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HomeMy WebLinkAboutIMPV-06-2023-197320.TIF County: Catawba IMPROVEMENT PERMIT FOR G.S.130A-33S{a2)/SL2022-11 PIN/Lot Identifier: 46715839431 and 460715731625 Issued To: Junco Family Trust Property location: 4021 Cheviot Hills Road, Sherrills Ford, NC 28673 Subdivision: Crescent Land and Timber tot fl: 107 Block: Section. 32 LSS Report Provided. Yes Q No❑ If yes,name and license number of LSS: Larry Thompson, NCLSS No. 1287 New ID Repair❑ Expansion ❑ System Relocation ❑ Proposed Structure: Single Family Residence Proposed Wastewater System Type: pump To Accepted (Initial) Non-Treated Drip Dispersal (Repair[ Fill System ❑Yes ❑No If yes,specify:❑New ❑Existing (when adding more than 6 inches of fill to system area please provide a fill plan) Proposed Design Daily Flow 480 GPO Proposed(TAR(Initial): 0-3 Proposed LIAR(Repair): 0.1 Design Wastewater Strength:❑Q domestic ❑high strength 0 industrial process Number of bedrooms 4 Number of Occupants: 8 Other: Pump Required- ®Yes ❑No 0 May be required based upon final location and elevations of facilities Artificial Drainage Required: ❑Yes 3No If yes,please specify details: Type of Water Supply-Q Private well ❑Public well ❑Municipal Supply ❑Spring ❑Other: Drainfield location meets requirements of Rule.194S: Yes Q No❑ Drainfield location meets requirements of Rule.1950: Yes Q No❑ Permit valid for:0 Five years(site plan submitted pursuant to GS 130A-334(13a)l ❑No expiration[plat submitted pursuant to GS 130A-334(7a)) Permit conditions Licensed Soil Scientist Print Name: LanY T • `4f�r Licensed Soil Scientist Signature: f+ y Date:2115/23 The LSS evaluation Is • r T ' ed pursuant to and meets the requirements of G.S.130A-335(a2). 'See attached site sketch' 4021 Cheviot Hills Rd County: Catawba This Section for Local Health Department Use Only Initial submittal received:2/21/23 by RP Date initials Permit Number: IMPV-06-2023-197320 G.S. 130A-335(a4) states the following: 'If a local health department fails to act on art application for an improvement permit submitted pursuant to subsection(a3)of the section within 10 business days of receipt of a complete application, the local health department shall issue the improvement permit.' In accordance with G.S. 130A-335(a3)the improvement permit application is: El Incomplete(If box is checked,information in this section is required.) The following items are missing: Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: ❑ Denied (See attached report.) Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: _ Date: © Complete eux.State Authorized Agent: Date of Issuance: 615/23 This Improvement Permit is issued pursuant to G.S. 130A-33S(a2),(a3),and (a4)using the signed and sealed LSS/LG evaluation(s) attached here. The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan,plat,or the intended use changes,or if information submitted in the application was falsified, inaccurate or misleading. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to evaluations,submittals,or actions from a licensed soil scientist or licensed geologist pursuant to GS 130A-335(a2). Improvement Permit Expiration Date: 6/5/28 *See attached site sketch* AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. 1 PHASE 32 PARCEL ID: 460715639431ar►d 460715731625 STREET ADDRESS: 4021 Cheviot Hills Road Sherrills Ford, NC 28673 Please print: Property Owner: Junco Family Trust Property Owner: The undersigned, registered property owners of the above noted property, do hereby authorize Larry Thompson, LSS of Thompson Environmental Consulting, Inc. (Contractor/Agent) (Name of consulting firm) to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached. Property Owner's Address(if different than property above): 906 Acorn Way Denver, NC 28037 Telephone: 513-607-0253 We hereby certify the above information submitted in this application Is true and accurate to the best of our knowledge. The LSS/LG evaluation(s)attached to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2)and (a3). The plans or evaluations attached to this application are to be used to Issue a Construction Authorization in accordance with G.S. 130A-335(a2), (a5)and (a6). Owner Signature: Owner Signature: /Nagel A Jiucca- u.E.M•JunoIrwIc.707J0022L111 Date: Feb 16,2023 Date: Residential Subsurface Wastewater Treatment and Disposal System SL 2022-11 Proposal for Lot 107, Section 32 Crescent Land and Timber 4021 Cheviot Hills Road Sherrills Ford, NC 28673 Catawba County PIN: 46071563943 l and 460715731625 February 12, 2023 `,,'�1►11111111//. Prepared for: •., '�- Junco Family Trust r„A' �� #,,: Miguel Junco - . 