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RBPR-04-2023-44175.tif
ift{go5?rano1s Rci 61)R-0 ii '4)0)3 "iiiii ts LOncvwr NC 5bt"3 �,,sTATE y �� �,,,,.,,,, % ROY COOPER•Governor = ,14, . NC DEPARTMENT OF KODY H. KINSLEY•Secretary Il HEALTH AND HELEN WOLSTENHOLME• Interim Deputy Secretary for Health a AHUMAN SERVICES ` � MARK T. BENTON •Assistant Secretary for Public Health Division of Public Health COMMON FORM FOR AUTHORIZED ON-SITE WASTEWATER EVALUATOR PERMIT OPTION FOR NON-ENGINEERED SYSTEMS See Instructions for Use in Appendix A Except for"Date received",this Section to be completed by the AOWE in accordance with G.S.130A-336.2 LHD USE ONLY: Initial submittal of this NOI received: I-1—ZG - 2°j by (2p Date initials PART 1:Notice of Intent to Construct(NOI)-Please check all that apply ©Single System or ❑Multiple Systems AND ®New ❑Expansion ❑Relocation of all or part of the Existing System ❑Relocation of Repair Area ❑ Repair—LHD Permit Number ❑ Repair—EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name:(Owner,Company Name,Utility, Partnership,Individual,etc.): Century Complete Mailing address: 9325 Center Lake Dr., Suite 160 City: Charlotte State: NC Zip: 28216 Telephone number: 704-488-1100 E-mail Address: katie.dyess@centurycommunities.com 2. Authorized On-Site Wastewater Evaluator(AOWE)name: Larry Thompson LSS License number:1208 AOWE Certification number:10016E Mailing address: PO Box 541 City: Midland State: NC Zip: 28107 Telephone number: 704-301-4881 E-mail Address: tarry@thompsonenv.com 3. Licensed Geologist(LG)(if applicable)name: N/A License Number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 4. Proof of Errors and Omissions or other appropriate liability insurance for the following persons is attached that includes the name of the insurer, name of the insured and the effective dates of coverage: 0 AOWE ❑ LG 5. Property location(physical address,tax parcel identification number or subdivision lot,block number of the property to be permitted): 4490 Springs Road Conover, NC 28613 (PIN: 373411751543) County Name: Catawba RECEIVED Aril 2 2U23 NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Raleigh,NC 27609 MAILING ADDRESS:1642 Mail Service Center,Raleigh, NC 27699-1642 F^"trnnne+nnfal 1-,ARM' www.ncdhhs.gov • TEL:919-707-5874 • FAx:919-845-3972 AN EQUAL OPPORTUNITY I AFFIRMATIVE ACTION EMPLOYER AOWE Common Form LHD Reference: 6. Type of facility: ❑■ Place of residence No. Bedrooms: 4 No.Occupants:8 ❑ Place of business Basis for flow calculation: ❑ Place of public assembly Basis for flow calculation: 7. Factors that would affect the wastewater load: Proposal is for domestic wastewater strength only. 8. Type and location of proposed wastewater system: Pump-to Accepted System located behind the home. System classification Type Illb. 9. Design wastewater flow: 480 gpd Design wastewater strength: ■❑domestic ❑ high strength ❑ industrial process(For high strength and industrial process wastewater,a Professional Engineer licensed in accordance with G.S.89C shall design the on-site wastewater system.) 10. A plat as defined in G.S. 130A-334(7a)is attached: ❑Yes ■❑No A site plan as defined in G.S.130A-334(13a)is attached: ❑■ Yes El No 11. Location of proposed or existing wells(drinking water,irrigation,geothermal,groundwater monitoring, sampling,etc.)and any potable and non-potable water conveyance lines is indicated on attached plans and complies with 15A NCAC 18A.1950: ❑■ Yes ❑ No This is a saprolite system. ❑Yes Q No 12. Evaluation(s)of soil conditions and site features in accordance with G.S. 130A-335(al)signed and sealed by a LSS is attached: Yes ❑No 13. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑Yes ❑■ NA 14. Proposed landscape,site,drainage,or soil modifications are attached: ❑Yes ❑■ NA Attestation by AOWE pursuant to G.S.130A-336.2 Larry Thompson hereby attest that the information required to be included with Authorized On-Site Wastewater Evaluator(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws,regulations,rules and ordinances,and that the proposed system does not require a Professional Engineer, licensed in accordance with G.S.89C, and in accordance with 15A NCAC 18A.1938 activities determined to be engineering as determined by the North Carolina Board of Examiners for Egg'- s an rveyors. 04-17-23 Signature of A horizzd :Si'fe Wastewater luator Date wn.lself-submittal of NO1: I, hereby submit this NOI prepared by Print Name of Owner Print Name of Licensed PE pursuant to G.S.130A-336.1. Signature of Owner Date DHHS/ENS/OSWP—AOWE COMMON FORM Updated April2022 Page 2 of 6 ,�1 a catawba county public health AJb1`` LLam'' Application for Environmental Health Services RECEIVED VWV THIS IS NOTAPERMIT Application is for: ❑ New Construction ❑ Existing Facility Improvement Permit.�Authorization to Construct APR 2 1 2023 ❑x New Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection ❑ New Well ❑ Replacement Well ❑ Well Abandonment ❑Well Repair Environmental Health Property Address 4490 Springs Road, Conover, NC 28613 Acres 0.5 ac Subdivision Spring Farms Lot# 9 Driving Directions to Property From Newton, take Main Avenue NE, remain on Highland Avenue NE, turn left onto 16th Street NE, which turns into Springs Road. Lot is located on the left just before Hall Street. Describe work Applicant Name Larry Thompson Applicant Address PO Box 541, Midland, NC 28107 Phone 704-301-4881 Email larry(a,thompsonenv.com Owner Name Century Complete Owner Address 9325 Center Lake Dr., Suite 160, Charlotte,NC 28216 Phone 704-488-1100 Email katie.dyess@centurycommunities.com Contractor Name Contractor Address Phone Email Name to Appear on Permit? ❑x Owner ❑Applicant El Contractor Who will be the Primary Contact? ❑x Owner ❑Applicant El Contractor Proposed New Construction-Residential Primary Residence ❑x New Residence El Addition to Residence #of New Bedrooms*t___4 _ #of Occupants__ 8_ Project Description Constructingnew 4-bedroom single-family residence Structure Dimensions,also specify dimensions of decks&porches 30 ft x 40 ft (Choose One) ❑Basement 0 Crawl Space ❑x Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ 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 ❑Ycs ❑ No Retaining Wall>2' 0 Yes 0 No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑ Yes ❑No Describe Plumbing Needed__ (Choose One) ❑Basement ❑Crawl Space 0 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) ❑Basement ❑Cram I Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ N Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled El Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?