New Construction ❑ Existing Facility ❑ Improvement Permit ❑ Authorization to Construct ®New Septic ❑Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion DEC 8 2022 ❑ Existing System Inspection or Reconnection X❑New Well ❑ Replacement Well ❑Well Abandonment ❑Well Repair Property Address 8347 Drena Drive,Sherrills Ford,NC Environmental Health Acres 0.65 Subdivision Lot# Driving Directions to Property From HWY 150 in Sherrills Ford,take Slanting Bridge Road 0.4-miles south to Drena Road.Continue south 0.2-miles where Drena Road becomes Drena Drive at SR 1934 then another 0.7-miles and the site will be on your right,south of Drena Road Describe work Installation of septic system under an Engineered Option Permit Applicant Name George D. Barrier,PE for Carolina Septic Systems,PC Applicant Address 1'O Box 26072,Charlotte,NC 28269 Phone (704)2111-1487 Email gbarrier@carolinasepticsystems.com Owner Name Matt and Carrol Benson Owner Address 216 Beacon Place,Reston,VA 20191 Phone (703)200-4956 Email matt.benson@longandfoster.com Contractor Name Juan Carlos Rocha-Septic Contractor License No:5240 (Well Contractor not yet engaged) Contractor Address 2602 Gold Mine Road Phone (704)242-3202 Email carlosseptic@gmail.com Name to Appear on Permit? ['Owner ❑Applicant ❑Contractor Who will be the Primary Contact? ['Owner ®Applicant ❑Contractor Proposed New Construction-Residential Primary Residence IN New Residence ❑ Addition to Residence #of New Bedrooms*f 4 #of Occupants 2 Project Description Construction of new home Structure Dimensions,also specify dimensions of decks&porches To Be Determined(TBD),preliminary building footprint<2500-sf (Choose One) ❑Basement IDCrawl Space CISlabFloor TBD if Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ® No no basement Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑ Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed (Choose One) ❑ Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes 0 No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total# Bedrooms in Structure*f #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type X❑ Individual Well ❑ Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?®Yes ❑ No Environmental Health Catawba County Government Center, 25 Government Drive I PO. Box 389, Newton, NC 28658 Phone: (828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe Structure Dimensions #of Bedrooms * #of Occupants Basement ❑ Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existipg Water•Supply ❑ Ind'Nidual Well ❑Shaped Well—Number of Connections ❑ Community Well ❑County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑No Commercial ❑ Proposed New Construction ❑ Existing/Change of Use ❑ Repair Food Service Specify Type f+•. #i.Seats Dining Area(Sq. Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare❑ Yes ❑No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑ Yes ❑No Residential Kitchen ❑Yes ❑No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow,Commercial t (This value will be determined by EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is"yes",applicant must attach supporting documentation. ❑Yes NI No Does the site contain any jurisdictional wetlands? ❑ Yes El No Does the site contain any existing wastewater systems? ❑ Yes 1l No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes El No Is the site subject to approval by any other public agency? ❑ Yes El No Are there any easements or right of ways on this property? Describe If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑ Accepted 0 Alternative ❑Conventional 0 Innovative ®Other Pump to PPBPS El Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. ** If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Environmental Health soil/site evaluations require digging,augering,and/or probing into the ground.Property owner/applicant is responsible for marking all underground utilities,including but not limited to: underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities. Completed applications are valid for a period of 2 years.Improvement Permits are valid: with complete site plan=60 months(5 years); with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct, issued for septic repair is valid for 60 months(5 years). Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes.Permits may be revoked if site conditions are altered such that the effect ermit conditions or installation requirements. I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Signature of Owner or Legal Agent Date 29NOV22 Printed Name of Owner or Legal Agent George D. Barrier,PE , :�:sun 4Ogglo ROY COOPER•Governor J. 4 .1. NC DEPARTMENT OF KODY H.KINSLEY•Secretary i : 4l_ HEALTH AND HELEN WOLSTENHOLME• Interim Deputy Secretary for Health HUMAN SERVICES r MARK T. BENTON•Assistant Secretary for Public Health Division of Public Health 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: by Date Initials PART 1: Notice of Intent to Construct(N01)- 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 ❑ Repair—EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name:(Owner,Company Name, Utility, Partnership, Individual,etc.): Matt and Carol Benson Mailing address: 2016 Beacon PI City: Reston State: VA zip: 20191 Telephone number: (703) 200-4956 E-mail Address: matt.benson@longandfoster.com 2. Professional Engineer(PE)name: George D. Barrier License number: 019221 Mailing address: PO Box 26072 City: Charlotte State: NC zip: 28221 Telephone number: (704) 201-1487 E-mail Address: CarolinaSepticSystems@carolina.rr.com 3. Licensed Soil Scientist(LSS) name: Larry Thompson, LSS License number: Mailing address: PO Box 541 City: Midland State: NC zip: 28107 Telephone number: 704-301-4881 E-mail Address: larry@thompsonenv.com 4. Licensed Geologist(LG) (if applicable) name: License number: _ Mailing address: City: State: Zip: Telephone number: E-mail Address: 5. On-Site Wastewater Contractor name: Juan Carlos Rocha License number: 5240 Mailing address: 2602 Gold Mine Road City: Monroe State: NC zip; 28081 Telephone number: 704-242-3202 E-mail Address: carlosseptic@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: 0 PE El LSS ❑ LG El 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 I AFFIRMATIVE ACTION EMPLOYER 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): 8347 Drena Drive, Sherrills Ford, NC PD:461601286348 County Name: Mecklenburg 8. Type of facility: Q Place of residence No. Bedrooms: 4 No.Occupants:2 ❑ Place of business Basis for flow calculation:❑ Place of public assembly Basis for flow calculation: 9. Factors that would affect the wastewater load: Design is for domestic wastewater strength only. 10. Type and location of proposed wastewater system: Septic tank pump to chamber line Type HI 11. Design wastewater flow: 480 gpd(For flow>3,000 gpd and industrial process,duplicate plans shall be sent to the State.) Design wastewater strength: 0 domestic ❑ high strength ❑ industrial process 12. A plat as defined in G.S. 130A-334(7a)is attached: Q 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 15A NCAC 18A.1950: 0 Yes ❑ No This is a saprolite system. ❑Yes • 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 Q NA 16. Proposed landscape,site,drainage,or soil modifications are attached: El Yes ❑ NA Attestation by Professional Engineer licensed in North Carolina pursuant to G.S.89C George D. Barrier 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,State, and local laws,regulations, rules, and ordinances in accordance with G.S. 130A-336-.1(e)(6). 