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RBPR-01-2023-43124.TIF
A• THIS IS NOTA PERMIT Case# RBPR-01-2023-43124 q" 1 CATAWBA COUNTY HEALTH I)EPAR1'MEN"1� �� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 8• S" Residential Building Plan Review- Building New IMPROVEMENT-AUTH_CONST- NEW WELL - • gbil-oReoisto. ABANDONMENT Applicant CHAD GOODIN SIGNATURE HOMES,684 NORMANDY RD,MOORESVILLE NC 28117 C:7042300890 OTHER:704-363-7302 LISA@CHADGOODIN.COM Owner MIGUEL JUNCO TRUSTEE,9009 VINO CT,CHARLOTTE NC 28214-9121 C:513-607-0253 NAME TO APPEAR ON PERMIT Miguel Junco Trustee SITE ADDRESS: 4021 CHEVLOT HILLS RD,SHERRILLS FORD NC 28673 PIN# 460715639431 NAME of SUBDIVISION: CRESCENT LAND AND TIMBER Lot# 107 Section/Block PROPERTY SIZE: Square Feet Acres 0.9 DIRECTIONS: Sherrills Ford Rd,R on Hwy 150,R Cheviot Hills,Property on Let w/lot directly across the street PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well �ESCR BE WORK: 2/21/23 revised to a2 IP/AC home size revised to 87 x 100. Demo 92x101 Existing Home&Replace with 93x101 SFD with 4 Bedroom, Finished Basement 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? Yes 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: Railroad APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF 92x101 SFD 4 Bdrs, Fin Basement EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 92x101 NUMBER OF EXISTING BEDROOMS: 4 lK OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEEW STRUCTURE DIM:: 87x100 SFD 4 Bdrs,Fin Basement 0 OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?Yes Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: Larger Diameter Pipe APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO APPLICATION FOR WELL ABANDONMENT ABANDONMENT TYPE: ebapplicatum 02/21/2023 11:00 Page 1 of 7 4�= CATAWBACOUNTY Case# RBPR-01-2023-43 1 24 II.), Public Health Department Subdivision CRESCENT LAND AND TIMBER -,4 Environmental Health Division PIN# 460715639431 PO Box 389,I00-A Southwest Blvd,Newton,NC 28658 :IV w NAME ON PERMIT: (MIGUEL JUNCO TRUSTEE),9009 VINO CT,CHARLOTTE NC 28214-9121 (Miguel Junco Trustee) Site Address: 4021 CHEVLOT HILLS RD,SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.9 Directions: Sherrills Ford Rd,Ron Hwy 150,R Cheviot Hills,Property on Let wfot directly across the street Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=BO 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 AREA4 SETBACKS: 30'from 760 Contour Line FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 01/05/2023 $300.00 Fee Well Abandonment Fee 01/05/2023 $100.00 Well Abandonment Fee 01/05/2023 $100.00 Improvement Permit Fee 01/05/2023 $150.00 Well Permit& Inspection Fee 01/05/2023 $300.00 TOTAL FEES S950.00 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) elapplicalion 02/21/2023 10:59 Page 2 of 7 RECEIVED catawba county FEB 21 2023 public health Environmental Health Application for Environmental Health Services THIS IS NOT A PERMIT A lication is for: ®New Construction ❑Existing Facility ®Improvement Permit ®Authorization to Construct ❑New Septic ❑Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑Existing System Inspection or Reconnection ®New Well ❑ Replacement Well ® Well Abandonment ❑ Well Repair Property Address 4021 Cheviot Hills Road, Sherrills Ford. NC 28673 Acres 0.92 Subdivision Crescent Land and Timber Lot# 107-Sec. 32 Driving Directions to Property From Newton, take NC-16 S. to NC-150 E. Turn left onto NC-150 E., and left onto Cheviot Hills Road. Lot is located 0.2 mile on the left. Describe work Constructing new 4-bedroom single family residence Applicant Name Junco Family Trust Applicant Address 1906 Acorn Way, Denver, NC 28037 Phone Cell Phone 513-607-0253 Owner Name Same as above Owner Address Phone Cell Phone Contractor Name License# Contractor Address Phone Cell Phone Name to Appear on Permit? ®Owner ❑Applicant ❑Contractor Who will be the Primary Contact? ®Owner ❑Applicant ❑Contractor Proposed New Construction-Residential Primary Residence ® New Residence El Addition to Residence #of New Bedrooms*t 4 #of Occupants 8 Project Description Constructing new single family residence. Structure Dimensions,also specify dimensions of decks&porches 87-ft x 100-ft Basement ®Yes ❑ No Basement Plumbing ® Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions Basement ❑Yes ❑No Basement Plumbing ❑Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants_ Structure Dimensions Basement ❑ Yes ❑ No Basement Plumbing ❑Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ® Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested El Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?❑Yes ❑No catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton N( 78658 1828.465.8270 MAKING. LIVING. BETTER. Existing Structures on Site Describe Existing residence to be demolished. Structure Dimensions #of Bedrooms * #of Occupants Basement ❑Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existing Water Supply ❑ Individual Well ❑ Shared 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 #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 0 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,Conunercial 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 IN No Does the site contain any jurisdictional wetlands? ❑Yes 21 No Does the site contain any existing wastewater systems? ❑Yes No Is any wastewater going to be generated on the site other than domestic sewage? %Yes iliNo Is the site subject to approval by any other public agency? ❑Yes Qg 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 0 Conventional 0 Innovative 0 Other 0 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) 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 Dwner. Signature of Owner or Legal Agent " Date 02-16-23 Printed Name of Owner or Legal Agent ' dmpson County: Catawba IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: 46715639431 and 460715731625 Issued To: Junco Family Trust Property Location: 4021 Cheviot Hills Road, Sherrills Ford, NC 28673 Subdivision: Crescent Land and Timber Lot 4. 107 Block: Section: 32 LSS Report Provided: Yes❑J No❑ If yes,name and license number of LSS: Larry Thompson. NCLSS No. 1287 New❑✓ Repair❑ Expansion ❑ System Relocation ❑ Proposed Structure: Single Family Residence Proposed Wastewater System Type: Pump-To Accepted (Initial] Non-Treated Drip Dispersal (Repair) Fill System:❑Yes ❑✓ No If yes,specify:❑New ❑Existing (when adding more than 6 inches of fill to system area please provide a fill plan) Proposed Design Daily Flow: 480 GPD Proposed LTAR(Initial): 0.3 Proposed LIAR(Repair): 0.1 Design Wastewater Strength:E domestic ❑high strength ❑industrial process Number of bedrooms: 4 Number of Occupants: 8 Other: Pump Required: ®Yes ❑No ❑May be required based upon final location and elevations of facilities Artificial Drainage Required: ❑Yes ❑No If yes,please specify details: Type of Water Supply:❑� Private well ❑Public well ❑Municipal Supply ❑Spring ❑Other: Drainfield location meets requirements of Rule.1945: Yes❑d No❑ Drainfield location meets requirements of Rule.1950: Yes❑� No❑ Permit valid for: E Five years[site plan submitted pursuant to GS 130A-334(13a)] ❑ No expiration(plat submitted pursuant to GS 130A-334(7a)] Permit conditions: Licensed Soil Scientist Print Name: Larry Thom Licensed Soil Scientist Signature: Date:2/15/23 The LSS evaluation is ing submitted pursuant to and meets the requirements of G.S.130A-335(a2). 'See attached site sketch` County: Catawba This Section for Local Health Department Use Only Initial submittal received:2121/23 by RP Date Initials Permit Number: 4021 Cheviot Hills Rd .1- 1' G.S. 130A-335(a4)states the following: 'If a local health department fails to act on an application for an improvement permit submitted pursuant to subsection(a3)of the section within 10 business days of receipt of a complete application, the local health department shall issue the improvement permit.' In accordance with G.S. 130A-335(a3)the improvement permit application is: © Incomplete(If box is checked,information in this section is required.) The following items are missing: 1-DOT encrochment agreement for the pump supply line. 2-A septic easment for the drainfield Copies of this were sent to the LSS and the Owner on 3/2/23 � Date State Authorized Agent: �� �� Date: 3/2/23 ❑ Denied (See attached report.) Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: ❑ Complete State Authorized Agent: Date of Issuance: This Improvement Permit is issued pursuant to G.S. 130A-335(a2),(a3),and(a4) using the signed and sealed LSS/LG evaluation(s) attached here. The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan,plat,or the intended use changes,or if information submitted in the application was falsified, inaccurate or misleading. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to evaluations, submittals,or actions from a licensed soil scientist or licensed geologist pursuant to GS 130A-335(a2). Improvement Permit Expiration Date: *See attached site sketch* 1 • County: Catawba CONSTRUCTION AUTHORIZATION FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: 46715639431 and 460715731625 Issued To: Junco Family Trust Property Location: 4021 Cheviot Hills Road ,Sherrills Ford, NC 28673 AOWE/PE Plans/Evaluations Provided: Yes❑� No ElIf yes,name and license number of AOWE/PE: Larry Thompson, AOVVE 10016E Facility Type: Single Family Residence ❑✓ New ❑Expansion ❑ Repair ❑System Relocation Basement? ❑Yes ❑� No Basement Fixtures? J❑Yes ❑No Type of Wastewater System" Pump-To Accepted (Initial) Non-Treated Drip Dispersal (Repair) Design Daily Flow: 480 GPD Wastewater Strength:Z domestic ❑high strength ❑industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? ❑Yes ❑✓ No Installation Requirements/Conditions Septic Tank Size: 1,000 gallons Total Trench/Bed Length: 400 feet Trench/Bed Spacing: 9 feet on center Drainfield square footage: 1,200 Trench/Bed Width: 36 inches LTAR: 0.3 gpd/ft7 Soil Cover: 6 inches Slope Adjusted Maximum Trench/Bed Depth: 13 inches Aggregate Depth: N/A inches above pipe N/A inches below pipe 12 inches total Pump Tank Size(if applicable): 1,000 gallons Requires more than 1 pump? ❑Yes I] No Pump Requirements: 33 ft.TOH vs. 28.44 GPM Grease Trap Size(if applicable): N/A gallons Distribution Method: ❑Serial ❑ D-Box or Parallel Pressure Manifold(s) ❑LPP ❑Other: Artificial Drainage Required: Yes❑ No® If yes, please specify details: Legal Agreements(If the onswer is"Yes"to any type of legal agreements,please attach o copy of the agreement.) Multi-party Agreement Required [.1937(h)]: ❑Yes Q No Easement,Right-of-Way,or Encroachment Agreement Required [.1938(j)]: 0 Yes No Declaration of Restrictive Covenants: ❑Yes J❑ No ••If applicable: I understand the system type specified is different from the type specified on the application. I accept the specifications of this permit. Owner/Legal Representative Print Name: Owner/Legal Representative Signature: Date: Pre-Construction Conference Required: Yes El No❑ Conditions: System installer shall be pre-approved by Thompson Environmental Consulting, Inc. The construction and installation requirements of Rules.1950,.1952,.1954,.1955,.1956, .1957,.1958,and.1959 are incorporated by reference into this permit and shall be met. Systems ship l ins I d in accordance with the attached system layout. AOWE/PE Print Name: Larry Thom s AOwE/PE Signature: Date: 2/15/23 This AOVWFSJPE submittal is pursuant to and meets the requirements of G.S. 130A-335(a2)and(aS). *See attached site sketch' County: Catawba This Section for Local Health Department Use Only Initial submittal received:2/21/23 by RP Date Initials Permit Number: 4021 Cheviot Hills Rd /4(. G.S. 130A-335(a6)states the following: 'If a local health department fails to act on an application fora construction authorization submitted pursuant to subsection(a5)of the section within 10 business days of receipt of a complete application, the local health department shall issue the construction authorization.' In accordance with G.S. 130A-335(a5)the construction authorization application is: El Incomplete(If box is checked,information in this section is required.) The following items are missing: 1-DOT encrochment agreement for the pump supply line. 2-A septic easment for the drainfield 3-A slope stablization plan for the fill over the drainfield. Copies of this were sent to the AOWE/PE and the Owner on 3/2/23 Dote / r 3/2/23 State Authorized Agent: Date: ❑ Denied(See attached report.) Copies of this were sent to the AOWE/PE and the Owner on Date State Authorized Agent: Date: ❑ Complete State Authorized Agent: Date of Issuance: This Construction Authorization is issued pursuant to G.S. 130A-335(a2),(a5),and(a6) using the signed and sealed plans or evaluations attached here.This Construction Authorization is subject to revocation if the site plan,plat,or the intended use changes,or if information submitted in the application was falsified,inaccurate or misleading. The Construction Authorization shall not be affected by a change in ownership of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner. Final landscaping shall be constructed to divert water and establish vegetative cover. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to plans,evaluations,preconstruction conference findings,submittals,or actions from a person licensed pursuant to Chapter 89C of the General Statutes as a licensed engineer or a person certified pursuant to Article 5 of Chapter 90A of the General Statutes as an Authorized On-Site Wastewater Evaluator in GS 130A-335(a2),(a5),and(a7).The Department,the Department's authorized agents,and the local health departments shall be responsible and bear liability for their actions and evaluations and other obligations under State law or rule,including the issuance of the operations permit pursuant to GS 130A-337. Construction Authorization Expiration Date: *See attached site sketch* AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. 