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HomeMy WebLinkAboutAOWE-06-2023-198833.TIF a Residential Subsurface Wastewater Treatment and Disposal System AOWE Repair Permit for Lot 7 - Spring Farms 5234 Hall Street Conover, NC 28613 Tax Parcel Number: 373411659486 October 30, 2023 Prepared for: G Century Complete 9325 Center Lake Dr., Suite 160 (e/Mv‘sto � � ��+ � 4 Charlotte, NC 28216 !� 4 1 +, ,iT •' t 704-488-1100 Prepared by: Larry Thompson, REHS, LSS0........,• #" Thompson Environmental Consulting, Inc. PO Box 541 a �u �� V Number • Iw Midland NC 28107-0541 = fi Phone: 704-301-4881 • =Z 10018E • Larry@thompsonenv.com - .•'4` RECEIVED ocr 3 ; Environmental Health i ? I Lot 7-Spring Farms Project Specifics P Century Complete has contracted with Thompson Environmental Consulting, Inc. (TEC) to prepare an AOWE septic permit package for a new 3-bedroom single-family residence to be located at Lot 7 - Spring Farms, 5234 Hall Street, Conover, North Carolina (Catawba County Parcel Number: 373411659486). The system has been installed by Dewey Grant (NC Installer 2607) and inspected by TEC. The system has been installed in general accordance with the AOWE permit package submitted to your office. The recommended maintenance plan and as-built drawing are included in this package. This report shall allow the Authorization to Operate to be issued for the certificate of occupancy for the above referenced facility. OPERATION and MAINTENANCE A. Operation and Maintenance 1. The septic tank and pump tank shall be pumped out when the solids within the septic tank reach an elevation that is equivalent to 25% of the volume of the tank. In some situations, the tanks may need to be pumped more frequently; for example, if you are using a garbage disposal, it is recommended that the septic and pump tanks be cleaned out annually. 2. The effluent filter should be inspected annually. When it becomes necessary to clean the effluent filter, the filter should be removed, and the accumulated debris washed back into the septic—not onto the lawn. 3. The drainfield area should be maintained to prevent overgrowth of vegetation. Any damp areas, leakages or malfunctions should be addressed immediately. 4. Divert gutter downspouts and surface water runoff away from the septic and pump tanks. 5. Valve boxes and pressure manifold boxes should be inspected annually for proper function. The pressure head should checked to ensure the system is dosing properly. B. Suggestions to the Homeowner 1. As previously mentioned, a garbage disposal is not recommended. The ground up garbage adds large amounts of solids into a septic tank that tend to degrade at a very slow rate. 2. Grease, cooking oils, coffee grounds and non-degradable solids (disposable diapers, cigarettes and solid paper wastes) should never be put into a septic tank. 3. Used motor oil or any oily liquids should not be disposed of in a septic tank. 4. 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 drain field. 5. Run dishwashers and washing machines only when you have a full load. 6. Repair leaky faucets and toilets. Small drips equal large volumes of water over time and can over burden your drain field. 7. 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 be detrimental to the life of a system. Lot 7-Spring Farms OWNER ACCEPTANCE OF SEPTIC SYSTEM Katie Dyess , owner of the above referenced do property, Printed Name hereby accept the septic system installation performed by Dewey Grant of Grant Maiden Septic and Grading and, by way of this closeout document, request an authorization to operate and release for a certificate of occupancy. Katie Dyes,(Oct 30,202310:40 EDT) Oct 30,2023 Owner Signature Date October 30, 2023 RE: Septic System Installations Spring Farms Subdivision (Lots 7, 8, and 9) Conover, NC 28613 The purpose of this letter is to confirm that the septic systems for Lots 7, 8, and 9 of the Spring Farms Subdivision located in Conover were installed in general accordance with the proposals submitted to your office by Larry Thompson, LSS. Lot 9 was able to be installed without a pump (gravity-flow) after consultation with Mr. Thompson. Sincerely, D 4 y L Grant(Oct 30,2023 10:25 EDT) Dewey Grant Maiden Grading and Septic Residential Subsurface Wastewater Treatment and Disposal System AOWE Repair Permit for Lot 7 Spring Farms 5234 Hall Street Conover, NC 28613 Tax Parcel Number: 373411659486 June 20, 2023 Prepared for: `e, so14 sc1� $ e1�'04q tit (. Century Complete } o ' � 9325 Center Lake Dr., Suite 160 '+� s" •►'4� Charlotte, NC 28216 ��.__ ij �7 -: TT'J ..- 704-488-1100 '4A, 1267 Prepared by: Larry Thompson, REHS, LSS O•.........,l.�'r' Thompson Environmental Consulting, Inc. 2' • ••• PO Box 541 Cartecaturi Number 1wE. Midland, NC 28107-0541 1 DO 6 E 7 Phone: 704-301-4881 • larry@thompsonenv.com ` Lot 7-Spring Farms Project Specifics Century Complete has contracted with Thompson Environmental Consulting, Inc. (TEC) to prepare an AOWE septic permit package for a new 3-bedroom single-family residence to be located at Lot 7 - Spring Farms, 5234 Hall Street, Conover, North Carolina (Catawba County Parcel Number: 373411659486). 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 installation and repair, of a Pump-To Accepted System for a 360 gallon-per-day residence at a 0.3 GPD/sq/ft long-term acceptance rate (LTAR). The property will be served 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(a2) and (a3), and 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). Location From Hickory, take Springs Street to Hall Street. Turn left onto Hall Street and the lot will be located on the left at the corner of Springs Road and Hall Street. References Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A, Section .1900, Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, April 1, 2017. Accepted Wastewater System No. AWWS 2005-02-R6; North Carolina Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, August 21, 2015. Primary Investigator's Credentials NC Registered Sanitarian No. 1208 NC Licensed Soil Scientist No. 1287 NC Authorized Onsite Wastewater Evaluator No. 10016E SC Certified Professional Soil Classifier No. 111 NC Subsurface Septic System Operator No. 22199 NC Grade IV Wastewater System Installer No. 1762 NC Certified Wastewater System Inspector No. 17621 Lot 7-Spring Farms Plans and Specifications A. Septic Tank 1. 