❑ Yes ❑No Environmental Health Catawba County Government Center,25 Government Drive I PO. Box 389, Newton, NC 28658 Phone: (828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe Structure Dimensions #of Bedrooms * #of Occupants Basement ❑ Yes ❑ No Basement Plumbing ❑ Yes ❑ No Existing Water Supply ❑ Individual Well ❑ Shared Well--Number of Connections ❑ Community Well ❑x County/City/Township Water Line Is a public water supply available? ** x❑ 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 ❑ 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 ®No Does the site contain any jurisdictional wetlands? ❑Yes ®No Does the site contain any existing wastewater systems? ❑Yes El No Is any wastewater going to be generated on the site other than domestic sewage? ❑Yes ®No Is the site subject to approval by any other public agency? ❑Yes E l 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) In Accepted 0 Alternative ❑ Conventional 0 Innovative 0 Other ❑ 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. 'i 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 1 enif he owner. Signature of Owner or Legal Agent • Date 04-17-23 Printed Name of Owner or Legal gent Lar Thom son Wry�s,•sT,,-,-Nt ROY COOPER•Governor NC DEPARTMENT OF-� w.� KODY H.KINSLEY• Secretary `i- h ' p HEALTH AND o I ! jai HUMAN SERVICES HELEN WOLSTENHOLME•Interim Deputy Secretary for Health .,,. ^' J MARK T.BENTON•Assistant Secretary for Public Health Division of Public Health COMMON FORM FOR AUTHORIZED ON-SITE WASTEWATER EVALUATOR PERMIT OPTION FOR NON-ENGINEERED SYSTEMS See Instructions for Use in Appendix A Except for"Date received",this Section to be completed by the AOWE in accordance with G.S.130A-336.2 LHD USE ONLY: Initial submittal of this NOI received: by Dote Initials PART 1:Notice of Intent to Construct(NOI)-Please check all that apply A Single System or ❑Multiple Systems AND ❑New ❑Expansion ❑ Relocation of all or part of the Existing System ❑Relocation of Repair Area ❑ Repair—LHD Permit Number Q Repair—EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name: (Owner,Company Name, Utility, Partnership, Individual,etc.): Century Complete Mailing address: 9325 Center Lake Dr., Suite 160 City: Charlotte State: NC Zip: 28216 Telephone number: 704-488-1100 E-mail Address: katie.dyess@centurycommunities.com 2. Authorized On-Site Wastewater Evaluator(AOWE)name: Larry Thompson LSS License number: 1208 AOWE Certification number:10016E Mailing address: PO Box 541 City: Midland State: NC Zip: 28107 Telephone number: 704-301-4881 E-mail Address: larry@thompsonenv.com 3. Licensed Geologist(LG)(if applicable)name: N/A License Number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 4. Proof of Errors and Omissions or other appropriate liability insurance for the following persons is attached that includes the name of the insurer,name of the insured and the effective dates of coverage: II AOWE ❑ LG 5. Property location(physical address,tax parcel identification number or subdivision lot,block number of the property to be permitted): 4490 Springs Road Conover, NC 28613 (PIN: 373411751543) County Name: Catawba NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Raleigh,NC 27609 MAILING ADDRESS:1642 Mail Service Center,Raleigh, NC 27699-1642 www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER 1 � AOWE Common Form LHD Reference: 6. Type of facility: Q Place of residence No. Bedrooms: 4 No.Occupants:8 ❑Place of business Basis for flow calculation: ❑ Place of public assembly Basis for flow calculation: 7. Factors that would affect the wastewater load: Proposal is for domestic wastewater strength only. 8. Type and location of proposed wastewater system: Pump-to Accepted System located behind the home. System classification Type IIIb. 9. Design wastewater flow: 480 gpd Design wastewater strength: ❑■ domestic ❑high strength ❑industrial process(For high strength and industrial process wastewater,a Professional Engineer licensed in accordance with G.S.89C shall design the on-site wastewater system.) 10. A plat as defined in G.S. 130A-334(7a)is attached: ❑Yes ❑■ No A site plan as defined in G.S.130A-334(13a)is attached: ElYes ❑No 11. Location of proposed or existing wells(drinking water,irrigation,geothermal,groundwater monitoring, sampling,etc.)and any potable and non-potable water conveyance lines is indicated on attached plans and complies with 15A NCAC 18A.1950: ❑■ Yes ❑ No This is a saprolite system. ❑Yes ❑■ No 12. Evaluation(s)of soil conditions and site features in accordance with G.S. 130A-335(al)signed and sealed by a LSS is attached: 0 Yes ❑ No 13. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑Yes 0 NA 14. Proposed landscape,site,drainage,or soil modifications are attached: ❑Yes 0 NA Attestation by AOWE pursuant to G.S.130A-336.2 Larry Thompson hereby attest that the information required to be included with Authorized On-Site Wastewater Evaluator(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws, regulations, rules and ordinances,and that the proposed system does not require a Professional Engineer, licensed in accordance with G.S.89C,and in accordance with 15A NCAC 18A.1938 . activities determined to be engineering as determined by the North Carolina Board of Examiners for En ' s an rveyors. 