102 PHASE 32 PARCEL ID: 460715639431and 460715731625 STREET ADDRESS: 4021 Cheviot Hills Road Sherrills Ford, NC 28673 Please print: Property Owner: Junco Family Trust Property Owner: The undersigned, registered property owners of the above noted property, do hereby authorize Larry Thompson, LSS of Thompson Environmental Consulting, Inc. (Contractor/Agent) (Name of consulting firm) to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached. Property Owner's Address (if different than property above): 906 Acorn Way Denver, NC 28037 Telephone: 513-607-0253 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. The LSS/LG evaluation(s)attached to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2)and (a3). The plans or evaluations attached to this application are to be used to issue a Construction Authorization in accordance with G.S. 130A-335(a2), (a5)and (a6). Owner Signature: Owner Signature: MruWA Junes MOM A Junco Feb 16,2023 GO 27 EST) Date: Feb 16,2023 Date: \oh \Or ( SCC+ 32 Creseht+ La. -1-i be r (4 c l Chi ft ( (s P-nctd� \/4` MIN fYct.v •4, Ls s R s,' Q 1' ,�u, ll_�1011444 1 q i . / 1At la' i 5419 "` ~ _--______ /,------- ic a rre ilza- i (p e-ta,Lit_ tia5,6-triJ 'IAA. / / 9sR 1 -,` iiii. Frnesk'a llanOnp J°Q R IGp<> •a, boa • \ \ ,r Po 4. %Fit, a GJ' N ef il.). gei,, i 7 / y ° . 4- \\N I Lance D. Schambock, certify that this plot was drawn under my supervision from on octuol survey mode under my supervision (deed description and/or Mop Book: 15 __, Page 185 . That the boundaries not surveyed ore clearly indicated as drown from information as shown survey; that the ratio of precision as calculoted is 1: 10,000+ that this plot was prepared in accordance with G.S. 89—C as amended. Witness my originol signature, registration number and seal this 18__ day of _Jonuori . A.D. 2023. �.y '/ --_ CURVE TABLE Lance D. Schamback, PLS CURVE LENGTH RADIUS BEARING CHORD LICENSE NUMBER: L-4295 Cl 167.62 331.51 5242153"E 165.84 ,��1111118111ff� C2 23.52 115.51 NJ3171'00"W 23.48 ``�•OP1 H 1,.di�i UN£ TABLE `4!LINE LENGTH SEARING Lake Norman )"Li 35.90 NJ617022'W .Con: t. L2 29.83 N0713427W L2 (qQO t iay, jj ` Found L3 46.70 NJ?3JJ8 E /4 Reba 1 .�C� o , ir; FArd' L4 26.92 N655338 0 o L mid pG��` �t t5 41.23 N5807381- ,,iti 0SCHA �� L6 12.89 N06'4622`W 11111 �A% . L7 34.08 N41i7338t / / \ \rA a J'a L8 20.79 S09S2'49'Er 76 cent.. '\ J FWd Lacct.d a 1 teL f09 _ 50Y 30'From--�' ra. 625 \ \ j, 1 7ti0 Contour O 4 50'From 158 K 1d3 16. t 760 Contour ,I , � ` 760 Canta.r "bar Pro e..d \ ` flood Lowhd .,ifamd 7 Nt1aa. e.7b o `� 02'k M44 t+1 • e R7r.a � Ground rq 11.,7.5 I 45 jo.From 11 ti 11J r.h 1127 760 Contact �t K -t Y M. r9e�"' 35 N ti Lot t09 kb i 30 -i lei''' c° Ao 40,1 Lot Sq Ft. 4. tiw 76o co`n contour p i8rs K Imo 's 0.92 Acres 7' cy Lot 204 ,Q (�"' J 41'I tel Iasi P.8 19, Pq. 154 � J^ r �, ! Al a 35'Set-- t7 /4 R.bor 1 Fad Tool 1 � N0b76'Jd'EN'i*9.Found no Rd. Wog 4r Cl Qt Rills 6 �L71.4at trata Rd Cheviot tIPS Rd Chev1 s,tz. l9a /4 Raba 60' Sil z 6 •Cz ra N. lad Notes: Legend I) This property may be subject R/W = Right-of-way to any Easements, Rights-of-way, and/or Restrictive Covenants. GRAPHIC SCALE —'`.- = Not to stole 2) Boundary information based I.P.S. = 14 Rebor Set on Plat Book 15, Page 185 as e0 ° 30 e0 120 B.O.C. = Bock of Curb llimirecorded in the Catawba County O = Telephone Pedestal Register of Deeds. — `� = Utility Pole 4) Area by coordinate method. ( IN FELL' ) A = Guy Wire 5) No Title Commitment was provided or reviewed. 1 Inch z 80 ft. ICj = Light Ili = Catch Basin it Qe. P I cZt_ P I Q n SCALE: 1' = 60' FOR $-tee Miguel Antonio Junco & Nydia Junco FIELD BOOK: ,yk �S / PROPERTY DESCRIPTION FILE: 2016-254 4 Lot 107, Section 32 TAX PIN NO. 480715639431 1414 15° a Crescent Land & Timber Corp. '� At ' Plat Book 15, Page 185 se,amboa 5,evOng. P.A. Or Post afRc.Be., 4143 'a uoar.ww., NC 2811) Vicinity Map Mountain CreekTownship Cotawbo County, NC (704) 622-9915 Not To Scale C-3218 • • iAMPLIV.,COMA.uc r 7] .C R WOO,Si b o f Int ro 4 7 -.�i .wn.saa se.r..........-,..M.s a,...s. .....J..a.....,.. 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Now,intro"' 213625 E .w.Aw.w 7 I.M- eG IL , poi rai W XXX aaw w' rev*ma (704) 576-445l Ica (704) 876-44.5r Thompson Environmental Consulting,Inc. Sheer l qf a PO Box 541 pRopERT•yw#: 460715731625" 11[�C Midland,NC 28107 COUNTY: 7�ic,.. jGt SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM ADDRESS: ,'rr` L � rtY U �PAit 53 r ,U` DATE EVALUATED: PROPOSED FACILITY: `4.100 1Li4 PROPOSED DESIGN FLOW(.1949): `•'1 PROPERLY SIZE: 1. 3 a . LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: 0 Private ❑Public IZ Well 0 Spring LI Other EVALUATION METHOD: [ huger Boring O'lait C Cut TYPE OF WASTEWATER Igewage 0 Industrial Process ❑Mixed ► ' ♦ a Y o SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS I .1940 E LANDSCAPE HORIZON POSITION/ DEPTH PROFILE a SLOPE'Ir (IN.) .1942 1941 .1941 SOIL -1943 .1956 .1944 CLASS STRUCTURFJ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR TEXTURE Y COLOR DEPTH CLASS HORIZ IY,S D— 1 c7(,� l�!' ` I P 3Z Q• 1(4b1! h 560 J., r ')' 1 1% ij 1/1 it ci i,iiv -, 0.3 14 D ` I . SC I Y 5 c • 1'� }; `c ' / ' 3 TM 1 .) 2 Ili 3 Scsde r�tr tr 0.0 i / rt)( 3 7,11 '41 4 3`t 0.3 (..) _ S '.-- 30 Y... b..Ai;k, /-1(1 /,in _c 4r -W v +• 0.3 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): r ©u SITE CLASSIFICATION(.1948): Provisional �i Available Space(.1945) PS PS /ti err / ZNOy ` s System!Typos) Accepted Drip — EVALUATED BY: u 1/ � .psA_"�i� OTHE R(S)PRESENT: ,,,Ai + '� 1�wc. 1 Sirc LTAR 0.3 _ r 0.1 . _ L.Thompson, LSS u I. *.'.r��'t yroi __ COMMENTS: ! f R=` .. i•yi r:..'1.. Updated Fcbnrary 2014 W LC(A4.-4.1- 1 QC...eci .4-. `-........0 1287 id The LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A- RTH C 335(a2). SOIL/STCE EVALUATION a- fConlGrmvlrar 55rri-Cuurplerr all(kid In firth 460715731625 PROPERTY ID j: DATE OF EVALUATION: 027Q7-1 - COUNTY: wr. - a y SOIL MORPHOLOGY OTHER (.1941) PROFILE FACTORS .194Q l; LANDSCAPE HOR1Z 'l942 POSITION/ ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE A SLOPE% DEPTH STRUCTURE! CONSISTENCE! WETNESS! SOIL SAPRO RESTR CLASS L..I 'TEXTURE MINERALOGY COLOR DEPTH CLASS IiORIZ <AR Vitt rO12 ) ç(3 �çP PS 5 '5 toL5z ✓`" 5 tAi9e0.3 • 41. COMMENTS: • I:pdred February N114 Thompson Environmental Consulting, Inc Tax ID Number: 46715639431 PO Box 541 Location: 4021 Cheviot Hills Road Midland, NC 28107-0541 Date: February 4,2023 A a I7.x ! . . -1, ' e: 1 Li10 1[�0.r71 A .. 11 8N .R -.`:. Z .4 -. r .,„. 0 . .� . o A ��. . V . • `'3. a CC • a) . a) .r U I'd' y•Ih 1 Iy y `~ x� m e •a1i E 4. _mgaiiri. i g • .-',...c. ,..i .:- F. pAliMWIlr.E 0 ,,, '1:; /1_ = IN S�\` �.J A> 1 _ E a • —. � ' y A , p {— �0 • Q n b ., 1 .. f . ,. vin u � ,t O' N I 0. 'A - 1 -%'T�'d A �i W .Yi git v 1 01 1� u J V o 16 vti 1 F. ..4 a� e9! p. • 0v ' V i = n. � ....: iv... ri Iji IibpJjPuinps owri,i,.. ,� Pump Specifications � �iri� " 1.1.411 , FL50 Series 1 /2 hp i- I`� it �� Mi roper, Submersible Effluent Pump ��� I■ Flow(Liters Per Minute) 0 38 76 114 151 189 227 265 303 341 379 60 1 I I I I 1 I 4 t t 18 50 15 40 -- -- - 12 a T a a 1 IL 30 9 2 v m a x d _ — x 20 6 10 3 0 I I 1 - i I 1 I 4 1 I 1 0 0 10 20 30 40 50 60 70 80 90 100 Flow(GPM) FL50_PI R12/2012012 CCopynght 2012 Liberty Pumps Inc All rights resened Specifications subject to change without notice liligi FL5O-Series Dimensional Data 11.2in L. [285mm] all 7.0in '' • pit.,\Ippy,,,...„.,, [ 179mm :111= 1-1/2"NPT DISCHARGE FLANGE III �" t J rJ`0. � WHEN OFLANGE IS REMOVED)GE 4, R3.4in 87mm 1 I- ' E ■li_ II— ....1.1A1.1.. I i7.,4 liii ,/ 0 ,1un► !IJ J, 1 1 1 16.4in 1 [417mm] 1I1111111.411 12.8in _ Al �I . , [325mm] !� ►� jr — e ►�! s I mil ■■■ !■■ ■I-I■ ' • 6E IRS MB _. II—!IIL- r: —__ 4.6in - ill l 1 ]ii [118mm] 115V CORD ASSEMBLY 230V CORD ASSEMBLY AND PIGGY BACK SWITCH AND PIGGY BACK SWITCH NO1 PIIWlfAR AND COMOSMAI FL 50 SERIES DIMENSIONAL 1NE R•ORMAIIDN CONTAINED PI T16 DRAWNG 611E SOLE PRO►ERIT OF MERIT PUMPS C.ANT REPAODUC110N N PART OR AS A WIIOEE wINIODT THE WRITTEN PERM651ON Of me m Avon NC.IS PRDNN7ED. Wilk NOV 29 2012 APPLICATION DO NOT SCALE DRAWING ICIie i. MOW; l$LOIS Ives iO 2 FLSO_P2 R 12/20/2012 °Copyright 2012 Liberty Pumps Inc. All rights reserved Specifications subject to change without nonce. lilini ps Thompson Environmental Consulting, Inc. Tax ID Number; 46715639431 P❑ Box 541 Location: 4021 Cheviot Hills Road Midland, NC 28107-0541 Date: February 4„2023 Recommended Pressure Manifold Design (Number of Taps May Vary) /Toy-direct thread or saddle Clamant Of lopped with nude adopter,trko bead cacti) flmh with inside wad) Reduce 1=1 restart adjutant e valve ' LNED-ri F�L�PI t 11 MN 4— (fment supply lfie I I I I � - _ Internal visa dae,ia� INersifold vanll) 3 5 Q d ° 0 Tesaaaslaas bell valve I I I I I I (ball valve with Ioso dkeaametl unimc)1 1 1 1 I 1 1 1 1 (3"s�plr loses 'Obstro faaport(eewithextensim�� Cta�1r+►•I � emh�_1_o3esmpe brought to grade:with ne<ssovable rig)) 111ck4rM STANDARD CHAMBER 52" Quick4 Standard Chamber 48" (EFFECTIVE LENGTH) 12" 34" SIDE VIEW SECTION VIEW MultiPort End Cap — -___ mimi _i___ _ ill* ---,:i.,: r . mi1111.4 ,g" ( II IIII I 1 an / AP\,,, 1 M-N A I tllllllllllllll__ . liOiNik:41` �►; 34• `� SIDE VIEW TOP VIEW FRONT VIEW Quick4 Standard Chamber Nominal Specifications MultiPorl End Cap Nominal Specifications Size(WxLxH) 34"x52"x12" Size (W x L x H) 34"x16"x12" Effective Length 48" Invert Height 8"or 1.25" Invert Height 8" INFILTRATOR SYSTEMS.INC.STANDARD LIMITED WARRANTY (a,The seuctial ntepty d erdt d&embe end pale.wedge urd: .. . . .snit by Menthe I-Lhrtsl.when Mailed e'd openeel n a lescrfiyd of en orate sweet system n eccaderte with l*rtron rotects n ..h.+nr-?d-o the original purclaser rHelderl agoras detect e materials end werlenandip for one year Man the date tat to septic perrle is ensued for the septic system cor eiig eta Unite p oaded.hover era ther taste a¢.0 errby musenit el!1 erin%Mesi get or orbe H � . .Calol tee seem I N FI LTRAT�R To a of Ise se wed defect .gas.r Ire rust roue Intender n nits L s Corporate l Headquarters n Old ew'earetr.this acted worn risen 11 S clue d tint seeped defect hlxata we supply rcpleoerrnerel elect 1a llreta determined by hsreta to to caered try the Limited wararsy telernrl leb*y Ipecir"exa:dae to cow re removal a rich eetaktow,of the Jives b)THE LIMTED WARRANTY AND RB�ES N SLBPARAORAPH(*ARE E<CWSNE THERE ARE NO OTHER WARRANTIES WITH RESPEC' t TO THE LINTS INCLUDING NOOAPUED WARRANTIES OF IhERCHAN ABILITY OR FITNESS FOR A PARTfl LNi PEE_ SYSTEMS I N C Ice Tire Lmted Y4nenry Shia be void l any part of the chamber SWIM ie errs ilialded by atryore other then hltater The tented Warranty drrc not ea lend to indamiel.ow-rsquerts.Weal or b3act Centime.Peba or ghee not be fade Fr penalties Cr wasted damages Inas:re best W Environmental Omit.Wastewater " prvdretian and polls.teen and materiels.~wad cede.Cr odor bees a amamtl named by to Holder or any thud party Spetncr:eay e,icardsd from Lltated MMerry oevsepe are damps lo the Uri*Aat b oratory weir Iasi lea Moreton.eccidel.melee.apse or nested Cl tint urea the Uric eery ntttlsmed to valid*Parka ohs,condlas•44n ere no permittedby the hatalatrm Instructions.fusee to maintain to 6 Business Park Road• P.O. Box 768 minnum grand towns eel lath In the Marl,Mnic&ee the pYoerns4 d improper m ueMls lotto the system cornering the Lints,telue of the Urns or the emetic feeenn due to Momper ding Cr Improper Worst,exasehe water usage.We:roper grease deposal.Cr insomper operation:or Old Saybrook, CT 06475 any other eves not sassed by Imftaa. The United Warranty*el be Kid a the Harder fees to carry with el of the terms set forth in this LamedWarranty 860 577 7000•FAX 860 57 7 7001 Further.n no event Wen Inetfete be repa,rde Wr any toes or damage to the Hokke the tide w any third party meeting horn Melee,Cr ship 800-221-4436 mere.or from cry product Slily dyne of Header Cr any rein)party For Lis Lented Wteranty to apply.the Lieu meal be nsrelled in accordance with en site conditions required by slats end local codes:al other applicable laws:end hloators Installation nsntstons (d No re eesereatse of brevets Nei the ItahMty to c hang°a extend tie Limited Wane ty No warranty apples to any parry other than the ceigi- ret Holder The above reprelwrts Ito Seamed tutted Wuureny°Hared by henna A limited rumbler of Wales end counties have afferent warranty require- ments Any purchaser or Levu MOW correct Meteors Corporate Headquarters In Old Saybrodc,Connecticut prior to such ptedeate to obit.,a copy of the appecabte warranty.and steroid carefuly need tat wamnty prior to the purchase of lines U.S.Patents:4,759,081;5,017,041;5,158,488;5,3313,017;5,401,118;5,401,459;5,511,903;5,718,163:5,588.776:5.839.844 .* Canadian Patents:1,329,959:2,C04,584 Other patents pending. i , r« Infiltrator,Equalizer and Sidewinder are registered trademarks of Infiltrator Systems Inc.Infiltrator Is a registered trademark in France.Infiltrator Systems Inc. is a registered trademark In Mexico.Contour,Contour Swivel Connection,Microteaching,PolyTull,SnapLbck,ChamberSpacer,PasiLock,OuickCut.OuickPlay a/CYCLEDA r and 0uick4 are trademarks of Infiltrator Systems Inc.C 2003 Infiltrator Systems Inc.Printed in U.SA. Coil 203HP-0 Residential Subsurface Wastewater Treatment and Disposal System SL 2022-11 Proposal for Lot 107, Section 32 Crescent Land and Timber 4021 Cheviot Hills Road Sherrills Ford, NC 28673 Catawba County PIN: 46071563943land 460715731625 February 12, 2023 '`�001S1I iII11pi,,I, Prepared for: : Gas o'•. : • aim . i • Junco Family Trust = '.."` '' ` t• r _t Miguel Junco - �i" { 906 Acorn Way 3 4�• HF�4 :' +�•` Denver, NC 28037 ( -' '�''•' ......•.•'''� ��'� 513-607-0253 ,'osis 11/11Loo' Prepared by: .e W4 Larry Thompson, REHS, LSS •' N itC4w. litmb2" °. din: Thompson Environmental Consulting, Inc. ii : N.A., PO Box 541 =_ ; '10016E •: a= Midland, NC 28107-0541 6. Phone: 704-301-4881 • larry@thompsonenv.com '" se. a •`" • Details Miguel Junco has contracted with Thompson Environmental Consulting, Inc. (TEC) to prepare a Session Law 2022-11 septic permit package for a new 4-bedroom single-family residence to be constructed on Lot 107, Section 32 of Crescent Land and Timber located at 4021 Cheviot Hills Road, Sherrills Ford, North Carolina(Catawba County Parcel Number: 46715639431). Based upon a soil evaluation performed by TEC, it was determined that a sufficient amount of "Provisionally Suitable" Group IV soils are available for a system installation on Catawba County Parcel Number: 460715731625 utilizing a Pump-To Accepted System for a 480 gallon- per-day residence at a 0.3 GPD/sq/ft long-term acceptance rate (LTAR) with a Subsurface Drip Dispersal Repair with a 0.1 LTAR. The property will be served by a private well. The LSS/LG evaluation(s) attached to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2) and (a3). This Location From Newton, take NC-16 S. to NC-150 E. Turn left onto NC-150 E., and left onto Cheviot Hills Road. Lot is located 0.2 mile on the left. References Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A, Section .1900, Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, April 1, 2017. Accepted Wastewater System No. AWWS-2005-02-R6; North Carolina Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, August 21, 2015. Primary Investigator's Credentials NC Registered Sanitarian No. 1208 NC Licensed Soil Scientist No. 1287 NC Authorized Onsite Wastewater Evaluator No. 10016E SC Certified Professional Soil Classifier No. III NC Subsurface Septic System Operator No. 22199 NC Grade IV Wastewater System Installer No. 1762 NC Certified Wastewater System Inspector No. 17621 Plans and Specifications A. Septic Tank 1. The septic tank shall be State approved (Section .1953 of 15A NCAC 18A), watertight, structurally sound, and 1,000 gallons in capacity. 