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RBPR-04-2023-44177.tif
45C 5phAss Rid Ab?R.0q-X)3- Mkt 77 Ccnoqe.t, I 'L ,STAT � �,.",, do . ROY COOPER•Governor g. is\%• NC DEPARTMENT OF KODY H. KINSLEY•Secretary o% i1I5k ' ES HELEN WOLSTENHOLME•Interim Deputy Secretary for Health .,'^_a^*0. if 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 n LHD USE ONLY: Initial submittal of this NOI received: LI-it- 217 by ) 1~rJ Date Initials PART 1:Notice of Intent to Construct(NOI)-Please check all that apply ❑■ Single System or 0 Multiple Systems AND ®New El 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: 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: Q AOWE El LG 5. Property location (physical address,tax parcel identification number or subdivision lot,block number of the property to be permitted): 4502 Springs Road, Conover, NC 28613 (PIN: 373411752681) County Name: Catawba RECEIVED NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH H 1 i l 2 3 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 Environmental Health AN EQUAL OPPORTUNITY/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: Gravity-Flow Accepted System located behind the home. System classification Type Illg. 9. Design wastewater flow: 480 gpd Design wastewater strength: 0 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 ❑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: Q 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: 0 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 E p" rs a " urveyors. _ 04-17-23 Signature of • horized.O-fte Wastewater aluotor Date .weer self-submittal of NO!: hereby submit this NOI prepared by Print Name of Owner Print Name of Licensed PE pursuant to G.S. 130A-336.1. Signature of Owner Date DHHS/EHS/OSWP—AOWE COMMON FORM Updated April2022 Page 2 of 6 catawba county public health Application for Environmental Health Services RECEIVED THIS IS NOT A PERMIT Application is for: ❑New Construction ❑Existing Facility ®Improvement PermitR-Authorization to Construct APR 2 1 2023 ID New Septic ❑ Septic Repair/Malfunction El Septic Relocation ❑Septic Expansion ❑ Existing System Inspection or Reconnection ❑ New Well ❑ Replacement Well ['Well Abandonment ❑Well Repair Environmental Health Property Address 4502 Springs Road, Conover, NC 28613 Acres 0.5 ac Subdivision Spring Farms Lot# 11 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@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 ❑Contractor Who will be the Primary Contact? ❑x Owner ❑Applicant ❑Contractor Proposed New Construction-Residential Primary Residence ❑x New Residence ❑ Addition to Residence it ol'New Bedrooms*t _4____ It of Occupants 8 Project Description Constructinanew 4-bedroom single-family residence Structure Dimensions,also specify dimensions of decks&porches 38 ft x 40 ft _ (Choose One) ❑ Basement ❑Crawl Space ❑x Slab I t'Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' ❑ Yes ® No Accessory Dwelling #of New Bedrooms*t #of Occupants JLI IA,LLAL ..,,",,..,1.,1,.3 (Choose One) ❑ Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ 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 0 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 ❑Crawl Space ❑ Slab If Basement.Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes ❑No Describe Will Certified Well Contractor Install Water Line or Electrical Line from Well I lead 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 ®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 if 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 i (This value will be determined by EI-I 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 0 No Does the site contain any existing wastewater systems? ❑Yes 0 No is any wastewater going to be generated on the site other than domestic sewage? ❑Yes l No Is the site subject to approval by any other public agency? ❑Yes Gd 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) El