21 NOV22 Signature of Licensed Professional Engineer Dote DHHS/EHS/OSWP-EOP COMMON FORM Updated April 2022 Page 2 of 6 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 N01. Designation of Registered Professional Engineer as legal representative of Owner for this Notice of Intent: Matt Benson hereby designate George D. Barrier, PE Print Name of Owner Print Nome of Registered Professional Engineer as my legal representative for purposes of this Notice of Intent pursuant to G.S. 130A-336.1. Autt ttiA,saln. 21 NOV22 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 Date 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. DHHS/EHS/OSWP—FOP COMMON FORM Updated April 2022 Page 3 of 6 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 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 deportment 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: ❑ 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 design PE and the Owner on Date via with directions to re-submit missing items using Page 5 of this form. Email,FAX,LISPS,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—EOP COMMON FORM Updated April 2022 Page 4 of 6 Engineer Option Permit Common Form LHD Reference: 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: by Dote Initials Item#from initial NOI Resubmittal description Attestation by Professional Engineer licensed in North Carolina pursuant to G.S.89C 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 laws,regulations, rules and ordinances in accordance with G.S. 130A-336- .1(e)(6). Signature of Licensed Professional Engineer 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- 336.1(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 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 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 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/OSWP—EOP COMMON FORM Updated April 2022 Page 5 of 6 • Engineer Option Permit Common Form LHD Reference: PART 3: Authorization to Operate(ATO) Except for dote 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: 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) ❑Yes ❑No 2. Operation and management program and ORC contract,if applicable ❑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 15A 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 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 Dote ❑ COMPLETE Based upon review of information submitted in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336.1(m). A copy of this complete NOI/ATO with 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 Dote 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 • PRELIMINARY SOIL AND SITE EVALUATION Lot 6/A — Ralph Sigmon Property 8347 Drena Drive Sherrills Ford, NC 28673 Prepared For: CAROLINA SEPTIC SYSTEMS, PC PO Box 26072 Charlotte,NC 28221 Prepared By: Thompson Environmenta Consulting W.V1-Fl: • \VAST\\'VIER • \VEi1,.\\I iS Thompson Environmental Consulting, Inc. PO Box 541 Midland, NC 28107 cp SO!( S November 17, 2022 �,�0 T N O44 C/F,r Q n 4t 1 qc7VORTH CPS` • INTRODUCTION & SITE DESCRIPTION This Soil and Site Evaluation was performed on a 0.65-acre lot(Lot 6/A— Ralph Sigmon Property), located at 8347 Drena Drive, Sherrills Ford,North Carolina(County Tax Parcel ID: 461601286348). Thompson Environmental Consulting, Inc. (TEC) was retained to determine whether the soils were suitable for onsite subsurface wastewater treatment and disposal. The property was evaluated in accordance with North Carolina statutes for waste disposal ("Laws and Rules for Sewage Treatment and Disposal Systems", amended April 1, 2017). INVESTIGATION METHODOLOGY & SITE PHYSICAL CHARACTERISTICS Individual soil borings were evaluated, and soil color was determined with a Munsell Soil Color Chart. Observations of the landscape(slope, drainage patterns, etc.) as well as soil properties (depth,texture, structure, seasonal wetness, restrictive horizons, etc.) were recorded. The property is currently undeveloped and mostly open. FINDINGS A field survey was conducted on November 14, 2022. Borings were advanced within the project study area and locations noted in the attached Figure 1. The soil borings were rated as Provisionally Suitable for the installation of a subsurface wastewater treatment and disposal system utilizing Accepted System and Prefabricated Permeable Block Panel System drainfield products are denoted in the attached Figure as green points. Surface horizons were noticeably absent. Upper subsurface horizons exhibited firm sandy clay to sandy clay loam textures with moderate, medium, subangular blocky structure 30 to 35 inches before encountering saprolite. A long-term acceptance rate (LTAR) of 0.3 gal./day/sq. ft. would be recommended for these soils. DISCUSSION The property appears in a plat recorded with the Catawba County Register of Deeds Office on June 17, 1964, and would be considered "repair exempt per 15A NCAC 18A .1945 AVAILABLE SPACE, which states in part: (c) The repair area requirement of Paragraph (b) of this Rule shall not apply to a lot or tract of land: (I) which is specifically described in a document on file with the local health department on July 1, 1982, or which is specifically described in a recorded deed or a recorded plat on January 1, 1983; The soils observed within the project study area will support the installation of a subsurface wastewater treatment and disposal system utilizing Accepted System or Prefabricated Permeable 8347 Drena Drive I November 17, 2022 Preliminary Soil and Site Evaluation Block Panel System drainfield products. Approximately 3,300 square feet of suitable soil area would need to be designated and left completely available for a 4-bedroom Accepted System installation. The required square footage can be reduced by 25% if using a Prefabricated Permeable Block Panel System drainfield. CONCLUSION The findings presented herein represent TEC's professional opinion based on our Soil and Site Evaluation and knowledge of the current laws and rules governing on-site wastewater systems in North Carolina. Soils naturally change across a landscape and contain many inclusions. As such, attempts to quantify them are not always precise and exact. Due to this inherent variability of soils and the subjectivity when determining limiting factors, there is no guarantee that a regulating authority will agree with the findings of this report. 8347 Drena Drive 2 November 17, 2022 Preliminary Soil and Site Evaluation Thompson Environmental Consulting, Inc. ( i Sheet;.. 0 1 j PO Box 541 PROPERTY ID 4: `IP` (Int ` u astic Midland, NC 28107 COUNTY: Ufa/Ina SOIL/SITE EVALUATIo\ for ON-SITE WASTEWATER SYSTEM OWNER: fl;Nil ADDRESS: DATE EVALUATED:_ ` 14 _62 Z PROPOSED FACILITY:_L _PROPO DESIGN FLOW(.1,949): M.M_ PROPERTY SIZE: , Q LOCATION OF SITE: 11 ila (( PROPERTY RECORDED: 6-17-1964 WATER SUPPLY: ?Private J Public Li Welt l Spring L;Other Lot 6/A- Ralph Sigmon Property EVALUATION METHOD: 'ueer Boring ]Pit Lnd 'Cut TYPE OF WA SFEWATER: ( iew ag 0I a str ial Process Mixed i r • r R SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS .1940 E LANDSCAPE HORIZON POSITION/ DEPTH 1942 PROFILE # SLOPE% (IN.) .194I .1941 SOIL -1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE! WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE ii "ERALOGY h,CO gOR DEPTH CLASS HORIZ I) �C w1 `I (��ih q C 6 L '; c�S,a o -_ it ( 5 !s--7 5C l wdc ISM2 '30 Sty 311 { 1) 2 1 / 0 .5— i� ;L'J ! L ,-.27--: S4 `i. 4 I DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): ' SITE CL.ASSIFICATION(.1948): Provisionally Suitable AvailableSpace(.1945) PS Exempt {/I EVALUATED BY:(� Y System Type(s) Accpeted OTHER(S)PRESENT: / - sC` Site LTAR 0.3 L.Thompson, LSS ;0 THa�AS COMMENTS: l e� 4 �t Vpdatcd February 2014 / . ;!,•R.\ t i! , 7614 TI ( f qtAteniC C-•--." — ,__ _ _.__ . , ,,..-- A , , , _ { .... ji welly,• ' --- well -• 1 — - �_l emery • � � -. LJb1 1-"l\ ..-- �, [ 1)2 - N I sf -2 b3 t - ` • --r • SR•3 l 0 - Cr.i { z Cry t-- i t 1 ----.01SCSC- -CD i LEGEND Project Study Area 7 _ • Soil Boring Locations Date: Soil and Site Evaluation November 2022 Figure Thompson Prepared For: Lot 6 A- Ralph Simon Property Scale: fnvironment� / p 9 p ty limmelammiltIng Carolina Septic 8347 Drena Drive 0 20 40 ft Systems,Pc Sherrills Ford, NC 28673 TEC lob#: Catawba County 22-369 1+4 a `?kv jh 5,.+ W wr '� a. r Q41 £ ; I �0co Ca v g•,Nj , a W .• R 1 ,. tl }� ill, . +N�11 2 _ C1 ° .A ! a z02 C{ ° c '�'0L Z a io� 1rlN 0 W — '�/Os "a s 0 y1� n OW �Y' �w W N - S 2 p ` t 2 r a // A ` 2 11 4�'1` d v! C r A t 00.d 0 '4 °o,4'• 2 co If oq _ • a . 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W 4,2 3Er_OIN Y m� $�o (NJ of NO OW 3393W 1B73& - _ m. 3 Of_B N CO 6 mlp • +1i x Og s6 rse N --- ��7`; EHO11 pK • 2110 ry)m n,yy.6 ati-ss O ��gsap E. /s,'6. 6 .'Z'0• y ill g el 914 fl Cr Oyd N01P019 kd7 ��1�� 3d :4.i �` 6 a' 5 11 ----_____ .. .,-fr,,,. s4,:94‘4, 1,11 Mr-1 lu f. II NP .°•• 3tr • {�Eb1'bP. 6bo y r 1� !Gaga �\,- E@ Z -i 1 r .by \r.q,'1' 16 i 6. Im� * Oa r tl 8 L 4 s92` . \'X eF t o4, 4 N I s F 't, 0 O. b +• • e'. e i°hy p 6%ii, `goy 3N 1°''Z-Sw qq6 yo 290 1 f i • Residential Subsurface Wastewater Treatment and Disposal System Engineered Option Permit for 8347 Drena Drive Sherrills Ford, Catawba County, NC Parcel ID # 461601286348 November 28, 2022 Prepared for: et, SOIL soh. JG j H o444, tf Matt and Carrol Benson �� ti 1 " 216 Beacon Place Reston, VA 20191 L/ -� Sgt. Prepared by: Carolina Septic Systems, PC ... Thompson Environmental Consulting, Inc. • %%Q H CAR0, ••,��. George Barrier, PE .S FESS/0 ;t9 Larry Thompson, NCEHS, NCLSS = QUO . ti-1• r,. 11 .Y • Yr Y .,, GFpep ,•. I''.