04-17-23 Signature of A on dI_:STfe Wastewater luator Dote t wne self-submittal of NO!: I, hereby submit this NOl prepared by Print Name of Owner Print Name of Licensed PE pursuant to G.S. 130A-336.1. Signature of Owner Date DHHS/EHS/OSWP—AO WE COMMON FORM Updated April 2022 Page 2 of 6 AOWE Common Form LHD Reference: NOTES: LIABILITY: The Department,the Department's authorized agents,or local health departments shall have no liability for wastewater systems designed,constructed,and installed pursuant to an AOWE Permit Option[G.S.130A-336.2(f)J RIGHT OF ENTRY: The submittal of this Notice of Intent to Construct grants right of entry to the Local Health Department and the State to the referenced property. ISSUANCE OF BUILDING PERMIT: Once the LHD deems that the Notice of Intent to Construct is complete via signature in the section below,the owner may apply to the local permitting agency for a permit for electrical,plumbing,heating,air conditioning or other construction,location,or relocation activity under any provision of general or special law pursuant to G.S.130A-338. DHHS/EHS/OSWP—AOWE COMMON FORM Updated April 2022 Page 3 of 6 AOWE Common Form LHD Reference: This section for Local Health Department use only. PART 2: LHD Completeness Review of the Notice of Intent to Construct "(c) Completeness Review for Notice of Intent to Construct.—The local health department shall determine whether the notice of intent to construct required pursuant to subsection(b)of this section is complete within five business days after receiving the notice of intent to construct.A determination of completeness means that the notice of intent to construct includes all of the required components.If the local health department determines that the notice of intent to construct is incomplete,the local health department shall notify the owner and list the information needed to complete the notice. The owner may then submit additional information to the local health department to cure the deficiencies in the initial notice. The local health department shall make a final determination as to whether the notice of intent to construct is complete within five business days after the department receives the additional information. If the local health department fails to act within any time period set out in this subsection,the owner may treat the failure to act as a determination of completeness. The owner shall be able to apply for the building permit for the project upon the decision of completeness of the notice of intent by the local health department or if the local health department fails to act within the five business day time period." The review for completeness of this Notice of Intent was conducted in accordance with G.S. 130A-336.2(c). This NO1 is determined to be: ❑ INCOMPLETE(If box is checked, Information in this section is required.) Based upon review of information submitted in Part 1,the following items are missing: Copies of this form listing missing items were sent to the AOWE and the Owner on Dote via with directions to re-submit missing items using Page 5 of this form. Email,FAX,LISPS,hand-delivered Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date Eir COMPLETE(If box is checked,information in this section is required.) Based upon review of information submitted in Part 1 of this form,this NOI is deemed COMPLETE. Copies of this signed form were sent to the AOWE and the Owner on via L—Mcl" I Dote Email,FAX,LISPS,hand-delivered A copy of this NOI and tracking information was sent to the State on via . r Date Email,FAX,USPS,hand-delivered u)4,U y9h4.1p f- ,,,A / Z 2 3 Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date DHHS/ENS/OSWP—AOWE COMMON FORM Updated April 2022 Page 4 of 6 AOWE Common Form LHD Reference: Re-submittal of NOI with missing items included This Section is for use by owner to submit items noted as missing during 111D Completeness Review above. Resubmittals must be accompanied by a cover letter from the AOWE. LHD USE ONLY: This NOI resubmittal received: by Date Initials Item It from initial NOI Resubmittal description Attestation by AOWE certified in North Carolina pursuant to G.S.130A-336.2 I, hereby attest that the information required to be included with Authorized On-Site Wastewater Evaluator(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws,regulations,rules,and ordinances. Signature of Authorized On-Site Wastewater Evaluator Date The section below is for Local Health Deportment use after submittal of items noted os missing above. MD Follow-up Completeness Review of Notice of Intent to Construct This follow-up review for completeness of this Notice and Intent was conducted in accordance with G.S. 130A- 336.2(c). This NOI is determined to be: ❑ INCOMPLETE Based upon review of information submitted in the RESUBMITTAL above,this Notice of Intent remains INCOMPETE because the following items from Part 1 of this form remain missing: Copies of this signed form were sent to the AOWE and the Owner on via Date Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ❑ COMPLETE Based upon review of information submitted in the RESUBMITTAL above in addition to information provided in Part 1 of this form,this NOI is deemed complete. Copies of this signed form were sent to the AOWE and the Owner on via Date Email,FAX,USPS,Hand-delivered A complete copy of this form with tracking information was sent to the State: via Date Email,FAX,USPS,hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date DNHS/EHS/OSWP—AOWE COMMON FORM Updated April 2022 Page 5 of 6 AOWE Common Form LHD Reference: PART 3: Authorization to Operate(ATO) Except for dote received,the Section below is to be completed by the Owner. LHD USE ONLY: Initial submittal of request for ATO received: by Date Initials Date of Post-construction