Accepted 0 Alternative 0 Conventional ❑ Innovative 0 Other_ 0 Any *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by El I Staff. ** IfNo,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 l ent -` he owner. Signature of Owner or Legal Agent bate 04-17-23 Printed Name of Owner or Legal,Agent Larry Thompson S7AiF a �����;„„,,,, ao�� ROY COOPER•Governor I NC DEPARTMENT OF KODY H. KINSLEY•Secretary •U o HEALTH AND HELEN WOLSTENHOLME• Interim Deputy Secretary for Health ��, ' ,� HUMAN SERVICES V.,, 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 Date initials PART 1: Notice of Intent to Construct(NOI)-Please check all that apply ❑■ Single System or E Multiple Systems AND ❑New ❑ Expansion ❑Relocation of all or part of the Existing System El Relocation of Repair Area ❑ Repair—LHD Permit Number 0 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: NIA 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: ❑■ AOWE ❑ LG S. Property location(physical address,tax parcel identification number or subdivision lot,block number of the property to be permitted): 4502 Springs Road, Conover, NC 28613 (PIN: 373411752681) 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 AOWE Common Form LHD Reference: 6. Type of facility: 0Place 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: Gravity-Flow Accepted System located behind the home. System classification Type Illg. 9. Design wastewater flow: 480 gpd Design wastewater strength: 0 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 0 No A site plan as defined in G.S. 130A-334(13a)is attached: ❑■ Yes ❑ No 11. Location of proposed or existing wells(drinking water, irrigation,geothermal,groundwater monitoring, sampling,etc.)and any potable and non-potable water conveyance lines is indicated on attached plans and complies with 15A NCAC 18A.1950: 0 Yes ❑ No This is a saprolite system. ❑Yes ❑■ No 12. Evaluation(s)of soil conditions and site features in accordance with G.S. 130A-335(a1)signed and sealed by a LSS is attached: ■❑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 E s " urveyors. - 04-17-23 Signature off horigt0.0t'ite Wastewater aluator Date woer self-submittal of NO!: I, hereby submit this NOI prepared by Print Name of Owner Print Name of Licensed PE pursuant to G.S. 130A-336.1. Signature of Owner Date DHHS/ENS/OSWP—AOWE 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 on AOWE Permit Option[G.S.130A-336.20 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 deportment 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 deportment fails to act within the five business day time period." The review for completeness of this Notice of Intent was conducted in accordance with G.S. 130A-336.2(c). This NOI is determined to be: ❑ INCOMPLETE(If box is checked, Information in this section is required.) Based upon review of information submitted in Part 1,the following items are missing: Copies of this form listing missing items were sent to the AOWE and the Owner on Date via with directions to re-submit missing items using Page 5 of this form. Email,FAX,USPS,hand-delivered Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date ✓�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. 1 Copies of this signed form were sent to the AOWE and the Owner on via !Z 1 Date Email,FAX,USPS,hand-delivered A copy of this NOI and tracking information was sent to the State on via Date Email,FAX,USPS,hand-delivered Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date DHHS/EHS/OSWP—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 LHD Completeness Review above. Resubmlttals must be accompanied by a cover letter from the AOW£. LHD USE ONLY: This NOI resubmittal received: by Date Initials Item#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 Dote The section below is for Local Health Deportment use after submittal of items noted as missing above. LND 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 