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RBPR-03-2023-43611.tif
Y' �G THIS IS NOT A PERMIT Case# RBPR-03-2023-43611 d CATAWBA COUNTY HEALTH DEPARTMENT � O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES g}2 srw Residential BuildingPlan Review- BuildingNew IMPROVEMENT-AUTH CONST- NEW WELL Applicant AGRI-WASTE TECHNOLOGY INC (TREVOR HACKNEY),501 N SALEM ST,APEX NC 27502 C:7042689160 THACKNEY a AGRI WASTE.COM Owner MIHIRBHAI PATEL, 106 STIBBS CROSS RD,MOORESVILLE,NC 28115 C:7046570707 RAIDHAN1321@YAHOO.COM NAME TO APPEAR ON PERMIT Mihirbhai Patel _ SITE ADDRESS: 4915 KISER ISLAND RD,TERRELLNC 28682 PIN# 461604634245 NAME of SUBDIVISION: Lot M 44&45 Section/Block PROPERTY SIZ E: Square Feet Acres .94_ DIRECTIONS: 150 E,right Kiser Island Rd,2.9 miles on right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: **a2 IP/AC submittal County issued well permit**proposing property combination. New 4 bedroom 125 x 85 home SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES',then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 125 x 85 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO .�L:rgilii:u,n 03/03/2023 16:49 Pagc 1 or3 154 CATAWBA COUNTY Case f RBPR-03-2023-43611 Public Health Department t' 2 Subdivision ¢ i � Environmental Health Division PINk 461604634245 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 SM NAME ON PERMIT: (MII IIRBI IAI PAFEL), 106 STII3BS CROSS RD,MOORESVILLE NC 28115 (Mihirbhai Patel) Site Address: 4915 KISER ISLAND RD,TERRELL NC 28682 Property Size: Square Feet Acres 94 Directions: 150 E,right Kiser Island Rd,2.9 miles on right Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,complete and correct Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREAS FEENAME DATE FEE AMOUNT Authorization to Construct Fee(New/Expansion) 03/03/2023 $300.00 Fee Improvement Permit Fee 03/03/2023 $150.00 Well Permit& Inspection Fee 03/03/2023 $300.00 TOTAL FEES S750.00 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) ehnppli,aw•n 03/03/2023 16:49 Page 2 of 3 t8; catawba county public health Application for Environmental Health Services q31, I I THIS IS NOT A PERMIT Application is for: [INew Construction ❑Existing Facility ® Improvement Permit ® Authorization to Construct ®New Septic ❑Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection ® New Well �'q1 s❑ Replacement Well ['Well Abandonment ❑ Well Repair Property Address Lot 44 & 45 Kiser Island Rd, Terrell NC PIN 461604634245 & 461604635108) Acres 0.94 Subdivision N/A Lot# 44 R_45 Driving Directions to Property Traveling SW on NC 150 turn Left onto Kiser Island Road. Lots 44 and 45 are —2.9 miles down on the right. Describe work New 4 Bedroom Single Family Residence Proposed. Applicant Name Agri-Waste Technology, Inc. Applicant Address 501 N Salem St, Apex NC 27502 Phone 704-268-9160 I Email thackney@agriwaste.com Owner Name Mihirbhai Patel Owner Address 106 Stibbs Cross Rd, Mooresville NC 28115 Phone 704-657-0707 Email Rajdhani321@yahoo.com Contractor Name Agri-Waste Technology, Inc. Contractor Address 501 N Salem St,Apex NC 27502 Phone 704-268-9160 Email thackney@agriwaste.com Name to Appear on Permit? at Owner ❑Applicant ❑Contractor Who will be the Primary Contact? ❑Owner ❑ Applicant ❑Contractor Proposed New Construction-Residential Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms*f 4 #of Occupants 8 Project Description New 4 Bedroom Single Family Residence Structure Dimensions,also specify dimensions of decks&porches Building Footprint of 125' x 85' (Choose One) [211 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ® Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑ Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing 0 Yes 0 No Describe Plumbing Needed (Choose One) 0 Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) 0 Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' 0 Yes ❑ No Well Construction/Abanggnment/Repair Proposed Well Type 21 Individual Well ❑Semi-Public Well ❑('ummunit) Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ I Inknown Well Repair Requested ❑Yes ❑No Describe -- Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?