906 Acorn Way 11 • '4? Denver, NC 28037 fr. ''•••••• Q . 513-607-0253 ��rQil `'`�* Prepared by: Witri- e Larry Thompson, REHS, LSS ''c•ociatims\V., Thompson Environmental Consulting, Inc. ri",b« PO Box 541 _ 10016E Midland, NC 28107-0541 • Phone: 704-301-4881 larry@thompsonenv.com ` ,� Q • Details Miguel Junco has contracted with Thompson Environmental Consulting, Inc. (TEC)to prepare a Session Law 2022-I 1 septic permit package for a new 4-bedroom single-family residence to be constructed on Lot 107, Section 32 of Crescent Land and Timber located at 4021 Cheviot Hills Road, Sherrills Ford,North Carolina(Catawba County Parcel Number: 46715639431). Based upon a soil evaluation performed by TEC, it was determined that a sufficient amount of "Provisionally Suitable" Group IV soils are available for a system installation on Catawba County Parcel Number: 460715731625 utilizing a Pump-To Accepted System for a 480 gallon- per-day residence at a 0.3 GPDlsq/fi long-term acceptance rate (LTAR) with a Subsurface Drip Dispersal Repair with a 0.1 LTAR. The property will be served by a private well. The LSS/LG evaluation(s) attached to this application is to be used to issue an Improvement Permit in accordance with G.S. I30A-335(a2)and (a3). This Location From Newton, take NC-16 S. to NC-150 E. Turn left onto NC-150 E., and left onto Cheviot Hills Road. Lot is located 0.2 mile on the left. 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-She 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. ill 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 I SA NCAC 18A), watertight, structurally sound,and 1,000 gallons in capacity. 2 2. The septic tank shall be fitted with an approved effluent filter. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tanks have had time to properly cure and are free of cracks or other structural deficiencies. B. Pump Tank I. The pump tank shall be State approved,of one-piece construction, watertight, structurally sound, and 1,000 gallons in capacity. Again, it is the responsibility of the septic tank contractor to thoroughly inspect each pump tank prior to accepting delivery. 2. All pipe penetrations into the tank shall be booted (i.e., C-293 boot with a stainless-steel strap). 3. The pump tank shall have access risers that extend, at a minimum, 6 inches above finished grade and must have less than 36 inches of fill over its top once finished grade has been established (a reinforced concrete tank will be required if finished soil cover is 36 inches or greater in depth). 4. The pump and alarm controls shall be provided with manual circuit disconnects within a watertight, corrosion resistant, Nema 4x rated control panel. Pump and float control wiring should be long enough to reach from the tank to the control panel without splicing, routed through wire conduit, and sealed at the openings within the pump tank as well as the control panel enclosure. It is paramount that the conduit is properly sealed to prevent the escape of flammable gases from the pump tank. Furthermore, there must be two electrical circuits for the pump tank controls: one for the pump and one for the alarm controls. 5. Panel and control equipment shall include lightning protection, be protected from unauthorized access,and always remain accessible to the system operator. 6. The pump removal system will be via a pump tether made of nylon rope or its equivalent. The tether material should be resistant to mildew and rot. C. Pipe, Fittings and Supply Line I. All discharge piping, connectors, and supply lines should be made of SCH 40 PVC and fitted with pressure-rated couplings. 2. All joints must be properly "welded" utilizing the appropriate PVC cement for each application. 3. The supply line will be constructed of 2-inch SCH 40 PVC pipe with pressure fittings and bored/sleeved underneath the Cheviot Hills Road crossing. D. Pressure Manifold 1. A pressure manifold shall be used to distribute wastewater to the drainfield. 2. The pressure manifold shall be contained within an adequately sized box/vault that will allow future repair lines to be installed and is designed to allow for drainage of effluent that may accumulate in it during flushing and head pressure adjustments. The box should be placed upon a gravel base. 3. A gate valve shall be provided at the pressure manifold box to allow for final pressure adjustment(2 foot of head pressure as per design). 