DHNS/ENS/OSWP—AOWE COMMON FORM Updated April 2022 Page 5 of 6 AOWE Common Form LHD Reference: PART 3: Authorization to Operate(ATO) Except for date received,the Section below is to be completed by the Owner. LHD USE ONLY: Initial submittal of request for ATO received: by Dote 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 I, 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 Dote 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 NOI/ATO with tracking information was sent to the State on via Date Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ISSUANCE OF CERTIFICATE OF OCCUPANCY: Once the LHD determines completeness based upon the ATO submission,the owner may apply to the local permitting agency for permanent electrical service to a residence,place of business or place of public assembly pursuant to G.S.130A-339. DHHS/EHS/OSWP—AOWE COMMON FORM Updated April 2022 Page 6 of 6 DATE(MMIDDIYYYY) ACCORD® 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 FAX 500 W. 13th Street (A/C.LIo Extt:9187797880 (A/C.No):817-882-9284 Fort Worth TX 76102 A DRIESS: 99� r m.dIv1 C�hi inbothanet INSURER(S)AFFORDING COVERAGE NAIC# License#:2081754 INSURER A:Mid-Continent Casualty Company 23418 INSURED THOMENV-01 INSURER B:Hartford Underwriters Insurance Company 30104 Thompson Environmental Consulting, Inc. PO Box 541 INSURER C: -- ---- Midland NC 28107-0541 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1600075032 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER, POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DDIYYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 04-GL-001086672 9/25/2022 9/25/2023 EACH OCCURRENCE $1,000,000DAMAGE D CLAIMS-MADE X OCCUR PREMISES(Ea EN occurrence) $100,000 X Professional MED EXP(Any one person) $Excluded PERSONAL&AOV INJURY $1,000,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 X POLICY JET LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY /Per accident) -- $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB 11 CLAIMS-MADE AGGREGATE DED I RETENTION$WORKERS COMPENSATION $ B AND EMPLOYERS'LIABILITY YIN 38WECN1N6175 10/17/2022 10/17/2023 X ISTA UTE IERH t ___-- ANYPROPRIETOR/PARTNER/EXECUTIVE N N!A E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? --'-- -- — (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 I 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 Repair Permit for Lot 11 - Spring Farms 4502 Springs Road Conover, NC 28613 Tax Parcel Number: 373411752681 April 15, 2023 Prepared for: �Cp soil sc J� is��44 / Century Complete 9325 Center Lake Dr., Suite 160 ` - �l �+ Charlotte, NC 28216 ��. '��+ v ' '! 6 704-488-1100 , 1287cps, �AbR1N Prepared by: E WAa Larry Thompson, REHS, LSS Thompson Thompson Environmental Consulting, Inc. - .41 POBox541 0 • Gaol on••. • Nun tier 1w Midland, NC 28107-0541 = 10016E . Phone: 704-301-4881 • • - 1arry@thompsonenv.com .•• M �yq u/►'�p ; Lot 11 -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 4502 Spring Road, Conover, North Carolina (Catawba County Parcel Number: 373411752681). 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, and repair, of a Gravity Flow Accepted System, for a 480 gallon-per-day residence at a 0.3 GPD/sq/ft long-term acceptance rate (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). 'l'he 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 16th 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 NC'AC 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 Lot II-Spring Farms Plans and Specifications A. Septic Tank I. The septic tank shall be State approved (Section .1953 of 15A NCAC I 8A), 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. Pipe, Fittings and Supply Line 1. All discharge piping, connectors, and supply lines should be made of SCI-f 40 PVC and fitted with pressure-rated couplings. 