❑Yes ❑No Environmental Health Catawba County Government Center, 25 Government Drive I P0. Box 389, Newton, NC 28658 Phone: (828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe Very old shack on property to be removed Structure Dimensions #of Bedrooms* #of Occupants Basement El 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 El 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 El Yes El No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑Yes El No Residential Kitchen ❑Yes ❑No Daycare#of Children #of Employees per Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow, Commercial t (This value will be determined by EH staff) The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is"yes",applicant must attach supporting documentation. ❑ Yes R1 No Does the site contain any jurisdictional wetlands? ❑ Yes (�No Does the site contain any existing wastewater systems? ❑Yes (131 No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes Ix No Is the site subject to approval by any other public agency? ❑Yes 1$I 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 Other Panel Block ❑ Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. ** If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Environmental Health soil/site evaluations require digging,augering, and/or probing into the ground. Property owner/applicant is responsible for marking all underground utilities, including but not limited to: underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities. Completed applications are valid for a period of 2 years. Improvement Permits are valid:with complete site plan=60 months(5 years); with complete plat=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid. An Authorization to Construct, issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that 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. Signature of Owner or Legal Agent 71e001'qiackaey _ Date 3/3/2023 — Trevor Hackney Printed Name of Owner or Legal Agent County: Catawba IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/5L2022-11 PIN/Lot Identifier:461604634245 & 461604635108 Issued To:Mihirbhia Patel Property Location: Lot 44 & 45 Kiser Island Rd, Terrell NC. Subdivision:N/A Lot#:44 & 45 Block: N/A Section: N/A LSS Report Provided: Yes 0 No❑ If yes,name and license number of LSS:Jeff Vaughan, 1227 New 0 Repair❑ Expansion 0 System Relocation 0 Proposed Structure:Single Family Residence Proposed Wastewater System Type: Pressure Manifold, 50% Reduction(Initial) Repair Area Exempt (Repair) Fill System: ❑Yes El No If yes,specify: El 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 LTAR(Repair):N/A Design Wastewater Strength:0 domestic El high strength 0 industrial process Number of bedrooms:4 Number of Occupants:8 Other: Pump Required: LI Yes o No ❑May be required based upon final location and elevations of facilities Artificial Drainage Required: El Yes 0 No If yes,please specify details: Type of Water Supply:El Private well El Public well ❑Municipal Supply ❑Spring El Other: Drainfield location meets requirements of Rule.1945: Yes El No❑ Drainfield location meets requirements of Rule.1950: Yes 0 No 0 Permit valid for:El Five years[site plan submitted pursuant to GS 130A-334(13a)] 0 No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: Horizontal Panel Block to be used for the Trench Product Lot 44 & 45 Parcels to be combined for one home to be built. Licensed Soil Scientist Print Name:Jeff Vaughan Licensed Soil Scientist Signature: .$ ®l _ Date:2/27/2023 The LSS evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* RECEIVED MAR 3 2023 Environmental Health County: Catawba This Section for Local Health Department Use Only Initial submittal received: by Date Initials Permit Number: G.S. 130A-335(a4)states the following: 'If a local health department fails to act on an application for an improvement permit submitted pursuant to subsection(a3)of the section within 10 business days of receipt of a complete application, the local health department shall issue the improvement permit.' In accordance with G.S. 130A-335(a3)the improvement permit application is: ❑ Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: ❑ Denied(See attached report.) Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: ❑ Complete State Authorized Agent: 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* County: Catawba CONSTRUCTION AUTHORIZATION FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier:461604634245 & 461604635108 Issued To: Mihirbhia Patel Property Location: : Lot 44 & 45 Kiser Island Rd, Terrell NC. AOWE/PE Plans/Evaluations Provided: Yes 0 No El If yes,name and license number of AOWE/PE:Jeff Vaughan, 10003E Facility Type:Single Family Residence El New ❑ Expansion 0 Repair System Relocation El Basement? El Yes ❑No Basement Fixtures? R'Yes ❑No Type of Wastewater System** Pressure Manifold 50% ReducAioual) Repair Exempt (Repair) Design Daily Flow:480 GPD Wastewater Strength:0 domestic ❑ high strength El industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? El Yes Q No Installation Requirements/Conditions Septic Tank Size: 1250 gallons Total Trench/Bed Length:286 feet Trench/Bed Spacing:9 feet on center