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HomeMy WebLinkAboutAOWE-05-2023-196482.tif 40wE - oY--2a�3_ N,.sTATta4, ROY COOPER•Governor '\ NC DEPARTMENT OF W fltj KODY H. KINSLEY•Secretary dui _ ca°� HEALTH AND HELEN WOLSTENHOLME •Interim Deputy Secretary for Health dW� , ;.: HUMAN SERVICES MARK T.BENTON•Assistant Secretary for Public Health �,z Y aw,vK•`�.k�,. 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 NOl received: —I 7— '2-'17 by /Lt 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.): Silas T. Davis, Jr. Mailing address: PO Box 1709 City: Huntersville State: NC _Zip: 28070 Telephone number: 704-491-4537 E-mail Address: sixpack911@gmail.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 5. Property location(physical address,tax parcel identification number or subdivision lot,block number of the property to be permitted): 4232 Sigmon Cove Lane, Terrell, NC 28682 (Parcel: 461704508673) 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 LHDReference: A0wE- 4'r- 262-3-146LfsZ 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 Prefabricated Permable Block Panel System located behind the house. System classification Type Ille. 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: 0 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: ❑� 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: ❑■ 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 I 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.193 d activities determined to be engineering as determined by the North Carolina Board of Examiners for rs i Surveyors. 05-16-23 Signature of thoriz Wastewate aluator Date Owner self-submittal of NO!: hereby submit this NOI prepared by Print Nome of Owner Print Name of Licensed PE pursuant to G.S.130A-336.1. Signature of Owner Dote DHHS/FHS/OSWP—AOWF COMMON FORM Updated April2022 Page 2 of 6 AOWE Common Form LHD Reference: 4O _ o r- ZU2'�. f76 1EZ 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)) 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 April2022 Page 3 of 6 A01-6 -or Zo23— (16 lfgz- 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 deportment 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 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. Copies of this signed form were sent to the AOWE and the Owner on 2� via /%hh/ 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 4,14 a 23- 23 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 LHD 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#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 Department use after submittal of items noted as missing above. LHD 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,LISPS,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,LISPS,Hand-delivered A complete copy of this form with tracking information was sent to the State: via Date Email,FAX,LISPS,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 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 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 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 April2022 Page 6 of 6 • DOCUMENTATION TO AUTHORIZE AN OWNER'S LEGAL REPRESENTATIVE Applications for permits require the "signature of the owner or owner's legal representative" (15A NCAC 18A.1937). If the owner does not sign the application himself or herself, they can submit any one of the following documents to designate their legal representative: 1. Power of Attorney 2. Real Estate Contract 3. Estate executor 4. Bankruptcy trustee 5. Court ordered guardianship In the absence of the above documentation, the property owner may provide the local health department with documentation that designates a legal representative. A property owner may: 1. Complete this form to document his or her legal representative, or 2. Provide their own form that contains the information in this form. If there are multiple property owners, then all property owners must sign the form that designates a legal representative. By signing a form that designates a legal representative for purposes of ISA NCAC 18A.1937, the property owner authorizes that representative to act on their behalf in matters pertaining to the application and permitting process, including signing or receiving any application, document or permit. The owner retains full responsibility to meet all permit conditions specified by the local health