2. All joints must be properly "welded" utilizing the appropriate PVC cement for each application. C. Distribution Method 1. Individual drainlines shall be evenly fed via a distribution box. 2. Distribution box shall be water tested for equal flow at the time of the final inspection. D. 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 five (5) lateral trenches to be constructed as 3-foot wide by 90 feet long. Total drainline length is 450 feet. 5. The specified trench depth for this system is 18 inches. 6. The laterals are to be installed on contour with the land, keeping the india'dual trench bottoms level from beginning to end. 7. The trenches should be left open for the final inspection by the AOWE. E. Final Landscaping I. The final soil cover over the drainfield shall be a minimum of 6 inches deep. 2. The drainfield shall be shaped to shed rainwater and be free from low spots. 3. The drainfield area should be planted with grass as soon as possible to prevent erosion. The soil should be properly tilled, limed (if necessary) and fertilized prior to planting. Lot 11 -Spring Farms After applying grass seed, the area should he heavily mulched with straw or other suitable material. Maintenance F. In General 1. The homeowner must maintain the drainfield area through periodic mowing. The drainfield must not be allowed to become overgrown. 2. The septic tank should be pumped every 4 years or when the solids within the septic tank reach an elevation equivalent to 25 percent of the tank's volume. In some situations, the tanks may need to be pumped more frequently. If using a garbage disposal, it is recommended that the homeowner has the septic and pump tanks cleaned out annually. 3. When cleaning the effluent filter, the filter should be removed, and the accumulated debris will be washed back into the septic tank—not onto the lawn. 4. Any damp areas, leakages, or malfunctions in the drainfield area should be addressed immediately. 5. Divert gutter downspouts and surface water runoff away from the septic and pump tanks. Design Specifics Daily Design Flow: 480 GPD—4 bedroom house Septic Tank Size: 1,000 Gallons Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield Type: Accepted—Chamber System Distribution Method: Distribution Box Number of New Dra i n l i nc,, (5) 3-ft Wide x 90-ft Long Total Trench Length: 450 Linear Feet Maximum Trench Depth: 18 Inches Repair Option Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield Type: Accepted — Chamber System Required Linear Footage: 400 Feet Available Linear Footage: 400 Feet Lot 11 -Spring Farms Maximum Trench Depth: 18 Inches Spih5 1ovs La I I t ©5, , e, e. s pAl 0 V.j-'48,tc-rf: :,----:'-- ,o I 619 �O ,1 9 r a� 1 i7b.mx qv al Pai , 15, 14stu. S to' 38' 5)' .7at Thompson Environmental Consulting,Inc. �j Sl�ee1 1 of 3 a PO Box 541 PROPERTY ID r: �J41 { (-iC 6' Midland,NC 28107 COUNTY: C-6 > SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: r ADDRESS: DATE EVALUATED: LI I I a\a6a5 PROPOSED FACILITY: 4 WI(M PROPOSED �`SIGN FLO�(.1949):r 4800 g.pd PROPERTY SIZE: LOCATION OF SITE: I ti Will 1�1-I_ PROPERTY RECORDED: WATER SUPPLY: n Private ❑Public CI Well U Sprki Li Other ,���� EVALUATION METHOD: 0-Auger Boring ❑Pit 0 Cut TYPE OF WASTEWATER: L7Sewage 0 Industrial Process U Mixed s ► s s Pi R0 SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS t .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH 1942 PROFILE # SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE! WETNESS; SOIL SAPRO RESTR <AR • TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 1 „, ?,---:, )- 1 1 _ 1, �, „_ ,,. ^ �9 S1 ..7)C 1-YG- .c P 1 h ) C�vj� („(/ (-) V L 1 -, �Li ,T.;d. .t''t!5� � II, -3�4( Gf ,,L ."; , si5p 2, I D— to i (7) C) • I , ly�✓,��t -)��� ,;''%' W ;f . -) L( n-\o 51 ub)( SSe,, e 10 -.3> �LI' Libk L'ise, ` 'jd f t� DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): ! _ SITE CLASSIFICATION(.1948): Provisi 0dl 'Z Available Space(.1945) P S P S 44 'T' •Ito i EVALUATED BY: IP system Type(s) Accepted Accepted Y �,' i` ; OTHER(S)PRESENT: jls�_ � r�,Y01Ir� Z Site LTAR 0.3 0.3 L. Thompson LSS e'.