Conference: T The following items are included in this submittal for an Authorization to Operate under an AOWE permit: 1. Signed and sealed copy of the AOWE's report that includes the information in G.S.130A-336.2(k) ❑Yes ❑ No 2. Operation and management program ❑Yes ❑ No 3. Fee (as applicable) ❑Yes ❑ No 4. Notarized letter documenting Owner's acceptance of the system from the AOWE ❑Yes ❑ No 5. On-site Wastewater Contractor name: License number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 6. Proof of Errors and Omissions or other appropriate liability insurance for the On-site Wastewater Contractor is attached and includes the name of the insurer, name of the insured, and the effective dates of coverage. ❑Yes ❑ No Attestation by the Owner for Authorization to Operate hereby attest that all items indicated above have been provided to the Print name of Owner County LHD and the system shall meet applicable federal,State,and local laws, regulations,rules,and ordinances. Signature of Owner Date This section for LHD Use Only. LHD Review of required information for the ATO ❑ INCOMPLETE Based upon review of information submitted in the Section above,the following items are missing from the information required for an Authorization to Operate for an AOWE permit: Copies of this signed form were sent to the AOWE and the Owner on via Date Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ❑ COMPLETE Based upon review of information submitted in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336.2(m). A copy of this complete N0I/ATO with tracking information was sent to the State on via Dote Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ISSUANCE OF CERTIFICATE OF OCCUPANCY: Once the LHD determines completeness based upon the ATO submission,the owner may apply to the local permitting agency for permanent electrical service to a residence,place of business or place of public assembly pursuant to G.S.130A-339. DHHS/ENS/OSWP—AOWE COMMON FORM Updated April 2022 Page 6 of 6 Ac�® DATE(MMlDDlYYYY) CERTIFICATE OF LIABILITY INSURANCE 9/7/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: David Vaughan Higginbotham Insurance Agency, Inc. PHONE i FAX 500 W. 13th Street IACG No.Ext): 9187797880 (n ,No);.817-882-9284 Fort Worth TX 76102 E-MAIL DRESS: dlvjr@higginbotham.net INSURER(S)AFFORDING COVERAGE NAIC# License#:2081754 INSURER A:Mid-Continent Casualty Company 23418 INSURED THOMENV-01 INSURER B:Hartford Underwriters Insurance Company 30104 Thompson Environmental Consulting, Inc. PO Box 541 INSURERC: Midland NC 28107-0541 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1600075032 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRL TYPE OF INSURANCE ANSD DDL SWVD POLICY NUMBER UBR POLICY T POLICY EXP LIMITS (MMDDlYYYY) (MMlDDlYYYY) A X COMMERCIAL GENERAL LIABILITY 04-GL-001086672 9/25/2022 9/25/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE )Fq OCCUR PREMISES(Ea occurrence) $100,000 X Professional MED EXP(Any one person) $Excluded PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X ,POLICY f JECOT- f-1 LOC PRODUCTS•COMP/OP AGG $3,000,000 OTHER' $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED ^ SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC RETENTION$ $ B WORKERS COMPENSATION 38WECNW6175 10/17/2022 10/17/2023 X STATUTE I ER • AND EMPLOYERS'LIABILITY YIN _ ANYPROPRIETORIPARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED9 - --------- -- - -- ---- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Informational Purposes AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Residential Subsurface Wastewater Treatment and Disposal System AOWE Permit for Lot 9 - Spring Farms 4490 Springs Road Conover, NC 28613 Catawba County PIN: 373411751543 April 15, 2023 , . Prepared for: •• 14' :.7 • Century Complete d 9325 Center Lake Dr., Suite 160 = ' a t 1208mi Charlotte, NC 28216 704-488-1100 •'�-PJ::e.,gL H•EAV•.• ,���•`� I''�fflffOo0�`,,,, Prepared by: +�• .•.......•j� Larry Thompson, REHS, LSS : Thompson Environmental Consulting Inc. Cer�lkason •e Number t PO Box 541 Midland, NC 28107-0541 _ 10016E • Phone: 704-301-4881 •'• •. larry@thompsonenv.com %��........ •.•.•_.••• `��� Lot 9—Spring Farms Details Century Complete has contracted with Thompson Environmental Consulting, Inc. (TEC) to prepare an AOWE septic permit package for a 4-bedroom single-family residence to be constructed at 4490 Spring Road, Conover, North Carolina (Catawba County Parcel Number: 373411752255). Based upon a soil evaluation performed by TEC, it was determined that a sufficient amount of "Provisionally Suitable" Group IV soils are available for the installation, of 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 Horizontal Prefabricated Permeable Block Panel System for the proposed repair at a 0.3 LTAR. The property will be served by public water. 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(a1). The property owner would like to request that Catawba County Environmental Health (CCEH) issue the appropriate permits for a subsurface wastewater treatment and disposal system based upon the following AOWE proposal and the enclosed Licensed Soil Scientist Evaluation. Location From Newton, take Main Avenue NE, remain on Highland Avenue NE, turn left onto 16`" Street NE, which turns into Springs Road. Lot is located on the left just before Hall Street. 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. 1 1 1 NC Subsurface Septic System Operator No. 22199 NC Grade IV Wastewater System Installer No. 1762 NC Certified Wastewater System Inspector No. 17621 Los 9—Spring Farms Plans and Specifications A. Septic Tank 1. The septic tank shall be State approved (Section .1953 of 15A NCAC 18A), watertight, structurally sound, and 1,000 gallons in capacity. 2. The septic tank shall be fitted with an approved effluent filter. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tanks have had time to properly cure and are free of cracks or other structural deficiencies. B. 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. Supply line shall be constructed of 2-inch SCH 40 PVC pipe with pressure fittings. D. Distribution Method 1. The drainlines will be fed via a distribution box. Lot 9—Spring Farms 2. Distribution box shall be water tested at the time of the final inspection E. Drainfield Installation I. 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 occur within the drainfield area while the soil is wet. 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 to be constructed as 3-foot wide by 100 feet long. Total drainline length is 400 feet. 5. The specified trench depth for this system is 26 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 AOWE. F. Final Landscaping I. Final cover over the drainfield shall be at least 6 inches deep. Additional soil cover may be required to achieve the 6-inch requirement. 2. The drainfield shall be shaped to shed rainwater and be free from low spots. 3. The drainfield area should be planted with grass as soon as possible to prevent erosion. The soil should be properly tilled, limed (if necessary), and fertilized prior to planting. After applying grass seed, the area should be heavily mulched with straw or other suitable material. G. Utility Conflicts 1. The builder and property owner must take special care in planning for water, power, gas, telephone, and cable lines. These utilities shall be kept clear of all parts of the septic system and its proposed repair area. Improper planning for underground utilities can negatively impact the installation and, in some cases, cause irreparable damage and permit revocation. If there arc any questions regarding preferred routes, contact the local health department as soon as possible. 2. Lawn irrigation should not be placed over the drainfield area. Maintenance I I. 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 he 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 Lot 9—Spring Farms 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. Design Specifics Daily Design Flow: 480 GPD—4 bedroom house Septic Tank Size: 1,000 Gallons (minimum) Pump "tank Size: 1,000 Gallons (minimum) Pump Size: 25 GPM at 12-ft TDI-1 Recommended Pump: Liberty FL30 or equivalent Dose Volume: 240 Gallons Pump Run Time: 9.6 Minutes Pump Tank Drawdown: 11.42 Inches Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield Type: Accepted—Chamber System Distribution Method: Distribution Box Number of Drainlines: (4) 3-ft Wide x 100-ft Long Total Trench Length: 400 Linear Feet Maximum 'Trench Depth: 26 Inches Repair Option Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield 'Type: Horizontal PPBPS Required Linear Footage: 267 Linear Feet • Lot 9—Spring Farms Available Linear Footage: 279 Linear Feet Maximum Trench Depth: 26 Inches \ ,y Vai if\-1 4.0itS 010 , II 13 I ( V 8 in' t � ' 'Db2f)x 37' o I0003cLQpu(we + k aq x ��� boo «� G'Q c- 3VAr c`s 9-o acl 3D, 4a' Thompson Environmental Consulting,Inc. Sheet ( of I PO Box 541 PROPERTY ID#:3-1'b`E t i 1 SS Midland,NC 28107 COUNTY: 4-r�,,�] SOUJSITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER �-t-vi- .0 Ceivu_ t ADDRESS: DATE EVALUATED: 4 I I?.k2t)a3 PROPOSED FACIL:TY: Res. RO OSED VIESIGN FLOW(.1949): 4811 9pd PROPERTY SIZE: LOCATION OF SITE: ( M `t.ic PROPERTY RECORDED: WATER SUPPLY: 0 Private g<blic 0 Veil 0 Spring Li Other EVALUATION METHOD: (Auger Boring 0 Pit ❑Cut TYPE OF WASTEWATER lewage 0 Industrial Process ❑Mixed • • • P • o SOIL MORPHOLOGY OTHER P (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION! DEPTH PROFILE v SLOPE% ON .1942 1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR <AR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ O- C., 1 t>k Sc-- L tt,_ tit 5G 9.0k. _,ss- I it I 1 7 ` k pn k 4 • V)- 90 �c 2k + i -9 /0 L qv SG 2) t 4 ('-) 11 _ 4 U 0 , L- �?- LN .. ,4. -`is. ,. c i 3 _7 . L , 4 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) PS PS SITE CLASSIFICATION(.1948): Provisiona y 3�+ • r System Type(s) Accepted HPPBPS EVALUATED BY: • OTHER(S)PRESENT: .,t• i ' yrV Cry ���. ..,, ,... sit,LTAR 0.3 0.3 � .• l'r`!' L. Thompson, LSS .i �1Ks;f, .:� ;„- COMMENTS: I'M' F1:aier..NIT Updated February 2014 F/ —.,0f 11u1ck4M STANDARD CHAMBER 52" Quick4 Standard Chamber 48" (EFFECTIVE LENGTH) E3 12" 8" 34" SIDE VIEW SECTION VIEW MultiPort End Cap 7141 t�} 12" kl (.1 ft, ll 34 SIDE VIEW TOP VIEW FRONT VIEW 0uick4 Standard Chamber Nominal Specifications MultiPort End Cap Nominal Specifications Size (WxLxH) 34"x52"x12" Size (WxLxH) 34"x16"x12" Effective Length 48" Invert Height 8"or 1.25" Invert Height 8" JNFILTRATOR SYSTEMS.INC.STANDARD LIMITED WARRANTY tat The structural integrity of each cut tnt,end pile.wedge and other accessory manufactured by Infiltrator 1"Units),when installed end operated in a Ieachtield of an aim septic system in accordance with Inflhrato(s rstrucaors.is warranted to the original purchaser t'HolderD against defective materials and workmanship for are year'ran the date that the septic permit is issued for the septic system containing the Units:provided.however that if a septic permit is not required by applicable law.the warranty period WWI begin upon the date that installation of the septic system Commences To of the itas warrantyd of rights,Holder it most pyre lacentna in tans is at its Corporate Headquarters Inhere:a in Old covered orb, irled in fifteen(151 N FI LTRATO R days of the alleged defect.Infiltrator wit supply reptacentrrt Units for[)nits ria[emirted by hfihre:a to be W this Limited Warranty Infiltrator's liability specficaly excludes the cost of removal anchor installation or ate Units O 1bi THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE OCCLUSIVE.THERE ARE NU OTHER WARRANTIES WITH RESPEC- n TO THE LINTS INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. SYSTEMS