Drainfield square footage:825 Trench/Bed Width:36 inches LTAR:0.3 gpd/ft' Soil Cover:6+ inches Slope Adjusted Maximum Trench/Bed Depth:33 inches Aggregate Depth: inches above pipe inches below pipe 14 inches total Pump Tank Size(if applicable): 1250 gallons Requires more than 1 pump? 0 Yes El No Pump Requirements: 18.O2ft.TDH vs.44.42GPM Grease Trap Size(if applicable): gallons Distribution Method: ❑Serial ❑ D-Box or Parallel El Pressure Manifold(s) ❑LPP ❑Other: Artificial Drainage Required: Yes El No El If yes,please specify details: Legal Agreements(If the answer is"Yes"to any type of legal agreements,please attach a copy of the agreement.) Multi-party Agreement Required[.1937(h)]: Yes El No El Easement, Right-of-Way,or Encroachment Agreement Required(.1938(j)]: ❑Yes El No Declaration of Restrictive Covenants: El Yes El 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❑ No D Conditions: Horizontal Panel Block Trench to be used Lot 44 & 45 Parcels to be combined for one home to be built. 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 shall be installed in accordance with the attached system layout. AOWE/PE Print Name:Jeff Vaughan AOWE/PE Signature: ` ti/L Date:2/27/2023 1 �, This AOWE/PE submittal is pursuant to and meets the requirements of G.S.130A-335(a2)and(a5). *See attached site sketch* county: Catawba This Section for Local Health Department Use Only Initial submittal received: by Date Initials Permit Number: 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: ❑ Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the AOWE/PE and the Owner on Dote State Authorized Agent: Date: ❑ Denied(See attached report.) Copies of this were sent to the AOWE/PE and the Owner on Dote 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* Robert Phelps From: Robert Phelps Sent: Thursday, March 16, 2023 8:15 AM To: 'Trevor Hackney' Subject: 4915 Kiser Island Trevor, -The application shall be accompanied by a signed and dated statement from the applicant (owner or owner's legal representative) that reads as follows: "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)." t -The AOWE/PE submittal shall be accompanied by a signed and dated statement from the applicant (owner or owner's legal representative)that reads as follows: "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)." Thanks Robbie Phelps, REHS Environmental Health Supervisor, OSWP Division 25 Government Drive, Newton, NC 28658 (828) 320-3077 cell https://www.catawbacountync.gov/county-services/environmental-health/ Icatawba county Confidentiality Statement:The information contained in electronic transmissions is confidential and may be subject to protection under the law,including the Health Insurance Portability and Accountability Act(HIPAA).An electronic transmission is intended for the sole use of the individual or entity to whom it is addressed.If you are not the intended recipient,you are hereby notified that any use,distribution or copying of the message is strictly prohibited.If you received a message in error, please contact the sender immediately by replying to the e-mail and delete the material from any computer. 1 ��-...1 AGRITEC-01 CGARKALNS ACOR,o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYYI �'� 1/20/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Connie Garkalns NAME: Hartsfield&Nash Agency,Inc. PHONE FAX 10405 Ligon Mill Rd.,Ste H (Arc,No,Extl:(919) 556-3698 (Arc,NoI:(919)556-8758 Wake Forest,NC 27587 ADDRlESS:Connie@hartsfield-nash.com INSURER(S)AFFORDING COVERAGE NAIC a INSURER A:SELECTIVE INSURANCE COMPANY 39926 INSURED INSURER B:Accident Fund National Insurance Company 12305 Agri-Waste Technology Inc INSURER C:Evanston Insurance Company 501 N.Salem St Ste 203 INSURER D: Apex, NC 27502 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSD WVD IMMIDD!YYYY1 IMM(DD!YYYY1 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR S 2253659 1/18/2022 1/18/2023 DAMAGE TO RENTED 3,000,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4'000'000 POLICY X PEI° LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER. $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO S 2253659 1/18/2022 1/18/2023 BODILY INJURY(Per person) S — OWNED —SCHEDULED _ AUTOS ONLY — AUTOS BODILY INJURY(Per acrid ent) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTO ONLY (Per accident) S S A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE S 2253659 1/18/2022 1/18/2023 AGGREGATE $ 2,000,000 DED RETENTION 5 $ B WORKERS COMPENSATION X E H AND EMPLOYERS'LIABILITY STATUTE ER YIN 100003072 1/18/2022 1/18/2023 1,000,000 ANY PROPRIETOR/PARTNERiEXECUTIVE N N!A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Prof/Pollution