2 2. The septic tank shall be fitted with an approved effluent filter. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tanks have had time to properly cure and are free of cracks or other structural deficiencies. B. Pump Tank 1. 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. The pump and alarm controls shall be provided with manual circuit disconnects within a watertight, corrosion resistant, Nema 4x rated control panel. 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. 5. Panel and control equipment shall include lightning protection, be protected from unauthorized access, and always remain accessible to the system operator. 6. 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. C. Pipe, Fittings and Supply Line 1. All discharge piping, connectors, and supply lines should be made of SCH 40 PVC and fitted with pressure-rated couplings. 2. All joints must be properly "welded" utilizing the appropriate PVC cement for each application. 3. The supply line will be constructed of 2-inch SCH 40 PVC pipe with pressure fittings and bored/sleeved underneath the Cheviot Hills Road crossing. D. Pressure Manifold I. A pressure manifold shall be used to distribute wastewater to the drainfield. 2. The pressure manifold shall be contained within an adequately sized box/vault that will allow future repair lines to be installed and is designed to allow for drainage of effluent that may accumulate in it during flushing and head pressure adjustments. The box should be placed upon a gravel base. 3. A gate valve shall be provided at the pressure manifold box to allow for final pressure adjustment (2 foot of head pressure as per design). 4. The pressure manifold shall be constructed of SCH 80 PVC. 3 5. There shall be 4 taps V2 inch SCH 40 PVC. 6. The connecting pipe between the pressure manifold taps and the drainfield shall be constructed of PVC. F. Drainfield Installation 1. The drainfield has been previously laid out on-site utilizing metal stemmed flags. The property owner/builder should mark this area and isolate it as much as possible from construction traffic 2. Under no circumstances shall any construction take place within the drainfield area while the soil is in a wet condition. 3. The specified system is an accepted wastewater system, specifically the Infiltrator Quick 4 chamber system or any other system with a state-approved 25% reduction in required drainline length. 4. The drainfield consists of four (4) lateral trenches 3-foot wide by 100-ft long. The total trench length is 400. 5. The maximum trench depth for this system shall be 13 inches. 6. The laterals are to be installed on contour with the land, keeping the individual trench bottoms level from beginning to end. 7. The trenches should be left open for the final inspection by the health department. F. Final Landscaping 1. The final soil cover over the drainfield shall be a minimum of 6 inches deep. 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. Maintenance G. In General 1. The homeowner must maintain the drainfield area through periodic mowing. The drainfield must not be allowed to become overgrown. 2. The septic tank should be pumped every 4 years or when the solids within the septic tank reach an elevation equivalent to 25 percent of the tank's volume. 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 cleaning the effluent filter, the filter should be removed, and the accumulated debris will be 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. 4 Design Specifics Daily Design Flow: 480 GPD—4 bedroom house Septic Tank Size: 1,000 Gallons (minimum) Pump Tank Size: I,000 Gallons (minimum) Pump Requirement: 28.44 GPM at 33 ft head Dose Volume: 240 Gallons Pump Run Time: 8.44 Minutes Pump Tank Drawn Down: 11.43 Inches Recommended Pump: Liberty FL50 or equivalent Effluent Loading Rate: 0.3 GPD per sq. ft. Distribution Method: Pressure Manifold Number and Size of Taps: (4) %Z Sch. 40 PVC Number of Drainlines (4) 3-ft Wide x 100-ft Long Total Trench Length: 400 Linear Feet Maximum Trench Depth: 13 Inches Repair Option Effluent Loading Rate: 0.1 GPD per sq. ft. Drainfield Type: Subsurface Drip Dispersal Required Linear Footage: 2400 Linear Feet Available Linear Footage: 2400 Linear Feet Maximum Trench Depth: 6 Inches • Catawba County Environmental Health • •3915 * p6 r0? 09d1 •3911 -ar cScJ 132' 5.53 99. 4 • 7,16 3902 89.r' 1- .98 90. 111.31 . * `fl .; 1625 •. ry'`` •3987 FM178 •3996 C3L-.4 7 . 55.89 75.09 • 7,7?,98 ' 20. .,31 15) • • 96.98 _ '027 • 9286 92, 90 5Q 64 2 Selected Parcels 1 in=100ft 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 02/21/2023 • Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460715639431 Owner: JUNCO FAMILY TRUST Parcel Address: 4021 CHEVLOT HILLS RD Owner2: JUNCO MIGUEL ANTONIO TRUSTEE City: SHERRILLS FORD, 28673 Address: 9009 VINO CT LRK(REID): 12860 Address2: Deed Book/Page: 3137/1267 City: CHARLOTTE Subdivision: CRESCENT LAND AND TIMBER State/Zip: NC 28214-9121 Lots/Block: 107/ School Information: Last Sale: $237,500 on 2003-05-21 Plat BooklPage: 15/185 School District: COUNTY Legal: LOT 107 PL 15-185 Elementary School: SHERRILLS FORD Middle School: MILL CREEK Calculated Acreage: .900 Tax Map: 012 X 32107 High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 1986 Tax/Value Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $331,000 Zoning2: Land Value: $340,200 Zoning3: Assessed Total Value: $671,200 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: 1967/ Small Area: SHERRILLS FORD Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Comparable Sales (COMPER) for this parcel Contact Tax Dept. at 828-282-2009 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710460700J If available, Building Permits for this parcel. Septic 2010 Census Block: 3010 links are not permits. 2010 Census Tract: 011504 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Critical Area Voter Precinct: P31/ Voting Map Parcel Report Data Descriptions 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. Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460715731625 Owner: JUNCO FAMILY TRUST Parcel Address: 3902 CHEVLOT HILLS RD Owner2: City: SHERRILLS FORD, 28673 Address: 9009 VINO CT LRK(REID): 802973 Address2: Deed Book/Page: 3374/1676 City: CHARLOTTE Subdivision: State/Zip: NC 28214-9121 Lots/Block: / School Information: Last Sale: $30,000 on 2016-12-01 School District: COUNTY Plat Book/Page: 63/133 Elementary School: SHERRILLS FORD Legal: PL 63-133 Middle School: MILL CREEK Calculated Acreage: 1.030 Tax Map: High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 1985 Tax/Value Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoning1 : R-30 Building(s) Value: SO Zoning2: Land Value: $29,400 Zoning3: Assessed Total Value: $29,400 Zoning Overlay: CRC-O,WP-O Year Built/Remodeled: / Small Area: Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Comparable Sales (COMPER) for this parcel Contact Tax Dept. at 828-282-2009 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710460700J If available, Building Permits for this parcel. Septic 2010 Census Block: 3011 links are not permits. 2010 Census Tract: 011504 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Critical Area Voter Precinct: P31/Voting Map Parcel Report Data Descriptions 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. e7FM,.y 1,c3 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION ROY COOPER J.ERIC BOYETTE GOVERNOR SECRETARY Catawba County March 20,2023 Miguel Antonio and Nydia Junco -Homeowners 806 Acorn Way Denver,NC 28037 SUBJECT: Approved encroachment E123-018-23-00103,for a Septic Line to be placed crossing Cheviot Hills Rd(SR1985) in Catawba County. Attached is an approved encroachment agreement for 60 LF of 2"SCH 80 PVC sewer line encased within 40 LF of 3"SDR-13.5 HDPE conduit being installed by directional boring and open trenching methods to be placed crossing Cheviot Hills Rd(SR1985) in Catawba County. The encroaching party shall comply with all applicable state and federal environmental regulations and shall obtain all necessary state and federal environmental permits, including but not limited to,those related to sediment control,storm water,wetland, streams,endangered species,and historical sites. An executed copy of the Approved Encroachment must be on the construction site at all times. Approval is given subject to provisions in the Agreement and attachments thereto which are made a part of the agreement. The encroaching party shall advise the District Engineer at(704)748-2400 at least forty-eight(48) hours prior to the date of beginning work on installation of this encroachment. Furthermore,it will be necessary for you to notify the District Office in writing when work is completed on this installation. The Department of Transportation does not guarantee the right of way on this road,nor will it be responsible for any claim for damages brought by any property owner by reason of the installation. Sincerely, EDocuSigned by: rusvia, 373686E303564F6... Travis R.Jordan,PE District Engineer Division 12, District 3 TRJ:tcc MAILING ADDRESS: TELEPHONE:(704)748-2400 LOCATION: NC DEPARTMENT OF TRANSPORTATION 1031 EAST GASTON STREET DIVISION 12,DISTRICT 3 FAX•(704)748-2403 LINCOLNTON,NC 28092 1031 EAST GASTON ST CUSTOMER SERVICE: 1-877-368-4968 LINCOLNTON,NC 28092 WEBSITE: WWW,NCDOT.GOV STATE OF NORTH CAROLINA ROUTE SR1985 PROJECT COUNTY OF Catawba DEPARTMENT OF TRANSPORTATION RIGHT OF WAY ENCROACHMENT AGREEMENT AND- PRIMARY AND SECONDARY HIGHWAYS Miguel Antonio and Nydia Junco-Homeowners 806 Acorn Way Denver. NC 28037 THIS AGREEMENT,made and entered into this 20th day of March 20 23 by and between the Department the of Transportation,party of the first part;and Miguel Antonio and Nydia Junco-Homeowners party of the second part, WITNESSETH THAT WHEREAS,the party of the second part desires to encroach on the right of way of the public road designated as Route(s) Chevlot Hills Rd(SR1985) ,located 4021,3996,and 3902 Cheviot Hills Rd Shen-ills Ford,NC 28673 with the construction and/or erection of: 60 LF of 2"SCH 80 PVC Sewer line encased within 40 LF of 3"SDR 13.5 HDPE encasement pipe.Utility to be installed by directional bore with a maximum bore size of 4.5". WHEREAS,it is to the material advantage of the party of the second part to effect this encroachment,and the party of the first part in the exercise of authority conferred upon it by statute,is willing to permit the encroachment within the limits of the right of way as indicated,subject to the conditions of this agreement; NOW,THEREFORE,IT IS AGREED that the party of the first part hereby grants to the party of the second part the right and privilege to make this encroachment as shown on attached plan sheet(s),specifications and special provisions which are made a part hereof upon the following conditions,to wit: That the installation,operation,and maintenance of the above described facility will be accomplished in accordance with the party of the first part's latest POLICIES AND PROCEDURES FOR ACCOMMODATING UTILITIES ON HIGHWAY RIGHTS-OF-WAY,and such revisions and amendments thereto as may be in effect at the date of this agreement. Information as to these policies and procedures may be obtained from the Division Engineer or State Utility Agent of the party of the first part. That the said party of the second part binds and obligates himself to Install and maintain the encroaching facility in such safe and proper condition that It will not interfere with or endanger travel upon said highway,nor obstruct nor Interfere with the proper maintenance thereof,to reimburse the party of the first part for the cost Incurred for any repairs or maintenance to its roadways and structures necessary due to the installation and existence of the facilities of the party of the second part,and if at any time the party of the first part shall require the removal of or changes in the location of the said facilities,that the said party of the second part binds himself,his successors and assigns,to promptly remove or alter the said facilities,In order to conform to the said requirement,without any cost to the party of the first part. That the party of the second part agrees to provide during construction and any subsequent maintenance proper signs,signal lights, flagmen and other warning devices for the protection of traffic In conformance with the latest Manual on Uniform Traffic Control Devices for Streets and Highways and Amendments or Supplements thereto. Information as to the above rules and regulations may be obtained from the Division Engineer of the party of the first part. That the party of the second part hereby agrees to indemnify and save harmless the party of the first part from at damages and claims for damage that may arise by reason of the installation and maintenance of this encroachment. That the party of the second part agrees to restore all areas disturbed during installation and maintenance to the satisfaction of the Division Engineer of the party of the first part. The party of the second part agrees to exercise every reasonable precaution during construction and maintenance to prevent eroding of soil;silting or pollution of rivers,streams,lakes,reservoirs,other water Impoundments,ground surfaces or other property;or pollution of the air. There shall be compliance with applicable rules and regulations of the North Carolina Division of Environmental Management,North Carolina Sedimentation Control Commission,and with ordinances and regulations of various counties,municipalities and other official agencies relating to pollution prevention and control. When