„- . „sg l.:3.,, , ;! �p COMMENTS: ( - ,.. ` ct7r 7 _ 4_._ Updated February 2014 � �'.. . f 7i � ry_ (...".' - Atfi1H CO" • SOIL/SITE EVALUATION Sbrrr ar,r a" irorrtimmriem Snrrr-Currrplrle ulllield IrrJirlll PROPERTY ID DATE OF EVALUATION: COUNTY: ___ — 1 ( r f r fi i SOIL•.1rIORPHOLOGY OTHER`: o F (.1941) PROFILE FACTORS .1940 i. D r: LANDSCAPE HOIu'L 194_ POSITION/ .1941 .1941 SOIL .1943 .1956 .1944 PROFILE ft SLOPE% O` STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS DEPTH TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ S LTAR (IN.) -5 Sl V,‘9Ic ass y c)5 to L 5 -q_k5 ' wbi� - s,:_ ?_ "i(Q (49 q(t -±VC______ cr • 1 i 1 { 1 1 - . 1 I COMMENTS: ---- ---- — ___— _------------ Ctuiuled February 1G14 Quick4 STANDARD CHAMBER 52" Quick4 Standard Chamber — 48" (EFFECTIVE LENGTH) 12" 8„ 11111111111111111111111111 34.. SIDE VIEW SECTION VIEW MultiPort End Cap11,1 4141)H.""gigill ,6" 1• 12" ...,dr) ors, 41;:01# , 34" SIDE VIEW TOP VIEW FRONT VIEW quick4 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" INFILTRATOR SYSTEMS.INC.STANDARD LIMITED WARRANTY Hi The structural integrity of each chamber end pate.wedge and other accessory manufactured by Ir'ttrator I'Units-).when nstaled end operated in a text:field of an ensile septic system in accordance with lefitralor's iistrucep's,is warranted to the orisital purchaser Molder')against defer-we materials and workmanship for ore year front the date that the septic permit is issued for the septic system containing the Units;provided.however. Thal i•a septic permit is not required by applrahle law.the warranty period wit bogy upon the date that iotNation of the septic system commence: days s exercise all we/harry d defect. rights.Holder must notifyly narrator n wring at its Corporate Headquarters ator in bet covered ob.th United warn Steen d 51 N F I LT RATS R O gays of to alleged defect Initiator MI supply replacement Units for Units determined by nlnretex to be caored by the tinted Warranty l.rltrators labilty specifically excludes the cost of removal and/or inhalation of the Units Ibl THE LIMITED WARRANTY AND REMEDIES IN SUEiPARAGRAPFt(a)ARE EXCUJSNE.THERE ARE NO OTHER WARRANTIES WITH RESPEC R TO THE UNITS INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE SYSTEMS I N C not fiend to iinciideed enntal.conssell quent�ial ifspeca or in the dmber r�iedtor�lnnot�be by anyone ea penaltiesthan or Fquidated damages.inclining loss of Environmental Onsite Wastewater Solutions" producilon and profits,labor and materials.overhead costs.or other lasses or expenses tenured by the Holder or any th rd party Specifically exc Wed Iron United Warranty coverage we damage to the Units due to ordinary wear and tear.alteration.accident.misuse.abuse Cr neglect or lee Urns.the Units being subjected to vehicle tragic or other condtiarhs which se not permitted by the installation instrucliors:failure to maintain the 6 Business Park Road• P.O. Box 768 minimum ground covers set forth in the irstalation instructions:the placement of improper materials into the system containing the Ufrts;lathe o1 to.hits or the septic system due to improper siting or improper sizing.excessive water usage.improper grease disposal.or improper operation or Old Saybrook, CT 06475 arty other event not caused by Infiltrator This Listed Warranty shall be void if the Holder fails to comply with al or the terra set forth in this I kneed warranty. 