MKLV3ENV102697 8/22/2021 8/22/2022 Per Claim 5,000,000 A Leased/Rented S 2253659 1/1812022 1/18/2023 Equipment 25,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ***This is ONLY For Informational Purposes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS, Contact Agency for Specific Holder info to be added --- **i* AUTHORIZED REPRESENTATIVE I 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Engineers and Soil Scientists Agri-Waste Technology,Inc. \\����� 501 N.Salem Street,Suite 203 „• Apex,North Carolina 27502 ` '• JG • ►r. I� 919-859-0669 (h.! t:.:��_ y F•;.; , , �-s www.agriwaste.com ,.. � �� L - �Atf:, • C"`-AORT1A CPS Soil Suitability for Domestic Sewage Treatment and Disposal Systems Lot 44 & 45 Kiser Island Road, Terrell, NC. Catawba County PIN: 461604634245 & 461604635108 PREPARED FOR: Mihirbhia Patel, Client PREPARED BY: Jeff Vaughan, Licensed Soil Scientist Trevor Hackney, Environmental Scientist DATE: February 27, 2023 Soil suitability for domestic sewage treatment and disposal systems was evaluated from January 19, 2023, for the properties located on Kiser Island Road, Terrell, NC. Jeff Vaughan and Trevor Hackney of Agri-Waste Technology, Inc. (AWT)conducted the soil evaluation. This evaluation was done to facilitate permitting for a 4-bedroom home. This report and attached documents were prepared to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2) and(a3). The LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A- 335(a2). A drawing of the site plan, septic layout, and boring locations is included in Attachment 1. Profile descriptions for each boring are included in Attachment 2. Additional Documentation is in Attachment 3- The total property area is 0.94 acres. Mostly open area and partially wooded. A hydro-ax as used to clear out much of the small underbrush to make the property accessible. The home is proposed near the rear of the property with the septic system proposed in the front of the home. The proposed system is a pressure manifold dosed vertical panel block style trench with serial distribution. The two properties will be combined in order to build one home. These lots were recorded in March of 1966 making them repair area exempt. Soil Suitability for Domestic Sewage Treatment and Disposal Systems The drawing in Attachment I details the property boundaries (as surveyed by Dedmon Surveys), soil boring locations, and layout of drain field trenches (Completed by AWT). Four soil borings were assessed on the property. Soil borings were examined to determine soil suitability for on-site sewage disposal systems in accordance with I5A 1 18A .1900 Rules for Sewage Treatment and Disposal Systems. These borings were advanced with a hand auger. All soil borings are being utilized for the drain field area. A septic layout was performed to demonstrate available space (.1945). The layout in Attachment 1 indicates there is available space for a four-bedroom primary septic system utilizing the 50% reduction of horizontal panel block trenches. A repair area is not required given the age of the lot. The proposed LTAR(Long Term Acceptance Rate) by AWT is 0.3 GPD/ft2. The soils on this property are group IV soils within the distribution and treatment zone as used to define the LTAR. Since usable slope corrected soil depths meet or exceed 45" AWT is recommending the use of horizontal panel block trenches to utilize the 50%reduction. With a LTAR of 0.3 GPD/ft2, 267 linear feet of panel block style trench is necessary to support a four-bedroom home initial system. The maximum trench bottom should not exceed 33". The attached drawing proves that 286 linear feet of trench can be installed for the primary system. AWT recommends installing all the possible trench because there will be no repair system designated on this property. Any disturbances or grading done in the usable area will change the potential of using the area designated for a drain field. Prior to moving forward with building on the property, Catawba County Environmental Health Department should be contacted to complete the necessary review of this documentation to issue an IP(Improvement Permit) for the property and the CA (Construction Authorization). Conclusions An IP (Improvement Permit) and CA (Construction Authorization) for this property can be issued with the site plan that is in Attachment 1. A CA permit will be required in order to secure a building permit for the property. The county issues an Operation Permit after the system has been installed to meet the specifications of the Authorization to Construct. Additional septic layouts have been or will be performed as needed. It will be critical to not disturb any of the proposed septic area or there is a risk that the IP and CA will be revoked. This AOWE/PE submittal is pursuant to and meets the requirements of G.S. 130A-335(a2) and(a5). We appreciate the opportunity to assist you in this matter. Please contact us with any questions, concerns, or comments. Sincerely, /40 11 —. Z--Le4per41, Va_cyvn,248. Jeff Vaughan Trevor I iackne\ 2 Attachment 1: Site Plan/Drawing ! | \ q \ }|\ /\ ( \) llEt \ E g !, . I ``` / ml }i/i! 1!;0; r 1 g (S g, -E\l} , 2 z !' § i` » £ ) .. . . ' $ \ 5 s , , . / ) -1 ƒ \ a ( » _ _ .g G b 2 2 5 \ \` o \/ \ Lli G I ct C c 2 x � a)+ E year / m CO # n CO , $ o $ $ $ $ $ � / \ / k k k co Q / C.)