any installation or maintenance operation disturbs the ground surface and existing ground cover,the party of the second part agrees to remove and replace the sod or otherwise reestablish the grass cover to meet the satisfaction of the Division Engineer of the party of the first part. That the party of the second part agrees to assume the actual cost of any Inspection of the work considered to be necessary by the Division Engineer of the party of the first part. That the party of the second part agrees to have available at the construction site,at all times during construction,a copy of this agreement showing evidence of approval by the party of the first part. The party of the first part reserves the right to stop all work unless evidence of approval can be shown. Provided the work contained in this agreement is being performed on a completed highway open to traffic;the party of the second part agrees to give written notice to the Division Engineer of the party of the first part when all work contained herein has been completed. Unless specifically requested by the party of the first part,written notice of completion of work on highway projects under construction will not be required. That in the case of noncompliance with the terms of this agreement by the party of the second part,the party of the first part reserves the right to stop all work until the facility has been brought Into compliance or removed from the right of way at no cost to the party of the first part. That it is agreed by both parties that this agreement shall become void if actual construction of the work contemplated herein is not begun within one(1)year from the date of authorization by the party of the first part unless written waiver is secured by the party of the second part from the party of the first part. During the performance of this contract,the second party,for itself,its assignees and successors in interest(hereinafter referred to as the"contractor"),agrees as follows: a. Compliance with Regulations: The contractor shall comply with the Regulations relative to nondiscrimination in Federally- assisted programs of the U.S.Department of Transportation,Title 49,Code of Federal Regulations,Part 21,as they may be amended from time to time,(hereinafter referred to as the Regulations),which are herein incorporated by reference and made a part of this contract. b. Nondiscrimination: The contractor,with regard to the work performed by It during the contract,shall not discriminate on the FORM R/W 16.1 (Rev.July 1,1977) grounds of race,color,or national origin In the selection and retention of subcontractors,including procurements of materiels and leases of equipment. The contractor shall not participate either directly or Indirectly In the discrimination prohlbred by Section 215 of the Regulations,Including employment practices when the contract covers a program set forth In Ap endix b of the Regulations c. Solicitations for Subcontracts.ircludrra Procurements of Materials and Eculpment: In all solicitations either by comoetitve bidding or negotiation made by the contractor for work to be performed under a subcontract,including procurements of materials or leases of equipment,each potential subcontractor or supplier shall be notified by the contractor of the contractors obligations under this contract and the Regulations relative to nondiscrimination on the grounds of race,color,or national cngin, d information and Reports The contractor seal:provide all information and reports required by the Regulations,or directives issued pursuant thereto.and shall permit access to its books,records,accounts other sources of information,and Ifs facilities as may be determined by the Department of Transportation or the Federal Highway Administration to be pertinent to ascertain compliance with such Regulations or directives. Where any Information required of a contractor is in the exclusive possession of another who fails or refuses to furnish this information,the ccntractor Mali so certify to the Department of Transportation,or the Federal Highway Administration as appropriate,and shall set forth what efforts It has made to obtain the information. e Sanctions for Noncompliance: In the event of the contractor's nonccmplance with the nondiscrimination provisions of this contract,the Department d Transportation shall impose such contract sanctions as it or the Federal Highway Administration may determine to on appropriate,inctudirig.but not limited to, (1)withholding of paymenre to the contractor under the contract until tine contractor complies,and/or (2)cancellation,termination or suspension of the contract,in whole or in part f Incorporation of Provisions The contractor shall include the provisions of paragraphs-a'rnrcugh'r in every subcontract, including procurements of materials and leases of equipment,unless exempt by the Regulations,or directives issued pursuant thereto The contractor shalt take such actlon vilth respect to any subcontract or procurement as the department of Transportation or the Federal Highway Administration may direct as a means of enforcing such provisions Including sanctions for noncompliance: Provided,however,that,In the event a contractor becomes involved in,or is threatened with, litigation with a subcontractor of supplier as a result of such direclion,the contractor may request the Department of Transportation to enter into such litigation to protect the interests of the Slate,and,in addition,the contractor may request the United States to enter into such litigation to protect the Interests of the United States RAW(161):Party of the Second Part certifies that this agreement is true and accurate copy of the form RAN(161)incorporating all revisions to date. IN WITNESS WHEREOF,each of the parties to this agreement has caused the same to be executed the day and year first above written. DEP PkfiteritRANSPORTATION By: T+as^ia 20414isw ATTEST OR WITNESS: 3736B5EE33033�5644F6.6... EL R • qaei �trllet� 141,,df lnnn Second Party (`, lhl$TRUCTIONS 'hen the applicant Is a corporation or a municipality,this agreement must have the corporate seal and be attested by the corporation secretary or by the empowered city official,unless a waiver of corporate seal and attestation by the secretary or by the empowered City official Is on file in the Raleigh office of the Manager of Right of Way. In the space provided In this agreement for execution,the name of the corporation ce municipality shall be typed above the name,and title of all persons signing the agreement should be typed directly below their signature When the applicant is not a corporation,then his signature must be witnessed by one person The address should be included in this agreement and the names of all persons signing the agreement should be typed directly below their signature. This agreement must be accompanied,in the form of en attachment,by plans or drawings showing the following applicable information 1 All roadways and ramps 2 Right of way lines end where applicable.the control of access lines 3. Location of the existing and/or proposed encroachment 4 Length,see and type Of encroachment 5 Method of installation 6 Dimensions showing the distance from the encroachment to edge of pavement,shoulders,etc. 7 Location by highway survey station number. If station number cannot be obtained,location should be shown by distance from some idendfiab'e point such as a bridge,road,intersection,etc fro assist in preparation or the encroachment plan,the Department's roadway plans may be seen at the various Highway Division Offices,or at the Raleigh office) 8 Drainage structures or bridges if affected by encroachment(show vertical and horizontal dimensions from encroachment to nearest part of structure) P Method of attachment to drainage structures or bridges. 10. Manhole design. 11 On underground utilities.the depth of bury under ail traveled lanes,shoulders,ditches,Sidewalks,etc 12 Length,size and type or encasement where reeulrea 13 On underground crossings,notation ae to method of crossing.boring and Jacking,open cut etc.14. Location of vents GENERAL REQUIREMENT 1 Any attachment to a bridge or other drainage structure must be approved by the Head of Structure Design in Raleigh prior to submission of encroachment agreement la the Division Engineer, 2 All crossings should bees near as possible normal to the centerline of the highway 3 Minimum vertical clearances of overhead wires and cables above all roadways must conform to clearances set out in the N'ahonal Electric Safety Code 4 Encasements shall extend from ditch line to ditch line In cut sections and 5'beyond toe of slopes in ion sections. 5. All vents should be extended to the right of way line or as otherwise required by the Department 6 All pipe encasements as to material and strength shall meet the standards and specifications of the Department 7 Any special provisions cr space cations as to the performance of the work or the method of construction that may be required by the Department must be shown on a separate sheet attached to encroachment agreement provided that such information cannot be shown on plans or drewinge 8 The Department's Division Engineer should be given notice by the applicant prior to actual starting of installation included in this agreement EXHIBIT A SPECIAL PROVISIONS Encroachment ID: E123-018-23-00103 Route: SR1985 Project: Cheviot Hills Sewer County: Catawba Encroaching Party_ t Miguel Antonio and Nydia Junco Work Description: 60 LF of 2" SCH 80 PVC encased within 40 LF of 3" SDR-13.5 HDPE conduit Approval Date: 03/20/2023 Pre-Construction Contact Offices &Outside Agency Issues/Contact/Info 1. Approval may be rescinded upon failure to follow any of the provisions in this permit and may be considered a violation of the encroachment agreement. 2. The encroaching party shall notify the District Engineer's Office three (2) business days prior to beginning construction. Please notify Michael Watson, by e-mail at mwatson@ncdot.gov or by telephone at(704)748-2400. 3. Failure to provide these notifications prior to beginning construction is subject to the Division Engineer's discretion to cease construction activity for this encroachment. NCDOT reserves the right to cease any construction or maintenance work associated with this installation by the encroaching party until the construction or maintenance meets the satisfaction of the Division Engineer or their representative. 4, NCDOT Contacts: Name Title Telephone E-Mail Travis R. Jordan, PE District Engineer (704)748-2400 trjordan1@ncdot.gov Michael Watson Assistant District Supervisor (704)748-2400 mwatson@ncdot.gov Todd Lutz Engineering Technician III (704)748-2400 tlutz@ncdot.gov Jeffrey Kanipe Engineering Technician III (704)748-2400 jlkanipe@ncdot.gov Travis Carswell Engineering Technician I (704)748-2400 tccarswell@ncdot.gov 5. Prior to beginning work, it is the requirement of the Encroaching Party to contact the appropriate Utility Companies involved and make arrangements to adjust or relocate any utilities that conflict with the proposed work. 6. It shall be the responsibility of the encroaching party to determine the location of utilities within the encroachment area. NCGS§ 87-115 through § 87-130 of the Underground Utility Safety and Damage Prevention Act requires underground utilities to be located by calling 811 prior to construction. The encroaching party shall be responsible for notifying other utility owners and providing protection and safeguards to prevent damage or interruption to existing facilities and maintain access to them. 7. The encroaching party shall notify the appropriate municipal office prior to beginning any work within the municipality's limits of jurisdiction. 8. Excavation within 1000 feet of a signalized intersection will require notification by the encroaching party to the Division Traffic Engineer at telephone number 980-552-4120 no less than one week prior to beginning work. All traffic signal or detection cables must be located prior to excavation. Cost to replace or repair NCDOT signs, signals, pavement markings or associated equipment and facilities shall be the responsibility of the encroaching party. 9. This agreement does not authorize installations within nor encroachment onto Railroad Rights-of-Way. Permits for installation within the Railroad Right-of-Way must be obtained from the Railroad and are the responsibility of the encroaching party. 1 10. At the option of the District Engineer, a preconstruction meeting including representatives of NCDOT, the encroaching party, contractors and municipality, if applicable, shall be required. A pre-construction conference held between a municipality(or other facility owner)and a contractor without the presence of NCDOT personnel with subsequent construction commencing may be subject to NCDOT personnel ceasing any work on NCDOT right-of-way related to this encroachment until such meeting is held. Contact the District office to schedule. 11. At the discretion of the District Engineer, a Notification For Utility/Non-Utility Encroachment Within NCDOT R/W form (see corresponding attachment) with the scheduled pre-construction meeting and associated construction schedule details must be completed and submitted to the District Engineer's office a minimum of one week prior to construction. 12. At the discretion of the District Engineer, the encroaching party (not the utility contractor)shall make arrangements to have a qualified inspector, under the supervision of a Professional Engineer registered in North Carolina, on site at all times during construction. The registered Professional Engineer shall be required to submit a signed and PE sealed certification that the utility was installed in accordance with the encroachment agreement. 13. The encroaching party and their construction contractor must sign and submit the NCDOT Workforce Safety Plan for Encroachment Activities: COVID-19 form to the District Engineer prior to construction. 14. The attached Duke Energy response to the NCDOT COVID-19 Workforce Safety Plan shall be applied for allemployees on the job site unless otherwise directed by the District Engineer. Legal and Right-of-Way 15. This approval and associated plans and supporting documents shall not be interpreted to allow any design change or change in the intent of the design by the Owner, Design Engineer, or any of their representatives. Any revisions or changes to these approved plans or intent for construction must be obtained in writing from the Division Engineer's office or their representative prior to construction or during construction if an issue arises during construction to warrant changes. 