860-577-7000• FAX 860-577-7001 Further.in no event shall Irrdtrator be responsible for any loss or damage to to Holder.the Units.or arty Med party resud0ay from nstalatron or she meet.or from any product liability dar ns of Holder or any third party. Fan this Limited Warranty to apply.the Skits must be nstalled n accordance 800-221-443 fi with al site conditions required by state and local codes;all other applicable laws;and fMitratsr's nstebtatian ltstruclions IS No representative of Irttrator has the authority to change or extend this Limited Warranty No warranty apples to cry party other than the engr i'al Holder The above represents the Standard United Warranty offered by Infiltrator. A limited number of states and counties have different warranty require- tents.Any purchaser of Units should contact Infiltrator's Corporate Headquarters in Old Saybrook,Connecticut,pear to such purchase to obtain a eixty nt the applrcable warranty,and should care ugly read that warranty pnor to the purchase of Units. U.S {':Rents;4,759,661:5,017.041;5.156488:5,336.017;5,401.116:5,401.459:5.511.963:5,716,163:5.588,778:5.839,844 4/6 Canavan Patents:1.329,959:2,004.564 Other patents pending. Infiltrator,Equalizer and SideWinder are registered trademarks of Infiltrator Systems Inc.Infltrator is a registered trademark in France.Infiltrator Systems Inc. Is a registered trademark in Mexico,Contour.Contour Swivel Connection,MicroLeaching.PolyTuff.SnapLock,CharnberSpacer.PosiLock.QuickCut.QuickPlay RECYCLED PAPER and Quick4 are trademarks of Infitrator Systems Inc.O 2003 Infiltrator Systems Inc.Printed in U.S.A. 0011203HP,C Catawba County Environmental Health 1Eipt .4514 w en 100.0 V�, 3799 0 O # Q�,a 5 �61 13 .4508 ��s� J fi\ 3647 .4502 �� % `° •4496 2681 12 a ierli .4490 2526 \ (h e),A 11 /,_ 1543 h," Y N O 0479 10 err o 40 9 '0 44 4A 0 8 1 94 04 w 6 Parcel: 373411752681, 4502 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 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 373411752681 Owner: MARTINRAY HOLDINGS LLC Parcel Address: 4502 SPRINGS RD Owner2: City: CONOVER, 28613 Address: 114 MORLAKE DR STE 103 LRK(REID): 404983 Address2: Deed Book/Page: City: MOORESVILLE Subdivision: SPRING FARMS State/Zip: NC 28117-9211 Lots/Block: 11/ School Information: Last Valid Sale: School District: COUNTY Plat Book/Page: 84/197 Legal: LOT 11 PLAT 84-197 Elementary School: LYLE CREEK Middle School: RIVER BEND Calculated Acreage: .570 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: $13,000 Zoning3: Assessed Total Value: $13,000 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 he 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. Flood Hazard Area Certificate Mcoren;le mppng pro..by Me beard Emergencyono.percent Agency an. B Turtle Dove.Par Mean en di•0g0W Peas Pena c•Aar,Map(LMMM)Pone J7J4,Catawba < County North Caro..elec.doer September 2007.the property show, / W ,�a. r not Neal.deb.a...ski need nos.area Ma proper,N enrWy 50°4 WW1 eve deehrete4.M: md a-e.r ewe.Arras rren..to ell outsoutdate /'A 1g 8 h.01!annual chance ea. areas outside error co amen•la oo ends.Rootlet. Watershed Certificate: �• SITE To m•beet or my eno^•Ma.ma dot Wee col rN o(An o ter et'6olo o odadr Ise ay ow Novi Somata&via.oftnydf I als'P•M''• Map of Catawba CoAlmunty nrcM Cord/no.4dD�en m..a(.rMed Prormran /er 0prr o- fnvFmmental HeoIM Approval or SMbdMslon Plat T.Rnel plat and late shown non been approved by fin �A h Environmental N Nh Division of the Colo..Count' Der Deprlm.nt r atWa N.alM A� •e ' Vicinity !dap( ) 44/4, Gf i t/6/2z a d� /� }� Notice mMonmenfd Heath Supervisor or Designee Dote G{"_W,Be •, +,� , J' •Property sublime to boy senmenn and NgNr of way cot nears( ' 4 / . lie' ond m.COO Bement•and rights of way •Mrs surrey 4 wb)mt fa any here Met may be cesueted by e `L�ldt + b 6,n war ocwron Due,.our. oke P ,, , Approval • Certifrcate for n�' ,yp ' / At. J�� Major Subdivision Plat �nM4 survey plat ea.,not show y an.aw.a .rs.,r 59�' Y ,. .Gin t, •wiup ea,ernents,dedication• other encumbrance.Such ' 1r 7 Ms final plat and Ma,hest names shown burdens could exist on Ibis property and not appear on MO plot. tan .Doomed / •••din 41, <<< .•N r S hen been found to comply wrto rho Accreegly um"o1 thb plot en waned to remah alert b M. �,e �W W \(t• lr • . ,..0 Via- % Subdieor. 