4. The pressure manifold shall be constructed of SCH 80 PVC. 3 5. There shall he 4 taps '/z inch SCH 40 PVC. 6. The connecting pipe between the pressure manifold taps and the drainfield shall be constructed of PVC. F. 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 take place within the drainfield area while the soil is in a wet condition. 3. The specified system is an accepted wastewater system, specifically the Infiltrator Quick 4 chamber system or any other system with a state-approved 25% reduction in required drainline length. 4. The drainfield consists of four (4) lateral trenches 3-foot wide by 100-ft long. The total trench length is 400. 5. The maximum trench depth for this system shall be 13 inches. 6. The laterals are to be installed on contour with the land, keeping the individual trench bottoms level from beginning to end. 7. The trenches should be left open for the final inspection by the health department. F. Final Landscaping 1. 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. After applying grass seed, the area should be heavily mulched with straw or other suitable material. 1Iainlenancc G. 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. 4 Design Specifics Daily Design Flow: 480 GPD - 4 bedroom house Septic Tank Size: 1,000 Gallons(minimum) Pump'tank Size: 1,000 Gallons (minimum) Pump Requirement: 28.44 GPM at 33 fl head Dose Volume: 240 Gallons Pump Run Time: 8.44 Minutes Pump Tank Drawn Down: 11.43 Inches Recommended Pump: Liberty FL50 or equivalent Effluent Loading Rate: 0.3 GPD per sq. ft. Distribution Method: Pressure Manifold Number and Size of Taps: (4) '/:Sch.40 PVC Number of Drainlines (4)3-ft Wide x 100-ft Long Total Trench Length: 400 Linear Feet Maximum Trench Depth: 13 Inches Repair Option Effluent Loading Rate: 0.1 GPD per sq. ft. Drainfield Type: Subsurface Drip Dispersal Required Linear Footage: 2400 Linear Feet Available Linear Footage: 2400 Linear Feet Maximum Trench Depth: 6 Inches l Lake Norman \ e y ,,ronumen te Lot t09 Found 1,21 nosh Found it 612' TM -2- \, i V. F \ O • cot ft19 IA fsd 1 Fletd Located a milk• \ i 1 l te� f �' F \Ffeld Located ,F pond D.2'M CI) e. � 1 end r '1, I 30'From J " ( Ab M0 Contour 1 .:�•._.. $q.lf'E. gN Lot fog r..►• � ti I 0; cres 31 0 c Doi ;:pop ; •07156• ' s,Cq 50'From ! Z Nil 760 Contour■ n. . y ','/ t„�I i l I • / Lor 109 V 1 Redd' t.{oo• s �h Found �— co' rot rv� f Cl „ a00Ya 38T fd9.4e Tie {� C E.0 �1 Rd,E.o.P. ,� *i ..:. 100. j5 Rely 37, 60' RIB _ 08'5 r PropoBedea a Septic - 4 ropo»' FOS[RIe11t y � i - •• Septic en) C# 0.02 Acres et' •,440 ,' 4t _ 'Lot c E• ement ...:>., 17• Ale., � s T Cnent Lend dt Tim c1o . . , r.rx „ , peat Boor 15, p8a �I� coeq►e fad , t•: enr I/• Outside or = -.'"�k /0.8. ts.7 7tsr3t. s . 45,592 Sq.Pt :..1r -• 1.04 Acres Outside or 1 j3) s • �/ Fox P/n No.: 460715' I Pq - rto.:6L6c. truer ..,r. -. jt/ . / `'f I I 0 C ent Pg. 113 sr3 o �� � 490715731623 jn 39S 7b' 3d 1 o P1ed � � � C a -c �n ��4[ d 'm m 2T0'R if dt North ei n �L12 Wi"dlh (j.1. P IO/ CO v 6 7 J PQ Id44i' 7 V Vr /--..... . 2 rn n = y c �= cn L.CD w M o to Y'o COo .-z-,.. cji„, S O C_ d 0 7 5 o = a ° oro o z = rc S ° y as C U8 fD o,' K c o 73 Cm co co 2 m � a w g Thompson Environmental Consulting,Inc. Skew 1 fa PO Box 541 PRoPFRtrY m a_ 460715731625 Midland,NC 28107 Y: rakit�.�ba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: J ADDRESS: ..ff``__L.�1, O 4AI1 f.t+GVI T� DATE EVALUATED: ill PROPOSED FACILITY: `i.t�I AU PROPOSED DESIGN FLOW(.I949): 4 PROPERTY SIZE 1. a . LOCATION OF SITE: PROPERTY RECORDED: WATER SUPPLY: ❑Private ❑Public Oita 0 Spring LI Other EVALUATION 14ETHOD: Leku r Boring Ott C Cut TYPE OF WASTEWATER.: QSeewage ❑Industrial Proms Mixed ao SOIL MORPHOLOGY OTHER p (.1941) PROFILId FACTORS 11 .1 * 1 LANDSCAPE HORIZON POa1T10Nt DEPTH Jl4I PROFILE a Own% (IN-) .041 .1104I SOIL .Ifas a.ASS arsk .tf44 b1 n1A.r Sills! CONs1sTDIC:E/ Wye San. SAPS° RESTS •LTAR rj D- =TUNE Ai, rum': OQY cows DEPTH �.� HORlZ N it- -5Z iL wbit ' 15T1 `' ç)t) 1 I�� � I J Z 0.3 '0 , , �9. - `'i 7� IDS 2 s s � I� 'A`9 �j to 54.941 `4 l 0.3 ll Q- i i , yd 1204 -PtgA0 Pc - S 6- LI 5c L4* - (. 