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. Pump Tank 1. The pump tank shall be State approved, of one-piece construction, watertight, structurally sound and 1,000 gallons in capacity. Again, it is the responsibility of the septic tank contractor to thoroughly inspect each pump tank prior to accepting delivery. 2. All pipe penetrations into the tank shall be booted (i.e., C-293 boot with a stainless-steel strap). 3. The pump tank shall have access risers that extend, at a minimum, 6 inches above finished grade and must have less than 36 inches of fill over its top once finished grade has been established (a reinforced concrete tank will be required if finished soil cover is 36 inches or greater in depth). 4. The pump and alarm controls shall be provided with manual circuit disconnects within a watertight, corrosion-resistant, Nema 4x-rated control panel. Pump and float control wiring should be long enough to reach from the tank to the control panel without splicing, routed through wire conduit, and sealed at the openings within the pump tank as well as the control panel enclosure. It is paramount that the conduit is properly sealed to prevent the escape of flammable gases from the pump tank. Furthermore, there must be two electrical circuits for the pump tank controls: one for the pump and one for the alarm controls. 5. Panel and control equipment shall include lightning protection, be protected from unauthorized access, and always remain accessible to the system operator. 6. The pump removal system will be via a pump tether made of nylon rope or its equivalent. The tether material should be resistant to mildew and rot. C. Pipe, Fittings and Supply Line 1. All discharge piping, connectors, and supply lines should be made of SCH 40 PVC and fitted with pressure-rated couplings. 2. All joints must be properly "welded" utilizing the appropriate PVC cement for each application. 3. Supply line shall be constructed of 2-inch SCH 40 PVC pipe with pressure fittings. D. Distribution Method 1. The drainlines will be fed via a distribution box. Lot 7-Spring Farms 2. Distribution box shall be water tested at the time of the final inspection E. Drainfield Installation 1. 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 five (5) lateral trenches that form three(3) drainlines= (1) 3-foot wide by 45-ft long serial fed to a (1) 3-ft wide by 55-ft long, (1) 3-ft wide by 100-ft long, (1) 3-ft wide by 90-ft long serial fed to (1) 3-ft wide by 10-ft long trench. Total trench length is 300 feet. 5. The maximum trench depth for this system shall be 18 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. The drainfield shall be shaped to shed rainwater and be free from low spots. 2. 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. Maintenance G. In General I. 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. Lot 7-Spring Farms Design Specifics Daily Design Flow: 360 GPD—3 bedroom house Septic Tank Size: 1,000 Gallons (minimum) Pump Tank Size: 1,000 Gallons (minimum) Pump Requirements: 25 GPM at 10-ft TDH Recommended Pump: Liberty FL30 Dosing Volume: 180 Gallons Pump Run Time: 7.2 Minutes Pump Tank Drawdown: 8.57 Inches Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield Type: Accepted (25% Reduction) Distribution Method: Distribution Box Number of Drainlines (1) 3-ft Wide x 45-ft Long Serial fed to 3-ft Wide x 55- ft Long line (1) 3-ft Wide x 100-ft Long (1) 3-ft Wide x 90-ft Long Serial fed to 3-ft Wide x 10- ft Long line Total Trench Length: 300 Linear Feet Maximum Trench Depth: 18 Inches Soil Cover Requirement: 6 Inches Repair Option Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield Type: Accepted 25%Reduction Required Linear Footage: 300 Linear Feet Lot 7-Spring Farms Available Linear Footage: 348 Linear Feet Maximum Trench Depth: 18 Inches Soil Cover Requirement: 6 Inches 4,-,..,,,, Q( Mc JD+ '7 . \ „,,,cvse, ,a' o 4,1o' , 1 --_L" q 0 0 <--___ a___/ IS II T IV f sh 1 111t --''''?\.474:4\ tot 4--44:1R74424.r . 0 L! ,*0rktlto_ts..1„..„...t.r. i le kr) I A 12 iii t airy c 1 b C ?Lk AA?1({t( k_ T I loco d c 16.1A go' J v I C : prigs (eoacl Thompson Environmental Consulting,Inc. Sheet I of 1 PO Box 541 PROPERTY ID#:373111 I,�(NI Limn C Midland,NC 28107 COUNTY: u.uu SOIIJSITE EVALUATION for ON-SiTk.WASTEWATER SYSTEM OWNER: 14 4 FdN/II c I ADDRESS: 1 DATE EVALUATED: PROPOSED FACILITY: J h ...n PROPOSED DESIGN FLOW_ C1949): Q PROPERTY SIZE: LOCATION OF SUE: r-a3f f7rj(/ ST. PROPERTY RECORDED: WATER SUPPLY: ❑Private CWoblic ❑Well ❑Spring LI Other EVALUATION METHOD: a Auger Boring ❑Pit ❑Cut TYPE OF WASTEWATER: ❑Sewage L�ndustrial Process U Mixed • • r • • P R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON E PROFILE POSITION/ DEPTH 1942 p SLOPE% ON-1 .1941 .1941 SOIL -1943 .1956 .1944 CIASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ L u ' 0—,g *- A‘55() (--- • Sir • 0,3 19- q , 5e 9te. P-254,49 c5 2 L� cee v 3q (s r3 • D- u.( 5k. .Prje) e ti i-.) 3 3 3 • DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) PS PS SITE CLASSIFICATION(.1948): •rovis r',`{�' �{ System Type(s) Acce ted Acce ted EVALUATED BY. r A'1' 7. Apor,6.1 H pS P P OTTiER(s)PRESENT. 14 r �1 il,tie Site LTAR 0.3 0.3 1. L. Thompson, LSS st er ?�.�;y`r.4'y-�, , COMMENTS: "'"" %'w eT '/�4 j Updated February 2014 j _ , �" y . co'tibRm G , Thompson Environmental Consulting, Inc Location: Lot 7-Spring Farms PO Box 541 Midland, NC 28107-0541 Date: June2o_2oz3 Z .2 :/' w w .- Aa y and E H O . � 2 V 8 N V J0 P. . •,, "___) a � E" a ro ro ro • is 4 v, o a ►. 1 ....... .r-v, 4 1.% l'An\ip . . v Ms y,4 H5 7, - - - A • ..' w H / ��. _ _ 1N1�` . a • - - I- XI • _f . ?1 0 •. al • C a o a .S .. , . in g ..a O p • . © Q 71 - f r '4 A A a rd a . s �, O vs 0 E, tVa� •x a . v 4 r ;� 'gi - -4c .' A - a ow ' l V .. . z A fl: .