16. NCDOT does not guarantee the right of way on this road, nor will it be responsible for any claim for damages brought about by any property owner by reason of this installation. It is the responsibility of the encroaching party to verify the right of way. 17. Encroaching party shall be responsible for obtaining all necessary permanent and/or temporary construction, drainage, utility and/or sight distance easements. 18. No commercial advertising shall be allowed within NCDOT Right of Way. 19. The encroaching party shall obtain proper approval from all affected pole owners prior to attachment to any pole. Bonds 20. A Performance and Indemnity Bond in the amount of$ xxx.xx shall be posted with the District Engineer's Office by the Party of the Second Part prior to beginning any work within the NCDOT Right of Way. The bond shall be held for a minimum of one year after a satisfactory final inspection of the installation by NCDOT. The bond maybe held for a period longer than one year after completion if, in the opinion of NCDOT, the size or complexity of the installation warrants a longer period. 21. The release of the bond is subject to a final inspection by NCDOT. Contact the District office to schedule a Final Inspection and request to release of the bond. Work Zone Traffic 22. Traffic control shall be coordinated with the District Engineer and the Division Traffic Engineer, MX. XXXX at telephone(xxx)xxx-xxxx, prior to construction. 2 23. WORK ZONE TRAFFIC CONTROL QUALIFICATIONS AND TRAINING PROGRAM All personnel performing any activity inside the highway right of way are required to be familiar with the NCDOT Maintenance I Utility Traffic Control Guidelines (MUTCG). No specific training course or test is required for qualification in the Maintenance!Utility Traffic Control Guidelines (MUTCG). All flagging, spotting, or operating Automated Flagger Assist Devices (AFAD) inside the highway right of way requires qualified and trained Work Zone Flaggers. Training for this certification is provided by NCDOT approved training resources and by private entities that have been pre-approved to train themselves. All personnel involved with the installation of Work Zone Traffic Control devices inside the highway right of way are required to be qualified and trained Work Zone Installers.Training for this certification is provided by NCDOT approved training resources and by private entities that have been pre-approved to train themselves. All personnel in charge of overseeing work zone Temporary Traffic Control operations and installations inside the highway right of way are required to be qualified and trained Work Zone Supervisors. Training for this certification is provided by NCDOT approved training resources and by private entities that have been pre- approved to train themselves. For questions and/or additional information regarding this training program please refer to https://connect.ncdot.qov/projects/WZTC/Pages/Traininq.aspx or call the NCDOT Work Zone Traffic Control Section (919)814-5000. 24. The party of the second part shall employ traffic control measures that are in accordance with the prevailing federal, state, local, and NCDOT policies, standards, and procedures. These policies, standards, and procedures include, but are not limited to the following: a. Manual on Uniform Traffic Control Devices (MUTCD)—North Carolina has adopted the MUTCD to provide basic principles and guidelines for traffic control device design, application, installation, and maintenance. North Carolina uses the MUTCD as a minimum requirement where higher supplemental standards specific to North Carolina are not established. Use fundamental principles and best practices of MUTCD (Part 6,Temporary Traffic Control). b. NCDOT Maintenance! Utility Traffic Control Guidelines—This document enhances the fundamental principles and best practices established in MUTCD (Part 6, Temporary Traffic Control), incorporating NCDOT-specific standards and details. It also covers important safety knowledge for a wide range of work zone job responsibilities. c. NCDOT latest Roadway Standard Drawings. 25. If the Traffic Control Supervisor determines that portable concrete barrier(PCB) is required to shield a hazard within the clear zone, then PCB shall be designed and sealed by a licensed North Carolina Professional Engineer. PCB plans and design calculations shall be submitted to the District Engineer for review and approval prior to installation. 26. Ingress and egress shall be maintained to all businesses and dwellings affected by the project. Special attention shall be paid to police, EMS and fire stations, fire hydrants, secondary schools, and hospitals. 27. Traffic shall be maintained at all times. All lanes of traffic are to be open during the hours of 6:00 A.M. to 8:00 A.M. and 4:00 P.M.to 6:00 P.M. Monday through Friday, during any time of inclement weather, or as directed by the District Engineer. Any violation of these hours will result in ceasing any further construction by the Encroaching Party or their contractor. 28. Nighttime and weekend operations will be NOT allowed without written approval received from the District Engineer. If nighttime or weekend work is allowed or required, all signs must be retro-reflective, and a work zone lighting plan must be submitted for approval prior to construction. 29. Two-way traffic shall be maintained at all times unless designated by the District Engineer.Traffic shall not be rerouted or detoured without the prior written approval from the District Engineer. If the construction is within 1000 feet of a school location or on a designated bus route, the construction shall be coordinated with the school start and end times to avoid traffic delays. 3 Utility or Non-Utility work approved under an encroachment agreement will NOT be allowed to work on ANY Road, detain and /or alter the traffic flow on or during Holidays and Holiday weekends, special events, or any other time when traffic is unusually heavy, including the following schedules: HOLIDAY AND HOLIDAY WEEKEND WORK RESTRICTIONS 1. For unexpected occurrence that creates unusually high traffic volumes, as directed by the District Engineer. 2. For New Year's Day, between the hours of 8:00 AM December 31st and 8:00 PM January 2nd. If New Year's Day is on a Friday, Saturday, Sunday or Monday, then until 8:00 PM the following Tuesday. 3. For Easter, between the hours of 8:00 AM Thursday and 8:00 PM Monday. 4. For Memorial Day, between the hours of 8:00 AM Friday and 8:00 PM Tuesday. 5. For Independence Day, between the hours of 8:00 AM the day before Independence Day and 8:00 PM the day after Independence Day. If Independence Day is on a Friday,Saturday,Sunday or Monday,then between the hours of 8:00 AM the Thursday before Independence Day and 8:00 PM the Tuesday after Independence Day. 6. For Labor Day, between the hours of 8:00 AM Friday and 8:00 PM Tuesday. 7. For Thanksgiving Day, between the hours of 8:00 AM Tuesday and 8:00 PM Monday. 8. For Christmas, between the hours of 8:00 AM the Friday before the week of Christmas Day and 8:00 PM the following Tuesday after the week of Christmas Day. Holidays and holiday weekends shall include New Year's, Easter, Memorial Day, Independence Day, Labor Day,Thanksgiving, and Christmas. 30. Work requiring lane or shoulder closures shall not be performed on both sides of the road simultaneously within the same area. 31. Any work requiring equipment or personnel within 5 feet of the edge of any travel lane of an undivided facility or within 10 feet of the edge of any travel lane of a divided facility shall require a lane closure with appropriate tapers and signage in accordance with the MUTCD, MUTCG and the NCDOT Roadway Standard Drawings. 32. At the discretion of the District Engineer, a traffic control plan shall be developed and submitted under the seal and signature of a Licensed North Carolina Professional Engineer prior to construction. The plan shall be specific to the site and adequately detailed. Issues such as the close proximity to intersections shall be addressed. 33. The Contractor shall not begin the construction until after the Traffic Control Devices have been installed in accordance with the MUTCD, MUTCG and NCDOT Latest Roadways Standard Drawing or the Approved Plan. 34. Any pavement markings that are damaged or obliterated shall be restored by the encroaching party at no expense to NCDOT. 35. Sidewalk closures shall be installed as necessary. Pedestrian traffic shall be detoured around these closures and shall be signed appropriately and in accordance with The American with Disabilities Act Accessibility Guidelines. The encroaching party must adhere to the guidelines for accommodating pedestrians in encroachment work zones as described in the NCDOT Pedestrian Work Zone Accommodations Training found at https://www.youtube.com/watch?v=AOuYa51W3dq&feature=youtu.be. Roadside Environmental 36. The encroaching party shall comply with all applicable Federal, State and Local environmental regulations and 4 shall obtain all necessary Federal, State and Local environmental permits, including but not limited to, those related to sediment control, stormwater,wetland, streams, endangered species and historical sites. Additional information can be obtained by contacting the NCDOT Roadside Environmental Engineer regarding the North Carolina Natural Heritage Program or the United States Fish and Wildlife Services. Contact the Division Roadside Environmental Engineer's Office at 980-552-4250. 37. When surface area in excess of one acre will be disturbed, the Encroacher shall submit a Sediment and Erosion Control Plan which has been approved by the appropriate regulatory agency or authority prior to beginning any work on the Right of Way. Failure to provide this information shall be grounds for suspension of operations. Proper temporary and permanent measures shall be used to control erosion and sedimentation in accordance with the approved sediment and erosion control plan. 38. The Verification of Compliance with Environmental Regulations (VCER-1)form is required for all non- utility encroachment agreements or any utility encroachments when land disturbance within NCDOT right of way exceeds 1 acre. The VCER-1 form must be PE sealed by a NC registered professional engineer who has verified that all appropriate environmental permits (if applicable) have been obtained and all applicable environmental regulations have been followed. 39. The contractor shall not begin the construction until after the erosion control devices havebeen installed to the satisfaction of the District Engineer or their representative. 40. All erosion control devices and measures shall be constructed, installed, maintained, and removed by the Encroacher in accordance with all applicable Federal, State, and Local laws, regulations, ordinances, and policies. Permanent vegetation shall be established on all disturbed areas in accordance with the recommendations of the Division Roadside Environmental Engineer. All areas disturbed (shoulders, ditches, removed accesses, etc.) shall be graded and seeded in accordance with the latest NCDOT Standards Specifications for Roads and Structures and within 15 calendar days with an approved NCDOT seed mixture (all lawn type areas shall be maintained and reseeded as such). Seeding rates per acre shall be applied according to the Division Roadside Environmental Engineer. Any plant or vegetation in the NCDOT planted sites that is destroyed or damaged as a result of this encroachment shall be replaced with plants of like kind or similar shape. The kinds of seed and fertilizer, and the rates of application of seed, fertilizer, and limestone, shall be as stated below. During periods of overlapping dates,the kind of seed to be used shall be determined. All rates are in pounds per acre. Shoulder and Median Areas August 1 -June 1 May 1 -September 1 20# Kentucky Bluegrass 20# Kentucky Bluegrass 75# Hard Fescue 75# Hard Fescue 25# Rye Grain 10# German or Browntop Millet 500# Fertilizer 500# Fertilizer 4000# Limestone 4000# Limestone Areas Beyond the Mowing Pattern,Waste and Borrow Areas August 1 -June 1 May 1 -September 1 100# Tall Fescue 100# Tall Fescue 15# Kentucky Bluegrass 15# Kentucky Bluegrass 30# Hard Fescue 30# Hard Fescue 25# Rye Grain 25# German or Browntop Millet 500# Fertilizer 500# Fertilizer 4000# Limestone 4000# Limestone Approved Tall Fescue Cultivars 2 Millennium Coyote Inferno Olympic Gold Signia Avenger Davinci Justice Padre Silverstar Barlexas Dynasty Jaguar 3 Paraiso Southern Choice II Barlexas II Dominion Kalahari Picasso Stetson Barrera Duster Kentucky 31 Piedmont Tarheel Barrington Endeavor Kitty Hawk Pure Gold Titan Ltd Biltmore Escalade Kitty Hawk 2000 Prospect Titanium 5 Bingo Falcon II, Ill, IV&V Lexington Quest Tomahawk Bravo Fidelity Magellan Rebel Exeda Tacer Cayenne Finesse II Masterpiece Rebel Sentry Trooper Chapel Hill Firebird Matador Regiment II Turbo Chesapeake Focus Matador GT Rembrandt Ultimate Constitution Grande II Millennium Rendition Watchdog Chipper Greenkeeper Montauk Scorpion Wolfpack Coronado Greystone Mustang 3 Shelby Approved Kentucky Bluegrass Cultivars Alpine Apollo Arcadia Arrow Award Bariris Bedazzled Bordeaux Champagne Chicago II Envicta Impact Midnight Midnight II Rugby Rugby II Showcase Sonoma Approved Hard Fescue Cultivars Chariot Firefly Heron Kenblue Minotaur Nordic Oxford Reliant II Reliant IV Rhino Scaldis II Spartan II Stonehenge Warwick On cut and fill slopes 2:1 or steeper add 20#Sericea Lespedeza January 1 - December 31. Fertilizer shall be 10-20-20 analysis. A different analysis of fertilizer may be used provided the 1-2-2 ratio is maintained and the rate of application adjusted to provide the same amount of plant food as a 10-20-20 analysis and as directed. 6 Temporary seeding Fertilizer shall be the same analysis as specified for Seeding and Mulching and applied at the rate of 400 pounds and seeded at the rate of 50 pounds per acre. German Millet, or Browntop Millet shall be used in summer months and rye grain during the remainder of the year.The Engineer will determine the exact dates for using each kind of seed. Fertilizer Topdressing Fertilizer used for topdressing shall be 16-8-8 grade and shall be applied at the rate of 500 pounds per acre. A different analysis of fertilizer may be used provided the 2-1-1 ratio is maintained and the rate of application adjusted to provide the same amount of plant food as 16-8-8 analysis and as directed. 