4,) 1, 3 151, �� .7 r k. 5/ 0.3 i. b Q..S 1-( I ("),S 4 ._4/ rile , r 0 3 • tatxxtrrga t1+nlAL SYSTEM RMS.SME1 OTHER FACTORS(.1946): / _ SITE CLASSWFICATIQN(.1948): P rovisiona ,/�.,r — 01/p Available Spare 094* PS P S /� 1 M tom Tip X4 Accepted Drip EVALUATED BY: � l , ,. �P-i N\NE OTHBR(S)FR :win r /AV,'I-'v'arm � air LTAa (?,3 • 0.1 L. Thompson. I.SS ,i ►{ ' �, r IE Air ,� r - Upearoil?dusty7OI4 ln1 A4.tl d 04,..*rs+ 4• 0 (....--/ 4 cm- The LSS evaluation is being submitted pursuant to and meets the requirements of 0.S. 130A- 335(a2)., • SOIL/SITE EVALUATION Sow ay .: 460715731625 PROPERTY ID nATE OF EVALUATION: COUNTY: q n SOIL MORPHOLOGY OTHER ► OM) PROFILE FACTORS .«a e LA. O CAPE HORIt 1943 POSRTO`d .1,41 1f41 SOIL .1la1 .19311 .1914 PROFILE al orr.it. trK1.C1likE1 COl1%Imix:Er inrcisSl SOIL SA RO R1L�R Muss• DIT17! TEXTURE MINERALOGY COLOR DEPTH CLASS HORIE &LTAA C! 0-4D 0014 {:(6s es 511 * 03 • r • ('QMMEN"1S: rptimsed Feaway Ji)4 I._bi- \ J \ r( S c+ 52_ C i s La r'�, be r (L(c Chi Hills ehaci) -3b' ,Di' 141 1�1N me a,, .4, s! 1P` 8 4- _ *�'YJlldt I la' l . tDO ! . \ 3,1' : /4119r/i t LvcAlr9nf ti el I I 1 ?I' l '1 Chi lo}�� )2141F A.,44•4t4t., -- . / ,-.,..,- :__ ----Az,' : /fir --44;c3--- ,,., \ / %,f' %*' \ , ‘4. fq„� / 0 cj ry1 �'o� 4 r rl r .` f id . 3811 1071 LLY CATAWBA COOUUNNTTY NCONI NC DONNA HICKS SPENCER FILED May 24, 2023 AT 04:18:00 PM HOOK 03811 START PACE 1071 END PAGE 1072 INSTRUMENT M 09062 EXCISE TAX $0.00 STATE OF NORTH CAROLINA ROUTE SRI985 PROJECT COUNTY OF Catawba DEPARTMENT OF TRANSPORTATION RIGHT OF WAY ENCROACHMENT AGREEMENT AND- PRIMARY AND SECONDARY HIGHWAYS act Antonio and N dia Junco•Ilumcowrrtrs 1106 Aeon We,Denver,NC 211037 THIS AGREEMENT.made and entered into this day of 20 by aryl between the Department the _ of Transportation.party of the first pan.and Mi eel Antonio and:lvdis Junco-Iirane.r.as.rs -------------- — petty of the second part, WITHE SSE TH THAT WHEREAS,the party of the second pail desires to encroach on the right of way of the public road designated an Route(s) SKI 985 ,located 40.21 3996 and 390?Cheviot Hills Rd.Sherrills lord NC 28673 vwth tho construction endear erection of 60 LE oft"SCM 90 PVC Sewer line caseated within 4011ef 3'SDR 13.5 HOPE enurement pipe.t Miley to be installed by directional Nee Sidi a maximum bore inn[of 4.5'. WHEREAS,it is to the material advantage of the party of the second part 10 effect this encroachment,and the party of the fret part in the exercise of authority conferred upon it by statute,Is willing to permit the encroachment within the limits of the right of way es Indicated.subject to the conditions of this agreement NOW,THEREFORE.IT IS AGREED that the party of the that part hereby grants to the party of the second pert the right and privilege to make this encroachment as shown on attached plan sheet(s).specifications and special provisions which are made a part hereof upon the following conditions,to wit. This the mstrtrion.operation,tad melianence of the above described facility wit be accompliseed In ooze/dance with the party of ete krill Pert s retest PO,!GIES/gal;;'Ii/K.CJUIII,rout AGGi'MMCOATING UflLtTrES ON(HIGHWAY RIGHTS-OF-WAY,end suds revesans end Vttendnents Siesta se may be In Mild at the date d this epremere Infor r=es maw.fdMes and procedures may be oM0md from the OMsion Engineer aratale tellty Agent of the party of the first pan That the We pity a the second pat binds and obligates himself to install and maintain tie enereacNng ratwy in such Rare and proper condition that all vrIi not interfere with a endanger travel upon said Nphway.nor obstruct nor interfere with the proper maintenance thereof ro rembune the party of the Kral part for to cost Incurred for any repairs or maintenance to its madwys and structures necessary due to the insuaetim end=Inane.of the fecifeas d the party New.erard pad,and a d any time the party re the first pane chap require the removal M or charges in the b/tlon of the sad Eohbes,Ihal the said party of the second Ran binds hmser his sursn•sors and assorts,to promptly remove or alter the said toddles,inorder to conform to the said requirement.without any cost eo the party of the nisi pert The the parry of the second par agrees to p re de during conslmdron and any subsequent maintenance proper signs,signal Ii5Ms flagmen and olnr warning demises for the prdeceon of traffic in conformance wit,the latest My.sier on ilrvrgm Totem Conant Deems (oLSlteeta and Hjftrvima and Amendments or Supplements thereto.Information as to the above Oren end regwtiom may be oetened Morn the Gunton Engneer of the parry of the arc part Met the parry of the second part hereby agrees lu