••••••••''28NOV22 8347 Drena Drive Details Matt and Carol Benson have contracted with Carolina Septic Systems, PC (CSS) and Thompson Environmental Consulting, Inc. (TEC)to develop a residential on-site wastewater treatment and disposal system design for a 4-bedroom primary residence to be located at 8347 Drena Drive, Sherrills Ford, Catawba County (Parcel ID: 461601286348). The primary residence will be served by a private well. Based upon a soils investigation performed by TEC it was determined that a sufficient amount of"Suitable" Group IV soils is available on this property for the installation of a Pump-To Ilorizontally Installed Prefabricated Permeable Block Panel System (PPBPS)for both the initial system as well as the proposed repair system. CSS and TEC propose a design based upon 480 gallons per day flow at a 0.3 GPD/sq/ft long term acceptance rate (LTAR) for the soils. CSS and TEC would like to request that the following design performed pursuant to 15A NCAC 18a.1971 be approved for permitting under NC General Statute 130A-336.1 (Engineered Option Permit). Location From HWY 150 in Sherrills Ford, take Slanting Bridge Road 0.4-miles south to Drena Road. Continue south 0.2-miles where Drena Road becomes Drena Drive at SR 1934 then another 0.7-miles and the site will be on your right, south of Drena Road. 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 I, 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 Professional Soil Classifier No. III Professional Wetland Scientist No. 1346 NC Subsurface Septic System Operator No. 22199 NC Grade IV Wastewater System Installer/Inspector No. 1 762/1 762 1 Primary Designer's Credentials NC Professional Engineer No. 19221 GA Professional Engineer No. PE042759 SC Registered Professional Engineer No.19378 8347 Drena Drive VA Professional Engineer No.0402054 100 Plans and Specifications A. Septic Tank 1. The septic tank shall be State approved (meeting or exceeding the requirements in Regulation 61-56 section 201.1), watertight, structurally sound, and 1,000 gallons in capacity. 2. The septic tank will be fitted with an approved effluent filter and riser for easy access and periodic maintenance. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tank has had time to properly cure and is free of cracks or other structural deficiencies. B. Pump Tank I. The pump tank shall be State approved, of one-piece construction, watertight, structurally sound and 1,000 gallons in capacity. Again, it is the responsibility of the septic tank contractor to thoroughly inspect each pump tank prior to accepting delivery. 2. All pipe penetrations into the tank shall be booted(i.e.,C-293 boot with a stainless- steel strap). 3. The pump tank shall have access risers that extend, at a minimum, 6 inches above finished grade and must have less than 36 inches of fill over its top once finished grade has been established (a reinforced concrete tank will be required if finished soil cover is 36 inches or greater in depth). 4. Floats, pump and control circuits,and the control panel shall meet the requirements of Rule .1952(c). Panel and control equipment shall include lightning protection, be protected from unauthorized access, and remain accessible at all times to the system operator. 5. The pump and alarm controls shall be provided with manual circuit disconnects within a watertight, corrosion-resistant, Nema 4x rated control panel. The control panel must be securely mounted outside, adjacent to the pump tank riser, and at a minimum of 12 inches above finished grade. Pump and float control wiring should be long enough to reach from the tank to the control panel without splicing, routed through wire conduit, and sealed at the openings within the pump tank as well as the control panel enclosure. It is paramount that the conduit is properly sealed to prevent the escape of flammable gases from the pump tank. Furthermore, there must be two electrical circuits for the pump tank controls: one for the pump and one for the alarm controls. 6. Float switch tie downs must be made of a corrosion-resistant material (per OWPS, all metal in the tanks shall be stainless steel). Floats should be mounted on a separate "float tree" rather than the pump supply line (see pump tank detail). 7. The pump removal system will be via a pump tether made of nylon rope or its equivalent. The tether material should be resistant to mildew and rot. 8347 Drena Drive C. 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 100 feet long. D. Distribution Method (ManifoldNalveBox) 1. The drainlines will be fed by a pressure manifold. 2. The supply manifold conveys effluent from the pump to the lateral distribution lines. 3. The supply manifold can be constructed by connecting a series of five (5) 2" x 2" x 'A" PVC tees to create the manifold. Alternately, five (5) 2" x 2" x 2" PVC tees may be used with a '/2"reducer for the pipe that feeds the individual drainlines. The manifold shall have a ball valve on the inlet side and a threaded PVC plug on the opposite end fora threaded standpipe. Protective covers(turf boxes)shall be placed over any ball valves for access. E. 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 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 pump-to a horizontally installed pre-fabricated permeable block panel system — specifically the 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 drain field consists of seven (5) lateral trenches, each being 2-feet wide by 56-feet long. Total drainline length is 280 linear feet. 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 trench depth for this system shall be 15 inches. Each trench shall be placed on a minimum of 9-foot on centers. 8347 Drena Drive 7. Once trenches are dug, the side walls shall be raked, and a light dusting of lime applied. 8. Backfill the trench with 7 inches of sand and level to grade. Once leveled, place 1 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. A 24-inch section of 2-inch PRI60 pipe is cut to span from inside of the two chambers to the next two chambers of the following panel. If tar seal rope is used, it should be of tar or butyl that is soft and pliable to obtain a watertight seal. . Once the connection and sealing are complete, a block cap is placed on each end of the panel covering all openings. (These will be delivered with the panels.) The cap block may well serve as an inspection port at some future date. The trench is then ready to be backfilled to the top of the panel with the same backfill sand used in the trench bottom. With the sand to the top of the panel,trenches should be left for the sanitarian to inspect. Soil cover should be added after the final inspection. (At-grade installation systems are required to bring in 6 inches of topsoil; suited for vegetative growth). F. Proper Operation Check 1. After all components of the wastewater disposal system have been installed and connected, the system shall be checked for proper operation. 2. With the electrical power turned off, fill the pump tank with water until the liquid rises to a level high enough to activate the high-water alarm float. 'Turn on the electrical power. The alarm, alarm light and pump should activate at this time. Turn off the electrical power once these checks have been performed and prepare to set the head pressure at the valve box. G. Pressure Head Adjustment I. The pressure head must be adjusted to match the design specifications (2-Feet). The pressure head is measured by the height of the liquid coming from the pressure manifold. 2. Prepare a length of pipe (standpipe), cut to the desired head pressure height, and fitted with a threaded adapter that will screw into the pressure manifold. Turn on the pump and adjust the manifold gate valve within the supply manifold box to achieve the specified head pressure (liquid height in the standpipe should equal the design head pressure). 3. Once the pressure head has been adjusted, allow the pump to run through the remainder of the cycle. The pump float switch will automatically turn the pump off if it is operating properly. Make sure that the effluent pump is completely submerged in the remaining water, adjusting the float switch(es) as needed. This completes the checks for proper operation of the pump, alarm and float switches. 8347 Drena Drive 4. At this point, the manifold standpipe may he removed and replaced with a threaded plug. H. Final Landscaping 1. Final cover over the drainfield shall be at least 6 inches deep (additional soil cover may be required to achieve the 9-inch requirement). 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. I. Utility Conflicts 1. The builder and property owner must take special care in planning for water,power, gas, telephone and cable lines. These utilities shall be kept clear of all parts of the septic system and its proposed repair area. Improper planning for underground utilities can negatively impact the installation and, in some cases, cause irreparable damage and permit revocation. If there are any questions regarding preferred routes,contact the system designer as soon as possible. 