- "co E — / a. / = r e & g ) CD CO06 & \ 3 2 o # 2 I o 0 o x 2 # / m a $ k - (13 o c 5 § / 5 ® ^ \ / $ \ E / CC o \ \ U o p / Q g CO R E w e e . @ e 2 U O e L n _2 / % = 9 . © ± - ^ © [ e / / \ ƒ •. % 1...1. \ 0) k / / / / d- = % _ \ » 3 { I / > # o) . / a) a) an '- \ § b co / \ o / ® \ @ o \ a © - o @ » p o 3 w / R < r < 7 ± E I— y a)a .§ ¥ 5j $ = 2 e CL \ 0 0o E / \ \ f / / / % _1 E E E 2 a PR _ 5,, n. 1 v- i E 4m ht! Li- M N 1uht / 1 8 1_ l` 1 - i \\ r _ ...-•_•---- `-~ F �1 \ 9 1 / vAlt, - Zl\\ —.-- j 5, e oI S c00n \�3\'1r$ 13 • 0: -01 to ..--------.' 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Subdiv.: 0 501 north Salem street.suite 201 Apex NC 27502 Lot#: 45-46 Permit#: Project Manager: Owner: Mihirbhia Patel Jeff Vaughan, LSS,AOWE Address: 106 Stibbs Cross Rd Type of System: III b jvaughan@agriwaste.com Mooresville, NC 28115 919-859-0669 Phone: 704-657-0707 Engineer: Email: Rajdhani321@yahoo.com PIN: 634245&461604f Trent Bostic tbostic@agriwaste.com EHS: Soil Parameters Soil Evaluation By: Special Conditions/Notes: LIAR: 0.30 gpd/ft2 Design Parameters Type of Establishment: Residence,5 or fewer bedrooms Unit: Bedroom #of Units: 4 Septic Tank Specifications Min.Tank Capacity: 1,000 gal Exterior Interior Actual Tank Volume: 1,250 gal Length: 125.5 119.5 in. Tank Manufacturer: Shoaf Width: 65.5 59.5 in. Tank Model: TS 1250 STB Depth: 62.0 54.5 in. Primary Draintield Specifications Type of Distribution: Parallel Pressure Manifold Trench Bottom Area: 1600 ft2 Trench Media: PPBPS, Horizontal Minimum Drain Line: 267 ft Trench Width: 3 ft Actual Drain Line: 286 ft Trench Depth: 33 in. Number of Lines: 3 (or as specified on permit) Minimum Line Spacing: 8 ft O.C. Wastewater Treatment System Design Calculations Project: Patel LSS Permit Location: Kiser Island Rd Terrell, NC County: Catawba Septic Tank Sizing 553 Daily Flow Estimate: Unit #of Units Flow/Unit Flow/Day Bedroom 4 120 480 0 0 Q= 480 gpd Septic Tank Minimum Capacity: Per NCAC T15A:18A .1952(b)(1): For individual residences with 4 bedrooms, Minimum Liquid Capacity(V)= 1,000 gal Septic Tank Specs: Manufacturer: Shoaf Model: TS 1250 STB Volume: 1,250 gal Weight: 11,000 lbs Exterior Interior Length: 125.5 119.5 in. Width: 65.5 59.5 in. Depth: 62.0 54.5 in. Shape of Risers: Circular Diameter: 2.00 ft Pump Tank Storage & Float Settings Project: Patel LSS Permit Location: Kiser Island Rd Terrell, NC County: Catawba Tank Manufacturer Shoaf Tank Model TS 1275 PT Interior Height(in.) 60.5 in. Avg. Storage 21.07 gal/in. Primary System Elevations, measured from bottom towards top (0 = Interior Bottom of Tank): Top of pump (including 4" block) 16.1 in. (Pump height= 12 1/8") Pump Off 18.0 in. Pump On 30.0 in. (set for dose volume) Alarm On 36.0 in. (6 in. above On Float) Emergency Storage Available Pump Tank 516 gal Days of Storage 1.08 days (determined from interior top of tank-"High Water Alarm") ELEVATIONS Project: Patel LSS Permit Location: Kiser Island Rd Terrell,NC County: Catawba Benchmark NE Property Corner BM Elev 764.255 ft Septic Tank 1,250 gal Ground Surface 762.00 ft Depth of Soil Cover 16 in. 1.33 ft Overall Ht of Tank 61.5 in. 5.13 ft Elev,Base of Tank 755.54 ft lit to 4"Inlet Invert 50 in. 4.17 ft Elev,4"Inlet Invert 759.71 ft Ht to 4"Outlet Invert 48 in. 4.00 ft Elev,4"Outlet Invert 759.54 ft Gravel Base 6 in. 0.50 ft Elev,Bot of Excavation 755.04 ft Pump Tank 1275 gal Ground Surface 762.00 ft Depth of Soil Cover 31 in. 2.58 ft Overall Ht of Tank 67.5 in. 5.63 ft Elev,Base of Tank 753.79 ft lit to 4"Inlet Invert 54.5 in. 4.54 ft Elev,4"Inlet Invert 758.33 ft Ht to 2"Outlet Invert 58 in. 4.83 ft Elev,2"Outlet Invert 758.63 ft Gravel Base 6 in. 0.50 ft Elev,Bot of Excavation 753.29 ft ST Inlet Pipe Grade @ Stub-out 762 ft Depth of Stub-out,top 1.5 ft Elev,Stub-out Invert 760.15 ft Elev @ ST Inlet Invert 759.71 ft Length 15 ft Slope 2.9 % Pipe, ST to PT ID 4 in. 0.33 ft OD 4.5 in. 0.38 ft Elev,ST Outlet Invert 759.54 ft Elev,PT Inlet Invert 