8.0000Wby of C,Mwbo Count edotonce of moth unrwcoded burdens net shown hreof, aM wen uPrawd DY tin[a1aYDa CountSM'P Ranaen Lai 75 /� liar. Dr.way A � ManNy ar•eree r hls/h r designee.A6 •M•Global Narlgotkn satellite system(ENS'S)was used 62 [eswnrn o_. stredte vfaiw•oro Who,r.a>r.d pe lam ro eeepetrd poelllonNp...root standard&pet 1 �' %. J 4aimprovements have been installed occore.9 ,Irdrs fr(936geodetk n•twrks at M.95.E cdr.bence occur*, �e •{, 'a1+„ to Speeif offM and sr0ndarde•r e Iaasilxlion(95f confidence)using ry tin•4FemaDC M. ID•s M' .' N ($ C• 7 tee e1 eM instdbtion of fin sS9r11 r'• . 0• `� b provements in an amount oursfdlowMp h/ofinef/an.o ufeS) o onnr sa .• ,�`� �, 1eo :I� . m ear IN. to CM albl County hen Dredsups Denbo.certify N My map•y laden order my ` N J, sw7 boon"oohed fi4 plat b oprarM/r wprNalon front a tvd GAS wryY mods under my wprNakn d, D"+'••A' J _ o ,. recording!n eh.Moo of In•Rogislr or one too fallow.;information woe used fp prfrm tin Steve" Ly /�• '4 Comment �Tj JR - n.ons of Catawba Corny thin si•y(80 1111 �. N j - ..1.h., , gin a, dpya of date a roil approve,. Oa„of Surer CLASS M i o7CQ!!e�iII; N' ~� t/M�/lull- /7 Pasnbnd Accuracy Dos' v Ili e Ti �'4 N a. :',7.T.D-1 yd), ® ,1,w� 0haeN p 04'l�`6_« {1,/ Tjp.of cPs ford Procedure RD( 1 8s � DO JQ7 O MMDPr° Dat, of$urny 12/2/2011-8/8/2022 to Oaf,00e.0 eo:NAo,,(2011) _�rreael ` a +% ` '�� ''o eb ••Lla Publlshed/TTred-Gambol Use MS N" NN '. O h} ti6 SO� CEOD Mob.2018 CP l ► ® • ny0 U' Comb.sd Grid factor 099987076 1 1, m y 4. M1 gin�r(v ev� Units:US Surrey Feel 1 a© a ') Gy 9h' u •Arco determined by cord.ot•computation. t` 1It•'; L :0'�; • rl• sl 33• 1 • •No NOS or.COS NaHx Conoco Mrwm.nf bond wiMN 1,000 1} $-O. 4 y6 Cloyd H. Propst, Ji. 7odd• feet of the site ^ g53f t Laee,n Coterin. fin Propst `t t 2 iota( - o Judy P. Stevens •Lot(e)to be served by city water and NdNNd sip O& 1 SOP f OI t] Let h Ann P. B/od etf ` qe�13"E}g2 B2 D.B. I788, Pp. 1108 •Property bee+MN°proximity of on agricultural dsrrkt. e 9S. ell 13'GO 3� 11 •Ulaihed are ond.rordlnA 1 �• ® 165 51� tei Ts.b •Red mpl.a tree,pleneed no man ends so/«f with.the Rl 333.ati TO - �5/ Note: right-of-lay and comply with NCe0T vegetation poem•,. _• �flln 3^E ] Contour lines an scaled from �11 , SLD+r"rPati73.p0© 1b Catawba CIS wend*. •There Ise 10'drainage end Welty.osemenl atone an for 1.«. _ g` rh„lia9 N as �,.a �rw n'v, •Fofd number of lot.: IJ 0_1l Ohwwr ~�_A(�n N"r jOtal •� 1 roe M.8enbow,curt Mat this mop was drown under my E«.anent r•' 7 supervision from m actual wimpy mode under my wprvidon 11s.�' 4ema 3 5 3i 5.a',"4 y (d..d amriptiw nerd•.M SOO 3731 Pay 782). That rho 13 plot was prepared M accordance dth OS 47-Jo as amended. 11 atll N 13 ® C. O Mot rn4 plate meet.the creates of al a-SO.I bulbar HI kcagily that M4 survey creates a hat000lon of land with.the 1 `� area of a county or mvnk/polty that has an rd.mce Mat 173\ 3IAL�In Rf.rota' a p j. ngvlora po'ada eI lent. •�?0 a n5 0on6.•way IaaM'4 D?13 E 297'2,��b 14 wlners Mra my r19Md srgnarar.,fe9,Str01Nx humor Dena 1 81, Et•..0inol 73.00 © C. y seal this 29M of August 2021 A.D. 0 °1 Nj nln R"Tato( 7jO1 /.,4:SCLl ' N• .a:•. ' �. leo g°3��De 19 A4 e.'R • 5Sks' it,.'.. 11 a�>. Nnd73:"0p 13"F 2 r ,ed lc,d.nen.a%c-'C PAS L-J175 tif'= y7r�•.,1 1 _ '�g L-317S `{tii •X ® l+ ir, I Non-pees« ,•anent \ 1 eb.od Area do '•...f :Sl)R�E`g49.? dery the RA/We of y 0.97 Aer• 04n,,,, I110' •-..ink.,;B NB!.•• Had Street on lot 1 w11E1ti /nNudlnp 0.11 Acre In R/W 0 toeemenf Union otherwise indicated all distances amen on re'RCP '8. .Mwee & 'I hr@enld�ground distance•.To cowl to erld 1 (as.ment ethane ute*IY M.ground dt.tone.by di. 1 I .watt Naha• `(•'1LTO 3 • ,amen.Into. -.-A--- i-Ie'RGP . 1 3/4'E4P R^;/1•DR I- - - ' Review Officer Certificate 190.8= o a Stare of North Cardona v S 86'30 JJ - _ County of Colo.be - S.R.1513 �. yea f1 in Drivl �, ` 4 lktltebn IAoo bwir R.