2. Lawn irrigation should not be placed over the drainfield area. Maintenance J. In General 1. The homeowner must maintain the drainfield area through periodic mowing by a lightweight riding lawnmower. 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. 8347 Drena Drive Design Specifics Daily Design Flow: 480 GPD—4 bedroom house Septic Tank Size: 1,000 Gallons(minimum) Pump Tank Size: 1,000 Gallons(minimum) Pump Requirements: 28.44 GPM at 12 Feet TDH Recommended Pump: Liberty FL30 or Equiv Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield Type: PPBPS Distribution Method: Manifold Number of Taps: 5 (1/2 Inch SCH 40 Taps) Pressure Head: 2 Feet Dosing Volume: 172.80 Gallons Pump Run Time: 6.08 Minutes Number of Drainlines: 5 Drain Lines: (5)3-ft Wide x 56-ft Long Total Trench Length: 280 Linear Feet Total Number of Panels: 48 Trench Depth: 16 Inches Final Cover Requirement: 6 Inches *See attached septic system plans for more details D v_- of y a co a, a 3 p w iii co* ° o fO m' o w 14 w N 3 acfl .` el7 7 C A -o w O x O ~ PO NJ m a m Cr, O 0• a N z 0 N r N a w w w n m o C a x. = T w < 13 m o w n m _ a va V1 o -< o - -017 V1 C. 7 ,c wo —Im MI mT mT o o i m VI mso r n w r co c = a:, soa 0 r)-, co w 1 0 U) m o o z w a N a w I o o \lp•p., ° a) m O m \el/F Pe a a •III • A r A A N j 0 �G'). II-0 5 m a O C ' tp 0 D o 51. -J w m O Tw w �c �c O i O p . — , IT m E. 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I N N ma LEGEND: NOR MAN 2.PROPERTY MAY BE SUBJECT TOOTER COVENANTS, I v 0 RESTRICTIONS,EASEMENTS OR RIONTS.OF-WAY THAT p_ o tom-Io. /4 REBAR FOUND O MAY BE OF RECORD. a t REBAR worn ooa 3.SETBACKS SHOWN WERE PROVIDED BY CATAWBA , Ill N w µ� o m - COMPUTED POINT • •fv COUNTY PLANING DEPT.441S I m N by a a CONC. MONUMENT FOUND 3 5 IRON PIN POUND • 1.THE PROPERTY IS SUBJECT'10 A 30 L$4OISTURBED f Cr -1 UTIUTY POLE 0 LAKE BUFFER FROM THE 760 TAKE CONTOUR PER THE p SUBJECT PROPERTY UNE DEPARIMENTOF ENVIRONMENTAL QUALITY OD 3 ADJOINER PROPERTY LINE — CONTACT:ALI.ANJOHNSON(70116b3-1699. -0 BUILDING SETBACK — - — — o OVERHEAD UTILITIES DU 5.PROPERTY MAY BE SUBJECT TO THE DEED I O .� p 760 CONTOUR — — — — RESTRICTIONS RECORDED IN DB.621.PG.267 OF THE = CATAWBA COUNTY REGISTRY m Z RI Graphic Scale I ❑ C) 7< 30 25 0 50 6.CONSULT WITH GOVERNING AGENCY FOR I'..-, A ►i!)lYrr 1 PREVAHJNO LAND DEVELOPMENTAIDTENN0 sale of rhawmy 1 Inch.50 Feet REQUIREMENTS ANY Ih TO DEMONCONSTRUCTION}v Physical Survey of Lot 6,Block A,of the Ralph M.Sigmon Property < I �P�rofessional Pro of As Recorded in: 3347 Dram Drive p Surveyois,Inc. 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I I .4 a-o U1 m CD II �, : i 1 o I 1 H e ao r• ,1 0a o _i?� is 1 n o w c e a m0 _ y w_ a s. .„,..a.0:. !I.: I! ifill % su a 3 Q 3 a St o ' ' r 0 Z w n 14 wt �� § ❑ n f g a -01 o a ti _o Iz i R i §. 9g ;� o -i aA s c i N Z �A F 3a ill N 0 1 11116' IT 1P��1 C NJ its 40 s ▪ •� Q. . ! 3 G x ❑ A q - � ; o ; § I; py A S- s. ▪ p0. R .•• 4 Q 1 ° '••91aIta r s'•' +� `i 4. N LN J • • DATE(MM1DD/YYYY) AC ORE) CERTIFICATE OF LIABILITY INSURANCE 8/23/2022 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: David Vaughan Higginbotham Insurance Agency, Inc. PHONE FAX 500 W. 13th Street INC.No.Ext.9187797880 ;(AIC,No):817-882-9284 Fort Worth TX 76102 ADDRESS: dlvjr@higginbotham.net INSURER(S)AFFORDING COVERAGE NAIC# License#:2081754 INSURER A:Mid-Continent Casualty Company 23418 INSURED CAROSEP-01 INSURER B Carolina Septic Systems, PC 3901 Davis Lane INSURER C: Charlotte NC 28269 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:484602894 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 VNTH 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. IL1 RR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSD WVD (MMfDDlYYYYJ (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 04-GL-001085517 9/1/2022 9/1/2023 EACH OCCURRENCE $1,000,000 DAmAGE TO CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) S 100,000 X Professional MED EXP(Any one person) S Exduded PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 PRO POLICY X JECT LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S I AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATIONPER AND EMPLOYERS'LIABILITY YIN STATUTE EERH ANYPROPRIETORIPARTNERIEXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I I 1 DESCRIPTION OF OPERATIONS/LOCATIONS I 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 Only AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • ' • ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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: Davin Vaughan Higginbotham Insurance Agency, Inc. PHONE FAX 500 W. 13th Street JAtc.No.Ext1:9187797880 (A/C,No):817-882-9284 Fort Worth TX 76102 ADDRESS: dlvjri higginbotham.net INSURER(S)AFFORDING COVERAGE NAIC# License#:2081754 INSURERA: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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 04-GL-001086672 9/25/2022 9/25/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE I X I OCCUR DAMAGE TO RENTED 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 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $3,000,000 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) I UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADEI AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 38WECNW6175 10/17/2021 10/17/2022 X STATUTE EOTH AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETOR/PARTNER/EXECUTIVE N NIA E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (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,maybe 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 9t4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Erie CERTIFICATE OF INSURANCE Insurance' -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY- 100 Erie Ins PI • Ens,PA 16530 CERTIFICATE HOLDER COPY NAME AND NUMBER OF AGENCY DATE ISSUED ROBBINS & ASSOCS INS AGv INC JJ4299 04/25/2022 500 N CHURCH ST NAME AND ADDRESS OF CERTIFICATE HOLDER MONROE, NC 2B 112-4606 704-226-1300 NAME AND ADDRESS OF NAMED INSURED THOMPSON ENVIRONMENTAL LAGO VISTA LAWNCARE & CONSULTING INC LANDSCAPING SERVICE LLC * PO BOX 541 2602 GOLDMINE RD MIDLAND NC 28107- MONROE NC 28110-8947 This is to certify that policies,as indicated by Policy Number below,are In force for the Named Insured at the time that the certificate Is being issued. . •'FY1►�:9fa� pW.ICtrl�s?::. �7LtCY Q!`ItIC�' ::%: ., p•A - L1•PIt�A'11UfiUA • GENERAL LIABILITY Q260521176 02/05/2022 02/05/2023 EACH OCCURRENCE S 1000000 }�f%' . COMMEIICIALGENERAL UABIUTY OCCURRENCE FORM RRE DAMAGE ley\ • �" : LI MIT MIT APPUES S s (Arty one premises) 1000000 PER PROJECT /Yf� MED EXP(Any one person) S ,t+ :car;,-.'•�{'�{;..,;:<::;;:.;; PERSONAL&ADV INJURY S tj 1000000 • GENERAL AGGREGATE S 200000041 PRODUCTS-COMP(OP AGG S 2000000 ;itiii BODILY INJURY S (EACH PERSON) BODILY INJURY S (EACH ACCIDENT) - PROPERTY DAMAGE S BODILY INJURY AND PROPERTY DAMAGE COMBINED EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION Q893000667 05/30/2022 05/30/2023 STATUTORY AND BODILY ACCIDENT S 100000 EACH ACCIDENT EMPLOYERS LIABILITY INJUPY DISEASE S POLICY LIMIT BY DISEASE S 100000 00000 EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 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. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(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). THIS CERTIFICATE IS ISSUED FOR INFORMATION PURPOSES ONLY AND ERIE INSURANCE CONFERS NO RIGHTS ON THE CERTIFICATE HOLDER.IT DOES NOT AFFIRMATIVELY OR NEGATIVELY LIST,AMEND,EXTEND OR OTHERWISE ALTER THE TERMS,EXCLUSIONS AND CONDITIONS OF INSURANCE COVERAGE CONTAINED IN THE POLICY(lES)INDICATED ABOVE.THE TERMS SEE REVERSE SIDE AND CONDITIONS OF THE POLICY(IES)GOVERN THE INSURANCE COVERAGE AS APPLIED TO ANY GIVEN SITUATION.LIMITS SHOWN MAY HAVE BEEN REDUCED BY CLAIMS PAID.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED ' REPRESENTATIVE OR PRODUCER AND CERTIFICATE HOLDER. , AUTHCRIZED REPRESENTATIVE Uf-1568 09112 CIF Catawba County Environmental Health 83.39 118.98 100.00 •8367 35 34.30 O 100.00 •8359 100.00 •8347 1a TP • cci •8337 ■ 4p�p 101.30 Parcel: 461601286348, 8347 DRENA DR 1 in=60ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospatial 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 arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 12/09/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461601286348 Owner: BENSON MATTHEW Parcel Address: 8347 DRENA DR Owner2: OCONNELL CAROL City: SHERRILLS FORD, 28673 Address: 2016 BEACON PL LRK(REID): 14371 Address2: Deed Book/Page: 3665/0363 City: RESTON Subdivision: RALPH M SIGMON State/Zip: VA 20191-4843 Lots/Block: 6/A School Information: Last Sale: $570,000 on 2021-06-16 School District: COUNTY Plat Book/Page: 12/16 Elementary School: SHERRILLS FORD Legal: LOT 6 PL 12-16 Middle School: MILL CREEK Calculated Acreage: .650 Tax Map: 013BX 04012 High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 1905 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $17,400 Zoning2: Land Value: $250,300 Zoning3: Assessed Total Value: $267,700 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2008-03-18 Building Permit Address Search for this parcel. Firm Panel #: 3710461600L If available, Building Permits for this parcel. Septic 2010 Census Block: 5035 links are not permits. 