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HomeMy WebLinkAboutAUTH-05-2023-195315.TIF . k. 7,-"- f 1 1t.1w11.t(( i•\t1 .71•, • lli HER COWANS Sa+ERRi:I 111`41, 4616v26 tl h . . ... i. \ruL,. 'FI •\!! I t.i. a:1 ',qt.Aldrr..,i. 9G_45 R•VIERA DR SHFRft:l I S FORD NC 2°47 3 ,.dery on all,nt '©URT WARD'S HOME Of- DiSfINCTION INC: Proper'',Sae &l s 0 4S ::Ira•_t.orrs: Is:and Point DR to R11.era Or Ownar/Atttht)riir(I Ileprccrnt:,ir\( .fit I\ritlt,It dvytlrt'ilt 111 1'cnnit Ilrt't ipC /` I CLY,It'. Ill..;I Gill the c.Irncs .II .•.I Arcot I.o..1),t ,.! •,,..;t• ,i•ray.: I,, 'L't-IC ,'11 I F hi:,•N I•01!!I 1, 1..,,tv:n, J4141.4, ,131.io,c, !,l,.r,:..;,, •.,,•r..•rI• ;: uf!.1..'. :iptc•rn1a!t4C.S 11:1,,. •.1v.,.v.I Ilte:I iIt: r."lv.:nerd .-1.1111,t..• .,••.I.:..iC.1 :n the,,:5;. .1.1: 0:1 L.r ,er111 r KIllk-O5-21123-14230.tst Ow Ii11.n,inl! •th•t`I.%dI sr. Reco%od in I'cr.l+r. I JI:.i11It11:'I I1IrN.tiliittll e'icIl•I'i I•,I II ,5 I'I .I;In;Itinv IClgIII?c..I 1 I itt1101N, 11'r.;t.•: I I,u1,'n!;:..1 '. I 1,i:...: I :c'a;11 :,,I•, l'Ali f. 'S• . 1' •1 rr.!Kf Of.111t1FL'i iL.. 11.1',:, !:!..LI•,_ . ...1,- !,' ..! !;,1 '?i.li',I,tAY,I I'I.••I'i, I', ,111illitl(4t1 l''::,4,1-11,. ;,,L:,..:, .1'1•i ilt111)Cr tiiiik-r'.t.tti.l t11,11.. • .!--111.,5'1% ?.-:!:.::1.•1, I..: : Iciurt,'• f!d11'i•. .II .'it :nt \utlh I arutiaa Taws and Rules for Sett age'1rratm(ni and I)i.pncal S)\ttm I I$.\ \( 1( I 1 .1911111. undl,i-Veen Construction Standard*II'.A NUM' 21 .01utlf. ,hall a,rl :0c1: i•,,,,,: 1,.:.:I•: 1:>.i the t(in•cittictilst of Iitc,.u.lct,attr s:"%tein and or sv.t:er supply uel!portmiIIcJ I'.s'mn 1.•a. I)J:c L' .:ss2t1:3 i r\.i►cr'11.30144144M Itcpnr.tntal.,i• \11:ttattae \a -� I)Itt,• silo'r,3 �� �w��++ Documentation of 1'crrniti•) I ran%mitlul pt,1Mit Iratl.ntil1ed h► electronic or other mean.) I'ermit trltt'.l • . •,+,.% ..u' , i .r.tr. rr. yit;nulnt1• l't1>.lc I'n1r 5 116 j��1Lctim& Fut */ ['mail I \ !Hail Other t i.%ncr•. reque.t I.,'rnd b► the Anise Indicated method of trancmiltni in lieu ut.ignature We vearat tta h.ar from yo(Please rtatie a few momontts no compiette our customer service sarvey rtt http://www.survCymonki y.corn!i/EHCusnornerService 1- D 7)goe v .rt,,A . �y\� C.VR BA(OE1NTl Case r At I fH-05 202? 19531 Q(.....f.i .? Public Health Department Subdivision LUTHER COWANS SHERRILL �O 1;naironmental Health Du ision PIN" 462802655812 + PO BON 389.25 Government Drive.Nesstun.N(' 28b58 1.0Tt' 33 =4 W Site Address: 9696 RIVIERA DR. SHERRILLS FORD NC 28673 Name on Permit: *BURT WARD'S HOME OF DISTINCTION INC. Property Size: Acres 0.45 Directions: Island Point DR to Riviera Dr Authorization to Construct Permit Permit Category: New Septic Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soil LIAR: 0.3 g.p.d./ft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 50%REDUCTION VERTICAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Septic Tank: New Tank: 1.000 gal Pump Tank 1.000 gal Grease Trap gal Dosing Volume 162 gal Pump Specs: 28.55 GPM© 29.79 TDH Pressure Head 2 ft Draw Down 7 7 in Drainfleld: Total Area: 600 sq ft Total Trench Length: 200 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 32 in Minimum Soil Cover: 10 in Minimum Trench Separation: 8 ft on center Number of Drain Lines: 5 Trench Width. 2 ft Distribution: LPP Pre Treatment: NONE Pump Required ***** Operator Required Additional Specifications: *USE 3/16 ORFIFICES ALTERNATING BETWEEN 10 AND 2 O'CLOCK POSITIONS. DRILL ONE HOLE PER BLOCK. *Place a temporary protective fence up and around the septic drainfield area before beginning the construction of the house. 'During the construction of the house: Do NOT allow vehicular traffic on the drainfield area; Do NOT allow the unloading and storage of building materials on the drainfild area, Do NOT place excavated dirt on the drainfield area: and Do NOT remove any soil from the drainfield area. *If the flags marking the drain lines are removed, they must be restaked by the surveyor before the septic installation can begin See also attached site plan. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved, and may result in failure to approve the initial system installation. or the suspension/revocation of existing permits. >>>>> Do not install system under wet conditions <<<<< PROPOSED REPAIR Repair System Required? Not Required Soil LIAR: 9•p•d./ft2 Proposed System: System Classification: . _ Ili in_'ll_': I!.'ns .11%tea CATAWBA COUNTY Case# AUTH-05-2023-195315 .f.IlL ,, Public Health Department Subdivision LUTHER COWANS SHERRILI "1�J 'i Environmental Health Division PIN# LUTHE655812 PO Box 389,25 Government Drive,Newton,NC 2Rfi5R LOT# 33 I: 'l. s' Site Address: 9696 RIVIERA DR, SHERRILLS FORD NC 28673 Name on Permit: *BURT WARD'S HOME OF DISTINCTION INC. Property Size: Acres 0.45 Directions: Island Point DR to Riviera Dr The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and Rules for Sewage T eaanenr and Disposal Systems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. --- /esa:e.or___ 05/09/2023 Authuriicd State Agent Permit Issuance Dale 4/28/2028 Permit ii.viIation Dale No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpermil 05/10/2023 07:06 / V>,\' 'cam!p. 6? :`^ Vr. ) i 11111 11 �-- ��, r-" -- J ' g ill g¢ g x J e g- 1H1J. n s r i Ifl' J ^�1() ��j 7. huiiiJIdIilithiF 'i; U : Z 4 vi'... :1-- IligHililiiii 11 f 1 6,6 <I . IC 00 Kr i / 44 J A / .., '''tgtit : qU 1 g ROI irli riii a- I ;' 1 —(2 0F? Z r..''‘Ct t ,f' t / iri' ....., xl 0 1h li ....9 ,,tvit p...4 'Q u , • `� did£ z cS�O �; 3 I W .1-, --- c,�[ 0 % / �` 4.. 4. O� lif , / /l / H /c / a / !Iy. `t riT) Z l di '\n"W‘ I.. ' r/ mow► .� � iby GRx v!; <_ 3"Y,�,F /./ `a. �s. . 1 I r ; 1, g p g 4 q ` s �,ui i 1 P--- Ld / ,,,,...„. .A...-ta,t,-,:y ...`P / S / _� — J 13,E_,: t? , ,,,,joy rA4' a r s / j /1 ,� / ..... „ -..' '''-: :' ,° s'' / / / i 11 i / Y- g R. el 1 ` f � � INSPECTION AND MAINTENANCE AGREEMENT STATE OF NORTH CAROLINA COUNTY OF 6Wbc �� This agreement is dq anll entered bitq,this 7 day of 1��oe il-e v. ,2d9,, ' h by and between Ai(en, ez,V14.0 (hereinafter referred to as the"Owner")and c5.e, if j.1 t Ii (hereinafter referred to as the"Contractor"). WITNESSETH WHEREAS,the Owner owns or controls the property upon which a ground absorption wage treatment system(hereinafter"system")is installed,such system being designated a Type 471 - system under the Rules for Sanitary Sewage Collection,Treatment and Disposal found at 15A N.C. ; Administrative Code 18�1=e.a t d seq.;and WHEREAS, 15A N.C.Administrative Code 18.E 13arequires a contract to be executed between the system owner and a management entity prior to the issuance of an Operation Permit for said system;and WHEREAS, 15A N.C.Administrative Code 18 S ilol requires that a condition of the Operation Permit for said system be that a properly executed contract between the system owner and a management entity,shall be in effect for as long as the system is in use;and WHEREAS,the Contractor is a ent entity,of a type authorized by 15A N.C.Administrative Code 18 E.t.1 a to manage a Type system. NOW THEREFORE,in consideration of the premises and of the mntnnl covenants and promises contained in this Agreement,it is hereby agreed by and between the Owner and the Contractor as stipulated below. 1. The Contractor's Obligations. The Contractor shall perform the following services on the Owner's system located at , 1 �" or- _ _g_1'ti 3 7 a) The contractor Ghsll inspect the system at least Vhe frequency,required in Table V(b)of 15A N.C.Admin. Code 18.E ati j for a Type 7 AL System. b) The Contractor shall perform the following routine maintenance procedures in accordance with the conditions of the Operation Permit: 1) r1 ush C r, s -p escc/we_ oil a.`1 deu'`m1�y� 2) yr 5pt'�-� sysko .canal crtrv149.d s c rr arm •112c�1 t „� r�6��. 3) 'i.