�• ro 0 a a • . mar t • o k) T I a F . .W a "s a • 2x Tiber Pumps' A Family and Employee Owned Company Pump Specification ,. FL30-Series -al, 1/3 HP Submersible Effluent Pumps �.� ��I 4.00 LITERS PER MINUTE `��,��I ` 0 50 100 150 200 =�j I�`_ 25 I 1 F ��" � lir - 7 20 6 - 5 to 15 ce w 1- w w w LL - 4 z Z o o _ — a Q w w x I J J Q 1- I- 0 O0 10 -1 - 3 1- - 2 5 - , - 1 0 - - - 0 0 10 20 30 40 50 60 GALLONS PER MINUTE Copyright®Liberty Pumps,Inc.2019 AU rights reserved. Specifications subject to change without notice. FL30-Series P1 R9/27/2019 7000 Apple Tree Avenue Bergen NY 14416 - Phone 800-543-2550 + Fax 585-494-1839 if Email Liberty@LibertyPumps.com IF Web www.LibertyPumps.com FL30-Series Dimensional Data 1-1/2" NPT DISCHARGE FLANGE .' [251 mm] AINIEk- .� 9.87in ,lit...: Tv� v,�c� Irr� t-�=�1 if A . - u .r. a,. ,„,....,,i 1 [288mm11 .3in ] [242mm] - [215mm] j 9.5in Al_1�1�` 8.5in /�'� �� _ �`�— —`■. '[97mm] r 1 — ; 3.8in —t_ Iibe ,j Pumps PROPRIETARY AND CONFIDENTIAL THE INFORMATION CONTAINED IN THIS LIBANYNGM S. PROPERTY UCTIO FL30 SERIES DIMENSIONAL LIBERTY PUMPS.ANY REPRODUCTION TWO HO. IN PART OR AS A WHOLE WITHOUT THE WRITTEN PERMISSION OF UBERTY PUMPS SIZE DATE: R IS PROHIBITED. A APPLICATION DO NOT SCALE DRAWING ZCALE;1;1 IWEIGHT: LBS ISHEEIIOFI Copyright®Liberty Pumps,Inc.2019 All rights reserved. Specifications subject to change without notice. FL30-Series P2 R9/27/2079 7000App1e Tree Avenue Bergen NY 14416 • Phone 800-543-2550 • Fax 585-494-7839 1 Email Liberty@LibertyPumps.com • Web www.LibertyPumps.com Quick TM 4 STANDARD CHAMBER 52" Quick4 Standard Chamber 48" (EFFECTIVE LENGTH) 1 e �J1..._: Id- 12" 8" 34" SIDE VIEW SECTION VIEW MultiPort End Cap . = le I� jam !i _ . ) ,4,,..... 7mli,„„. `/ 16" 12" 1, ,ill f9� �l�, �*1 t) 441i ,..... r- 34" SIDE VIEW TOP VIEW FRONT VIEW 0uick4 Standard Chamber Nominal Specifications MultiPort End Cap Nominal Specifications Size(WxLxH) 34"x52"x12" Size (WxLxH) 34"x16"x12" Effective Length 48" Invert Height 8"or 1.25" Invert Height 8" INFILTRATOR SYSTEMS.INC.STANDARD LIMITED WARRANTY (a)The structural integrity of each chamber end plate,wedge and other accessory manufactured by Infiltrator("Unite).when instated and operated in o leachiield of an onsile septic system in accordance with infiltrator's hsttuctios.is warranted to the origrtal purchaser('Haden against defective materials and workmanship for one year from the date that the septic permit Is issued for the septic system containing the Units Provided,however, that If a septic permit is not required by applicable law,the warranty period will begin upon the date that installation of the septic system commences. To exercise ll warranty del rights,Holder must supply replacement in nits writing at Its Corporate Headquarters ator In he covered Saybrook,this Kited hia fifteen(1 INFILTRATOR o days d the alleged tddeca y excludes t colt replacement Units for Units n Uni by infiltrate to be by this Limited Warranty hrltata's febifty specifically excludes the cost of removal and/or irhstalelion of the Units. (b}THE UMfTED WARRANTY AND REMEDIES IN SUBPARAGRAPH(a)ARE EXC WSIVE-THERE ARE NO OTHER WARRANTIES WITH RESPECT C� INC t TO THE UNfTS,INCLUDES NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE- SYSTEMS I 1 J C (c)This Limited Warranty shwa be odd if any part of the chamber system is manufactured by anyone other than Murata.The Limited Warranty does not extend to incidental.consequential,special or indirect damages.Infiltrator shall not be fable for penalties or aquklated damages.Including loss of Environmental Onsite Wastewater Solutions'" production and profits,labor end materials.overhead costs,or other losses or expanses incurred by the Holder or any third party Specifically excluded from Greeted Warranty coverage am damage to the Units due to ordinary wear and tear,alteration.accident,misuse.abuse or neglect of the Units;the Units being collected to vends traffic or other conditions which we not permitted by the hstafatfon Instructions,failure to neintain the 6 Business Park Road • P.O. Box 768 ntkimatn ground covers set forth In the Installation instructions,the placement of Improper materials Into the system containing the Units;failure of Old Saybrook, CT 06475 the Drib or the septic system due to myx improper oper siting or proper sizing.excessive water[sage,improper grease disposal or improper operation;or any other event not caused by Infiltrator This Limited Warranty shell be void if the Folder fails to comply wth al of the terms set forth in this Limited Meanly. 860-577-7000•FAX 860-577-7001 Further.In no event shaft Infiltrator be responsible fa arty loss or damage to the Hader.the Urals.or any third party resulting from installation or shp- mein.or from arty product Nobility clams of Hadar or any mud pony. For this limited Warranty to apply.the Units must be installed in accordance 800-221-4436 with al site conditions required by state and local codes:all otter applicable laws;and hatrators installation instructions. (rq No representative of Infiltralor has the authafty to charge or extend this Tinted Warranty. No warmly apples to any party other than the orkg- mahFolder. The above represents the Standard Limited Warranty offered by Infiltrator.A handed number of slates and cantles haus afferent warranty require- ments.My purchaser of Units should contact Infitrator's Corporate Headquarters In Cad Saybrook,Connecticut.pia to such purchase,to obtain a copy of the applicable wemanty and should carefub read that warranty prior to the purchase of Units. U.S.Patents:4,759,661;5.017,041;5.156.488;5,336,017;5,401,116;5.401.459:5,511.903;5.716,163;5,588,778;5,839,844 „ Canadian Patents:1.329,959;2,004,564 Other patents pending. •Infiltrator,Equalizer and SideWirtder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a registered trademark it France.Infiltrator Systems Inc. via( ' is a registered trademark in Mexico.Contour,Contour Swivel Connection,Mucrol rat Fling,PolylUft,SnapLock,Cttemberopacer,PosiLock,QuickCut,OuickPlay RECYCLED PAPER and Quick4 are trademarks of Infiltrator Systems Inc.0 2003 Infiltrator Systems Inc.Printed in U.SA. 0011203HP-0 1 , } ��R.bu,o)3 • �N-i1i r ST"7F'_ ROY COOPER •Governor ¢p�E- .