2010 Census Tract: 011504 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details �� :' , 1� 4 WaterShed: WS-IV Critical Area l 0\t �, Voter Precinct: P41/ Voting Map 411 >f • Parcel Report Data Descriptions Iv li �S ti Gv w \ \)' List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial 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 arise from this map/report product or the use thereof by any person or entity. ©2022, Catawba County Government, North Carolina.All rights reserved. • CATAWBA COUNTY Case# IMPV-07-2018-102945 • n Public Health Department Subdivision RALPH M SIGMON 1 Environmental Health Division PINK 461601286348 PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 6 I Site Address: 8347 DRENA DR, SHERRILLS FORD NC 28673 t Name on Permit: RUTH HOLBROOKS HEIRS C/O STEVE HOLBROOKS t Property Size: Acres 0.65 Directions: NC 16 S,left on NC 16 Business S,left on NC 150,go 4.6 mile then right on Slanting Bridge,go 0.4 miles 1 f then left on Drena Rd,go 0.8 miles,then on right Improvement Permit } GR r JCty, 9rs ' ',70y1"r.7 -c• .7 -t 'f is ,� t'.. rr' W ..t'T'"%'�L -' 'a•j,� :7-C, s z_. `-'� `' r. ' f N-t, kY ti r t3i I c^ri a 'a 6 crr y 8 IE , 8 I i 'JI ,s Its ti- 8 �l t rJ7 � `A rr;+✓ ' ii s rrht'Y t-r. !r,4S»+r� „ow, „Yut. 1f y y.� ,y� r . 1 ' ,, , Y,.t..S_ , 4i•i,ga^ ;444�N�/1y 11 -AN B �1. Isr,�.I.... ? 91f! VI , t` �c.. 1 Ir t, l.xfxstA+y .":, f C •y' x a Permit Category: New Septic Wastewater Flow 480 g.p.d Type of Facility: Primary Residence-House Basement?: No Basement Plumbing? Bedrooms: 4 Water Supply Private Well Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS 1 Proposed Wastewater System: 50%REDUCTION HORIZONTAL I Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Not Required,has space Proposed Wastewater System: 50%REDUCTION VERTICAL tt Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION r Pump Required ***** Operator Required Permit Conditions: 'Before the Authorization to Construct permit can be issued: I -The flag locations marking the septic lines must be collected by a surveyor(before the lot is cleared). 1. -The house footprint,septic lines, and 50ft well radius must be shown on a surveyed map. -The lot must then be cleared with the house,50ft well radius(from the neighbor's well), 50ft buffer,and septic lines field located(staked)by the surveyor. 1 ) s I, k i f t i yak` f `L 5r7 7 f1 t3 ehper m it 07/25/2018 14:55 F 1 I CATAWBA COUNTY Case# IMPV-07-2018-102945 Public Health Department Subdivision RALPH M SIGMON 1 Environmental Health Division P1N# 461601286348 1 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6 �' 1 I Site Address: 8347 DRENA DR,SHERRILLS FORD NC 28673 t 1 Name on Permit: RUTH HOLBROOKS HEIRS C/O STEVE HOLBROOKS { Property Size: Acres 0.65 1 Directions: NC 16 S, left on NC 16 Business S, left on NC 150,go 4.6 mile then right on Slanting Bridge,go 0,4 miles then left on Drena Rd,go 0.8 miles,then on right i i I Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper I drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved and may result in failure to approve the initial system installation;or the suspension/revocation of existing permits. i The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant 4' /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation lithe site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and iRulesfor Sewage Treatment and Disposal Systems' (I5A NCAC I 8A.1900). Neither Catawba County nor the Environmental Health 7 ii Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. I Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit & i modification.Please notify Environmental Health of this change prior to system installation or permit. i c i 4 , (124,(,„ 1 i 07/25/2018 I Authorized State Agent Permit Issuance Date 7/25/2023 i i Permit Expiration Date 1 i No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. i c 1 t R ! LC i il /t }r t e i / r{j¢$ l B s1 I 1 t i i 1 i t { t 1 i r r ehpermn 07/25/2018 14:55 1I i I 1"014- 07 -701-(cZ4u1s 1 Catawba County Environmental Health ,: j_____ 34,30 �cP • s•-..it ...\ i00.00 \ , A syrrllu s • 100.00 ,e '�L� �� 1S 111 i � % • f�rs co � �IYr • Als r• • �,Sr. ), • t'\‘‘it'::,5, �0 �p bu i9; / _ j ' I 'EL---. --- ---- / a E [//[ f / hj„J i'-iv'' tp 1 r, r FP I - i (i F i 1U1.34 1 i Nu,weT i { • Parcel: 461601286348, 8347 DRENA DR lin=40ft 1 SHERRILLS FORD, 28673 4 i 1: This map/report product was prepared from the Catawba County.NC Geospatial Information Services. Catawba to ensure the accuracy of location end labeling information contained on thisCountyCounty has made substantial rmmends the map the dataser an The County CatawbaC ,heprome and recommends i. independent verification of any data contained on this map/report product by user. of Catawba,ha employees,agents,and arise personnel,�diss�im and shalt not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may x map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 07/25/2018 li t - i 4 DEPARTMENT OF ery toNmENT AND NATURAL RESOURCES Sheet_el_ u D[V1Sy0N or g1JV1ETh&1ENTAL HEALTH PROPERTY ID NI COUNTY: Obi-SCrE WASTEWATEit SECTION SOI /SITE EVALUATION r for ON-SITE WASTEWATER SYSTEM OWNER: t(,� Gfa(I��dv Yi APPLIGATIONDATE • DATE EVALUATED: b-i 8-rd' • ADDRESS: B'3` l Prvi-n A . Ro PROPERTY SIB i PROPOSED FAL'1<ITY: PROPOSED DESIGN FLOW(1944)' PROPERTY RECORDED: LOCATION OF SITE: : WATER SUPPLY: 0 Private 0 PubIic 2"-Wdl 0 Sluing0 Other EVALUATION METHOD: 0 Auger Bain; B-Pit U cut is TYPE OF WAS1EWAnR: Erie wsRe 0 Indust:61 Process 0 fixed / is eir .r. Lazirmr--14i- : r:ru::u•ur ev_ .�-rsc.�-__:._...arc:, :: � ji�:iw^Pi.i:._^-• :: _ =:^_s. ...�.,. Qr .f9 s'r�i: .i^. ;..ir_.r.,-_ s�.r. ^=r s•�••s ni urruaru� 3 " •- ■ncnaur yu�iFd— rl�ciici:rnrc_r:wri =� rr+^�tt�r- yit•• •m••j�' 2 t� :Fa • _ 5S aaiga€ r �r =�i 4-_rr• y �Y C '•5.'y gpiri••i- rc' t•-ri'17 -. r`ri Eli'ii6ii' 7y.r,'. _r. r.:•l!lid i 'I•:"jf-..L:_7, j1 t;i f• 11 •..r¢-t i8�3'.A (:,'•,.4i ti ]sa-•-s T—F.:. 0•:..., i :ii {j . , .. • 0,7 d , - itrR { ,�Cy.miLif: -lisa'•,L „:.• igl[i I,1..i• ,14.4 r ch,Q••i'1! •>.u�'-Z ,t; t 11241 3^ •t:; ii3R1 hr7li _ • 'c .:.• :n c r = 1 Y�J a - .;Sr•' •:- .: :s." , c a ifs -: regata . . V 6� W 96iEit- 'ra Erp z:-a.is o _ ....s_v 5 :a =.--u;` t• 9 yg y, _ _ •..' .... hi }i-.cs=. Y3? ri:�:a� i .at +�' 1':li- �•• .! --,.. .i...,. ::'e..faL MgE! :erreumsumm�uruiesa Mi • ... n al.:.e.mr:i .•: . _�— - --' -— 1 1 - • ?9 ( 3 . i o-- ' . ,2 T5, } t t 0-:d' C 41, . rrJJ "t � 1f & C 1I I. .1.-1 ! 0 ro4-11 in 406L, Cur"ir 1 j : 4 . 3 nescWmx INITIAL SYSTEM REPAIR SYSTEMOTHER FACTORS(.1946k Awilble Space(.144S) S far-4t‘.,( SITE CLASSIFICATION(.1948):_ g✓ sraezo y09(L) pals EVALUATED BY: 4-,3i h { - OTHER(S)PRESENT: Mtyc,* 11, it it ajr4 GTt., . Ili r#S` 5ite LIAR. ,'2---7 r Z-7 5- - J. CO}4MENTB: - 1 1 l q t I I i .. "l ). 0- it i J-6- 'AP 7, I - a 76`n� rac-k 12,_ .�G 01r L44�, — q� 7 r — zr y — Z\.s l 1 L 72 Zr 7t l y 15 - z)-- 1 • �( '' /'Tvy - 2 6 �r . .pQJ MK t Sb (41:/- .[% ; p o- 5 s� p rc ) 5r 'ti`t\li- -i t-r :NI Malfl X 4 dt5(04,A vov5 R 5-to Cl. ask fi(i fi rorlar+r i T. 3 a• Soli do ` ,- ck-z ID-11 C wad P �- 15- 2-) ci w a /-fu 5�. i h. area a�a4 oC 50i i • or rock- ; [�kS t1`Cr �7 3(, wit �( c p(ois (11,,,,ci{;" ;:i�4;� ( •(4 ,,A F\(, su, fv,4eGi in SAP \yk- I�,-107o ra4 t I j. I IAN( 5ai( affilk 01 qu3e11 nei55 -4 2.(*I� c )5 1r L Y Gev ion Ot t.c C�ja11 ;I. r i Catawba County Environmental Health - l 4000A I i 111.111 100.00 i 100.00 , r 3 ,.....,, ... . 1 111111111AI .......0,S 14 I 0 / i �-~ � --�- .01111! . iii 0 i oil j 1.14 S ....r4\ - os.:000, • . 1 01)..t 4-......11111.1. iloo,„, 11,...