�S Run �► ►R �"'ri_ et174 0 d 10craR•e-I %8 j /z ) t.Jne(� 1 ices 4f i -h 1 61 s ep1 'c! k `� C/etf� c) The Contractor shall report the results of its inspections to the local health department at the frez,ue9cy specified in Table V(b)of 15A N.C.Administrative Code 18 E. d 3D1._for a Type System. d) If an inspection indicates the need for system repairs,the Contractor cha11 notify the local health INSPECTION AND MAINTENANCE AGREEMENT d) Termination by the Contractor. 1) The Contractor may terminate this Agreement for cause by giving written notice of intent to terminate this Agreement to the Owner and to the local health department thirty(30) days in advance of the date of termination. Cause Shah be defined as: a) failure to remit payment for any bill for services performed under and in accordance with this Agreement if said bill is not paid within thirty(30)days of receipt by the Owner of the bill. If said bill is paid after notice of termination of this Agreement,the Agreement shall continue in effect;or b) failure of the Owner to provide to the Contractor authorization to complete needed repairs or satisfactory evidence that needed repairs to the system were completed by another entity within 1 S days of receipt of notice of needed repairs pursuant to paragraph 1.e. above. If said authorization to complete needed repairs or evidence of completion of said repairs is provided alter notice of termination is given but prior to the date of termination of this Agreement,this Agreement shall continue in effect;or c) failure of the Owner to allow the Contractor such access to the system as is reasonably necessary in order for the Contractor to comply with the terms of this Agreement. • 2) The Contractor may not terminate this Agreement without cause,but may assign its rights and duties under this Agreement as provided in paragraph 4,below. 4. Assignment a) Assignment by the Owner. The Owner shall notify the Contractor of the name and address of any purchaser of the property on which the systwu is located_ The Owner shall also notify any purchaser of the property on which the system is located of the existence of this Agreement and shall assign all rights and duties under this Agreement to said purchaser. b) Assignment by the Contractor. The Contractor may assign its rights and duties under this Agreement to another managemen entity,which is qualified pursuant to 15A N.C.Admin. Code 1 g�1 MCA )manage a Type rf- system upon thirty(30)days written notice to the Owner and to the local health department 5. Use of Subcontractors. The Contractor may subcontract with such manufacturers,suppliers and contractors as it deems desirable to perform any of the Contractor's duties under this Agreement. The Contractor shall at all times remain responsible for the performance of and payment for all work performed by all subcontractors. 6. Rep tzeutations. The Parties represent to each other that each has the power,authority and legal right to enter into and perform its obligations as set forth hi this Agreement INSPECTION AND MAINTENANCE AGREEMENT department within 48 hours of the inspection. e) The Contractor shall notify the Owner of needed repairs,which are outside of the scope of routine maintenance described in subparagraph(b)above. The Contractors hall perform necessary repairs to the system at the request of the Owner and shall be entitled to payment therefor at the Contractor's normal charge for services and materials. I, f) The Contractors shall employ or Shall contract with a cer fled operator(s)if required by Table V (b)of 15A N.C.Admin. Code l 8g di6 )for a Type 4- System. g) The Contractor shall respond to a request for a nonscheduled service or maintenance call within ilk hours after receipt of such request. 