department. I, Silas T. Davis, Jr. .am the legal owner(s) of the property located at 4232 Sigmon Cove Lane, Terrell, NC 28682 identified as PIN (Parcel Identification Number) 461704508673 , located in Catawba County, North Carolina. I do hereby authorize(print legal representative/company name) Larry Thompson, LSS Thompson Environmental Consulting, Inc. ,to act as an agent on my behalf in applying for/signing/obtaining any of the documents described below. • Application for Improvement Permit (IP) /Authorization to Construct(AC) • Improvement Permit(IP)/Authorization to Construct(AC) • Application for soil site evaluation (new/repair) • Application/permit for private drinking water well/well abandonment • Application for Compliance Inspection I agree to abide by all decisions and/or conditions between the legal representative acting on my behalf and the Catawba County Department of Public Heaallthnvironmental Health Division. ( E May 16,2023 f Thompson�S�n(May16,2023 18:41 EDT} May 16,2023 Sil.iti T Davis Jr(May M,2023 1A:10 EDT) Y,' 4 Signature of Owner(s) Date Signature of Witness Date • ACCIR D' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYV) 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 (Arc No.Extl: 9187797880 _(Arc,No):817-882-9284 Fort Worth TX 76102 ADDRESS: div)r@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 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/DDM'W) IMMIDWYYTT) A X COMMERCIAL GENERAL LIABILITY 04-GL-001086672 9/25/2022 9/25/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $100,000 X Professional MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 PRO POLICY JECT LOC PRODUCTS-COMP/OP AGO $3,000,000 X 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) I UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ R I WORKERS COMPENSATION 38WECNW6175 10/17/2022 10/17/2023 X PER 0TH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? N/A (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 I i 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 4 — The Vineyards at Kiser 4232 Sigmon Cove Lane Terrell, NC 28682 Tax Parcel Number: 461704508673 May 16, 2023 Prepared for: ,,Eo sok sc- Silas T. Davis, Jr. de!�„-,"-., � PO Box 1709 ti Huntersville, NC 28070 704-491-4537 12e7 qc Prepared by: Larry Thompson, REHS, LSS ••••••Thompson Environmental Consulting, Inc. ; � •.••' ••:% PO Box 541 Qjr. Ceram Midland, NC 28107-0541 v ' "bOf Phone: 704-301-4881 ?_ . 10018E : " Fax: 206-350-8895 . •••• •; larry@thompsonenv.com ';,14`yq U pce0�;.�'� ,. , .1; Details Silas T. Davis,Jr. 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 4232 Sigmon Cove Lane, Terrell, North Carolina (Catawba County Parcel Number: 461704508673). Based upon a soil and site evaluation performed by TEC, it was determined that a sufficient amount of"Provisionally Suitable" Group IV soils are available for the initial installation and repair of a Horizontally Installed Gravity-Flow Prefabricated Permeable Block Panel System for a 480 gallon-per-day residence at a 0.3 GPD/sq/ft long-term acceptance rate (LIAR). The property will be served by a private well. This proposal is being submitted pursuant to and meets the requirements of C.S. 130A-336.2. (AOWE Permitting). Location From Newton, take NC-16 South to NC-150 Fast. Turn left onto NC-150 East, right onto Kiser Island Road, and left onto Sigmon Cove Lane. Turn left and lot is located immediately on the right. 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 I, 2017. Design, Installation and Maintenance of the T&JPanel Wastewater Treatment System;published by T&J Panel, 2021. 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. 111 NC Subsurface Septic System Operator No. 22199 NC Grade IV Wastewater System Installer No. 1762 NC Certified Wastewater System Inspector No. 17621 Plans and Specifications A. Septic Tank 1. The septic tank shall be State approved (Section .1953 of 15A NCAC 18A), watertight, structurally sound, and 1,000 gallons in capacity (minimum). 2. The septic tank will be fitted with an approved effluent filter and riser for easy access and periodic maintenance. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tank has had time to properly cure and is free of cracks or other structural deficiencies. B. Pipes and Fittings 1. All discharge piping, connectors and supply lines should be made of SCH 40 PVC. 