41. Prior to installation,the Encroaching Party shall contact the District Engineer to discuss any environmental issues associated with the installation to address concerns related to the root system of trees impacted by boring or non-utility construction of sidewalk, roadway widening, etc. 42. The applicant is responsible for identifying project impacts to waters of the United States (wetlands, intermittent streams, perennial streams and ponds) located within the NCDOT right-of-way. The discharge of dredged or fill material into waters of the United States requires authorization from the United States Army Corps of Engineers (USACE)and certification from the North Carolina Division of Water Quality(NCDWQ).The applicant is required to obtain pertinent permits or certification from these regulatory agencies if construction of the project impacts waters of the United States within the NCDOT right-of-way. The applicant is responsible for complying with any river or stream Riparian Buffer Rule as regulated by the NCDWQ. The Rule regulates activity within a 50-foot buffer along perennial streams, intermittent streams and ponds. Additional information can be obtained by contacting the NCDWQ or the USACE. 43. The contractor shall perform all monitoring and record keeping and any required maintenance of erosion and sediment control measures to maintain compliance with stormwater regulations. STIP (or Division Managed) Projects 44. State Transportation Improvement Project (STIP)""-XXXXXX is scheduled for future construction. Any encroachment determined to be in conflict with the construction of this NCDOT project shall be removed and/or relocated at the encroaching party's expense. Construction General 45. An executed copy of the encroachment agreement, provisions and approved plans shall be present at the construction site at all times. If safety or traffic conditions warrant such an action, NCDOT reserves the right to further limit, restrict or suspend operations within the right of way. 46. The Encroaching Party and/or their Contractor shall comply with all OSHA requirements. If OSHA visits the work area associated with this encroachment, the District Office shall be notified by the encroaching party immediately if any violations are cited. 47. Any REVISIONS marked in RED on the attached non-PE sealed plans shall be incorporated into and made part of the approved encroachment agreement. 48. The contractor shall not begin the construction until after the traffic control and erosion control devices have been installed to the satisfaction of the District Engineer. 49. All Open cuts shall be backfilled, paved and traversable prior to removing the lane closure. 50. The encroaching party shall notify the District Engineer or their representative immediately in the event any drainage structure is blocked, disturbed or damaged. All drainage structures disturbed, damaged or blocked shall be restored to its original condition as directed by the Division Engineer or their representative. 51. The encroaching party shall notify NCDOT for an inspection before covering any new or altered 7 pipe or drainage structure. The encroaching party may be required to uncover any new or altered drainage within the right of way that has not been inspected. 52. A minimum of 5 feet clearance is required for utility installations beneath or near drainage pipes, headwalls,and a minimum of 2 feet clearance below the flowline of streams. If directional drilling, a minimum of 10 feet clearance distance is required from drainage structures and a minimum of 5 feet below flowline of streams. 53. At points where the utility is placed under existing storm drainage,the trench will be backfilled with excavatable flowable fill up to the outside diameter of the existing pipe. 54. Unless specified otherwise, during non-working hours, equipment shall be located away from the job site or parked as close to the right of way line as possible and be properly barricaded in order not to have any equipment obstruction within the Clear Zone. Also, during non-working hours, no parking or material storage shall be allowed along the shoulders of any state-maintained roadway. 55. Guardrail removed or damaged during construction shall be replaced or repaired to its original condition, meeting current NCDOT standards or as directed by the District Engineer or their representative. 56. The resetting of the Control of Access fence shall be in accordance with the applicable NCDOT standard and as directed by the District Engineer or their representative. 57. Right of Way monuments and markers disturbed during construction shall be referenced by a registered Land Surveyor and reset after construction. 58. All Traffic signs moved during construction shall be reinstalled as soon as possible to the satisfaction of the District Engineer or their representative. 59. Any utility markers, cabinets, pedestals, meter bases and services for meter reading required shall be as close to the Right of Way line as possible. If it is not feasible to install at or near Right of Way line, then written approval shall be obtained from NCDOT prior to installation. 60. All driveways disturbed during construction shall be returned to a state comparable with the condition of the driveways prior to construction 61. Conformance with driveway permit review should be required in conjunction with this encroachment agreement. In the event there is a conflict between the driveway permit and the encroachment agreement, the District Engineer should resolve the conflict and notify the parties involved. 62. If the approved method of construction is unsuccessful and other means are required, prior approval must beobtained through the District Engineer before construction may continue. 63. All disturbed areas are to be fully restored to current NCDOT minimum roadway standards or as directed by the District Engineer or their representative. Disturbed areas within NCDOT Right-of-Way include, but not limited to, any excavation areas, pavement removal, drainage or other features. Engineering 64. All traffic control, asphalt mixes, structures, construction,workmanship and construction methods, and materials shall be in compliance with the most-recent versions of the following resources:ASTM Standards, Manual on Uniform Traffic Control Devices, NCDOT Utilities Accommodations Manual, NCDOT Standard Specifications for Roads and Structures, NCDOT Roadway Standard Drawings, NCDOT Asphalt Quality Management System manual, and the approved plans. 65. If any proposed structure is not of a design pre-approved by NCDOT, the encroaching party shall submit details and design calculations signed and sealed by a Professional Engineer for approval prior to construction. 8 66. Prior approval for any blasting must be obtained from the District Engineer or their representative. 67. Regulator stations, metering stations,cathodic test stations, and anode beds are not permitted within NCDOT right of way. Header wires are permitted. 68. Non-Utility Communication and Data Transmission installations (ground mounted type or Small Cell pole- mounted type) must adhere to guidelines in the Utilities Accommodations Manual and, when located within municipal jurisdictions, are subject to review and approval by municipal ordinances and any additional municipal approval for proximity to historic districts and landmarks. All wiring and related telecommunications work shall conform to the latest regulations by the Federal Communications Commission. 69. All wiring and related electrical work shall conform to the latest edition of the National Electrical Safety Code. 70. All utility facilities, including manholes, valve boxes, meter boxes, splice boxes,junction boxes, vaults and access covers, within NCDOT right of way shall have been designed for HS-20 loading rated for continuous traffic. A listing of currently approved manholes and vaults is available at: https://apps.ncdot.gov/vendor/approvedproducts/ Default.aspx verify approved product#(NP ). Location Within Right-of-Way 71. All utility access points, such as manholes, vaults, handholes, splice boxes and junction boxes shall be located as close to the right of way line as possible and shall not be placed in the ditch line, side slopes of the ditches or in the pavement. All manholes, handholes, splice boxes,junction boxes and vaults and covers shall be flush with the ground when located within the vehicle clear zone. Slack loops for telecommunications in industry standard housing units shall be buried a minimum of 18 inches when buried or meet minimum NCDOT vertical and horizontal clearances when installed aerially. 72. Fire Hydrants shall be of the breakaway type. Hydrants shall be placed near the right of way line. In curb and gutter sections with written approval from the District Engineer, the hydrants may be placed at 6' behind the back of the curb or minimum 2' back of sidewalk. 73. Luminaire and/or utility poles and guy wires shall be set as close to the Right of Way line as practical and outside the Clear Zone in accordance with the latest version of the AASHTO Roadside Design Guide (See corresponding attachment)or made breakaway in accordance with the requirements of NCHRP Report 350. Any relocation of the utility poles from the original design due to Clear Zone requirements shall require a re- submittal for the utility design. (see corresponding attachment) 74. Luminaire and/or utility poles shall be set a minimum of 5'-6" behind face of any guardrail or otherwise sufficiently protected. However, standard placement may be reduced to 3'-6" behind face of guardrail when posts are spaced 3'-1 1/2", or where speed limit is less than 55 MPH. 75. Hot box (aka ASSE 1060) or Safe-T-Cover type enclosures covering utility main pipe joints, backflow preventers, valves, vent pipes, cross connections, pumps, grinders, irrigation assemblies, transformers, generators, and other similar large appurtenances shall be located outside sight distance triangles and off of the NCDOT Right-of-Way. 76. Sprinkler heads shall be located a minimum of 10 feet from the edge of pavement, edge of shoulder, or back of curb whichever is greater and shall be directed so that water does not spray or drain on the roadway surface,sidewalk, or passing vehicles at any time. Upon completion of the installation and prior to activation of the system, the Encroacher shall contact the District Engineer to schedule a test of the system to verify the spray pattern. Sprinkler systems shall not be operated during periods of high wind or freezing weather, or to the extent that the subgrade adjacent to the pavement structure becomes saturated. NCDOT reserves the right to require immediate termination and removal of any sprinkler system which in its judgement and opinion adversely affects safety, maintenance, or operation of the roadway. Excavation 77. Excavation material shall NOT be placed on pavement. 9 78. It is the responsibility of the encroaching party or their contractor to prevent any mud/dirt from tracking onto the roadway. Any dirt which may collect on the roadway pavement from equipment and/or truck traffic on site shall be immediately removed to avoid any unsafe traffic conditions. 79. The utility shall be installed within 5 feet of the right of way line and outside the 5-foot minimum from travel lane plus theoretical 2:1 slope from the edge of pavement to the bottom of the nearest excavation wall for temporary shoring. Temporary shoring is required when a theoretical 2:1 slop from the bottom of excavation will intersect the existing ground line less than 5 feet from the outside edge of an open travel lane as shown in the figure below or when a theoretical 2:1 slope from the bottom of excavation will intersect any existing structure, support, utility, property, etc. to be protected. Traffic in Outside Lane Lane Open to ffic Tr 5 ft +— 'sting Ground min Line 1114 ... Bottom of Excavation Theoretical Edge of 2:1(H:V)Slope Pavement Traffic Shifted(Outside Lane Closure) Lane Open to Lane Closed I, Traffic r �� ' 'ng Ground Line min 44—t VA Bottom of Theoretical • Excavation 2:1(H:V)Slope *If the 2:1 slope plus 5 feet requirement above is met for traffic, �.., then temporary shoring is typically only necessary to protect "Theoretical roadways from damage when a theoretical 1:1 slope from the 1:1(H:V)Slope of edge of pavement intersects the nearest excavation wall. This (pavement) rule of thumb should be used within caution and does not apply to all subsurface conditions,surcharge loadings and excavation geometries. Additional guidance provided below. 