--. 2ol3 - I cl8�3j3 e� 4.,,,, a'0'', /•'�I • • ems'' NC DEPARTMENT OF KODY H.KINSLEY•Secretary HEALTH AND �� ' : =g;. HUMAN SERVICES HELEN WOLSTENHOLME• Interim Deputy Secretary for Health 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: b'Z1-L3 by eio Date Initials PART 1: Notice of Intent to Construct(NOI)- Please check all that apply ❑� Single System or ❑Multiple Systems AND ■❑New ❑Expansion ❑ Relocation of all or part of the Existing System ❑ Relocation of Repair Area ❑ Repair—LHD Permit Number ❑Repair—EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name:(Owner,Company Name, Utility, Partnership, Individual, etc.): Century Complete Mailing address: 9325 Center Lake Dr., Suite 160 City: Charlotte State: NC Zip: 28216 Telephone number: 704-488-1100 E-mail Address: katie.dyess@centurycommunities.com 2. Authorized On-Site Wastewater Evaluator(AOWE) name: Larry Thompson LSS License number: 1208 AOWE Certification number: 10016E Mailing address: PO Box 541 City: Midland State: NC Zip: 28107 Telephone number: 704-301-4881 E-mail Address: larry@thompsonenv.com 3. Licensed Geologist(LG)(if applicable)name: NSA 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 ❑ LG 5. Property location(physical address,tax parcel identification number or subdivision lot, block number of the property to be permitted): 5234 Hall Street, Conover, NC 28613 (PIN: 373411659486) County Name: Catawba RECEIVED NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH JUN 2 1 2023 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: ob Z 23 --Iggf33 6. Type of facility: 0Place of residence No. Bedrooms: 3 No. Occupants:6 ❑ Place of business Basis for flow calculation: ❑ Place of public assembly Basis for flow calculation: 7. Factors that would affect the wastewater load: Proposal is for domestic wastewater strength only. 8. Type and location of proposed wastewater system: Pump to accepted system located behind the residence. System classification Type Ilib. 9. Design wastewater flow: 360 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: Q 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 U] No 12. Evaluation(s)of soil conditions and site features in accordance with G.S. 130A-335(al)signed and sealed by a LSS is attached: 0 Yes ❑ No 13. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑Yes 0 NA 14. Proposed landscape,site,drainage,or soil modifications are attached: ❑Yes ■❑ 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 rs - urveyors. 06-20-23 Signature of hor' q to Wastewater aluator Date ow er 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/ENS/OSWP—AOWE COMMON FORM Updated April 2022 Page 2 of 6 T 1 AOWE Common Form LHD Reference: � �6 24 -1�g,y33 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 AOWE Common Form LHD Reference: ' _�6 ZOZ3, t vO 33 This section for Local Health Department use only. PART 2: LHD Completeness Review of the Notice of Intent to Construct "(c) Completeness Review for Notice of Intent to Construct.—The local health department shall determine whether the notice of intent to construct required pursuant to subsection(b)of this section is complete within five business days after receiving the notice of intent to construct.A determination of completeness means that the notice of intent to construct includes all of the required components. if the local health department determines that the notice of intent to construct is incomplete, the local health department shall notify the owner and list the information needed to complete the notice. The owner may then submit additional information to the local health department to cure the deficiencies in the initial notice. The local health department shall make a final determination as to whether the notice of intent to construct is complete within five business days after the department receives the additional information. If the local health department fails to act within any time period set out in this subsection, the owner may treat the failure to act as a determination of completeness. The owner shall be able to apply for the building permit for the project upon the decision of completeness of the notice of intent by the local health department or if the local health department fails to act within the five business day time period." The review for completeness of this Notice of Intent was conducted in accordance with G.S. 130A-336.2(c). This 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 Dote 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 Er 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 tlibti j)3 via E f 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 Dote 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. 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 April2022 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: 1 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 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 Dote Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ISSUANCE OF CERTIFICATE OF OCCUPANCY: Once the LHD determines completeness based upon the ATO submission,the owner may apply to the local permitting agency for permanent electrical service to a residence,place of business or place of public assembly pursuant to G.S.130A-339. DHHS/EHS/OSWP—AOWE COMMON FORM Updated April 2022 Page 6 of 6 AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. 