I 1 V C Ic;This limited Warranty seal be void if any pat of the chamber system is manufactured by anyone other than I ierata The Limed Warranty does rot extend to incidental.consequential,spatial ce indirect damages.IMiaator shall not be fable for penalties or liquidated damages including loss or Environmental Onsite Wastewater Solutions'" Roductian and profits.labor and materials.overhead rots,a otter losses a expanses.reseed by the Holder or any third party Specifically excluded from Limited Warranty coverage am damage to the Urils due to ardrtay swan and tee.alteration.accident.misuse abuse a neglect of the Units.the Urns being subjected to vehicle tratric a other conditions which are not permitted by the installation insaucllors.failure to maintain the 6 Business Park Road-P.O. Box 768 farina.ground avers set forth in one installation instructions:the placement of improper materials bra the system cortaning the tints,refire of the Units or the septic system due to improper siting or improve'sizing.excessive water usage.improper grease disposal.on nnproper operation.OF Old Saybrook, CT 06475 any other event not caused by Infiltrator The Limited Warranty short be void a the Holder comply rails to cam wild al of the terms set tall`in this Limited Warranty. 860-577-7000• FAX 860-577-7001 Furter,in no event shall Infiltrator be respansble for any bss or damage to the Holder.the Units.or any third party resulting from lnstalaoan or ship 800-221-4436 rent,or from any product liability claims of Holder or any third party. For the Limited Warranty to apply.the Urns must be installed in accordance with all site conditions requited by state and local codes;all other applicable laws;and Infiltrator's rrstallation instructions. (d)No representative of Infiltrator has the authority to change or extend this Limited Warranty No warranty applies to any party other than the origi rat Holder The above represents the Standard United Warranty offered by Infiltrator.A limited number of states and counties have different warranty require- ments.Any purchaser Of Units should contact IntItrators Corporate Headquarters in Old Saybrook,Connecticut,prior to such purchase,to obtain a copy of the applicable warranty,and should carefully read that warranty prior to the purchase of Units. U.S.Patents:4.759,661;5.017.041;5.156,488;5.336.017;5.401.116;5.401,459;5.511.903;5.716.163;5,588.778;5.839,844 Canadian Patents:1,329,959;2.004,564 Other patents pending. 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.MicroLeaching.PolyTuff.Slit ock,Chambe RECYCLED PAPER eg old pL rSpacer,PosiLock.CttickCN.0uickPlay and Ouick4 are trademarks of Infiltrator Systems Inc.CI 2003 Infiltrator Systems Inc.Printed in U.S.A. 0011203FIP-C LIIJj Pumps A Family and Employee Owned Company Pump Specification ,'v FL30 - Series -4:1. 1/3 HP Submersible Effluent Pumps ,.k r�i litio LITERS PER MINUTE � 0 50 100 150 200 ,A1.1..... 25 i I I 1 u Ir — 7 20 — 6 'gill!" — 5 u) 15 re w H w w 2 u — 4 z z 0 O —— — Q Q w w 2 2 J J Q H o O 10 - 3 ~ — 2 5 1 0 0 0 10 20 30 40 50 60 GALLONS PER MINUTE Copyright 0 Liberty Pumps,Inc.2019 All rights reserved- Specifications subject to change without notice. FL30-Series P7 R9/27/2079 7000 Apple Tree Avenue Bergen NY 74476 a Phone 800-543-2550 S Fax 585-494-7839 S Email Liberty@LibertyPumps.com S Web wwwLibertyPumps.com FL30-Series Dimensional Data 1-1/2" NPT DISCHARGE �\ FLANGE ��Q/] [251mm] , `� 9.87in !�lio, _ 1 ,.<<`�J`��a Imw 1.1 ._.. 1.ik 11 ‘ . __. ,,iii� 1 i _,. aiii,► .,1 [288mm] . II 11.3in [215mm] [242mm] 9.5in AI_!MII` 8.5in /''� I` 1•,,I -• [97mm] �`� ��`'1 �r 3. 1 1 1 1• 1_8in Libe, ;,'try Pumps PROPRIETARY AND CONFIDENTIAL THE INFORMATION CONTAINED IN THIS DRAWING I PS ANY PROPERTY RODUC OF IO FL30 SERIES DIMENSIONAL LIBERTY PUMPS.ANY REPRODUCTION DwG.NC IN PART OR A$A WHOLE WITHOUT THE Sill REV. WR TTEN PERMISS',ON OF LIBERTY PUMPS DATE• IS PROHIBITED. A A APPLICATION DO NOT SCALE DRAWING 1WEIGHT: LBS l SC'''.'a SHEET'Cr I Copyright ec Liberty Pumps,Inc.201.9 All rights reserved. Specifications subject to change without notice F130-Series P2 R9/27/2019 7000 Apple 7ree Avenue Bergen NY 14476 • Phone 800-543-2550 • Fax 585-494-1839 • Email LibertytwLibertyPumps.com • Web www.LibertyPumps.com Thompson Environmental Consulting, Inc Location: Sprint;Darius PO Box 541 Midland, NC 28107-0541 I)at Mpiii is. 2023 z .S v w 4. cl taw a�� o 0 411 . "ill v E' x V N s o � a.a ti N N 1 • ._...6:.-... 2: I i - —IIIM—IP1E—.III.'Pl a w '•ati f• -- • •� a., 1W— .- �. "C ar x 0 x a ' • • v Y. x .n I . p, as .-1 0 0 . p P., d P' r U � a "- • � � S o v � ' • N % -4 'l y -4 x • . .aw .a o X • x .a F. . • • W PI ono^ aX - . 0 v %. a .-Q U rT c4 1Zo w F. .a .0 a 15,U VI '~ Cr x .. U Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 373411751543 Owner: MARTINRAY HOLDINGS LLC Parcel Address: 4490 SPRINGS RD Owner2: City: CONOVER, 28613 Address: 114 MORLAKE DR STE 103 LRK(REID): 404981 Address2: Deed Book/Page: City: MOORESVILLE Subdivision: SPRING FARMS State/Zip: NC 28117-9211 Lots/Block: 9/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 84/197 Elementary School: LYLE CREEK Legal: LOT 9 PLAT 84-197 Middle School: RIVER BEND Calculated Acreage: .500 High School: BUNKER HILL Tax Map: Township: CLINES School Map State Road #: TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: ST STEPHENS Zoning1: R-20 Building(s) Value: $0 Zoning2: Land Value: $12,000 Zoning3: Assessed Total Value: $12,000 Zoning Overlay: Year Built/Remodeled: / Small Area: ST STEPHENS/OXFORD 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: 1000 links are not permits. 2010 Census Tract: 010202 Septic Final Permits prior to 08/2018, contact Agricultural District: Proximity Environmental Health. Building Details WaterShed: Voter Precinct: P33/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. Catawba County Environmental Health (.\\;77.