indemnify and ewe harmless the party of the first part from all damages and slims foe demote that may area by reaapit of the instellation and maintenance a11dm en,.neeshmenl. This the party of the second pert agrees to restore ail areas disturbed during Installation and maintenance to the salisracton of the ONIsion Engineer of the petty tithe fret pad. The party of Ma second part agrees to exerose every reasonable precaution during rsnMnadke and meivienaere to pnnh`M erorerq of Anal'Silting of pretul'rm of rivers.dreams takee,nemesia,.other witnr impesthdmems,grelmd suaase of after property;or pntulon of the air. There shall be compliance with eppu®tse nem,smd regulations of the North Cardme Milton of Environmental Metagemnrt,North Ceram Sedenentalion Control Commission,end*ids ordinances end regutrdlone of wdoua counties munkipreitiet and Miser°Metal ageedee rearing ID pollution prevention end mrtrol When airy installation or maintenance operation disturbs the ground eudarn end existing ground cover,the party of Me second pert agrees In remove end replace the sod or alersiee reestablish Me grass cover to meet the satisfaction of tare Civilian Engineer of the party of the first part. That the parry o1 the second port agrees to assume the edual ono of any inspection of the work considered to be necessary by the Markin Engineer of the petty or Ike Brat part. That the party or the second pat agrees to have available el the eonatrediwn site,is ati line.during ofeabucdon.a ropy of this egreemrr showing evidence e1 appends.by the petty of the Vial per.The party of the feet part reserves the right to slop el work unless evidence re approval am he shown Pravda the work contained In Ilse agreement rs being pedonred on competed highway open to traffic;the party of the second pan agrees to give written notice tote Division Engineer of the party of the feat pert when el wax contained herein Ms been completed. Unless specifically requested by the parry of the art pad,written notice of noMplelion of work on highway prefeda under construction will not he whored Thal In the oat!oI noenonpliance MN the terms of lw.etreement by Itrs piny of the second part lab party of to Slur pen reserves lino rive In stop sit weet vet lyre faddy het been brought into compliance or removed from the right of way et no cost to the party of the Owl part That It w agreed by both parties Mel this egreemeri shall become void if actual construction of the work contemplated heron is not bepin OW one(1)per kerw to date of eelhorizellon by the party of the tree pen unless written wetwl is secured by the party ri the second pad from the petty of the ant pan Dunne the perfnerodeos al tine contract the second party,fa awe its assignees and successors In Interest(hereinafter referred to as the'conrracton,agrees as telfeaa' • iirempienee with Redh.abow The eereracter seta comply with nil Iragutabons relative to nondrarnnanelcn in Federtey assisted programs of the U.&Depanms d of Trrhaponabon.rib.40,Coda of Federal Regulations,Pan 21,so they may be amended from Lane to lime.(hereirraeer rehired to as the Regulations},which are?herein incorporated by reference and made a pert el thy,colerad b Wngreptroirrarion. The mmador,wdh repay to the work rnerformed bye during the contrailt shall not Mannminare°n the FORM RAN 16.1 (Rev July 1.1E177) submitted electronically by ''Winthrop & Gaines Nessick, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Catawba County Register of Deeds. • i 3811 1072 yrounda of rase,color.or rational origin In the see:t em end retention of eubconlfaaors,including procurements of materials aid Lessee of equipment.The contractor 0he11 not pnr&ipata either directly or indrectly in the dnonndnetlm prdutted by Seclbn 21.5 of the Regulations,including employment prackces when the contract even a program set loin In Appenra.Ft of the Regulations. c. $didla9ons dot Subcontracts,Including Pmceremenl!QI Me nets eed Eowuntent.In as sdlcitations either by competitive melding or negotiation made by the contractor for work to be preformed under a swr nheel,including procurements or materials or leases of equipment,each potential subcontractor or supplier shell be nogged by the contractor of the cortlrectofa obirlotions under thls control end the Regulations relative to nondiscrimination on the grwmoe of race,color.or motorail origin. d MI tonwrnal th Reoen�. The contractor slag provide all Information end reports required by the Regulahr:me or directives retied pursued thereto.and anal remit swats In As books,meads,aecovnts,other sources or information,end its facilites as may be determined by the Department of Transponagon or the Federal highway Administration to be pertinent to ascertain camptiance with such Reputations or directives YNere any Information required of a contractor h In the exclusive possession of another who faits or refuses to furnish this Information,the mnheaor shall so comfy to the Onpanmen of Transportation.or the federal Highway Administration as sppropnale,and shall sal north whet efforts it has made to obtain the information e Sanctions imr Nrnso:.