758.33 ft Length 3 ft Slope 40.3 % Cover over inlet pipe 1.94 ft Pump Reqmt. Floor Thickness 4 in. 0.33 ft Elev,Pump Tank Floor 754.13 ft Pump Block Ht. 4 in. 0.33 ft Elev,Pump Intake 754.46 ft Grade @ Primary Manifold 766.00 ft Min.Cover_;_, 18 in. 1.50 ft Max Elev,Primary 764.50 ft Elev Diff,Primary 10.04 ft Drainfield Design Project Patel LSS Permit Location Kiser Island Rd Terrell,NC County Catawba Drainfield Sizing Primary LTAR 0.3 gpd/ft2 Daily Design Flow 480 gpd Type of Drainfield Media PPBPS,Horizontal Req.Drainfield Area 1,600 ft2 Required Drainline Trench Width 3 ft After 50%Reduction 267 ft Required Drainline 533 ft Minimum Line Spacing 8 ft(O.C.) Drainfield Layout Elevation Line Length Used as Used as Line _ Use_ Flag Color (ft) (ft) Primary(ft) Repair(ft) 1 Layout Line white 766.3 50 47.7 2 Layout Line red 765.8 50 47.7 3 Layout Line purple 764.6 50 47.7 4 Layout Line purple 766,0 50 47.7 5 Layout Line orange 765.5 50 47.7 6 Layout Line orange 765.0 50 47.7 Total 300 286 Count 6 6 0 Note:Line length totals are shown to the nearest foot. CONVENTIONAL SEPTIC SYSTEM DESIGN (Primary) Site Information Project: Patel L55 Permit Location: Kiser Island Rd Terrell,NC County: Catawba Design Information Estimated Daily Flow: 480 gal/day L.T.A.R.(from Catawba Co.): 0.3 gal/day/ft2 L.T.A.R.+5%: 0.315 gal/day/ft2 Trench Width: 3 ft. Line Length Required: 533 ft. Length after 50%Reduction: 267 ft L.T.A.R. Reduced: 0.600 gal/day/ft2 L.T.A.R.Reduced+5%: 0.630 gal/day/ft2 DRAINFIELD INFO.- Primary Proposed Type of System/Distribution: Pump to Pressure Manifold using PPBPS,Horizontal Flag Line Flow Flow/Foot Line Line No. Color Length(ft) Tap (gpm) (gpm/ft) L.T.A.R. 1 white 47.67 1/2in SCH 40 7.11 0.149 0.559 2 red 47.67 1/2in SCH 40 _ 7.11 0.149 0.559 3 purple 47.67 1/2in SCH 40 7.11 0.149 0.559 4 purple 47.67 1/2in SCH 40 7.11 0.149 0.559 5 orange 47.67 1/2in SCH 40 7.11 0.149 0.559 6 orange _ 47.67 1/2in SCH 40 7.11 0.149 0.559 Total 286 Total 42.661 Avg. 0.559 Note:Line lengths are calculated in 4'4"increments to reflect use of PPBPS product. Total Run Time 11.25 min. Drainfield Capacity 396.0 gal of Drainfield Cap 63.9% (Max. 107.3%to not exceed 7.2 gal/panel) Dose Volume 252.8 gal/dose Run Time/Dose 5.9 minutes Time to deliver max.7.2 gal/panel Volume/depth 21.07 gal/in. (Per tank manufacturer's specifications) Estimated Drawdown 12.00 in. Manifold Box Number of Taps 6 with 0 Split(s) Manifold Length 4.5 ft. (approximate) PUMP DESIGN System(initial/repair): Primary Project: Patel LSS Permit Location: Kiser Island Rd Terrell,NC County: Catawba Friction Losses Suction Head 0 ft (submersible 0) Elev.Difference(highest point from pump) 10.04 ft Design Pressure At Outlet 2 ft Supply Line-2"Schedule 40 PVC Pipe Diameter,Nominal 2 in. Pipe Diameter(ID) 2.047 in. Flow 42.66 gpm Pipe Length 72 ft Velocity 4.16 ft/sec Pipe Length for Fittings 7.2 ft Meets requirement that 2 ft/s<v<5 ft/s. Equivalent Length 79.2 ft Estimated Friction Loss in Supply Line 2.48 ft Friction Loss-Taps/Special Fittings 3.5 ft TOTAL 18.02 ft. Flow for Anti-Siphon Hole Hole Diameter 3/16 in. Hole Flowrate 1.76 gpm Pump Efficiency 0.7 (assumed,typical) Motor Efficiency 0.9 (assumed for electric pumps) Flow 44.42 gpm Required Horsepower 0.32 hp TDH 18.02 ft Pump Selection Manufacturer: Zoeller Model: N152 Horsepower: 0.4 PUMP PERFORMANCE CURVE MODEL 151/1521153 50 1+- : ■■■■■■■■� ■■■■■■■■ ■.E■■■■■■■ r 6_ ■",`.■■■■ 15 ■■■,�• ��®■ 10 ■■■■,,,■■■ 2- ■■■■,■„■■ 10 20 30 W 50 60 70 BO BO 100 GALLONS MERS 0 40 !0 i• I.. 200 240 2.. FLOW PER MINUTE 01.0. Septic Tank Buoyancy Calculation Project: Patel LSS Permit Location: Kiser Island Rd Terrell,NC County: Catawba Tank Size(nominal) 1250 gal Properties/Assumptions: Min.liquid level to be maintained in tank at all times after initial installation. Min.depth to water table' 36.0 in. from ground surface Effluent Density 62.4 lb/ft3 (Specific Weight of Water) Concrete Density 142.6 lb/ft3 Soil App.Sp.Gray. 1.3 (typical value) Soil Cover Over Tank 12 in. (minimum) Unsubmerged wt of soil 81.1 lb/ft3 Submerged wt of soil 49.9 lb/ft3 50%Porosity Assumed Tank Dimensions(from supplier): Exterior Interior Top Bottom Top Bottom Tank Length 125.5 122.0 119.5 116.0 in. Width 65.5 62.0 59.5 56.0 in. Height 58.5 ';:'; r'"` 54.5 in. Lid Length 125.5 in. Width 65.5 in. Height 3.0 in. Area of Riser Openings 6.28 ft2 Permanent Liquid Depth in Tank 0.0 in. 0.00 ft Tank Weight 11,000 lb (per manufacturer) Buoyancy Force Calculation: Buoyancy Force Specific Weight of Water x Displaced Volume Displaced Volume 168.7 ft3" Buoyancy Force 10,525 lb. Weight Calculation: Tank Weight 11000 lb Water Weight in