1-1 3 PHASE PARCEL ID: STREET ADDRESS; Spring Farms Subdivision Conover, NC 28613 Please print: Property Owner: Century Complete 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): 9325 Center Lake Dr., Suite 160, Charlotte, NC 28216 Telephone: 704-488-1100 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: Date: Apr 19,2023 Date: ! DATE(MM/DD/YYYY) ACOR v 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 CONTNAME: David David Vaughan Higginbotham Insurance Agency, Inc. PHONE FAX 500 W. 13th Street (A/C.No.Exti:9187797880 (A/c.No):817-882-9284 Fort Worth TX 76102 ADDRIEss: dlvjr@higginbotham.net INSURER(S)AFFORDING COVERAGE NAIC# License#:2081754 INSURER A:Mid-Continent Casualty Company 23418 INSURED THOMENV-01 INSURER B:Hartford Underwriters Insurance Company 30104 Thompson Environmental Consulting, Inc. PO Box 541 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 04-GL-001086672 9/25/2022 9/25/2023 EACH OCCURRENCE $1,000,000DAMAGE CLAIMS-MADE X OCCUR PREMISESO(EaENTED occu 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 X POLICY JERC7 LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 38WECNW6175 10/17/2022 10/17/2023 X AND EMPLOYERS'LIABILITY STATUTE OTH- ERH Y ANYPROPRIETOR/PARTNER/EXECUTIVE N N N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. For Informational Purposes AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Residential Subsurface Wastewater Treatment and Disposal System AOWE Repair Permit for Lot 7 Spring Farms 5234 Hall Street Conover, NC 28613 Tax Parcel Number: 373411659486 June 20, 2023 Prepared for: _ cp sou scl�, ®,TNOM'4,s, Century Complete . ° - 9325 Center Lake Dr., Suite 160 OirjeiP14,Charlotte, NC 28216 �f� 704-488-1100 AtiThi Prepared by: Larry Thompson, REHS, LSS y, �ti .,...•- Apv. Thompson Environmental Consulting, Inc. *;• PO Box 541 .. 0 • Ca tf Midland NC 28107-0541 v Phone: 704-301-4881 _ 0016E • Larry@thompsonenv.com - ••' ,��`�� r i , Lot 7-Spring Farms Project Specifics Century Complete has contracted with Thompson Environmental Consulting, Inc. (TEC) to prepare an AOWE septic permit package for a new 3-bedroom single-family residence to be located at Lot 7 - Spring Farms, 5234 Hall Street, Conover, North Carolina (Catawba County Parcel Number: 373411659486). 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 installation and repair, of a Pump-To Accepted System for a 360 gallon-per-day residence at a 0.3 GPD/sq/ft long-term acceptance rate (LTAR). The property will be served 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(a2) and (a3), and 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). Location From Hickory, take Springs Street to Hall Street. Turn left onto Hall Street and the lot will be located on the left at the corner of Springs Road and Hall Street. References Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A, Section .1900, Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, April 1, 2017. Accepted Wastewater System No. AWWS-2005-02-R6; North Carolina Department of Environment and Natural Resources, Division of Environmental Health, On-Site Wastewater Section, August 21, 2015. Primary Investigator's Credentials NC Registered Sanitarian No. 1208 NC Licensed Soil Scientist No. 1287 NC Authorized Onsite Wastewater Evaluator No. 10016E SC Certified Professional Soil Classifier No. 111 NC Subsurface Septic System Operator No. 22199 NC Grade IV Wastewater System Installer No. 1762 NC Certified Wastewater System Inspector No. 17621 Lot 7-Spring Farms Plans and Specifications A. Septic Tank 1. The septic tank shall be State approved (Section .1953 of 15A NCAC 18A), watertight, structurally sound, and 1,000 gallons in capacity. 2. The septic tank shall be fitted with an approved effluent filter. 3. It is the responsibility of the septic contractor to thoroughly inspect the septic tank prior to accepting delivery to assure that the tanks have had time to properly cure and are free of cracks or other structural deficiencies. B. Pump Tank 1. The pump tank shall be State approved, of one-piece construction, watertight, structurally sound and 1,000 gallons in capacity. Again, it is the responsibility of the septic tank contractor to thoroughly inspect each pump tank prior to accepting delivery. 2. All pipe penetrations into the tank shall be booted (i.e., C-293 boot with a stainless-steel strap). 3. The pump tank shall have access risers that extend, at a minimum, 6 inches above finished grade and must have less than 36 inches of fill over its top once finished grade has been established (a reinforced concrete tank will be required if finished soil cover is 36 inches or greater in depth). 4. The pump and alarm controls shall be provided with manual circuit disconnects within a watertight, corrosion-resistant, Nema 4x-rated control panel. Pump and float control wiring should be long enough to reach from the tank to the control panel without splicing, routed through wire conduit, and sealed at the openings within the pump tank as well as the control panel enclosure. It is paramount that the conduit is properly sealed to prevent the escape of flammable gases from the pump tank. Furthermore, there must be two electrical circuits for the pump tank controls: one for the pump and one for the alarm controls. 5. Panel and control equipment shall include lightning protection, be protected from unauthorized access, and always remain accessible to the system operator. 6. The pump removal system will be via a pump tether made of nylon rope or its equivalent. The tether material should be resistant to mildew and rot. C. Pipe, Fittings and Supply Line 1. All discharge piping, connectors, and supply lines should be made of SCH 40 PVC and fitted with pressure-rated couplings. 2. All joints must be properly "welded" utilizing the appropriate PVC cement for each application. 3. Supply line shall be constructed of 2-inch SCH 40 PVC pipe with pressure fittings. D. Distribution Method 1. The drainlines will be fed via a distribution box. Lot 7-Spring Farms 2. Distribution box shall be water tested at the time of the final inspection E. Drainfield Installation 1. 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 five(5) lateral trenches that form three (3) drainlines= (1) 3-foot wide by 45-ft long serial fed to a (1) 3-ft wide by 55-ft long, (1) 3-ft wide by 100-ft long, (1) 3-ft wide by 90-ft long serial fed to (1) 3-ft wide by 10-ft long trench. Total trench length is 300 feet. 5. The maximum trench depth for this system shall be 18 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. The drainfield shall be shaped to shed rainwater and be free from low spots. 