-- • ti 1 • • Parcel:461601286348, 8347 DRENA DR SHERRILLS FORD, 28673 1 in=40ft T e map(r�product was preparedthe Catawba to County,NC Geatial information Services. Catawba County has made substantial efforts accuracy of location and labeling information contained on this map or data on this report.Catawba County the Independent verification of any data contained on thls map/report product the user.The Countyof promotes and recommends personnel,disclaim,and shall not be held liable for an and adirect, Catawba,Its employees,agcnta,and arise from this map/report product or the use thereof by �ae,loss or liability,whether indirect or consequential which arises or may by any person or entity. Copyright 2014 Catawba County NC 06/05/2018 r i r CATAWBACOUNTY Casefl IMPV-05-2019-115343 " LJ e Public Health Department Subdivision RALPH M SIGMON t1�� Environmental Health Division PIN# 461601286348 PO Box 389,25 Government Drive,Newton,NC 28658 LOTk 6 ,:flif a Site Address: 8347 DRENA DR, SHERRILLS FORD NC 28673 Name on Permit: JOHN MILES Property Size: Acres 0.65 Directions: Hwy 150 E,right Slanting Bridge,left Drena,lot on right near end Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 480 g.p.d Type of Facility: Primary Residence-New House Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Required REPAIR SYSTEM SPECIFICATIONS Repair System Required? Not Required,has space Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: VC-AEROBIC TREATMENT UNIT(ATU) Pump Required ***** Operator Required Permit Conditions: "There is not enough available space to have a full 4 bedroom repair area for this property with the current lot conditions and proposed house. Property recorded by plat in 1963. The maximum feasible repair area was allocated,288 gpd of repair available with TS-II pretreatment. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved,and may result In failure to approve the Initial system installation.or the suspension/revocation of exiatinp permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and ftules for Selectee Treatment and Disposal Systems' (I5A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation*/41/ A filli 05/01/2019 Authorized State Agent Permit Issuance Date 05/02/2024 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. eltpci mit 05/02/2019 10.09 JMpV- Oc-24711- 11S343 1 347 Piaxu 0r / / r•. IMPEN i /00 C. "•••�NEIGHBORS / okr" tj Ni, WELL o ti y (TIE LINE) 6 \CP' -p• 0 , N 89'45'54" E ° c '4 riABF 10 1 A vt1s4" \ 1—O 4 fOV © i� o r t O�' N y� �6 z a SCALE: 1"=50' p ' g o r J O �' - 1 b "' f i v�. Q`b t 50' LAKE 00 k� '' ;•. /.i„ . `' BuFFER o �` E N .4'' • 'ems• J`:i'•� 1 -- n, at; - a, ar•- / v• 14 \61 1 Q r %\1115 661° L (TIE LINE) L (AS 44 LN 87'17'10"i ..-E ' Y rV or n "7 ( : SD I kr)DUKE Duke Energy Carolinas,LLC ENERGY. 250 9"Street SE Hickory,NC 28602 April 24,2019 RE: Septic System within Duke Energy Overhead Right of Way: John and Christina Miles, 8347 Drena Dr(Catawba County PIN# 461601286348).,Sherrilis Ford,NC 28673, Catawba County Dear Mr. John and Christina Miles: This letter is in reference to the subject request to install septic drainfield lines within the thirty (30)foot wide Easement Area of a Duke Energy Carolinas, LLC (DEC) overhead electrical distribution line located upon the above referenced property. DEC acknowledges the utilization of this Easement Area for the current owner, along with their successors and assigns, DEC does not object to the placement of septic lines in our distribution easement, and agrees to said use under the following terms and conditions: 1. That the said use shall not in any way be enlarged without prior approval from DEC. 2. That if liquids should escape from said septic system in a sufficient quantity to make the ground soft and impassable to vehicles or endangers the integrity of a pole for said line, you shall correct the condition immediately at your own expense. 3. That DEC shall not be liable for any damage to the septic system resulting from the use of mechanical equipment by DEC or its contractors in the maintenance, construction, reconstruction, and removal of DEC's facilities within the Easement Area; and property owner shall be responsible for all septic repairs. 4. That no equipment or material shall be utilized within the Easement Area in such a manner that it would come closer than 15 feet to any DEC overhead electric conductor(s). 5. All depths and distances shall be followed as listed on the referenced chart below_ Dap of Excavation Minimum Clearance from Near Edge of Excavation toDu4 p pole 7'41 pr lens 3'-D" 3'-0' fe-8' • • 4'� A'.cr 5'41" cr-G Sincerely, eti20 pa/IL Cregg Parks,Sr.Engineering Technologist Carolina Soil & Septic Consulting, PLLC P.O. Box 1703, Mooresville, NC 28115 Phone: (704) 202-5791 Email: adrianpruett@yahoo.com NC Licensed Soil Scientist,SC Professional Soil Classifier, Certified Septic System Operator,Licensed Septic Installer, Certified Septic Inspector Attached is a proposed design for a PPBPS Septic System with PRESSURE MANIFOLD distribution for a 4 bedroom single family residence on 8347 Drena Dr.,Catawba County,North Carolina. Contents: Page Installer Information 1 Design Information Install Specifications 2 Field Layout Specifications 3 Pressure Manifold Tapsheet 4 Typical Pressure Manifold Diagram 5 Site Plan/System Plan 6 Dosing Calculations 7 Profile Descriptions 8 REVISED April 18,2019 Job Number: 18128 Design By: Adrian L.Pruett LSS 1 INSTALLER INFORMATION: - The permit should be read very carefully prior to submitting bid. The following are details that must be considered along with all other considerations. - Tanks shall be approved by NC DHHS, and certification supplied by the manufacturer. - All tanks shall be properly back filled and compacted to prevent slump at a later date. - The installer is responsible for final grades and returning that grade to original, with exception of added structural features. - The supply trench shall be compacted to eliminate any cavities left during initial fill placement. - Installation of the system shall be during dry conditions in order to protect the soil structure. - All fittings shall be pressure rated fittings. - All joints shall be cleaned with PVC pipe cleaner and a heavy bodied glue applied to weld all joints. - Where required by the county health department, post installation inspections by the designer must be scheduled 5 week days in advance. - Trenches shall be carefully excavated so the bottom has no more than 1/4"fall in 10 feet with no high or low areas within. If high or low areas do exist after trench excavation, high areas should be removed rather than filling in low areas. Do not over excavate trenches! Any fine grading should be completed by hand with a rake and shovel, leaving no loose material. - All pipe openings in the tanks shall be properly grouted. This also applies to the joints around the riser. - Earth dams,constructed of relatively impervious material, shall be installed at the beginning and end of each lateral to prevent unwanted lateral water movement. - Elevations at pin flag locations should be checked by the installer prior to beginning trenches to insure accuracy. - Pump tank riser should be 6"above grade, control panel should be 12"above grade. - If septic tank risers are used they should be a minimum of 6" above finished grade or within 6"of final grade if buried. - Backfill minimum of 6" of material (County Approved) over panels, rake trench walls, lime side walls, install trenches 24" wide. - System is specified as a PPBPS with Pressure Manifold Distribution. - Repair is specified as a partial TS-II LP PPBPS installation - Maintain minimum setbacks to foundation drain on basement. 2 PRESSURE MANIFOLD SYSTEM DESIGN SPECIFICATIONS Owner: Ruth Hoidbrooks Heirs Address: 7709 Green Level Ch Rd. Apex, NC 27523 Client: John Miles Telephone Number: 864-918-1184 Drainfield Design Flow(gpd): 480 Loading/Soil Application Rate(gpolft z): 0.275 Depth of Gravel in Trench: NA(PPBPS) Gravel Size: NA(PPBPS ) Total Lateral Length From Layout: 291 Total Lateral Length Required: 290.9090909 Trench Depth: 34 in. LOW SIDE Trench Width: 24 in. Trench Bottom Area: 873 Trench Spacing: 8 Repair Trench Depth: 33 in. LOW SIDE Repair Trench Width: 24 in. Septic Tank Size: 1000 Pump Tank Size: 1000 Estimated Supply Line Length: 3.12 Supply Line Diameter: 2 in. SCH 40 PVC Supply Line Volume: 0.54 Dosing Volume: 237.60 Pump Tank Draw Down: 11.3 Supply Manifold Size: 4 in. SCH 80 PVC Supply Manifold Length: 4 ft. (minimum) Supply Manifold Volume: N/A Recommended Dosing Controls: Float Control Switches as Required for Control Panel or County Approved Equivalents Recommended Control Panel: NEMA 4X Control Panel or Equivalent, County Approved Control Panel. Pressure Head: 2 ft. Friction Head: 4.58 Elevation Head: 2.90 Total Dynamic Head: 6.05 Threaded Union: in Tank Gate Valves: 1 in Tank 1 at Pressure Manifold Check Valves: In Tank Anti-Siphon Hole: YES Additional Comments: Soil suitability was performed by Adrian L. Pruett, LSS 'Pump tank draw down based on an industry standard volume basis of 21 gallons per inch. Draw down may vary among pump tank manufacturers. 