2. The Owner's Obligations. a) The Owner shall pay to the Contractor the sum of S.4160 per year for periodic inspections, r: routine maintenance procedures and periodic reports. The annual fee may be amended upon sixty (60)days advance notice to the Owner but may not be increased more than J tt percent per year. The Owner shall pay to the Contractor his normal and customary fees for any work performed on the system as a result of nonscheduled service or maintenance calls. All fees are due and payable within thirty(30)days of billing. Payments due to the Contractor and unpaid by the Owner after thirty(30)days shalt accrue interest from the due date until paid at a rate of 1 tt S percent per month. b) Within 15 days of receipt of notice of needed repairs pursuant to paragraph 1.e.above,the Owner shall request the Contractor to complete needed repairs or shall provide to the Contractor evidence that the needed repairs were satisfactorily completed by another entity. c) The Owner shall provide the Contractor with such access to the system as is reasonably necessary for the Contractor to comply with the terms of this Agreement. 3. Term. This Agreement shall remain in effect until terminated. a) Automatic Termination. This agreement shall automatically terminate if the Operation Permit for the system is revoked and all appeals of the revocation are exhausted or the time for taking an appeal has passed b) Termination by Mutual Consent The Parties may mutually agree to terminate this Agreement by giving written notice of termination by mutual consent to the Iocal health department thirty(30)days in advance of the date of termination. c) Termination by the Owner. The Owner may terminate this Agreement by giving notice to the Contractor and to the local health department thirty(30)days in advance of the date of termination. r. INSPECTION AND MAINTENANCE AGREEMENT 7. Regulatory Amendments. References in this Agreement to sections ofthe Administrative Code shall include such rules as they may be amended in the future. 8. No Implied Waiver. The waiver by either Party,of the default or a breach by the other Party of any provision of this Agreement shall not operate or be construed to operate as a waiver of any subsequent default or breach. The failure at any time of either Party to enforce any provision of this Agreement(a)shall not be construed to be a waiver of such provisions,or of any other provision;and(b)shall not in any way affect the validity of this Agreement,or any part of this Agreement,or the right of either Party thereafter to enforce each and every provision of this Agreement 9. Notice. Every notice required under this Agreement shall be in writing and shall be deemed sufficiently given if delivered in person or sent by certified or registered mail,return receipt requested,postage prepaid to the Party to be notified and addressed as follows: To the Owner. 6 �edl L Cat rd a V i C-o ��{ 't t Bca. �� �:a Rar" :. a5-- DST'ol r '�. � s a�� _ =ads.! �a�_ V67 D-- To the Contractor: Wt1.sta lust, l— i Lud`r3 rs �l .k1f'4-02s Mgt GetPt & - as-1OSP Qeic 516. To the Local Health Department: Cam,.+c.1.010a &um? in , I t ( pp ibex 3 4 The date of any Notice shall be the date of personal delivery or the date shown on the return receipt as the date of delivery or attempted deliver,as the case may be. Changes in the respective addresses to which notice may be directed may be made from time to lime by either Party by notice to the other party. 10. Place of Agreement. This Agreement Agree and any questions concerning its validity,the system construction or performance shall be governed by the laws of the State of North Carolina. notwithstanding the place of execution,or the order in which the signatures of the Parties are affixed. 12. Entire Agreement and.Amendment. This Agreement supersedes all prior negotiations,agreements and understandings between the Parties with respect to the subject matter hereof and constitutes the entire Agreement between the Parties with respect to the subject matter hereof. To be effective,any amendment or modification to this Agreement must be in writing and must be signed by the Parties. 