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. Backfill 1. Backfill sand shall be clean, washed, medium sand that is naturally occurring and falls within the gradation of ASTM C-33 specification (used in the ready-mix industry and is readily available). Properly compact backfill to provide the intended subgrade support. E. Drainfield Installation 1. The drainfield and the proposed septic tank location have been marked on-site utilizing metal stemmed flags. Once this area has been approved by the county, the property owner/builder should mark this area and isolate it as much as possible from construction traffic. Prior to the system installation, the septic contractor shall contact the designer for a preconstruction conference at which time the drainfield area will be re-verified. 2. Under no circumstances shall any construction take place within the drainfield area while the soil is in a wet condition. If the installer has doubts as to whether or not the drainfield area is dry enough to begin construction, the environmental health specialist for this area should be contacted for permission to proceed with the installation. 3. The specified system is a Type V(e) pre-fabricated permeable block panel system — specifically the prefabricated permeable block panel system manufactured by '1'&J Panel Wastewater Treatment System, Patent No. 4013559; telephone: 1-800-222-2577. The installer must follow the manufacturer's guidelines for installing the 't'&J Panel System and should request an installation manual from the manufacturer prior to beginning construction. 4. The initial drainfleld consists of four (4) laterals constructed 3-feet wide by 67-feet in length. 5. It is essential that the lateral trenches be constructed on contour with the land, with each trench being excavated level from beginning to end. The use of a tripod mounted engineer's level is essential to assure that each trench is constructed as level as possible. 6. The required trench depth for this system shall be 23-inches. Each trench shall be placed on a minimum of 9-foot on centers. 7. Once trenches are dug, the side walls shall he raked, and a light dusting of lime applied. 8. Backfill the trench with 7-inches of sand and level to grade properly compacted to intended subgrade support. Once leveled, place I x 6-inch boards on top of the sand the entire length of each trench. Once the grade boards have been set,the panels may be set into the trench. The panels should be placed 6 inches apart. 9. Once the panels have been set, line the top portion of each chamber with the T&J supplied sand alternative product (SAP—geotextile fabric). GE Foam Sealer or tar seal rope should be placed in the bottom of the "U" outs to form seals around the pipe as shown in earlier drawings. 10. Tar seal rope, or approved foam, should be placed in the "U" outs of each end of the panel to form seals. Once the tar rope is in place, the 11/4 inch Schedule 40 PVC connectors can be added, and the seal completed by the addition of more tar rope on the top and sides of the pipe. Now that the connection and seals are complete, a block cap is placed on each end of the panel so that all openings are covered. 1. Once the lateral has been installed and the panels closed, the trench is ready to be backfi lied to the top with the sand used in the trench bottom. At this point, the trenches should be left open for the final inspection by the local health department. F. Final Landscaping 1. The drainfield shall he shaped to shed rainwater and be free from low spots. 2. Final cover requirement over the drainfield area is 6-inches. 3. The entire area of the drainfield should be planted with grass as soon as possible to prevent erosion. The soil should be properly tilled, limed (if necessary) and fertilized prior to planting. After applying grass seed,the area should be heavily mulched with straw or other suitable material. Maintenance II. 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 that is equivalent to 25 percent of the volume of the tank. 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. Use of a garbage disposal is not recommended. Solids added through the garbage disposal tend to degrade at a very slow rate. 4. Grease, cooking oils, coffee grounds and non-degradable solids (disposable diapers, cigarettes, and solid paper wastes) should never he put into a septic tank. 5. Used motor oil or any oily liquids should not be disposed of in a septic tank. 6. Be aware of the amount of water that you are using in your home. Water saving fixtures and devices can be installed on sinks, toilets, and showers to reduce the volume of wastewater that you are sending to your drainfield. 