•itaiawr to Ile event or the contractors noncompliance rah ire IrMrdrscntrattation provtslars of this conceal.the Department of Trans partaken that mixes ouch contract sa telone ash or the Federal t highway Administration may delamrine m be appropriate.including.hit nil limbed to, lit withholding of petymenta to the contractor under the contract until the contractor complies,ands, (2)rs'ulaiert•terminelion or suspenNon of the contract.In whet•or or pan f Incorporation of Proesior,'y The com•ector shad include the ptostcons of paragraphs"a'through Y in every subconrrect including procurements of midwif s tins Inset d eguwprrenl.ureaas eeempr by the Regulator's.or 6retvee sued pursuant lhareto.The Contractor shell lotto ouch&bon with respect to any subcontract or proamethen)OS the Department of Traisportdrnn or the Federal highawy AdndWltarion may eves as a means of enforcing such pmvtstone Including sanctions for natmmplience:Provded,however.thest,in the even a contractor bemn et inadwd in,or is Ihreeened wets. litigation well a subcorarector or supper as a result of such direction,the corrtrada may request the Department of Transportation to enter into sea litigation to protect the Interests of the Stole,and,in adddlon.llm contractor'coy regocil the tlrsted Slates to enter into such litigation to protect the interests of the lJnhed Slates. RJW(161):Party of the Second Part certifies that this agreement is true and accurate copy of the form N W(161)incorporating all revisions to dale IN WITNESS WHEREOF.each of the parties to this agreement has caused the same to be executed the day and year first above written. DEPARTMENT OF TRANSPORTATION BY: rt,y= t4IRESIBIBSPI - ATTEST OR WITTESk. • f Chad t load in ^ Miguel Antonio an4'ydie Junco-Homomvncrs Second Party State of North Carolina,County of.Telco t I I.L ;i h Mac_h-n44.,J4... a Notary Public for said County and State,certify that LISA MACNAMARA 11-1.•84,1.y .cif-' c =J a'•,,. f r •_ and Notary Public,North Carotin!! ! r 1 'radon County .,o r 9 Ij Personally appeared before me this day and My Commission Expires.' acknowledged the execution of the foregoing Instrument. Oece iYper 19r 2024 y( Witness my hand and official seal this the J5 gay of IiV C c .•20 1 l. My commission expires co.crs(.,r� /2..ZO41).1 �� -fir.! �� Notary Pfsb T State of North Carolina, County of L 0404 eV 1,Ibiji a N.-ffilg\_a Notary Public for said County and State,certify that D ana 1.MorlOfl 5 • tom( personally appeared before me this day and Notary Public acknowledged the execution of the foregoing instrument. Lin in County N Carolina 2 Witness my hand and official seal this the ! / ,_ M Commies' E} idle 6 1 J23 1 �7a�sq say of ____ 20 My commission exPoesOld 1y14200 / Notary Pub l c 3811 1073 FILED ELECTRONICAT,T.y CATAWBA COUNTY NC DONNA HICKS SPENCER FILED May 24, 2023 AT 04:18:00 PM BOOK 03811 START PAGE 1073 END PAGE 1079 rNSTRUMENT k 09063 EXCISE TAX $0.00 Prepared By: Jamie Gentry,Winthrop&Gaines Messick, 706 Hartness Road,Statesville,NC 28677 Excise Tax:$0.00 Parcel Number: 460715839431 and 460715731625 Catawba County NORTH CAROLINA CATAWBA COUNTY DEED OF EASEMENT FOR SEWER LINE, SEPTIC TANK,OR DRAINFIELD LINES THIS DEED OF EASEMENT, made this _18th day of_May_, 2023 by and between the Miouel Antonio Junco and Nvdia Junco as Trustees of the Junco Family Trust dated the 21st day of December.2011 (hereinafter referred to as"Grantors")and Miauel Antonio Junco and Nydia Junco as Trustees of the Junco Family Trust dated the 21st day of December.2011, currentlyresiding at 806 Acorn Way.Denver.NC 28037 (hereinafter referred to as"Grantee"); (The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors and assigns, and shall include singular, plural, masculine, feminine, or neuter as required by context.) WITNESSETH: WHEREAS the