2. 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. Maintenance 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. Lot 7-Spring Farms Design Specifics Daily Design Flow: 360 GPD—3 bedroom house Septic Tank Size: 1,000 Gallons (minimum) Pump Tank Size: 1,000 Gallons (minimum) Pump Requirements: 25 GPM at 10-ft TDH Recommended Pump: Liberty FL30 Dosing Volume: 180 Gallons Pump Run Time: 7.2 Minutes Pump Tank Drawdown: 8.57 Inches Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield Type: Accepted (25% Reduction) Distribution Method: Distribution Box Number of Drainlines (1) 3-ft Wide x 45-ft Long Serial fed to 3-ft Wide x 55- ft Long line (1) 3-ft Wide x 100-ft Long (1) 3-ft Wide x 90-ft Long Serial fed to 3-ft Wide x 10- ft Long line Total Trench Length: 300 Linear Feet Maximum Trench Depth: 18 Inches Soil Cover Requirement: 6 Inches Repair Option Effluent Loading Rate: 0.3 GPD per sq. ft. Drainfield Type: Accepted 25% Reduction Required Linear Footage: 300 Linear Feet Lot 7-Spring Farms Available Linear Footage: 348 Linear Feet Maximum Trench Depth: 18 Inches Soil Cover Requirement: 6 Inches 4(1.6C CL if A S ._.6+ 7 ,,,,:„tc\„ . 1,, . - sr?,— Io' pia' I q 0 15 ed kr, in iiii\, -kr) .0 -9) Id ° ? ''.'4 ;:'- '------------a-liot ‘-1-' -----,keiN ".-4-Z...404.\ L. L'\ 4®,__,, ,A-,. ,, ,N ‘w -3..Av iii ,_: i, , 000,,,,A.,,9_,thk, �_-- J '' . IODOyd Ge?"hc 16,14_ g\G.t.4 110. 3pr1 i S (2oczrl Thompson Environmental Consulting,Inc. Sheet I of. PO Box 541 PROPERTY ID#:373 I V r'i 'a, Midland,NC 28107 COUNTY: C SOIL/SITE EVALUATION , for ON-SPl'1 WASTEWATER SYSTEM ADDRESS: !�_I s DATE EVALUATED:1.04.3 PROPOSED FACILITY: 5 lr._M► PROPOSED DE�$IQ1j Hill .1949): PROPERTY SIZE: LOCATION OF SITE: 5O-3(l Hill "'. PROPERTY RECORDED: WATER SUPPLY: 0 Private 0•Kiblic ❑Well 0 Spring Li Other EVALUATION METHOD: CAu$er Boring 0 Pit 0Cut TYPE OF WASTEWATER 0 Sewage Q'1'ndustrial Process 0 Mixed ` • • p R SOIL MORPHOLOGY OTHER F (.1941) PROFILE FACTORS 1 .1940 L LANDSCAPE HORIZON E PROFILE POSITION/ DEPTH .1942 • SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR &LTAR TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ L ,i, -i'1 • ' V . (d"--- ff:(5 (-)C ti -4( e . is CY da 4 0,3 _ . 0 j it I et 9 I i e -(e,50 () 5 2 L, _....- -:-/-1 c� 3q q 3 . , , o- 5. sa * Pr p L y t.''' s›? Se. sek 'ssy ,,i 1) 3 3?- Sefeig t3d 0, 3 ... . DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(.1945) P S P S SITE CLASSIFICATION(.1948): j�1OV I S/.. r.. '��,I H O& A. systeaaType(s) Accepted Accepted EVALUATED BY: AL 1 / �.r.:.:T. 0. 'fn P P oTHER(s)PRESENT I!�'��'�/!f*�7�, ti'.i'r; SiteLTAR L. Thompson, LSS v' ��t�74r 0.3 0.3 p ��' �'.t�.1�.: t 1. COMMENTS: f �'"�1.T�sf.'l/� ,�% 1 . # . Updated Fcbmary 2014 _ - } Thompson Environmental Consulting, Inc Location: Lot 7-Spring Farms PO Box 541 Midland, NC 28107-0541 Date: June 20,2023 z Sa " w " a Ao a 0 :: • A v F x .s o 1 . , • )ir . 1 .1 1 _ `�' as V ' (5 y,F" , 1 i Qr O S a g y O c�v . # ,mi N .4 _ _ -9. '-'a — 0 \IP g r H , _. = •F 7r cn • a ` o V 0Qr ' x _ U = P. • Y F - • Q v 1 R. o .S . I a 0 OC a • • .4..... � FAy �U � P. r:4 MI 0 VI « �j ,� oco , X a• 3 � x x ,a H„ x . • tf r . a W v O '� f:. V 0 i • .. 1A V . . O F. v V +r zo a F .a' . a a iAa . 2cD w V V „ . , , Leber PumpstY A Family and Employee Owned Company rr'� Pump Specification FL3O- Series .. �V 1/3 HP Submersible Effluent Pumpsimoo 101 oil LITERS PER MINUTE it 1,,_ L. 0 50 100 150 200 i;�-I 25 I F I-' Iiir - 7 20 - 6 - 5 cn 15 c4 w I- I- w w u- - 4 z Z 0 Q W w x = J J F- I- 0 0 10 - • - - 3 1- - 2 5 - I - 1 0 - 0 0 10 20 30 40 50 60 GALLONS PER MINUTE Copyright 0 Liberty Pumps,Inc.2079 All rights reserved. Specifications subject to change without notice. FL30-Series P7 R9/27/2079 7000 Apple Tree Avenue Bergen NY14416 D Phone 800-543-2550 I Fox 585-494-1839 1 Email Liberty@LibertyPumps.com 5 Web www.LibertyPumps.com FL30-Series Dimensional Data 1-1/2" NPT DISCHARGE I FLANGE ill [251 mm] / �� 9.87in r-'�,' 1 �i I 1��-T� OA ‘1i1.01( I� =i1 Vdf kill Ai .. .6 __ ti_. . 1 [288mm] Ii 11.3in [215mm] N [242mm] IN 9.5in �l ��I�` 8.5in /����` 3.8in iMI - r i t hbem't�`�y Pumps PROPRIETARY AND CONFIDENTIAL THE INFORMATION CONTAINED IN THIS LIRAWING IS IBERTY PUMPS. OF SOLE PROPERTY ANYR REPRODUCTION ODUCT L N DWG.NO. FL30 SERIES DIMENSIONAL IN PART OR AS A WHOLE WITHOUT THE WRITTEN PERMISSION OF IJBERTY PUMPS SIT/LE IS PROHIBITED. A DATE: APPLICATION DO NOT SCALE DRAWING SCALE:IA 'WEIGHT., LBS Is MEET OF Copyright®Liberty Pumps,Inc.2019 All rights reserved. Specifications subject to change without notice. FL30-Series P2 R9/27/2019 7000 Apple Tree Avenue Bergen NY 14416 i Phone 800-543-2550 I Fox 585-494-1839 1 Email Liberty@LibertyPumps.com - Web www.LibertyPumps.com • Quick4 STANDARD CHAMBER 52" Quick4 Standard Chamber — 48" (EFFECTIVE LENGTH) • 12'' �. 6„ 34" SIDE VIEW SECTION VIEW MultiPort End Cap 16" l 1. O. 12" (4)1 ,k,41(1-. )/k, 34" SIDE VIEW TOP VIEW FRONT VIEW 0uick4 Standard Chamber Nominal Specifications MultiPort End Cap Nominal Specifications Size(WxLxH) 34"x52"x12" Size (WxLxH) 34"x16"x12" Effective Length 48" Invert Height 8"or 1.25" Invert Height 8" INFILTRATOR SYSTEMS.INC.STANDARD LIMITED WARRANTY (a)The structural integrity of each chamber.end plate.wedge and other accessory manufactured by Infiltrator I`Units'),when installed and operated in a Ieachheld of an onsrte septic system in accordance with Infiltrator's nstm:etions,is warranted to the original purchaser Molder)against defective materials and workmanship for one year from the date that the septic permit is issued for the septic system contenng the Units:provided however. that if a septic permit is not required by amicable law,the warranty period will begin upon the date that installation of the septic system cormreences. To exercise its warrantydof rights,Holder must n refy l Infiltrator in writing at ItsCateor a Headquarters to Old Saybrook,Connecticut Limited Warranty ty I151 I N FI LTRATO R days of