80. If the 2:1 slope plus 5 feet requirement above is met for traffic, then temporary shoring is typically only necessary to protect roadways from damage when a theoretical 1:1 slope from the edge of pavement intersects the nearest excavation wall. This rule of thumb should be used with caution and does not apply to all subsurface conditions, surcharge loadings and excavation geometries. Situations where this 1:1 slope is not recommended include groundwater depth is above bottom of excavation or excavation is deeper than 10 feet or in Type B or C soils as defined by OSHA Technical Manual. Temporary shoring may be avoided by locating trenches, bore pits, and other excavations far enough away from the open travel lane, edge of pavement and any existing structure, support, utility, property, etc. to be protected. Temporary shoring shall be designed and constructed in accordance with current NCDOT Standard Temporary Shoring provisions (refer to https://connect.ncdot.qov/resources/Specifications/Pages/2018-Specifications-and- Special-Provisions.aspx and see SP11 R002). a. Temporary excavation shoring, such as sheet piling, shall be installed. The design of the shoring shall include the effects of traffic loads.The shoring system shall be designed and sealed by a licensed North Carolina Professional Engineer. Shoring plans and design calculations shall be submitted to the District Engineer for review and approval prior to construction. (See NCDOT Utilities Accommodations Manual for 10 more information on requirements for shoring plans, design calculations, and subsurface investigation report.)Trench boxes shall not be accepted as temporary shoring and will not be approved for use in instances where shoring is required to protect the highway, drainage structure, and/or supporting pavement or structure foundation. b. All trench excavation inside the limits of the theoretical 2:1 slope plus 5 feet requirement, as defined by the policy, shall be completely backfilled and compacted at the end of each construction day. No portion of the trench shall be left open overnight. Any excavation that is not backfilled by the end of the workday must address any safety and traveling public concerns including accommodations for bicycles, pedestrians and persons with disabilities. c. The trench backfill material shall meet the Statewide Borrow Criteria. The trench shall be backfilled in accordance with Section 300-7 of the latest NCDOT Standard Specifications for Roads and Structures, which basically requires the backfill material to be placed in layers not to exceed 6 inches loose and compacted to at least 95% of the density obtained by compacting a sample in accordance with AASHTO T99 as modified by DOT. d. At the discretion of the District Engineer, a qualified NCDOT inspector shall be on the site at all times during construction. The encroaching party shall reimburse NCDOT for the cost of providing the inspector. If NCDOT cannot supply an inspector, the encroaching party(not the utility contractor)should make arrangements to have a qualified inspector, under the supervision of a licensed North Carolina Professional Engineer, on the site at all times. The Professional Registered Engineer shall certify that the utility was installed in accordance with the encroachment agreement and that the backfill material meets the Statewide Borrow Criteria. e. The length of parallel excavation shall be limited to the length necessary to install and backfill one joint of pipe at a time, not to exceed twenty-five (25)feet. 81. All material to a depth of 8 inches below the finished surface of the subgrade shall be compacted to a density equal to at least 100% of that obtained by compacting a sample of the material in accordance with AASHTO T99 as modified by the Department. The subgrade shall be compacted at a moisture content which is approximately that required to produce the maximum density indicated by the above test method. The contractor shall dry or add moisture to the subgrade when required to provide a uniformly compacted and acceptable subgrade. The option to backfill any trenches with dirt or either#57 stone or#78 stone with consolidation with a plate tamp and without a conventional density test may be pursued with the written consent of the District Engineer. If this option is exercised, then roadway ABC stone and asphalt repair as required will also be specified by the District Engineer. Directional Bore 82. NCDOT required information for Encroachments using Horizontal Directional Drilling (HDD). In addition to submittal requirements outlined in the NCDOT Utilities Accommodations Manual, this information must be submitted either explained on this form or in other documentation submitted for the encroachment requests using HDD. (see corresponding attachment) 83. Boring equipment will be provided of a type and size to facilitate boring in the local geologic conditions and shall be able to facilitate the encroachment work. 84. When Horizontal Directional Drilling(HDD) is used,the following stipulations apply: a. Use drilling fluids as appropriate for the type soils but use of water alone is prohibited. Pump drilling fluids only while drilling or reaming. Directional boring using jetting with a Bentonite (or equivalent material) slurry is recommended. Monitor flow rates to match the amount leaving the bore hole and donot increase pressure or flow to free stuck drill heads, reamers or piping. Open cutting to retrieve stuck drill heads is not allowed without prior permission from the District Engineer. b. The minimum depth shall adhere to the table below for transverse and longitudinal(under non-controlled access, partial controlled access, or limited controlled access roadway) installations and refers to maximum diameter of hole drilled and not the dimension of the carrier or encasement pipe. Diameter of Drilled Hole (Backream) Minimum Depth of Cover 11 2"to 6" 5 feet >6"to 15" 12 times hole diameter(e.g. 6 inch hole means 6 feet minimum depth) >15"to 36" 15 feet or greater c. Under fully controlled access roadway installations,the minimum depth for transverse crossings shall be 15 feet under any pavement(ramps or thru lanes). d. An overbore (backream diameter) shall not be more than 1.5 times the outside diameter of the pipe or encasement under any highway for pipes 12 inches in diameter or less. For pipes with outer diameter larger than 12 inches, the overbore may be longer than outer diameter of pipe plus 6 inches. An overbore exceeding 1.5 times greater than the outside diameter of the pip or encasement may be considered if the encroachment agreement includes a statement signed and sealed by a licensed North Carolina Professional Engineer indicating that an overbore in excess of 1.5 times the outside diameter of the pipe or encasement will appropriately arch and no damage will be done to the pavement or sub-grade. e. Directional boring is allowed beneath embankment material in naturally occurring soil. f. All directional bores shall maintain ten (10)feet minimum (clear)distance from the nearest part of any structure, including but not limited to bridges, footings, pipe culverts or box culverts. Directional bores are not allowed beneath bridge footings, culvert wingwall footings, slope protection or retaining walls. g. The tip of the drill string shall have a cutter head h. Detection wire shall be installed with non-ferrous material. i. HDPE pipe installed by directional boring shall not be connected to existing pipe or fittings for one (1) week from the time of installation to allow tensional stresses to relax. Aerial Clearances 85. Vertical Clearance of overhead power and communication lines shall meet the National Electrical Safty Code requirements except the minimum vertical clearance shall be 18'for crossings over NCDOT roadways (24'over Fully Controlled Access roadways)and 16'for parallel installations. 86. In relation to the bridge, the utility line shall be located with minimum clearances as indicated on the attachment for NCDOT Required Clearances for Aerial Installations by Encroachment Near Bridge Structures. (see attached) Pavement Detail and Repair 87. "Potholing" pavement cores to expose existing utilities shall be made with an 18"diameter keyhole pavement core. Pavement core locations shall not be placed in the wheel path whenever possible.Vacuum excavation shall be utilized to expose underground utilities. Pavement cores shall be repaired within the same working day. The pavement core shall be retained and reused to fill the core hole. The excavation shall be backfilled and compacted with select material to the bottom of the existing pavement structure or as indicated by the District Engineer. The retained core shall be placed in the hole and secured with a waterproof, mechanical joint. If the pavement core is damaged and cannot be re-used, the core may be replaced with the surface mix, S9.5B. The asphalt patch shall match the thickness of the existing asphalt or four inches, whichever is greater. All materials must be listed on the NCDOT Approved Products List (APL)found at: https://apps.ncdot.gov/vendor/ approvedproducts/. 88. The minimum pavement design for pavement repair shall be according to NCDOT Standard Drawing 654.01 (https://connect.ncdot.gov/resources/Specifications/2018StandardRdwyDrawings/Division%2006%20 Asphalt% 20Bases%20and%20Pavements.pdf)and shall include a mechanical overlay extent to be a minimum of 25 feet each side of the pavement repair area OR as directed by the District Engineer. 89. Pavement cuts shall be repaired the same day the cuts are made unless an asphalt patch cannot be accomplished the same day due to material availability or time restrictions. When the asphalt patch is 12 not feasible, the following apply: a. The pavement cut shall be filled to the surface with ABC stone or Flowable Fill per NCDOT's Standards and Specifications. b. Once the cut is filled, a minimum 3/-inch steel plate shall be placed and pinned to prevent moving. Platesshall be designed large enough to span a minimum of 1-foot on all sides on the pavement cut. c. When flowable fill is used, it shall cure for 24 hours prior to any asphalt material placement. Flowable fill bleed water shall not be present during paving operations. Paving shall not cause damage(shoving, distortion, pumping, etc.)to the flowable fill. d. Install and leave "BUMP" signs according to MUTCD until the steel plate has been removed. Once the flowable fill has cured, remove the steel plate, and mill/fill according to the directions of the District Engineer. e. All pavement cuts must be sealed with NCDOT approved sealant to prevent future pavement separation or cracking. 90. Any pavement damaged because of settlement of the pavement or damaged by equipment used to perform encroachment work, shall be re-surfaced to the satisfaction of the District Engineer. This may include the removal of pavement and a 50' mechanical overlay. All pavement work and pavement markings (temporary and final)are the responsibility of the Encroaching Party. Post Construction Close Out/Inspection 91. The Encroaching party shall notify the District Engineer's office within 2 business days after construction is complete in writing on letter head with copy of initial Approval Letter. The District Engineer may perform a construction inspection. Any deficiencies may be noted and reported to the encroaching party to make immediate repairs or resolve any issues to restore the right-of-way to a similar condition prior to construction, including pavement, signage,traffic signals, pavement markings, drainage, structures/pipes, or other highway design features. 92. At the discretion of the District Engineer, a final inspection report may be provided to the encroaching party upon satisfactory completion of the work. 93. A written acknowledgement of the completed work by the District Engineer's office begins the one-year warranty period associated with the performance bond. 94. If the actual construction differs from the approved plans associated with this encroachment, a copy of"as-built" plans shall be submitted to the District Engineer's office in a PDF format and in a current ESRI GIS format within 4 weeks of construction. 13 Lisa Macnamara From: Lisa Macnamara Sent: Friday, February 17, 2023 11:46 AM To: Chad Goodin Subject: RE:Septic Encroachment Did you read the following? It is very specific about how to fill out the form. Can you review and advise Thank you, Lisa Lisa Macnamara Lake Norman Signature Pools and Patios Chad Goodin Signature Homes 108 Poplar Pointe Dr.,Suite A i✓ Mooresville,NC 28117 f o h� 704-363-7302 From:Chad Goodin<Chad@chadgoodin.com> Sent: Friday, February 17, 2023 11:42 AM To: Lisa Macnamara<Iisa@chadgoodin.com> Subject: FW:Septic Encroachment This is where it goes back to From:Carswell,Travis C<tccarswell@ncdot.gov> Sent: Monday, February 13, 2023 1:59 PM To:Chad Goodin<Chad@chadgoodin.com> Cc:Watson,Michael R<mwatson@ncdot.gov>;Jordan,Travis R<triordanl@ncdot.gov> Subject:Septic Encroachment Good Morning Chad, We spoke last week about the septic encroachment in Cheviot Hills. I am including in this encroachment the requirements for this along with a PDF of the encroachment form that will need to be filled out. 1. You will need a plan sheet showing where you are making your crossing.You could print out a plat of the properties and draw the crossing on there. Please show the ROW width on the plans, Road width on the plans, the materials that will be placed,along with the lengths and Installation method.With the plans you will also need to include a bore profile that shows the road with width,the ditches,length of encasement pipe,length of sewer pipe, and the correct depth under the road and ditches.The encasement pipe will need to be shown extending from ditch line to ditch line Directional boring requires 5'deep,pneumatic bore or punch method is 3' deep.This depth is from bottom of road structure not from the surface of the road. 2. On the encroachment form,you will need to put the property owners name as the second party in the blank area below the part that says"Department of l ransportation-and-".You will also need to put their mailing address here.The blank area beside where it says located,put the address where the work will be performed. The part below located where it says construction and erection of,you will need to state the utility materials 1 being placed for the carrier pipe and the encasement.Also,you will need to state the SDR rating of the pipe if not using Ductile Iron Pipe.Since you will be placing the carrier pipe past the Right of way limits on each side of the road,the carrier pipe length will be 60'.The encasement pipe length will be whatever the distance between the ditches will be. Please state the installation method as well. I will give you an example of what this should say. It should read something along the lines of"60 LF of 3"SDR18 PVC sewer main encased within 40 LF of 4" DIP encasement installed by pneumatic bore method". It doesn't have to be on there exactly like this but it will be similar to this with the sizes and materials that you are using. 3. At the bottom of the encroachment form,the property owner that signed as the second party will sign where it says second party.They will also need to print their name along with their title which in this instance I assume would be homeowner or property owner. For the witness portion to the left,anyone can sign for the witness. It can be you or anyone.They will need to sign, print,and title as well. We had an encroachment similar to this in the past,and Catawba county made those people get it recorded in the court house.You should reach out to Catawba County to verify they are good with what is being installed or if they will make the property owner get it recorded.Again this is from the county. NCDOT does not require this,we only require an encroachment. If you have any questions about any of this please let me know.When you get the plans, bore profile,and form filled out please send them back to me in PDF format and I will take a look at them. Thanks, Travis Carswell Engineering Technician I Division 12 District 3 Office North Carolina Department of Transportation 1031 E Gaston Street Lincolnton,NC 28092 (704)748-2400 office (704)748-2403 fax tccarswell@ncdot.gov r + fr " +" Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties Email correspondence to and from this sender is subjed to the N.0 Public Records Law and may be disclosed to third parties Email correspondence to and from this sender is subject to the N C Public Records l.aw and may be disclosed to third parties 2 a) d O 0 ao s 4 M a os J c s ici`- LO r :,\() 6 A cO O o i ' 0.) 