Grantees currently own parcel numbers 460715639431 and 460715731625 Catawba County, and they acquired parcel number 460715731625 in Deed Book 3374, Page 1676,Catawba County Registry and acquired parcel number 480715639431 in Deed Book 3137, Page 1267, Catawba County Registry. Grantees are building a house located on parcel number 460715839431 are in need of a 15' wide easement across Cheviot Hills Road, owned by the Department of Transportation and need the entire parcel number 460715731625 dedicated as an easement within which to install either a septic tank,sewer line or septic tank drainfield lines and repairfield lines or a combination of the foregoing and whereas the Grantors are owners of the land adjacent to that of Grantee and Grantors are agreeable to the granting of an easement as herein stated; NOW, THEREFORE,the Grantors for and in consideration of the sum of Ten Dollars (510.00)and other good and valuable consideration to them in hand paid the receipt of which is hereby acknowledged do hereby give,grant and convey unto the Grantee,their heirs,successors and assigns, a perpetual non-exclusive right and easement for installation, construction, operation, maintenance across and upon the land and roadway of the Grantors, as more particularly described hereafter, of an underground sewer line, a septic tank, drainfield and repairfield lines extending from said septic tank. Grantees shall have the right to ingress and egress upon said lands whenever the same is reasonably necessary for the purpose of inspecting, maintaining, monitoring and repairing said sewage installations.This easement and these rights shall be appurtenant to the land thereafter described and shall run with the land, specifically not being affected try a change of ownership or control.The installation,construction, operation and maintenance of this easement shall comply with the 4021 Cheviot Hills Road Slope Stabilization Plan attached as Exhibit A. Filed simultaneously with this Deed of Easement is an Encroachment Right of Way granted by the Department of Transportation to and across Cheviot Hills Road.This easement for the purposes described above runs from parcel number 460715639431 across Cheviot Hills Road to parcel number 460715731825 Catawba County owned by Grantors and Grantees Miguel Antonio Junco and Nydia Junco as Trustees of the Junco Family Trust dated the 21st day of December, 2011, and placement of the easement is more particularly shown on the attached survey as Exhibit 8. submitted electronically by "Winthrop d Gaines Messick, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Catawba County Register of Deeds. 3811 1074 Additionally, the entire Parcel number 460715731625 as described in Deed Book 3137, Page 1267,Catawba County Registry is hereby granted to Grantees as a septic easement for the above referenced use for the benefit of parcel number 460715639431. The parties to this easement agreement further agree that the area granted in this easement will not be used for the construction of buildings or anything else that would interfere with the use of the easement granted herein and that any septic tank,drainfeld lines and repairfield lines will meet all applicable setbacks and codes as required by municipal and state laws.This easement shall be valid for as long as necessary by the Grantee and for as long as the septic system and sewer lines are required by the Grantee, their heirs, successors and assigns. Should the Grantees ever sell parcel 460715731625 to a third party,then this easement shall remain valid for the benefit of parcel number 460715639431,and shall run with the land. The Grantee by accepting this deed of easement covenant and agree for themselves,their heirs, successors and assigns that in the constructing;maintaining,and repairing said sewer line facilities the Grantee,their heirs or assigns shall remove all excess dirt,make level surface of the ground above the said sewer line facilities and interfere as little as possible with any improvements that the Grantors have upon the land. TO HAVE AND TO HOLD the aforesaid easement and all privileges and appurtenances thereunto belonging to the said Grantee, its successors, and assigns forever,and the Grantor covenants that the Grantor is seized of said premises in fee and has the right to convey the same,that the same is free from encumbrances,and that the Grantor will warrant and defend the said title to the same against claims of all persons whosoever. IN WITNESS WHEREOF, the Grantor has hereunto set hand and seal, or if corporate, has caused this instrument to be signed in its corporate name by its duly authorized officer by authority duly given,as of the day and year first above written. (Signature Pages to Follow) • 3811 1075 GRANTORS: Junco Family Trust dated the 21st day of December.2011 / // y//..!