12. Severability. In the event that any provision of this Agreement chill,for any reason,be determined to be invalid,illegal or unenforceable in any respect;the Parties shall negotiate in good faith and agree to such amendments,modifications or supplements of or to this Agreement or such other appropriate actions as shall,to the maximum practicable in light of such determination,implement and give effect to the intentions of the Parties as reflected in this Agreement,and the • V P tcTioN viArNTENANCE AGR E l t' other provisions of this Agreementshall,as so murk full force and effect, modified,supplemented or otherwise affected by such actions, `d IN TESTIMONY WHERE0F,the Fatties hereto have executed M,s originals,one of which is retained by each of the Parties,the .Agreement abovebot duplicate day and year fast written. -- I (Owner) i0; - tba"ra r li Se) (Contractor) Wastewater SellutA ns & Dena= Risef BEgag illiams ' _ s d4e�a ReL 40 Maiden,NC 28650 • Ph.980-429-158.0 Fax.828-428-3028 f•williams95.3.TCiabellsarrtleazet "Certified Septic Installer.Inspector Re Operator" 6 aufh-o5- 3- /7•5N5 •j E p+j c MAINTENANCE REPORT FORM . - Date of Inspection -4 {{E .. ",7.:',;it- tit3 .5 -., - :r., t- .,_ • ._ COUNTY/STATE<COMPLIANT `(YES /ONO = k `": f 4µ.ltse►v 'Dc Vico . PROPERTY ADDRESS: _ . STREET �e 1,0°" i�l t. 0 r- .PHASE- CITY=:S e NC ' ZIP a '` SEPTIC TANK,, ;'i PUMP-HP_ Model UOIr,� e-,k. r • PUMP TANK- 1.(.05 Pump present and operating ' "t Risers accessible A'' _ - _ Design GPM__Actual GPM , ,: %Eflicien Signs of lnfil_,,. f High water alarm operating preisr:rly Structurally Sound•=BSc se-5GSS Pipework in good condition "' • Landscape Posstio `=,.�6',� i Control panel in good condition, Filter Cleaned Control floats operating properly '' SN-SEE NOTES BELOW Straps and float tree • ,.- Effluent free and clear of solids • SYSTEM TYPE • 4A, ( )25% RED. ( )CONV. l)( ) GRAV. ( ) PM Gjot.111-6 A60 lx . . rg Din; LIN. FT. (5) LINES @ FT. LONG ( ) POLY ( )CHAMBER "v• v'l"'f La•1 P P A P S`, o O EFFLUENT SURFACING T FFIC PROTECTED . * SURFACE WATER DIVERTED [,/DISTRIBUTION SET o LINE COVER MAINTAINED REPAIR AREA RESERVED _LOW PRESURE SYSTEM • URN-UPS,CLEAN-OUTS,VALVES LOCATED/PROTECTED - - . . LASZLATERAIsS FREE OF EXCESS SOLIDS t/o LATERALS FLUSHED • • - o PRESSURE HEADS FOR EACH LINE ON BACK OF PAGE — . ' • NOTES FOR CORRECTIVE ACTION(LOT# �2 1i ' .(›tics SIlhcj e emit t aA 0 s fic.+a �c 5.e.urre t at ' _ 0 - `11)/e-4-citiii. siat.tAcl IX. hu,rx�gi wine file level reach.s _ air". Mae �i �,�, -14 keys r, A;1. ,' -4 .�'""�f___ - . ►.i),2 4'cfi nri<� 3. �uvv�� � j- �- 4. ' Wastewater Solutions &Design ONO CORRECTIVE ACTION NEEDED . Russell B Williams "Wastewater Specialist" C,erti e I opem,to, qi4geizi . Maiden,NC 28650 • . • Ph.980-429-1580 Fax.828-428-3028 22 years experience "Certified Septic Installer,Insnector&Operator" Keshia Parris From: RUSSELL B WILLIAMS <rwilliams9534@bellsouth.net> Sent: Wednesday, November 19,2025 6:30 PM To: Allen D; Keshia Parris Subject: Re: 9696 Riviera Septic Service Contract Attachments: 9696 Riviera LPP visit 11-25.pdf - External sender<rwilliams9534@bellsouth.net> !Make sure you trust this sender before_taking any actions. , .. ___ _______.____ Allen, The latest Type-4a LPP report is attached. Please submit payment. Thanks ! Russell B Williams Wastewater Solutions & Design 980-429-1580 On Tuesday, November 19, 2024 at 11:27:16 AM EST, RUSSELL B WILLIAMS<rwilliams9534@bellsouth.net>wrote: Received. See full Type 4a contract attached for 9696 Riviera Dr Sherrills Ford, NC Thanks ! Russell B Williams Wastewater Solutions & Design 980-429-1580 On Tuesday, November 19, 2024 at 07:10:06 AM EST,Allen D<ardavico@gmail.com>wrote: Hey Russell, Sorry, but good news! That brain cell finally came around again!? Please see attached. Best regards, Allen 1 Wastewater Solutions&Design Invoice Russell Williams "Wastewater Consultant" Date Invoice# 4919 E Maiden Rd 11/19/2025 5427 Maiden,NC 28650 Bill To Allen Divecio 9696 Riviera Dr Sherrills Ford,NC 28673 Description Amount Type 4a LPP Maintenance Visit at 9696 Riviera Dr Sherrills Ford,NC 400.00 l h f Phone# E-mail Total $400.00 9804291580 rwilliams9534@bellsouth.net