3 FIELD LAYOUT SPECIFICATIONS 8347 DRENA DR.,SHERRILLS FORD LAYOUT FOR 4 BEDROOM HOME April 18,2019 FLAG FLAGGED DESIGN LINEN COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH TBM 14.1 100.00 INSTR. 1 114.10 HOUSE 8.30 105.80 TANK 3.60 110.50 1 RED 5.70 108.40 35 35 2 BLUE 6.70 107.40 41 35 3 PINK 7.70 106.40 45 35 4 ORANGE 9.00 105.10 60 62 5 YELLOW 9.90 104.20 62 62 5 YELLOW 9.90 104.20 62 62 it 6 RED 11.20 102.90 149 149 25%RED. 7 BLUE 12.00 102.10 52 52 0%RED. 7 B1..UE 12.00 102.10 44 44 25%REI). 7 BLUE 12.00 102.10 11 II 0%RED. Total 561 547 TINE SYSTEM SOIL LIAR TRENCH LENGTH 't'1_PE GPD/FT' SYSTEM DISTRIBUTION GPI)FLOW . *System 291 MOD. 0.275 PPBPS PRESSURE MANIFOLD Repair 193 MOD, 0.300 25%PPBPS LOW PRESSURE 231.6 TS-I I 63 MOD. 0.300 0%PPBPS LOW PRESSURE 56.7 288.3 GPD Notes: **TRIM located at front right corner(all elevations are best estimates) **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **13S,III,and FS indicate rod readings Comments: Repair not required,property recorded Junc 17, 1963. Available repair space designed as TS-II LP PPBPS. Foundation drain around basement to outlet on the cast side of the house only. NO foundation drain to outlet on west side of house. Minimum of 15 ft.setback to be maintained from house to septic tank and lines except where septic lines arc below house. Minimum 10 II,setback to be maintained from house with supply line except where it is below house then 5 ft.must be maintained. Catawba County has CS&SC's permission to relocate tanks and distribution devices as needed. i 7 CALCULATIONS Location 8347 DRENA DR., SHERRILLS FORD Subdivision: RALPH M SIGMON Block: A Lot No: 6 No. of Bedrooms 4 Design Flow 480 flay/day LIAR 0.275 gpd'«' PPBPS RED.?(YES OR NO) YES Supply Line Length 3.12 ft. Supply Line Volume 0.54288 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 290.9091 ft. 2"SCH 40 PVC Amount of Line from Layout 291 ft. GPM f 20 0.84 Gallons per Minute 46.74 gaiiini, -0.88 25 1.27 Required Septic Tank Capacity 1000 gal. -1.28 Minimum Standard Tank Size 1000 30 1.78 -1.76 Ji Panel Volume 3.6 35 2.37 Number of Panels 66 -2.25 Dosing Volume 237.60 gal. 40 3.03 Note: Dosing Volume based on 100%of# 43.07 3.48 of panels tunes 3.6gal/panel 45 3.77 48.14 4.28 50 4.58 57.11 5.89 60 6.42 Tank Draw Down 11.3 Generic Draw Down of 21 gaper in. Pump Run Time 5.08 minutes Elevation Head 2.9 ft. Pressure Head 2 ft. Friction Factor 4.58 ft./100 ft.(From the interpolater.) Friction Head 0.14 ft. Total Dynamic Head(+20%) 6.05 ft. J t 4 PRESSURE MANIFOLD TAPSHEET-8347 DRENA DR.,SHERRILLS FORT) SYSTEM Line Line Line N Color Ilevntioq Until pi.S}g F7mc/fal! Lint GPD Capacity Trench Area F7ow1Llnt Line LTAR $of Panels 1 RED 108.40 35 SCH 801/2 5.48 27.86 29.08 70 0.80 0.40 8 2 BLUE 107.40 35 SCH 801/2 5.48 1.51 29.08 70 0.04 0.40 8 3 PINK 106.40 35 SCH 801/2 5.48 27.86 29.08 70 0.80 0.40 8 4 ORANGE 105.10 62 SC!!103/4 10.1 51.34 51.51 124 0.83 0.41 14 S YELLOW 104.20 62 SCH 803/4 10.1 51.34 51.51 124 0.83 0.41 14 S YELLOW 104.20 62 SCH 803/4 10.1 51.34 51.51 124 0.83 0.41 Li 66 total feet 291 BaVmin= 46.74 Des.Flow 480 Pump Run= S.08 coil LTAR 0.2/5 Sheet I of f PROPERTY ID h:9 b ,z stf1' COUNTY: e-.. SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER;. tU L t 1[cD Ib(Ju 1(S f1r S APPLICATION DATE ADDRESS: '7 7 Q,S c (i e-. 'Li,..,e( Cc., 'Ad 1 ZIX2,..3 DATE EVALUATED: /Q_3-/J'PROPOSED FACILITY: S . - :PROPOSED DESIGN FLOW(.19d9):: <Ire_q PROPERTY SIZE: ('),6 S-c,L, LOCATION OF SITE: , '4 7 Ore.,, Or; . .1,1tt,'ll S j,reL _ . J PROPERTY RECORDED: ' yeS WATER SUPPLY:.,'L PrivaIe ❑Public- ❑Well ❑Spring ❑Other �� i EVALUATION METHOD: 13/Auger Boring 0 Pit ❑Cut TYPE OF WASTEWATER: LTSewage ❑Industrial Process 0 Mixed • s • • e SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS I .1940 E LANDSCAPE HORIZON POSITION! DEPTH .1942 PROFILE SLOPE% (IN.) .1941 .1941 SOIL .1943 ' .1956 .1944 CLASS ti STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR "::, TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ r S` • 0_ 12 /Q . -.Fsrr-. ;_c l P1 :-11� -<;._ ;,,o r..,, _ c (, /2.-. Z-( -r1( �� c',- S 1 i I ,. Cf1 ,l,;. t 4.66. /ice )J ]( fla.c-/t,c•,.S<e '<'-` i ,/ 0 . Illq C. (r/S Cc, rSS 5� ri / SS j __ / ..f) J r ,. Cr1 2 4) " 1 2-Y- ?2- . ( f-f6l,-1 6- Ss fr,;,�;.a.Cr•-. P '(G 4 _ ., 1.j - . ,,_ 1 . ., DESCRIPTION INITIAL SYSTEM REPAIR SYS;144.. 'OTHER FACTOkS;(4946): ke.-. Available Space(1945) PC 4 r h� I 'Z:.SITOLASSIFIE`AT1ON(.1948): P Qii PP6 eS n p /} ( EVALUATED BY: __ �,��- P� e. System Type(s) j'r (} ' OTHER(S)PRESENT: Al6 K� Site LIAR 0 . 3 0 e ,S _ COMMENTS: - -Updaled February 2014 Sheet I of I PROPERTY IL)#:4b iq Z'�COUNTY: ,-. Ile, SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all f Gelds�eldss in full) r OWNER: ,. f 1 I/o Ib(Jo&&S JT- i r S _ _ APPLICATION DATE ADDRESS: :27_Q'5 G(,.e,_e,.. 'L. ,e1 C1., itditif`' 2--(1-Z•.3 DATE EVALUATED:f0-3-4 PROPOSED FACILITY: • S , "- PROPOSED DESIGN FLOW(.1949): I Q: .P PROPERTY SIZE: O,6S-eiC. LOCATION OF SITE: •3'tj 7 z1rt,iti up, : 5L,�/r,'I/. horot PROPERTY RECORDED: YC.S WATER SUPPLY:. '( Private-- ❑Public 0 Well D Spring 0 Other // 1 EVALUATION METHOD: lIAtlg,er Boring 0 Pit Li Cut TYPE OF WASTEWATER:. 4'JSewage ❑Industrial Process [1 Mixed P R SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION/ DEPTH 1942 PROFILE a SLOPE%o (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE! CONSISTENCE/• WETNESS/ SOIL SAPRO RESTR &LTAR " .. TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ '. I I. S 1 • U— fz R e e--(sjr-. f; r c sPxt:.v) _ •N,� - — S / ��; _ C.. 1 2-/ ' /-6''/fl ,. 4. S64 Kr I f f''sj ✓Jg[..!)Y J' !" i 1 • {l 2/312 (z./,.ix(i(, 1./ ;, cr.i 1.::,� („,. c c�' V G 2 r6 /. . , 7. L S5 , :-�.._ /'I- fi C tv �` .i'i) J , f .,1 r .,'---2.-- `(- 'l2. f . c iifsO- (, 5( srr J�; ' 0c-- /6 �. -- • t '� CL �' n c fY' _.) il6'.iJf) r,v14-- c.n , 3 4 ,,i, . tiI..:.' • gist '.;: . p ' 3 i b !' r ‘. DESCRIPTION INITIAL SYSTEM REPAIR SYSTgt. OTHER-FA• CTO1tS;f::4946): �'o,-. PS P�r fi, , `-1, 'SITE C`LASI'f 1C`AT10N(.1948): PS Available Space(.1945) Q �} /�� - Q 1 ,i f n4 D c P U_e S EVALUATED BY,: A . , ... ! e System Type(s) OTHER(S)PRESENT: M . I Site LTAR O , 7 _ . 0 i .S . _ COMMENTS: . Updated February 2014 U N • I'vg.e.,\...t ��l \�� C'�� v. 4' +"I- - :1 i; (IF ...i._• 1 / i -13 , ri Fg g !I I __it i 1E I i \\PIZ"" 1 "'WNW k 0 1 AZ",'N r!,-./ , S 0 4(0coy 'j .4 441, Fri .fib -\44 0 „Ace, : , I, 9b 410 \. stiAliop \ eR 1 11!! $Ø *+ 1., x3..A g'-' I; \ ia A � CATAWBA COUNTY Case it AUTH-08-2019-120248 .t.�l,+f Public Health Department Subdivision RALPH M SIGMON Environmental Health Division PINS 461601286348 �. PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6 Site Address: 8347 DRENA DR, SHERRILLS FORD NC 28673 Name on Permit: JOHN MILES Property Size: Acres 0.65 Directions: Hwy 150 E, right Slanting Bridge; left Drena, lot on right near end Authorization to Construct Permit Permit Category: New Septic Wastewater Flow: 480 g.p.d. Type of Facility: Primary Residence-New House Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 Soil LTAR: 0.275 g.p.d./ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: New Tank: 1,000 gal Second Septic Tank: 1,000 gal Pump Tank 1.000 gal Grease Trap_gal Dosing Volume 237 gal Pump Specs: 46.74 GPM @ 6.05 TON Pressure Head 2 ft Draw Down tt in Drainfleld: Total Area: 873 sq ft Total Trench Length: 291 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 34 in Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center Number of Drain Lines: 6 Trench Width: 2 ft Distribution: Pressure Manifold Pre Treatment: NONE Pump Required Additional Specifications: *During the construction of the house: Maintain a temporary protective fence up and around the septic drainfield area. Do NOT allow vehicular traffic on the drainfield area; Do NOT allow the unloading and storage of building materials on the drainfild area; Do NOT place excavated dirt on the drainfield area; and Do NOT remove any soil from the drainfield area. *This permit is issued in accordance with the design submitted by Carolina Soil&Septic Consulting 'The drain lines must be flagged in by Carolina Soil&Septic Consulting before the septic installation can begin. *The foundation drain around the basement must outlet on the east side of the house only. No foundation drain to outlet on the west side of the house. *The use of a grinder pump will require two 1000 gallon septic tanks in series for the settling of finer solids. *Traffic rated tanks will be required if there will be more than 36 inches of cover over the tanks. See also attached site plan. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation. or the suspension/revocation of existing permits. >>>>> Do not install system under wet conditions <<<<< PROPOSED REPAIR Repair System Required? Not Required,has space Soil LTAR: 0.3 g.p.dJft2 d ye;rri[ MI 09:03 83: • CATAWBACOUNTY Case# AUTH-08-2019-120248 Public Health Department Subdivision RALPH M SIGMON d ' Environmental Health Division PIN# 461601286348 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 6 alt w Site Address: 8347 DRENA DR, SHERRILLS FORD NC 28673 Name on Permit: JOHN MILES Property Size: Acres 0.65 Directions: Hwy 150 E, right Slanting Bridge,left Drena,lot on right near end Proposed System: 50%REDUCTION VERTICAL System Classification: VC-AEROBIC TREATMENT UNIT(ATU) Pump Required ***** Operator Required The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered.The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and Rules for Sewage 7katment and Disposal.Fvstems' (15A NCAC I8A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. 414A (1112 08/13/2019 Authorized State Agent Permit Issuance Date 05/02/2024 Permit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. chpcinn1 08/142019 09:03 83 Li 7 )9(.enu Dr A IL-li- o y-2011_ 12 o2 1.f$ ti"-tIt- 0ty -7ofq_ /20449 "Septic installer must meet Catawba Co EHS on the Jobsite at least one week In advance.Call 828-320-3077. "The septic lines must be flagged in by Carolina Soil&Septic Consulting before the installation can begin. _ "The SO ft buffer and property lines must be staked by the surveyor before the installation can begin. Septic Installer ----- 'Install 66 T&J panel blocks total. - - 'See the pressure manifold tap sheet for the design tap sizes. 'Install the lx6 boards under the blocks `Rake and lime the side walls 'Seal both the outer and Inner compartments of the / ` � T&J panel with foam.The outer seal is a complete seal and the inner seal Is only up to the top of the connecting pipe. / 3'.� 'Use approved backfill sand. vry / / / / `. ''�p0 �" NEIGHBORS (TIE LINE) 6°\00�1 Ithk2WREMT,..s_ .. �o a N 89'45'54 E o 11" ....9 rVW 100• .19' I?r f' to O 1 (-?.3‘ ,-co' iv* AO'/ 0 41?86' F PD4094 lb ,a0P �'`� -1 vi 13� cp. I PtZ111111tk` •••Ai like IT ._..--••. .s . 1t1: •• O l SCALE: 1"=50' ep0 4 6• 5 o - J 1 1, ►� i 50' LAKE O k ti .<;:t..p>s • �,i w t ) I BUFFER O • - Q- \\... z / / .8?, �1�•- ' W vi o, BQ-- ./ 1i 160i.• ,��ill: i iN S 65.2°° (TIE UNE) �N 87'17�E�'. orn w7 111 1.11.11c\A ' 50 ��DUKE J Duke Energy Carolinas,LLC ENERGY. 250 9"Street SE Hickory,NC 28602 April 24,2019 RE: Septic System within Duke Energy Overhead Right of Way: John and Christina Miles, 8347 Drena Dr (Catawba County PIN# 461601286348).,Sherrills Ford,NC 28673,Catawba County Dear Mr. John and Christina Miles: This letter is in reference to the subject request to install septic drainfield lines within the thirty (30)foot wide Easement Area of a Duke Energy Carolinas, LLC (DEC) overhead electrical distribution line located upon the above referenced property. DEC acknowledges the utilization of this Easement Area for the current owner, along with their successors and assigns, DEC does not object to the placement of septic lines in our distribution easement, and agrees to said use under the following terms and conditions: 1. That the said use shall not in any way be enlarged without prior approval from DEC. 2. That if liquids should escape from said septic system in a sufficient quantity to make the ground soft and impassable to vehicles or endangers the integrity of a pole for said line, you shall correct the condition immediately at your own expense. 3. That DEC shall not be liable for any damage to the septic system resulting from the use of mechanical equipment by DEC or its contractors in the maintenance, construction, reconstruction, and removal of DEC's facilities within the Easement Area; and property owner shall be responsible for all septic repairs. 4. That no equipment or material shall be utilized within the Easement Area in such a manner that it would come closer than 15 feet to any DEC overhead electric conductor(s). 5. All depths and distances shall be followed as listed on the referenced chart below. Oapiri of Excavation Minimum Clearance from Near Edge of Excavation to Oulip pole_ 2C0"or loss 3'-0" 6'43" • 4'41" gV.cr 5'-n" 9'-6" Sincerely, 6tr2A4 (L�(/Z1SLA. Cregg Parks,Sr.Engineering Technologist CATAWBACOUNTY Case4 WELL-08.2019-120249 Public Health Department Subdivision RALPH M SIGMON Environmental Health Division PINK 461601286348 PO Box 389,25 Government Drive,Newton,NC 28658 LOTK 6 40, a' Site Address: 8347 DRENA DR, SHERRILLS FORD NC 28673 Name on Permit: JOHN MILES Property Size: Acres 0.65 Directions: Hwy 150 E,right Slanting Bridge,left Drena,lot on right near end WELL PERMIT WATER SUPPLY: Individual Well REQUIRED SETBACKS: Existing&Proposed Septic Systems 100 ft. Lakes/Ponds 50 ft. Existing&Proposed Septic Repair Areas 100 ft. Streams/Brooks/Creeks/Rivers 25 ft. Underground Storage Tanks 100 ft. Building Foundations 25 ft. Animal Barns 100 ft. All Other Sources of Groundwater Contamination 100 ft. For a water supply well on a lot serving a single-family dwelling and intended for domestic use,where lot size or other fixed conditions preclude the separation distances specified,horizontal separation distances shall be the maximum possible but in no case less than: Existing&Proposed Septic Systems 50 ft. "No other setbacks may be reduced. Existing&Proposed Septic Repair Area 50 ft. *Saprolite Septic Systems/Repair Areas may Animal Barns 50 ft. not be reduced. Wells constructed less than 100 feet from Existing&Proposed Septic Systems,Existing&Proposed Septic Repair Areas and/or Animal Barns MUST BE CASED FROM LAND SURFACE TO A DEPTH OF AT LEAST 35 FEET. Wells shall be constructed in accordance with state regulations: Article 15A North Carolina Administrative Code Subchapter 2C The well driller must verify all setbacks before drilling the well.If the well driller is unable to maintain any of the above setbacks,contact Catawba County Environmental Health at 828-465-8270,before drilling the welL Grouting Depth:20 feet minimum Casing Height: 12 inches minimum above finished grade All newly constructed private drinking water wells are required to be sampled in accordance with the North Carolina Rules Regarding Private Drinking Water Well Testing(15A NCAC 18A.3800).The fee for this sampling is included in the cost of the well permit ft is the applicant or property owner's responsibility to notify Environmental Health when the well is ready for sampling.Water samples will be drawn front an outside faucet unless otherwise specified.For questions or for more information,please contact Environmental Health. ://fit/(4./..._ i9/4" 08/07/2019 Authorized State Agent Permit Issuance Date 08/08/2024 Permit Expiration Date el,pci inn 08/14/2019 09:05 -1 $ 3 Lf 7 19 (Inu Dr AO41' oy-2oil_ IZ o2 'i$ "Septic installer must meet Catawba Co EHS on the Jobshe at least one week in advance.Call 828-3203077. "The septic lines must be flagged In by Carolina Soli&Septic Consulting before the Installation can begin. "The 50 ft buffer and property lines must be staked by the surveyor before the Installation can begin. Septic Installer ---- - 'Install 66 T&J panel blocks total. -- - - -— 'See the pressure manifold tap sheet for the design tap sizes. 'Install the ix6 boards under the blocks 'Rake and Ilmethe side walls 'Seal both the outer and Inner compartments of the F1 T&1 panel with foam.The outer seal Is a complete seal and ` \,e the Inner seal is only up to the top of the connecting pipe. / ..VO� 'Use approved backfill sand. / S.'\,(2, / / / r.. C `i ' M 4 /°Q NEIGHBORS p'y�' ` `Atem �� WELL (T]E LINE) 6 �pO .1 N 89'45'54" E o4 o ��$ r4R3F 100.19' t?ar f • IN. Vt" yk• 141/ �� i- { 111, cc ` 0 411.' lk �17�p�R►l>a VSE ►NpCP �1•5* t -� •- y >�. ce N �� • PIT .o d e •• o��^ z S`=lT 0 Y9 0 J SCALE: 1"=50' ap 8 a _ -J I. • o d Ei 1. 0 S0' LAKE O b .i�;l,,pg • T, BUFFER O • �� / '' l Z i\652°° (TIE ur,� 1— k{As I_N 8717'10" E --'r38. I11....SIN (t/or ri Ark (. 50 y�$p' CATAWBA COUNTY 7: t G 100A SOUTHWEST BLVD 1 NEWTON,NORTH CAROLINA 28658 RECEIPT V O e,4, PHONE:828.465.8399 Friday,December 9,2022 1842 5M www.catawbacountync.gov PAYOR: Benson,*Matthew PAYMENTS TRANSACTION NUMBER: TRC-52911944-09-12-2022 PAYMENT DATE: 12/09/2022 PAYMENT TYPE: Credit Card 298464903 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 12-22-415754 110-580200-663000 EOP $135.00 12-22-415754 110-580200-663000 Well Permit&Inspection Fee $300.00 TOTAL PAYMENTS: $435.00 RBPR-12-2022-42982 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 8347 DRENA DR,SHERRILLS FORD NC 28673 Owner *MATTHEW BENSON,2016 BEACON PL,RESTON VA 20191-4843 C:7032004956 MATT.BENSON@LONGANDFOSTER.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Contractor JUAN CARLOS ROCHA,, C:7042423202 CARLOSSEPTIC@GMAIL.COM GMAIL.COM receipt 12/09/2022 15:03 Page 1 of 1