` rBy l ': Date: • r/ 7 Miguel Mto io Junco as Trusted By: (. 6i 7E•!t br Date: • I Nvdia Junco as Trustee STATE OF NORTH CAROLINA-COUNTY OF c'E' t I, / 4 f(_C vl a c. 't a Notary Public of the County and State aforesaid, certify that Miguel Antonio Junco and Nydla Junco as Trustees of the Jump Family Tryst dated the 21st day of Degemaer.2011 personally came before me this day and acknowledged the due execution of the foregoing instrument. WITNESS my hand and official stamp nr seal,this the / ' day of / /ci c- 2023. Notary Public My Commission Expires: c <" .,.C `r— c)1 p26 LISA MACNAMARA Notary Public, North Carolina Iredeli County My Commission Expires December 19, 2024 . 3811 1076 EXHIBIT i N 4021 Cheviot Hills Road Slope Stabilization Plan The following outlines the guidelines for choosing and installing the required fill material for the proposed wastewater disposal system cover. If there are any questions regarding these guidelines, design and installation personnel should contact the consultant for clarification. These guidelines are presented as Lafry Thompson's professional opinion (Level I—Sediment find Erosion Control Certification)and are not dictated by Catawba County. However,Catawba County will be given the right to determine what constitutes suitable fill material and installation thereof,as the regulatory authority responsible for permitting this wastewater disposal system. Surface water diversion: An upslope swale/berm is recommended for surface water diversion. Water should be directed around the specified drainfield area. Straw wattle or coir fiber logs will be considered suitable alternatives to a constructed berm but must be maintained until grass has been established over the fill material in such a manner that surface water erosion is no longer a threat. Fill material composition: The fill material should consist of mineral soil with a textural classification of loam,clay loam, or sandy clay loam(Group III Soil), which is similar texture as the existing surface within the drainfield area. It shall consist of no more than 10 percent of rock fragments(>2 mm in size),organic material, etc. Screened soil is recommended for this application. Note: Before any earth moving activities are conducted on site,Catawba County should be contacted to ark the rill area boundary and inspect the moisture content of the soil. If the soils are too saturated,the system may not be installed. All site workishould be conducted by machinery with tracks instead of pneumatic tires. 1. Clear and grub the site by hand in such a manner as to minimize soil loss and compaction. 2. Remove vegetation less than 8 inches in diameter from the drainfield area. 3. Install the prescribed drainlines. 4. After drainline installation and inspection by Catawba County,the trenches may be backfilled with the native material. At this time, the additional soil cover may be applied to achieve the minimum 6 inch cover requirement. 5. The fill material should extend five feet beyond the proposed drainfield area and blend into the natural contours of the site. From this point,the fill should be tapered down to the surrounding ground surface at a 1:6 slope. 3811 1077 Sown Grass Option: The entire area should be temporarily seeded with an appropriate turf species for the area, covered with hay or other suitable temporary cover that will both protect the seed and soil from erosion while the grass is germinating. Sod Option: An alternate to sown grass would be the installation of fescue sod rolls. If this option is chosen, the sod shall extend a minimum of five feet in all directions from the installed drainfield area. - — 3811 1078 Or_ Skt:+' 52. CJSCEL+ La.R.ci i. iu.b . v 04 1 Che,v, - ( is oad� :l' Latt '-.---\-1674 N.)oki tvIct...A \ ,..• , ZS`\ W "ll ' - -�_ 5U LIi , rd / 1 �,q I / --- ---) 1 1 ` \ 1_1 (Du > r.I\. s ` 7 lfff � � 3 rr • / ' - . f a C. / _ • --`Tgslope Swale - . _ --- '''''''''-- ; '-.427,,,I;;;L:::,,7---\--- - x.1---; e ----- - ' 112'',-) ,o- 7 , Pre9aue AAanMold • -•l-p I . 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