- 100.E *5268 e 100. •4508 se `,�11 3647 100.00 SQ •4502 rr, fir) 00 00 J •4496 2681 o pj •4490 2526 00 P 11 •4484 1543 J 'i---, 0479 10 mil, J 43 9486 9 1g 44 43 4 8 •5234 95.31 V 7 94,1T CO6 cr ` 106 97 1346 v J •5228 31a\ \ 5 Parcel: 37341 1 751 543, 4490 SPRINGS RD 1 in=60ft CONOVER, 28613 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 2023 Catawba County NC 04/27/2023 I Flood Hazard Area Certificate Aecordng to meeting pow.«by tea retry Emrgncy Mn.womMI Agency one 4 lrW Dove Rd AI� Moen M the yard need*wrote*Rah Mae(DARN)Rood 32319 cem.ea 4 q t 0A row.Cede*•Mitts Gabe$pfw*r 1 7007.M•papwty Mow, ,4 �,�o.Rd ���SSSS I.not/acared.IMT a peed nood ha,erd one Ins property 4 entente gl SOW 4$ Otely en area...eels/lea*X-e.r owe Amos relent..b beµled* /' �/ I. Ala the 02X teed men rbogemnn mew arum future rear.*IX awned Watershed Certh7cate: * r 511E fo me Deal et my Memos*ee pot awe rot,w mono nor temwwrnwde,w, red r f WW1 f MO an time Onesion fet. / Casting Aeb W of CM..Camp Nam Candle /�I a9en M envfrOnmentol Health Approve of Sut.07IelOn Plot soy and Pot and lab Moon noes ben oppromd by end 1 a yi E.ha+mntd Meonh 04.4%n al Me Coto..Covey Q/4 oeprlm•nt NPub*Neon*. •r• Vicinity Nap(HIS) 0 4/6/2z e N j' AIA. Notice :rrp»nw N•oa» In"r Designee Dot. ' ` .�d� . 1 rue m ital w rt:resin r;Pnta f n y'"�� ffPP rt a ;M ors and r of.a T, •ihh surrey h subject to any bees!hot may be detested by e Q1d�1 ` '4 3 b fed"sod acaroto uB...ars& (, Q Approval Certificate for s_ "' t* yam? Major Subdivision Plat rnNh survey pet does not Ma.any n.ma ear,written r .p.J er;lt•n oo•wmnri dedk.lion,r Othr encumbanca•Sun ,�,j. trio final plot and hie str t norm.Mown burdns /d mist n this proprtynd not upper n this Plot. Nan-ease sesMwN trl oo 7 , �•d• 4`' .•,J,eli..5 ham Dion round to comply with No Accorded),Leoe of Nh Plal em domed fa r ma*,eel W tee along Ind RAP firth d \,s f` 4 $- .P .s rs tOben:n fed ottardbg ster•f (odrk**Lawns atIr95X cnfld� petmcations and stoneer..r d lor/actin(95X cn noisome)using red time einemork Th0'+N' low 1. d N arantee of tea inst...offM s• tl reqed im is in n am ntdFlowing Nform"ten ro weG manor ege°o,ewyro*row**c"vnno• iJ boon rec.... Thin peal b approved/ LW Win+hen finny ached OP5 survey a dram undo my s 1 bA•wq J'}� '� 'Gardensr the 0/nc.a/I.Register 0/ pr OC * y mod*vow My supeM•.m '�Eb ca.Nnw,t ,Ala c, = Owed* in count'.;ruin,°,•,y(eo) a!»•following in formation wa vea rP Panora*ue sunny 10 , °" $. N ",.3 Tj®� or4. e y. r he.? r rnn ro.a[ aeu e1 Sumle CLA55 AA D Is PTI 7. .� N ell''0 v, ,,.,._ t ..,.bJIyIL,/_Ir.I/z2 alp•of GPs Field Procedures RIX p0 •r ye' Denote'of Plonm s r Doepn« De• Oohs f Serve l2 a ie. t0 J O X /2/2021-d/e/2o11 �� • 4 NITU, � , �Qr7„A . b •w,f Lon Dolum/Epock NADBJ(I0f1) ,r O6 ,^ •'0 a b •3• PUDllshed/TNed-contra Us. YRS Pl` N N 7 "p`p_* P I. h� rtb�0� 0E00 Model:2018 ,.? �©a� S • MS'la N CombinUS Sur facer: 0.979B707e �l ti Pt Unite:us s„.ry rest O •Aroo dalrminsd b coordinate computations ,I e a 3 '- -- �� °i 0 y.• y for `1 Y•'$y 0 e,'13• \ No Nos r NCG$Nnl,Contra,Monument found with*,2000 . ,$ 'dp % 10 1.' Co Cloyd H. Propst, Jr. Todd• lest of tine site. Pro 1 M e Si. 9•-rota, Septic,n1f 11Ea o CJene E.Stevensaf 2 -+ JudyP. eve •tor(.)n be served by city wafer and Individual•yrl. \ i 2. _ Leigh Ann P. 8/0dgett 1'1 5.00 1,,97. ,,eN 7S C0 13•E}9Z.8 4 D.B. l788, Pg. !106 •.ut+z�yaweunrw.voumoe amenity or on opkdrvral el,hkr. • �eD /• Total S 1� Note: •Red maples non anted no Mn IA.50 hot MN*,fie rl in R(w}E JJJ' n Contour lines are scaled from Not-of-ray one comply Mln NCDO7 vogote ion wi8MM« 11 Z y Y• }oo0, 00'f 516 Catawba CIS websit•. •ere n e NY aao,oge and urpRy«e«nne dig re roe ties. 1 _, 1ig;nv • N ' 31 - one © -In •Told number.f lots' rJ G e b Mw.ay MQ- Ri1V Dtnl �Q. 2 I Ted M.Bonbon,carry toot Nth mop loos drown under my ket 11 v- IooO Eo,mmnl Op,,�o3,M/.3i 5 4�r, .,�-t�sl 9 (a�.d ao•t,ipun.core.n Book 37x,ratite 7823 1900 fhb E 3, y,0ludin0 73 E N rd plot woe pepper be orreon,e wan G1.7-w o•*monad. IP ,1 r N 7} ` , k OO eel Nh pats moots me reauro..,t of G1 47-30 l further P,- ® hi Z nerdy owl Nh errsy pool.a w0dl:sian o/land within No 3 of a county r mnkedny foot h«n rdencv that _\ m if I'Er��R r'1.Total •Yj' ; *paean«Parnt•of Ina y70, ♦ 150. I o?3 X 7 45 Pe. ZD 4 101 3 ; Eo,°`""�„r Nw .�'IJ E 10' y Y NIP,.Nh my myna Mg,eraw.MINNOW eon."one © a• Ira Ina 2 of August 2022 A.D. ••• Ho_ , •2 1105. ., f; 1'�, 0p3IPf'7yn�4 rolal ,op�!!..55:!!0d.%L.h �� Ind? 13-N FO0,11:t nee;A'crsvLms L-nu II IK SEAL �t.�. 11 N I t it L-3175.kJ .i • Non-«ore.•«.emir �1 ,S.aO' Area o .x"6:: qf eb1M°r 97•17/ fit i �1b D.sl Acre ,0 II t0' •..............•... Mcluding 0.21 Acre be R/IY faeamn! 1\ Unless other/«*,/kabd all&stone«Mown o "•• re'Rep 'a; am..4 a nrezntd pound d/slone. To corm.to grid 1 E«mnl 1 &Hanes mdrta ground anat..y the oe tnoo by rM 1 iik1 4 Wow veN.e Y.J „ combined fact.. --n---- i-ie'OCR . _ . 13/4'DP " t/2•EP _laii Review Officer Certificate ER \ 5 86'30 33 190.8 o a Coon.of Cat Coma.* � _ -.` County of Cofo.Dd S.R. 15fJ R/• E!in DrivO s SSS \ L Ebia82.LVh.9m1Y Re,n.Officer fa-Cahoon. Legend •p�Ty p.B 'Y• ``\` l County certify Not Ne mop r plat to wnkh Nh cpNncaeion h CAPS 0/l MONUMENTS$E7 CON7AIH fN( 1 q,. 1 C{ "ease mesh oil statutory rsaunennet•M recording SURVEYORS NAME AND LICENSE NUMBER. 1 t y/. // L y, Q/Os............ ./2•IRON R0D SET NMfH YELLOW CAP \ \1 -/-L-44:'==X4 4fs�' --'y•, ._ •OP......-.....EXISTING IRON PIPE AS 5H0MN / NM.w Older Oot0 •OR............EXISTING IRON ROD AS SNOWS/ 1 Lot 1 / X CP............COMPUTE,POINT P.B. 66, Pg. 85 y )I(SOS............SURVEY SPIKE SET Course *wire gnenoo s REET scN Ownership & Dedication Certificate 15, FF11 I a •a3E�.i ,o7,;' z for Corporations, LLCs or Non—profits 1 '6'. g '4 67d:;P 1—'—one ...................norE NroaAN7 }, I fee)cwfay Nor h.en(xis an)the owner(e)el Ire pmprty' �,r N Ec'19' 1 •................... WATR YALVE a'[b •ee ,me m.'M..PeoPrry 4 earneH wenn M*,..,,Man �2 rT80'12' •...................PROPOSED RED MNLE TREE I'A. eoutoebn,UMeet n of Catawba Cooly that I Den)n..y ante S p L N aoz2'Sl4 — b PIN............PARCEL IDEN1a7CAT/ON NUMBER 0 the�of,ubd;*iron and dedicate to pubic um all afros sham J le ii L N 30/10,3 RCP...........REINFORCED CONCRETE PIPE a', on r e pie wan es Fredh ceps,wpm.PM',a I"ec•end .e •PN 5e1••j:�— mnh.