61 c. C C 4 a 1� ¢ N 0640° A yy11n C e gg �e1 Dy#•,�¢ ,1 3 : m $key b, i 'a gg A & I ' A I -- �-x / 1. 1 / «W r xk' •/ J / INP44 I .,“ ili , 441111 _ /,a/ .... 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'y g+ • %; ,,.. >ryb 14‘) $ � 4��� � T § � dig, �i� � � „' �� 444 c p p p p px t ts+_ ,ys, •ee ..... � .iit 1, I 1 R ti�i: ill II it Rii i li. �3 , pro'�� ro`�vo �s ' .... .mod= eidt+. e•.i4il dxiA..io. ■11;AARrlfgi \ 441 \ y.. oll \ 1 1 10,It � IlL�-A1- 4er,. .1 : 1 Iti 'i- t , . •,i ihri 1 A. A / 15! : 1 tic '11 t .1.1 4, 1 fij . 1 14. ilrl'''ca- o. STATE OF NORTH CAROLINA ROUTE PROJECT COUNTY OF o,- a yj kp DEPARTMENT OF TRANSPORTATION RIGHT OF WAY ENCROACHMENT AGREEMENT -AND- PRIMARY AND SECONDARY HIGHWAYS 90(e Reor+h c4cy/ b !' I)C• 02ce03> THIS AGREEMENT,made and entered into this day of 20 by and between the Department the of Transportation,party of the first part;and party of the second part, WITNESSETH THAT WHEREAS,the party of the second part desires to encroach on the right of way of the public road designated as Route(s) ,located with the construction and/or erection of: " .9�•. Fuca j.nc CiynS�dnei (�C�,cO. WHEREAS,it is to the material advantage of the party of the second part to effect this encroachment,and the party of the first part in the exercise of authority conferred upon It by statute,is willing to permit the encroachment within the limits of the right of way as indicated,subject to the conditions of this agreement; NOW,THEREFORE,IT IS AGREED that the party of the first part hereby grants to the party of the second part the right and privilege to make this encroachment as shown on attached plan sheet(s),specifications and special provisions which are made a part hereof upon the following conditions,to wit: That the installation,operation,and maintenance of the above described facility will be accomplished in accordance with the party of the first part's latest POLICIES AND PROCEDURES FOR ACCOMMODATING UTILITIES ON HIGHWAY RIGHTS-OF-WAY,and such revisions and amendments thereto as may be in effect at the date of this agreement. Information as to these policies and procedures may be obtained from the Division Engineer or State Utility Agent of the party of the first part That the said party of the second part binds and obligates himself to install and maintain the encroaching facility in such safe and proper condition that it will not interfere with or endanger travel upon said highway,nor obstruct nor interfere with the proper maintenance thereof,to reimburse the party of the first part for the cost Incurred for any repairs or maintenance to its roadways and structures necessary due to the Installation and existence of the facilities of the party of the second part,and if at any time the party of the first part shall require the removal of or changes in the location of the said facilities,that the said party of the second part binds himself,his successors and assigns,to promptly remove or alter the said facilities,in order to conform to the said requirement,without any cost to the party of the first part. That the party of the second part agrees to provide during construction and any subsequent maintenance proper signs,signal lights, flagmen and other warning devices for the protection of traffic in conformance with the latest Manual on Uniform Traffic Control Devices for Streets and Highways and Amendments or Supplements thereto. Information as to the above rules and regulations may be obtained from the Division Engineer of the party of the first part. That the party of the second part hereby agrees to indemnify and save harmless the party of the first part from all damages and claims for damage that may arise by reason of the installation and maintenance of this encroachment. That the party of the second part agrees to restore all areas disturbed during Installation and maintenance to the satisfaction of the Division Engineer of the party of the first part The party of the second part agrees to exercise every reasonable precaution during construction and maintenance to prevent eroding of soil;silting or pollution of rivers,streams,lakes,reservoirs,other water Impoundments,ground surfaces or other property;or pollution of the air. There shall be compliance with applicable rules and regulations of the North Carolina Division of Environmental Management,North Carolina Sedimentation Control Commission,and with ordinances and regulations of various counties,municipalities and other official agencies relating to pollution prevention and control. When any installation or maintenance operation disturbs the ground surface and existing ground cover,the party of the second part agrees to remove and replace the sod or otherwise reestablish the grass cover to meet the satisfaction of the Division Engineer of the party of the first part. That the party of the second part agrees to assume the actual cost of any inspection of the work considered to be necessary by the Division Engineer of the party of the first part. That the party of the second part agrees to have available at the construction site,at all times during construction,a copy of this agreement showing evidence of approval by the party or the first part. The party of the first part reserves the right to stop all work unless evidence of approval can be shown. Provided the work contained in this agreement Is being performed on a completed highway open to traffic:the party of the second part agrees to give written notice to the Division Engineer of the party of the first part when all work contained herein has been completed Unless specifically requested by the party of the first part.written notice of completion of work on highway projects under construction will not be required That in the case of noncompliance with the terms of this agreement by the party of the second part,the party of the first part reserves the right to stop all work until the facility has been brought into compliance or removed from the right of way at no cost to the party of the first part. That it is agreed by both parties that this agreement shall become void if actual construction of the work contemplated herein is not begun within one(1)year from the date of authorization by the party of the first part unless written waiver is secured by the party of the second part from the party of the first part During the performance of this contract,the second party,for itself,its assignees and successors in interest(hereinafter referred toes the"contractor"),agrees as follows: a. Compliance with Regulations: The contractor shall comply with the Regulations relative to nondiscrimination in Federahy assisted programs of the U.S.Department of Transportation,Title 49,Code of Federal Regulations,Part 21,as they may be amended from time to time,(hereinafter referred to as the Regulations),which are herein incorporated by reference and made a part of this contract. b. Nondiscrimination The contractor,with regard to the work performed by it during the contract,shall not discriminate on the FORM R/W 16.1 (Rev.July 1,1977) grounds of race,color,or national origin in the selection and retention of subcontractors,Including procurements of materials and leases of equipment. The contractor shall not participate either directly or Indirectly In the discrimination prohibited by Section 21.5 of the Regulations,Including employment practices when the contract covers a program set forth in Appendix B of the Reputations c. Solicitations for Subcontracts,including Procurements of Materials and Equipment: In all solicitations either by competitive bidding or negotiation made by the contractor for work to be performed under a subcontract,including procurements of materials or leases of equipment,each potential subcontractor or supplier shall be notified by the contractor of the contractor's obligations under this contract end the Regulations relative to nondiscrimination on the grounds of race,color,or national origin. d. information and Reports: The contractor shall provide all information and reports required by the Regulations,or directives issued pursuant thereto,and shall permit access to Its books,records,accounts,other sources of Information,and Its facilities as may be determined by the Department of Transportation or the Federal Highway Administration to be pertinent to ascertain compliance with such Regulations or directives. Where any information required of a contractor is in the exclusive possession of another who fads or refuses to furnish this information,the contractor shall so certify to the Department of Transportation,or the Federal Highway Administration as appropriate,and shall set forth what efforts it has made to obtain the information. e Sanctions for Noncompliance: In the event of the contractor's noncompliance with the nondiscrimination provisions of this contract the Department of Transportation shall Impose such contract sanctions as it or the Federal Highway Administration may determine to be appropriate,including,but not limited to, (1) withholding of payments to the contractor under the contract until the contractor complies,and/or (2) cancellation,termination or suspension of the contract,in whole or in part. f. Incorporation of Provision$: The contractor shall include the provisions of paragraphs"a"through"r in every subcontract, Including procurements of materials and leases of equipment,unless exempt by the Regulations,or directives issued pursuant thereto. The contractor shall take such action with respect to any subcontract or procurement as the Department of Transportation or the Federal Highway Administration may direct as a means of enforcing such provisions Including sanctions for noncompliance: Provided,however,that,In the event a contractor becomes involved In,or Is threatened with, litigation with a subcontractor or supplier ass result of such direction,the contractor may request the Department of Transportation to enter into such litigation to protect the interests of the State,and,in addition,the contractor may request the United States to enter into such litigation to protect the interests of the United States. R/W(161):Party of the Second Part certifies that this agreement is true and accurate copy of the form RAN(161)incorporating all revisions to date. IN WITNESS WHEREOF,each of the parties to this agreement has caused the same to be executed the day and year first above written. DEPARTMENT OF TRANSPORTATION BY: DIVISION ENGINEER ATTEST OR WITNESS: Second Party INSTRUCTIONS When the applicant Is a corporation or a municipality.this agreement must have the corporate seal and be attested by the corporation secretary or by the empowered city official,unless a waiver of corporate seal and attestation by the secretary or by the empowered City official is on file in the Raleigh office of the Manager of Right of Way. In the space provided in this agreement for execution,the name of the corporation or municipality shall be typed above the name,and title of all persons signing the agreement should be typed directly below their signature. When the applicant is not a corporation,then his signature must be witnessed by one person. The address should be included in this agreement and the names of all persons signing the agreement should be typed directly below their signature. This agreement must be accompanied,In the form of an attachment,by plans or drawings showing the following applicable information: 1. All roadways and ramps. 2. Right of way lines and where applicable,the control of access lines. 3. Location of the existing and/or proposed encroachment. 4. Length,size and type of encroachment 5. Method of Installation. 6. Dimensions showing the distance from the encroachment to edge of pavement,shoulders,etc. 7. Location by highway survey station number. If station number cannot be obtained,location should be shown by distance from some identifiable point such as a bridge,road,intersection,etc. (To assist in preparation of the encroachment plan,the Department's roadway plans may be seen at the various Highway Division Offices,or at the Raleigh office.) 8. Drainage structures or bridges if affected by encroachment(show vertical and horizontal dimensions from encroachment to nearest part of structure). 9. Method of attachment to drainage structures or bridges. 10. Manhole design, 11. On underground utilities,the depth of bury under all traveled lanes,shoulders,ditches,sidewalks,etc. 12. Length,size and type of encasement where required. 13. On underground crossings,notation as to method of crossing-boring and Jacking,open cut.etc. 14. Location of vents GENERAL REQUIREMENTS 1 Any attachment to a bridge or other drainage structure must be approved by the Head of Structure Design In Raleigh prior to submission of encroachment agreement to the Division Engineer. 2. All crossings should be as near as possible normal to the centerline of the highway. 3. Minimum vertical clearances of overhead wires and cables above all roadways must conform to clearances set out in the National Electric Safety Code. 4. Encasements shall extend from ditch line to ditch line In cut sections and 5'beyond toe of slopes in fill sections. 5. All vents should be extended to the right of way line or as otherwise required by the Department. 6 All pipe encasements as to material and strength shall meet the standards and specifications of the Department. 7. Any special provisions or specifications as to the performance of the work or the method of construction that may be required by the Department must be shown on a separate sheet attached to encroachment agreement provided that such information cannot be shown on plans or drawings. 8. The Department's Division Engineer should be given notice by the applicant prior to actual starting of installation Included in this agreement