Tank 0 lb Volume 0.0 ft3" Soil Weight Over Tank 4121 lb Soil Friction Force 4037 lb Total Weight 19,158 lb Factor of Safety=1.82 Note:Total weight must be greater than buoyancy force so that tank will not float during high water table conditions. *Volume calculated by the prismoidal formula. Pump Tank Buoyancy Calculation Project: Patel LSS Permit Location: Kiser Island Rd Terrell,NC County: Catawba Tank Size(nominal) 1275 gal Properties/Assumptions: Min.liquid level to be maintained in tank at all times after initial installation. Min.depth to water table 36.00 in. from ground surface Effluent Density 62.4 lb/ft3 (Specific Weight of Water) Concrete Density 142.6 lb/ft3 Soil App.Sp.Gray. 1.3 (typical value) Soil Cover Over Tank 27,in. (minimum) Unsubmerged wt of soil 81.1 lb/ft3 Submerged wt of soil 49.9 lb/ft3 50%porosity assumed Tank Dimensions(from supplier): Exterior Interior Top Bottom Top Bottom Tank Length 108.0 104.0 102.0 98.0 in. Width 58.0 54.0 52.0 48.0 in. Height 64.5 's tt:;fl : 60.5 sega in. Lid Length 108.0 in. Width 58.0 in. Height 3.0 in. Area of Riser Openings 3.14 ft2 Permanent Liquid Depth in Tank 0.OI in. 0.00 ft Tank Weight 10500 lb (per manufacturer) Buoyancy Force Calculation: Buoyancy Force Specific Weight of Water x Displaced Volume Displaced Volume 200.0 ft3* Buoyancy Force 12,479 lb Weight Calculation: Tank Weight 10500 lb Water Weight in Tank 0 lb Volume 0.0 ft3* Soil Weight Over Tank 7366 lb Soil Friction Force 4227 lb Total Weight 22,093 lb Factor of Safety=1.77 Note:Total weight must be greater than buoyancy force so that tank will not float during high water table conditions. *Volume calculated by the prismoidal formula. Attachment 2: Soil Boring Description Sheets /) . __11 501 N Salem St,Suite 201 Engineers and Soil Scientists 919-859-0669 Apex,NC 27502 --- www.agriwaste.com Agri-Waste Technology, Inc. SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: Mihirbhai Patel — APPLICATION DATE ADDRESS: Lot 44&45 Kiser Island Rd Terrell,NC DATE EVALUATED: 1/19/2023 PROPERTY ID: COUNTY: Catawba PROPERTY RECORDED: March 1966 PROPOSED FACILITY: Single Family Residence PROPOSED DESIGN FLOW(.1949):_480 GPD PROPERTY SIZE: 0.94 LOCATION OF SITE: Lot 44&45 Kise Island Rd Terrell,NC WATER SUPPLY: ❑Private ❑Public AWell ❑Spring ❑Other EVALUATION METHOD: 1 L uger Boring ❑Pit 0 Cut TYPE OF WASTEWATER: )(Sewage 0 Industrial Process•❑Mixed • • • • P R SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH PROFILE # SLOPE% .1942 (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPR RESTR <AR TEXTURE MINERALOGY COLOR DEPTH 0 HORIZ CLASS 0-10 GR;SCL SS;SP;FR - 48" - - 0.3 GPD/Ft2 7% 10-48 SBK;C SS;SP;Fl 1 0-12 GR;SCL SS;SP;FR - 48" - - 12-48 SBK;C SS;SP;FI 2 8% 0.3 GPD/Ft2 • 0-9 GR;SCL SS;SP;FR - 45' - - 9-48 SBK;C SS;SP;Fl 3 5% 0.3 GPD/Ft2 • 0-10 OR;SCL SS;SP;FR - 48" - 10-48 SBK;C SS;SP;Fl 4 5% 0.3 GPD/Ft2 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Available Space(.1945) Provisional Exempt Suitable EVALUATED BY: Trevor Hackney System Type(s) 50%Reduction Exempt OTHER(S)PRESENT: Nathan Estevez _ Panel Block Site LTAR 0.3 GPD/Ft2 Exempt Updated February 2014 LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain) CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive) D(Drainage Way) CR(Crumb) DS(Debris Slump) 11 SL(Sandy Loam) 0.8-0.6 0.4-0.3 OR(Granular) FP(Flood Plain) L(Loam) SBK(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) III Si(Silt) 0.6-0.3 0.3-0.15 PL(Platy) L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic) N(Nose Slope) CL(Clay Loam) R(Ridge) SCL(Sandy Clay Loam) MOIST WET S(Shoulder Slope) SiL(Silt Loam) T(Terrace) VFR(Very Friable) NS(Non-sticky) IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) SS(Slightly Sticky) SiC(Silty Clay) FI(Firm) S(Sticky) C(Clay) VFI(Very Firm v,Very Sticky) VS(Very Sticky) 0(Organic) None None EFI(Extremely Firm) NP(Non-plastic) SP(Slightly Plastic) *Adjust LIAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic) NOTES VP(Very Plastic) HORIZON DEPTH In inches below natural soil surface DEPTH OF FILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable)or U(unsuitable) SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less-record Munsell color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate(LTAR):gal/day/ft2 Showyrofile locations and other site featuressdimensions,reference or benchmark,and North). —. - --- —---._..._ .— — 1.— — — I Updated February 2014 Attachment 3: Additional Documentation C 0 a A. c, k 0 V It 'zoo : ,� i1 " 1 r+ 23` 4 yj a 1 a. +. lif .44 �'"N9 a � h�lr Rk y a y `• �.ai l.M,¢o7 � a'� lZ••. 0. y •v ! 4'4 �!> �S as fx , d ky \�' %�,OG lv A. -o t 3 t�‘ P y �J" IA % 8i` "� c e c ® .o.