the elated defect.ly excludes wit supply st of removal a Units for Units of roll by Infiltrator to be covered by this Limited Wananry Inatretor's NabNRy specifically excludes the cost of removal andfa installation W the Units. (b)THE UNITS, WARRANTY AND REMEDIES INTESOF SUBPARAGRAPH NARE TY ORSITN THERE ARE NORT OTHER R WARRANTIES WITH RESPECT SYSTEMS I N C TO THE UNITS,INCLUDING NC)IMPLIED WARRANTIES OF MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE. (c)This Limited Warranty shell be void if any part of the chamber system is manufactured by anyone other then Infiltrator. The Limited Warranty does not extend to incidental.consequential,special or Indirect damages.Infltrator shall not be Nable for penalties or liquidated damages,incidng loss of Environmental Onsite Wastewater Solutions" production and profits,labor end materials,overhead costs.or other losses or expenses Incurred by the Holder or any third party. Specific excluded from Limited Warranty coverage are damage to the Units clue winery to wear and tear,afteration,accident,misuse.abuse or neglect of the Units:the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation Instructions;failure to maintain the 6 Business Park Road •P.O. Box 768 minimum grc and covers set forth in the installation instructions:the placement of Improper materials Into the system containing the Units:failure of the Units or the septic system de to improper siting or Improper sizing,excessive water usage.Improper grease clsposal.or improper operation.or Old Saybrook, CT 06475 any event not caused by Infiltrator. This United Warranty shall be void If the Holder fails to comely with al Isms of the terms set forth in this Limited 860-577-7000•FAX 860-577-7001 Further.in no event shell Infiltrator be responsible for any loss or damage to the Holder,the Units,or any third party resulting from installation or ship- 800-221-4436 mart,or from any product liability clans of Holder or any third party. For this Linked Warranty to apply.the Units must be installed in accordance with all site conditions required by stale and local codes:all other applicable laws;and Inlitratorh installation instructions. (d)No representative of Infiltrator has the authority to change or extend this Limited Warranty No warranty apples to any party other than the origi- nal Holder. The above represents the Standard Limited Warranty offered by Infiltrator A limited number of states and counties have deferent warranty require- ments.Any punohaser of Units shouts contact Infiln"tor's Corporate Headquarters in Old Saybrook,Cornecticut,prior to such prrrhase.to obtain a copy of the applicable warranty,and should carefuly read that warranty prior to the purchase of Units. U.S.Patents:4,759,661;5,017.041;5,156,488;5,336,017;5,401,116;5,401,459;5.511,903;5,716,163;5.588,778;5,839,844 's Canadian Patents:1,329,959;2,004,564 Other patents pending. • Infiltrator,Equalizer and ShdeWinder are registered trademarks of Infiltrator Systems Inc.Infiltrator is a ys registered trademark in France.Infiltrator Systems Inc. RECYCLED PAPER is a registered trademark in Mexico.Contour,Contour Swivel Connection,MlcroLeaching,PolyTbff,SnapLock,ChamberSpacer,PosiLock,QuickCut,QuickPlay and Quick4 are trademarks of infiltrator Systems Inc.0 2003 Infiltrator Systems Inc.Printed In U.S.A. Q011203HP-0 i — Flood Hazard Area Certificate According to mopping prow.,by rho fed.,Emergency ua,oganw,t Agee.and 4 Turtle Dom Rd Man n Us Dyna deed Mtvro e.Rofl Mae WNW)Penal J1,4,Cato., y Counts NorthC.d.sMothe dale SptrMr 5 007,,ran property show, 1Q Noreen b not located w/Mh a special good hese.eroa To property 4 oolMy / 14 LOIN M eon designed.'Zeno X-othr a.w:Aro.Wemhed tow out.* % �� 3 seo �fb the 0..2a awval Oran.nooaploh.•a ors outside future cendekno IX annual ones.hood... Watershed Certificate: N so[ ra,h.Deer of d d inn noted M4 pbl top all»INO a.are // E ttYq Arlo moseywar or Llanoo(TMt as Npsr.n ProtKUw No North E:a e«of W.w Cowes Now.Coro. • d' Environmental Health Approval Of SubdMalon Plat MM This final plat and lots Mown Mm boon approved by the, d 1A Environmental Wealth Division of the Calawbo coon(• _4 Deporrmont of Public Health. •. ^l Vicinity Nap (MS) � - 9�u /�/ Notice Emirormontal fl Ith 2. 1010a'or Design. Oahe rj• .p.' / �`�� •Pra0rry T tit to died Ie4M,M.deed/IgNr of•ey"""""1 / �►'•(IVVP"' `,. /VV Md M NC00/IOsemM<I Md Ipn<s o!wX 066 -r•`M' / ' S r -_ d f p� •nu.sunny Is ND,4cf to My foe.that may es deal..by a �gtk �`?' Approval • Certificate for full and accurate uu..wan. 5eg V /0�• a w0'O� Major Subdivision Plat •Ms survey plot does not Met any unrecorded,wrirt.r �' / ,a r�r% unwritten cowmen..dedkofren•r one.encumbrances Such This final plot and Ian trout nom.sh0. urdens could exist on the prop...0 and nal appear on the Plat. Nan-access...id .�(i{ ". �.•t/••�'Q r�.vg have boon A09t for can,p+y into ten AcconfloMe um.or this plot pin,mmsd.0 ramie art fur No along No RA Era of \a" �. 5updrvuion Rogu04oby of Cato•bd Coany eN.IMw of ouch mom-rd.burdn.not Mom he.on, Spew Reed M lot 7 •1 and wore appro..by tn.Catawba County p' /// / . Drn.we• "IN ® Pbnnnp a«etr or ht/hr desl4noa An •T.dooal Nopgatkn Satomto System PUSS)was used to mint ,.. streets,ulirolo and other required perform to gwpotM pod 0,10. accuracy stone ids,part 2 • V QJ i Provrmants loom boon r tolled according Lades for geodetic networks at trio 95X confidence accuracy ��• 'a�,+a 91to onfoof ofe the Md standards,l06. O 0 raasiroction(95.E confidence)using reel tiny khemalk. To 10' 70' •• • '� sic• N 7 guaronfN o!fen insradoflon of ON following information was used Sight 'Q ,,A •S required impro»mend amount d •• �te•s� dhow.& N N � i `� Den monitor satisfactory to lCa Catawba County hat LTed Booboo certify that thlr mop war drown undo,my osrMr1 tA' _ recording rn ten O/ a o!I00 Reuel rr r NPrHebn kern n xtua CPS survey made under my supaM.kn • y•�/ Ef lye o R 'y •., gis r o qnd too miaow,hl otkn woe oath W perform No survey ifs eA 8 t 4 u ocb of Catawba County Pn/n sixty too) pfM a• N N..i• ® 4• cloys of do o!Ih4 does of Surety CLASS AA Tj E0 t�•PiJ4 N .a Ys T �-Ay ,,,,,,if N /G/'yi/r��e�j/l} .