*tope Nasa'preach,indicated as prirale.and not I '' a N sg5n«• 11 EP.............EDOC Of PAVCMLNT 4 e IT, �iQL� +,ry Jp..q-*-- N/f...........NOW OR FORMERLY �• (wn1 rod by the M wee ems vats Ne ono.of.90.0 5n b E" if N §SJ l"• 19 anat.by Ne appropr p µMk µlimy MI peprey Mom n E L) N I 1,1'01 25.1 NTS...........NOT OF SCALE ap T Ih, tiler,:ea:ruho,r a/0140 us•ode be Gemmed to De `{] LI N 0705),L'�F� --�. ' NTS............NOT M .031 ]. dadkater for any elle outdo woo µthorbed by law ohm nee LS1tit Ll N aT 10 a eel IINE SURVEYED i G abeam used b.ppea.ed by Catawba County _1 N �'2'• Il7 nE LINE SURY£Y£D IIL r.or�71�� ,A Kit ,IA J• p iu Nees tea Um ONy LI if 67 T 'i IQ' .----UNE N'OT SURVEYED O _M9/7%rl P �t/'',5' A.h �RIGMI-OF-..WAY LINE 9, N L Curve Padiva Lar8N r Chord Chord ea . —no—OVERHEAD UTILITY LINE lnERl�iu.Mslt Cl I/pees' . 190N' 191.9A' N b704'3e'IE It to Nob: iy EPr.•b.,r..rolaw:l don 80 0 80 180 240 Individual driveway easements on wide and'dent From line as se rho DA of rood to 20'tine/R/lv ilne o•shown. AUeae(SrnHay 0NnoNnt) own GRAPHIC SCALE - FEET 1" 00' Shored drivewayea••mente do g Major Subdivision o% Tr. 20'wide 10'on each side of Pm7tr Notary Spring Farms Dine and...tend from the centorfine I/2•Eve p Cp.Cornea Caunly of rood!0 20'purr VW one. d•shorn. Httea e6r:�1SSA B.ClArxlt.Cl. Na L3.o t,Perk a,ad. Clines Township, Catawba County, NC ��� ,w „w„,w D.w,taus,,Me e.utr Owners of Record: MartinRay Holding, LLC A �y�8t�i�B0w �S($7roI MSL...OP �' CS. Deed Reference: 0.8. J736, Pg. 782 L f""' HY-/-••y Zoning Os dos es 0/w,ya Narmeggaa"'strum*MIR"ey"s"""'r`asl em--ARy ea PIN: J7J4-l 175Plot Reference: N2255 Prm/*StoeyNy treated Cony -0N7�R 20(Coto+4o County) '"'"11007'''''ea,40I"`i/"''''L IC/j Job Number.2111J80SJ.DWO (J111J80.CRD) SYKe 1989 AUeewg Sobed,. MN rM a r- day of truf�Ael Sf 2022. 630 SIGNAL RILL*BIKE Ex7,S7ATSIa.r NC'29625 front-J0' �/1'T��U�� Y �y ' Field Work: 1?-?-?021 PHONE(top 020-9eer yob- 15' wo ly`i.`il 3A,o».) E COLh•'' Plot Dote: 8-29-2022 eo..boundarydereeopment.mom Roo"- JO' My cam....kw..a.,._`_f]'`p_ac61fl,9-4z2 Drown By: WSR 1 7 EO ap 2022 TAWBA q 0.15 am BOOK 00084 CATA'NBA COUNTY NC GONNA HICKS SPENCER et,..Lm r 1 PAGE 0197 REGISTER OF OFEOS INST a 1952E �4'A • CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT a�►� PHONE:828.465.8399 U ��►� Thursday,April 27, 2023 I8 , Z 5M www.catawbacountync.gov Invoice Number: 04-23-421800 Invoice Date: 04/27/2023 RB PR-04-2023-44 1 75 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 4490 SPRINGS RD,CONOVER NC 28613 Applicant LARRY THOMPSON,LSS,PO BOX 541,MIDLAND NC 28107 C:7043014881 LARRY@THOMPSONENV.COM Contact Person CENTURY COMPLETE,9325 CENTER LAKE DR SUITE 160,CHARLOTTE NC 28216 B:7044881100 KATIE.DYESS@CENTURYCOMMUNITIES.COM Owner *WJH LLC,9235 CENTER LAKE DR STE 160,CHARLOTTE NC 28216 B:3362823606C:7044881100 KDYESS@WADEJURNEYHOMES.COM ACCOUNT:7554 PAYOR: *WJH LLC FEES RBPR-04-2023-44175 FEE AMT DUE AMT AOWE 110.580200-663000 04/27/2023 $135.00 $135.00 FEES: $135.00 $135.00 TOTAL FEES: $135.00 $135.00 invoicereceipt 04/27/2023 10:10 Page 1 of 1 Robert Phelps From: Robert Phelps Sent: Wednesday, April 26, 2023 10:17 AM To: 'Larry Thompson' Cc: Katie Dyess Subject: lots 9,10,11,12, and 13 of Spring Farms subdivision Attachments: Spring farms plat.pclf Larry, The AOWE submittals for lots 9-13 are incomplete because page 1 of the NOI form is marked as a repair of an existing system. Please resubmit page one with the boxed checked as NEW. And just a heads up there is a zoning requirement about the number of driveways allowed entering a main road without having an internal road. The previous developer got around this by sharing the driveways for this subdivision. Our zoning department will hold up the building permits until the driveways are shown to be shared on any site plan. The attached plat shows the driveway easements. 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/ seat awba 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(flIPAA).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 Megen McBride From: Megen McBride Sent: Wednesday, June 21, 2023 2:15 PM To: 'Katie.Dyess@centurycommunities.com' Subject: Spring Farms lots 7 and 9 Attachments: Spring Farms lots 7, 8, 9.pdf Hi Katie, I wanted to bring this to your attention. For lots 7 and 9, the driveway configuration shown on the septic system submittals do not exactly match what was approved by Catawba County Zoning. The driveways that get put in must exactly match the attached surveys. Please let me know if you have any questions. Megen McBride, REHS Environmental Health Administrator 25 Government Drive, Newton, NC 28658 (828)465-8268 office (828) 465-8276 fax https://www.catawbacountync.gov/county-services/environmental-health/ ©catawba county We want to hear from you. Please take a minute to take our customer service survey. English Queremos escuchar de usted. Tomese un minuto para realizar nuestra encuesta de servicio al cliente. Espanol 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. From: Katie Dyess<Katie.Dyess@centurycommunities.com> Sent: Wednesday,June 21, 2023 9:09 AM To:Julia English <JENGLISH@catawbacountync.gov> Cc: Larry Thompson <larry@thompsonenv.com>; Keshia Parris<KParris@CatawbaCountyNC.gov> Subject: Re: Spring Farms AOWE Permits(Lots 5, 6, and 8) I will be sending the zoning applications along with building like I did with lots 9 through 13 once these are issued i