7. Run dishwashers and washing machines only when you have a full load. 8. Repair leaky faucets and toilets. Small drips equal large volumes of water over time and can over burden your drainfield. 9. Do not use chemical additives in your system. Studies have indicated that they do not increase the biological activity that naturally occurs in the septic system and in some cases certain additives have been found to he detrimental to the life of a system. Design Specifics Daily Design Flow: 480 GPD Septic Tank Size: 1,000 Gallons Effluent Loading Rate: Design = 0.3 GPD sq. ft. Drainfield Type: Horizontal PPBPS Distribution Method: Distribution Box Number and Size of Drainlines: (4) 3-ft Wide x 67-ft Long Maximum Trench Depth: 23 Inches Drainline Spacing: 9 Foot on Centers Total Length of Drainline: 268 Feet Total Number of Panels: 60 Repair Specifics Effluent Loading Rate: Design = 0.3 GPD sq. ft. Drainfield Type: Horizontal PPBPS Distribution Method: Distribution Box Required Linear Footage: 267 Feet Available Linear Footage: 268 Feet Maximum Trench Depth: 20 Inches *See septic layout for site locations and additional details. a • ® • - -- -1 1 ui al+r-t- V3.66' —s. x N 02•21'20'E--. - - JI ^v 46.97' p to v VI m a 9 0 O ?. 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Sheet 1 of1 PO Box 541 PROPERTY ID#: 461704508673 Midland,NC 28107 COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: Silas T. Davis, Jr. ADDRESS:PO Box 1709, Huntersville, NC 28070 DATE EVALUATED: 7-29-22 PROPOSED FACILITY: Residence PROPOSED DESIGN FLOW(.1949): 480 GPD PROPERTY SIZE: 0.850 acre LOCATION OF SITE: 4232 Sigmon Cove Lane, Terrell, NC 28682 PROPERTY RECORDED: WATER SUPPLY: ['Private ❑Public ❑Well 0 Spring El Other Lot 4—The Vineyards at Kiserd EVALUATION METHOD: CI Ayr Boring CI Pit El cut T YPF OF W.ASTEWAl 1 I:: El Sewage ❑Industrial Process El Mixed P R SOIL MORPHOLOGY OTHER O F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH 1942 PROFILE 1f SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ 0-4 GR/SL FR/NS/NP/NEXP 4-36 SBK/C FI/S/P/SEXP LS PS 22% 36-40 SBK/CL FR/SS/SP/SEXP 'In, 0.3 0-4 GR/SL FR/NS/NP/NEXP 4-37 SBKJC FI/SIP/SEXP -) LS PS - 22% 37-42 SBK/CL FI/SS/SP/SEXP 42" 0.3 0-3 GR/SL FR/NS/NP/NEXP 3-36 SBK/C FI/SIP/SEXP 22 0 36-44 SBK/CL FI/SS/SP/SEXP 44' PS 0.3 0-5 GR/SL FR/NS/NP/NEXP 5-34 SBK/C Fl/S/P/SEXP PS `� 22/° 34-43 SBK/CL FI/SS/SP/SEXP 43" 0.3 DESCRIPTION INI'1'IAt.SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): . S0, SITE CLASSIFICATION(.1948): Provisionall Stmt./IC-ff.. _ • 8 Available Space(.1945) PS PS ' EVALUATED BY: L. Thom•son, LSSi so -4 System T (s) PPBPS PPBPS �; �s OTHER(S)PRESENT: A . `1 : iii1 +; .,`: ) Site LIAR 0.3 0.3 r ireillear COMMENTS: _ • - \V M G Updated February 2014 r • LEGEND use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain) CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive) D(Drainage Way) CR(Crumb) DS(Debris Slump) II SL(Sandy Loam) 0.8-0.6 0.4-0.3 GR(Granular) FP(Flood Plain) L(Loam) SBK(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) TIT Si(Silt) 0.6-0.3 0.3-0.15 PL(Platy) L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic) N(Nose Slope) CL(Clay Loam) R(Ridge) SCL(Sandy Clay Loam) MOIST WET S(Shoulder Slope) SiL(Silt Loam) T(Terrace) VFR(Very Friable) NS(Non-sticky) IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) SS(Slightly Sticky) SiC(Silty Clay) Fl(First) S(Sticky) C(Clay) VFI(Very Firm v.Very Sticky) VS(Very Sticky) 0(Organic) None None EFi(Extremely Firm) NP(Non-plastic) SP(Slightly Plastic) *Adjust LTAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic) NOTES VP(Very Plastic) HORIZON DEPTH In inches below natural soil surface DEPTH OF FILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable)or U(unsuitable) SOIL WE77sIESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less-record Munsell color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate(LTAR):gal/day/ft2 Showprofile locations and other site featuressdimensions,reference or benchmark,and North,. SEE ATTACHED FIGURE Updated February 2014