- 63 aJ . 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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 2023 Catawba County NC 03/03/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461604635108 Owner: BROWN MIKE Parcel Address: Owner2: BROWN BOBBY City: TERRELL, 28682 Address: 2525 CENTENARY CHURCH RD LRK(REID): 805258 Address2: Deed Book/Page: 2021E/1713 City: MOUNT ULLA Subdivision: State/Zip: NC 28125-8727 Lots/Block: 44/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 13/20 Elementary School: SHERRILLS FORD Legal: LOT 44 PLAT 13-20 Middle School: MILL CREEK Calculated Acreage: .460 High School: BANDYS Tax Map: Township: MOUNTAIN CREEK State Road #: 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: $0 Zoning2: Land Value: $321,600 Zoning3: Assessed Total Value: $321,600 Zoning Overlay: WP-O, CRC-O, FPM-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-282-2009 Current Tax Bill Miscellaneous: Firm Panel Date: Building Permit Address Search for this parcel. Firm Panel #: If available, Building Permits for this parcel. Septic 2010 Census Block: 3024 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: P41 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: 461604634245 Owner: BROWN MARK Parcel Address: 4915 KISER ISLAND RD Owner2: BROWN TERRY City: TERRELL, 28682 Address: 7803 SHERRILLS FORD RD LRK(REID): 805259 Address2: Deed Book/Page: 2021E/1713 City: SHERRILLS FORD Subdivision: State/Zip: NC 28673-7845 Lots/Block: 45/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 13/20 Elementary School: SHERRILLS FORD Legal: LOT 45 PLAT 13-20 Middle School: MILL CREEK Calculated Acreage: .480 Tax Map: High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 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: $0 Zoning2: Land Value: $666,500 Zoning3: Assessed Total Value: $666,500 Zoning Overlay: WP-O, FPM-O, CRC-0 Year Built/Remodeled: / Small Area: SHERRILLS FORD Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-282-2009 Current Tax Bill Miscellaneous: Firm Panel Date: Building Permit Address Search for this parcel. Firm Panel #: If available, Building Permits for this parcel. Septic 2010 Census Block: 3024 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: P41/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. Cp,A \ CATAWBA COUNTY �" 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT r.Sr PHONE:828.465.8399 Friday,March 3,2023 18 4 Z• sM www.catawbacountync.gov PAYOR: Patel,Mihirbhai PAYMENTS TRANSACTION NUMBER: TRC-58895170-03-03-2023 PAYMENT DATE: 03/03/2023 PAYMENT TYPE: Credit Card 301968538 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 03-23-419197 110-580200-663000 Improvement Permit Fee $150.00 03-23-419197 110-580200-663000 Authorization to Construct Fee(N $300.00 ew/Expansion) Fee 03-23-419197 110-580200-663000 Well Permit& Inspection Fee $300.00 TOTAL PAYMENTS: $750.00 RBPR-03-2023-43611 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 4915 KISER ISLAND RD,TERRELL NC 28682 Applicant AGRI-WASTE TECHNOLOGY INC,501 N SALEM ST,APEX NC 27502 C:7042689160 TI-IACKNEY@AGRIWASTE.COM Owner MIHIRBHAI PATEL, 106 STIBBS CROSS RD,MOORESVILLE NC 28115 C:7046570707 RAJDHANI321@YAHOO.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 03/03/2023 16:46 Page 1 of 1 Catawba county public health AUTHORIZATION OF REFUND Date: 3/27/2025 Case#: RBPR-03-2023-43611 Applicant: Mihirbhai Patel Refund Amount: S300.00 Refund Reason: A new well application was applied and paid for. EH already had a well applicaion for this property. Authorizing Signature: 41"""" 1( , Received By Staff: ca GNP Date: �' �` -4 catawbacountync.gov Environmental Health Catawba County Government Center 25 Government Drive I PO Box 389 I Newton NC 28658 1828.465.8270 MAKING. LIVING. BETTER. 'Catawba'county, North: Carolina --Disburseent Voucher Vendor No. Date: 3/27/2025 Make Payment To: 1?).NCQ�, Voucher No(s) Mihirbhai Patel ' x 106 Stibbs Cross Rd dQ`� .�►.'13 Mooresville, NC 28115 � 842 ATTACHMENT Prepared by: Keshia Parris Description Amount A new well application was applied and paid for. EH already had a well applicaion $300.00 for this property. Sub-Total Food Tax Sales Tax Total $ 300.00 { h .FofAccounting-`Use Fund , Cost Center Ob'ect, ; Project. Amount. _ � __ _ _. ,O 1.10;L " ' 580200' ' 7663000 $ 300.00 Total $ 300.00 The undersigned hereby certifies that the goods or services specified above have been received or performed. Payment has not been previously authorized and this expenditure is a proper charge to the appropriation indicated. The above charge is certified to you for payment. (SIGNATURE-APPROPRIATE OFFICIAL)