„ew Officer Nr Catawba Legend 1 R/w p.B. 60. P9• `\vsss County certify nor min map r plot to.nkn this certification 4 CAPS ON MONUMENTS SET CONTAIN THE 1 u ` v aMred meet.all statutory reauhxnenete M recording. SURVEYORS NAME AND LICENSE 01710NUMBER. t 1 \ da \ / -,-4.... �/[ //,0 O IRS............ 1/1'IRON ROO SET.ant YELLOW fin T; 0 !din /.,r !yam_ •EIP......,.....ENSTWO IRON PIPE AS SHOWN \ Rm.OM. Dot. •E/R..........,.EA1511N0 IRON ROD AS SNOW. I. Lel I ., X CP............COMPUTED POwT P.B. 66, Pg. 85 Z SE S55............SURVEY SPIRE SA Course 7.o0 g paters• sTREn,tell Ownership de Dedication Certificate Jo, =ff55'04^€ 7171' UM11Y POLC N e7ee'10^ J�--•-•-•"••• r for Corporations, LLCs or Non-profits o Ss. N 6e19'38' 69. b...................PRE NIDRAN7 }. - w-, L4 N 6f19' ^ ] •...................WATER VALK Jar,P ,(..)certify m.1 I;am tee are)ens o4.614)or Me prop*, w'-+. LS N 6oz;'se^•'�7.1 ,cr•bed Arson.ankh p rap rty!t loco red.Ilhx M.tub..lbw '1 •...................PROPOSED RED lMP(F 7RfF L rebulalkn Antdkl 01 or Cato,.County met I ebb)8•48 Woof La N ean'S� 4 e r PIN............PARCEL IDENTIFICATION NUMBER �iy Ibis plan of suDainrion and...cats to µMk u«al!ones Mown Nan j e SG36'g]". ]0,s9 RCP...........REINFORCED CONCRETE PIPE an r s plat nosh as.Im"allay.welt.Pod.pen pose one ... `1' N 565E'S]" ]6�i 4.arced More by«iricaer ir.be Fat I .410 Dena not 1 i N 5039'4p"F 7t. N/f...........NOW OR FORMERLY u� (are)•M manta.09 such areas ores ace oho of./Mkvekn le �• LI N 505e_c�r�_-_SI popted by M•,4(0'0 p p4Dlk Eremite NI property Mown m L11 N 1453'01" 25.1' R/W...........NOTI OF WAY 9 ma plot,.te.aled far a publk,a.Md M✓rened to bar 0 Lt3 N e553'Ol 5/. _ OMko1N yfo any pother mi.Jun«Mr0tN by le•Men who L2S LI,3 N 4705'29 E 66 12T5............NOT TO SCALE v� NLhsGfA (d (rw�on proCnt)�" h4770 A.4 Ile fins any to 5 3931.236 it i.]2' P ...... ..LINE SURVEYED .8 .fore used e. a ` IIE LINE SURVEYED `IS•u NETS'-n- - -----UNE NOT SURVEYED Lld S 673214^ 37.1• �RIDNT-OF-WAY LINE 3 Curve Radius L•noth Chord Chord ear. _aE-OYERIICAD UTILITY LINE ,N{h1ap/,0.414,6 6/L(7 27 C1 179_.40' 190.44' 18L.04' N 6704'30"W Not.: By horasueN't sip-etunl w repo 80 0 80 180 Z40 Individual driveway easements aro Weirk 10'wido and extend from oentertinb - �� o1 road to 20'post R/lo Rne oar shown. V2.n' Au«e(,.Eery av,arvr.) Ds-. GRAPHIC SCALE - FEET 1" r 80' Vajoi Subdivision of.' ,noise eNmwoy easement.ore 10'wide To'on en aide of property« Notary Spring Farms line and extend from the aent.Mne 1/1'EIR Nardi card*,Catawba County of rood to 20'post R/w line. as shown. TIED l-tifit$16_EL cier_Eacuis,a notary Pot.,mr,de Clines Township, Cotowba County, NC county me.101.ea Arnr brut Mot _ �,,0010 Bin. Owners of Record: MartinRay Holding, LLC �j��81�•�:8'�w -1J1LSLA--MSL411�2e - ,4' �r7pit Deed Reference.' D.B. 3738, Pg. 782 b"'"' -%-'"% Zonin 0•�0�000.lyavoter. of m.c0 Weft 0 m:ne°ey end een'a.ten�a N0TARy N Plat Reference: N/A q PIN: 3734-1175-2255 Proudly Sownouog lnde6 Count 'oNlNO R-20(Culowbe County) x(n«,my 0end and omc/id5�s�ea. IN staL10 Job Number.'2111380S3.DWC (311 1380.CRD) Sint.1989 9vndh0 S.fbache inn the e24'_day of_war Sk 2012. 4' Field Work: 12-2-2021 630 PON&HILL DRIVE txr,StA/ESNLLE.NC 28625 Front-30' PHONE(704)678-9561 5y_ ts' '�YIaL i.ew . y..viJ < Plat Date: 8-29-2022 www.boundarydevelopmen Lcom Rear- JD' 0710 Pvblk ""•' Drown By: WSR bey commis.en.,pre•.' `fY+p_4Ch10,ZUA2_. FILED Sep 06.2022 10.15 a`- BOON O1 NACOUNTY 1 PAGE 097 DONNA HICK C‘'"'.1 NA NICKS SPENCER 8/4 ...e. REGISTER OF DEEDS INST 0 19526 co CATAWBA COUNTY G'� 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT U� dui PHONE:828.465.8399 rar Thursday,April 27,2023 /g 42 sM www.catawbacountync.gov Invoice Number: 04-23-421802 Invoice Date: 04/27/2023 RBPR-04-2023-44177 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 4502 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-04-2023-44177 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 10:12 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