�i��s ! PoslNrraf AccvrocJr DM' a 'I;'s21 , 'dream of Pion r D.args. Do �i� T,p.oI d'S riard 21 Rll( $Rfo'A u O `�'�VV Q Dotes of evens 12/2/2021-8/8/2022 e\-\\ $ V1 .94p °6 4 g �', 6cyDatum/LpaN:NAORJ(NJit)m e •� G? wauMw/rrse-controruse rRs N '-4 '''�'a�Px % 7 ti6<0& GEOID modal:2018 1 ♦?��ppkkys.. ^•)(0 to combined did facto,029987078 o �®•• . SC. i•gin. r•1 l/nne US SLrwy Fwt ti •Area determined D ` N; ..,0 % ` Cy 0e� O y cardhab canPulafbna11 ,�� 5e '�• ., ellw ` u�lClod H. Pro at. Jc 7odd' •NcNWar NCOS Nada Control monument Opine within 2.000 y p het of the sits o .�3f Eaeal^' Catenne£. Propat 2 totaltic0'1 t3pJudy P. StswM, •tot(•)to be Send by City wale aural hdlMnd degoe kM• gZ _ Sep Ir Le/h Ann P. Blodgett 9 J 92•za Q •Proprty IL.w/thin proxi ity of on agrkultura ehtrkt. 1 ,� 'ESD. 1768, Pg. 1106'l15.00' ,•9y •N7JW • ,� w •vraiaw.e rrndrground/e total •Rod nrop/es tees abated Cie mt.then 50 feet with.<he ...A w J 4g' ...,2- Natal: right-of-way and comply with NC00T 1°W •E 3S b Catawb lines ore acoied from r• vepnarlOa pui0alhw It z 1 Hcraj3,p0'13 9a Catawba GIS webaTN. •Tre h a ro'dahege pea utslt r San M+at nines m 8' palY0in4 N _rA G tn e Total number of lair 1J y wewmn g Dhewa)' in p^ Total PQ I Ted M.Booboo.certify hot MI map nos drawl under my Th..., cars 4T.• s NprHS/M Porn M ootua survey mode undr my Npa'Nsion a t !, ,s.00 IpQ 0.0J E 315. op y'c g„Jud 00•IJ nl lord p<wb M a� d accordance 47-J0 as amend. ale II"•�1 ,e/• N 7J' ':V O Tar the pats meets M.requirement of OS 47-30 I Furth. W 1 1 0 eel codify that the'army crest..a subdivision of one.fUh the ▪ k Ngp I ores of a county or munklpal1ty that has an ordinance that ✓A` Ap,e In Ilf, iota S. hguhh.areas of end P 9•� p` 'S D•ry••py Igc�ipo°��E 2g1'201. Q Meow.MN my a+g.,slgnorure,reghnerlot numb*,and 4� q 8 fa.. .eMN jyp0 .a this 29th of August 2022 A.D. ID Ws sip a 9j total ire 7 fOJ tic s. 0. K,• 4 - P�Q y�3 05. :1`d'•' �1 31oQ0.WE 279 nedmµkes.00f CK15588Se L-,17J j1?.' SEA�y'..i A $ N ( 1 3175�) ii 12 Non-...rowmont 00 1 190, Area '•'. NNTh o 0.9::. Nalong ag wM'w IVY Y on ten 1 1 >s hh A_4_,An$ Phew. 1110' ••'' i.Q.FN •• including 0.21 Ave in R/11 Ea«Ant ••••••••••"'• 18'RCP III Omemer Ap horizonos tal ground grouunndroilstone.to4 ONo rtenncwwf tshown 0 re summon. `T ' dot..., It led tn.pond d.nw by th• 1 •1 4 motor vaNw�g�.�` xi gi oarrWha foot.. --..----Ti",••RCP , 1110111% 13/4•EP R/i/2•Wig 144/11111199 �r--a:IMMN:..........M. Review Officer Certificate v S 86'30 JJ 290. 0 a _ slot.off Col Gralha �- S.R. 151J �1. Gooney of Catawba yin E7 in Drive �\ L laditodld)1,.b.Ar Re•ew Officer for Catawba Legend $p•RiW P.& 60.Pg �, }; cowry certify Mot M.mop a pot to ohm' this certification' r. CAPS ON MONUMENTS SET CONTAIN]NE 1k q,., 1 amx.d meets a/statutory mqukennes for recording SURVEYORS NAME AND LICENSE NUMBDI. �/,.s� 0 IRS............ 1/1'IRON ROO SET WITH YELLOW GIP '• y`� /� ! //j��'�s•- - Iry •de............EX+SDNO IRON PIPE AS SnOwN 1 �.:ew Oflkr Doh •E/R............EXISTING IRON R00 AS SNOW 1 Lot 1 X CP............COMPUTED pow P.B. 66, Pg. 83 y X SSS...........,SURVEY SPINE SET co,,..0 Sooting Oelanee sTRm sow Ownership & Dedication Certificate `b, s a;SA�o . ,07g 07H1n'PoL[ N '1" 15.7 •'-'"'••••' z for Corporations, LLCs or Non-profits-it S. N ifi9'i'a 69e b...................nA[HI'pRAM I(0)emery that 1 am/N4 re)Ue ewnr(e))of Ian Praerf) f } ` N 6f29' 5 , •...................WATER VALVE Q' ...rood nr.,ink.properly h o Ip t wtihm M.omooy otn p L N eO 2'Sew'--11.1• •...................PROPOSED RED AMPLE TREE v'y .h. d L N 6a22'St' c1.e b V ',scowl.N edktkn of Catawba County Met 1 00)/rosy a.pl o va 10141TON NVMBER u v INN pion a.ubdiMieo and*diode to pub.u.o a+aroa.shown I p, L N Men'!"E RCP...........REINFORCED CONCRETE PIP[ on the plot such r shoots awye,walks pens open spa.and ... ,r N 56.56'3' ) ...nu,except Inane orco o*P inecated w{oval.and that/ cp N 5013 71. FP..........,.EWE OF PAVEMEM ye lP• wow r N/F.........,.NOW OR FORMERLY poet we motet.5.wen areas anti Mat ant•et dedication I. L1 ry•a�S • 51.9 ♦ 0fed by Ian«pror,P pum4 aarnalry NI property Mow,n L, N e5'1� I 27., MN Jedlcafed for v gook use shall ore Jeened to be '// LI N r m 2It N75............N iO m cc-j gaol..b any order public use NInM.M by low wade NM 1 G ellr.veld 4,prone by Colo•be Cava., a 0 N 70Y2 LI N 17 1' ,). URVEYED p 1. -----UNE NOT SSURVE>ED a /'in„ ICa IAlea�s. LC! CVO.Ax4 Urn u OnlyLI e ♦ I -RIGHT-Or-WAY UNE q Nome of t Non.-profit) Con /4444 Length Chord Chord Boor. -op-OVERHEAD 011Ll1Y LINE Mrnra�,E/eef.W4IE 4 f II Cl 179.40' 190.44' Vela' N e7o4'36.w Naha Dy(Pr00d 0..nehow) rr 80 0 6D 180 240 individual driveway easements aro ■ 10'wide and extend hornhorncentedin. >t �� of rood to 20'post R/W lino as shown. 12.nft wooer(s«»rry agnera») Date 1. GRAPHIC SCALE - FEET 1- w 80• Major Subdivision cif. Sneed driveway tdwfnu,N ere a 20'rids 10'on ouch side of property Notary Spring Farms line and extend from the COnte0in. I/2'fore North n Carolina Catawba cNnry 20'post R/W tine. as shown. TED of rood ro M Met(SSA H,1'1MlSN£ta13,allol rPvmN/r sold Clines Township, Catawba County, NC MOO"and.ado..de Nr by seer*Not Wig,.k4t Owners of Record: MartinRay Holding, LW 82��$gfl//;�/W� f)UST/N McCL1LQr r�• Deed Reference: 0.8. 3736, Pg. 782 -y"'7 ZoningNe duo aeeculko off forego. w:.tdvy di°...WoofNOTARY t^a Plot Reference: N/A PIN: 3734-1175-2255 Proud),Surveying eathCouny ZONING R-20(Coto.ep CoanLK) MA••• v�ph�old and o'scM�00o0 etraLlp Job Number:2111380SJ.0WD' (3111 J80.CR0) Snot 1989 BUX5F9 Seib.dre Me the a'- our of-(2LAuy3alL-101E 630 SIGNAL NHL DRIVE EXT.,STARSSUE,NC 26e15 nest-30' v k Feld Work 1?-2-20?1 PHONE po4)87S-9661 Sloe_ iJ' �fO` - Y1p.SL4'1JAA•a- LCpui4' Plat Date: 8-29-2022 www.boundarydeniopment.com Rer- JD' Nararr`Pam4 My commeala,rmw.e_1-1-10_UZIJB.zU.11----- Drown By: WSR FILED Sao 0084 2022 1010N am HICKS I ^ --1 BOOK 000a4 CATAWBA COUNTY NC /l-�j1 PAGE 0197 DONNA HICKS SPENCER 81..k .r. REGISTER OF DEEDS INST a 19526