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HomeMy WebLinkAboutEHPR-09-2023-45442.tif 614PIZ•0(1')t )3 IIf) ROY COOPER•Governor NC DEPARTMENT OF KODY H.KINSLEY•Secretary HEALTH AND HUMAN SERVICES MARK BENTON•Deputy Secretary for Health SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Application for Services This application,in conjunction with the common form established In G.S.130A-335(a3)and(a5),is optional for local health departments to be used for applications submited in accordance with G.S.130A-335(a2),(a3),and(a5). (hereinafter,G.S. 130A-335(a3)and(a5)permits referred to as(a2)Improvement Permit and(a2)Construction Authorization] Applying for: l (a2)Improvement Permit El (a2)Construction Authorization El (a2)Repair/Construction Authorization Please check one of the following: NINew Construction 0 Expansion 0 System Relocation D Change of Use 0 Repair 111 5 Year Expiration Requested(site plan provided) 0 Non-Expiring Permit Requested(plat provided,as defined in G.S.130A-334(7a) Property Owner Name: Daniel Renckens Property Owner Mailing Address: 131 Ashford Hollow Ln,Mooresville,NC 28117 Property Owner Phone Number: 704-654-7538 Property Owner Email Address: djrenckens@gmail.com Applicant Name: Wendell Overby//Soil&Forestry Services,PA Applicant Mailing Address: 813 Davidson Dr NW,Concord NC 28025 Applicant Phone Number: 980-439.5007 Applicant Email Address: usablesoil@gmail.com Does the property include,or is subject to,any of the following: nYes 0No Previously identified jurisdictional wetlands EYes 0 No Existing or proposed easements,rights-of-way,encroachments,or other areas subject to legal restrictions Yes 0 No Approval by other public agencies A site plan or plat is required,OR the site sketch submited from the LSS/AOWE,must include the following: (A)existing and proposed facilities,structures,appurtenances,and wastewater systems (B)proposed wastewater system showing setbacks to property line(s)or other fixed reference point(s) (C)existing and proposed vehicular traffic areas (D)existing and proposed water supplies,wells,springs,and water lines;and (E)surface water,drainage features,and all existing and proposed artificial drainage,as applicable. Requesting DHHS review: DYes lENo I understand that the documentation and fees,as required in G.S.130A-335(a2),(a3),(a5),and(a6),attached to this application are to be used to issue an Improvement Permit and/or Construction Authorization pursuant to G.S.130A-335(a2),(a3),and(a5).I understand that authorized county and state officials are granted right of entry to the property indicated on this application to conduct necessary inspections to determine compliance with applicable laws and rules,I understand that if the information in the application for an Improvements Permit and/or Construction Authorization Is falsified,changed,or the site is altered,then the Improvement Permit and Construction Authorization shall e invalid. Applicant Signature: l,(/,.,,i„ior Date: 9/7/2023 Owner's Signature: 0)0__ Date: 09/08/23 NC DEPARTMENT OF HEALTH AND HUMAN SERVICES.DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Building 3,Raleigh,NC 27609 MAILING ADDRESS:1632 Mail Service Center,Raleigh,NC 27699.1632 RECEIVED www.ncdhhs.gov•TEL:919-707-5854•FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER S E P 8 2023 Environmental Health Permit#: . �STAiF Y�4. doA, ROY COOPER•Governor NC DEPARTMENT OF KODY H.KINSLEY•Secretary IHEALTH AND HUMAN SERVICES MARK BENTON •Deputy Secretary for Health • ; SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Submittal Includes; I ^I (a2)Improvement Permit s (a2)Construction Authorization roe$ IMPROVEMENT PERMIT FOR G.S. 130A-335(a2) County: Catawba PIN/Lot Identifier: 460603411800 Issued To: Daniel Renckens Property Location: Blackwelder Rd Subdivision: N/A Lot#: 2 Block: Section: LSS Report Provided: Yes n Nol If yes,name and license number of LSS: Wendell Overby#1218 New ri Expansion` I System Relocations Change of UseE Proposed Structure: 5 bedroom house Number of bedrooms: 5 Number of Occupants: 10 Other: Design Wastewater Strength: sdomestic high strength 7industrial process Proposed Design Daily Flow: 600 GPD Proposed LTAR(Initial): 0.3 Proposed LTAR(Repair): 0.3 Proposed Wastewater System Type*: ACCEPTED PMANIFOLD (Initial) Pump Required: EYes ['No May be required Proposed Wastewater System Type*: VPPBPS LPP (Repair) Pump Required: EYes ENo May be required Please include system classification for proposed wastewater system types in accordance with 15A NCAC 18A.1961 Table V(a) Saprolite System(Initial): EYes ENo Saprolite System(Repair): 7Yes 7No Fill System(Initial): EYes E No If yes,specify:ENew Existing(when adding more than 6 inches of fill to system area provide a fill plan) Fill System(Repair): E Yes ]No If yes,specify:ENew Existing(when adding more than 6 inches of fill to system area provide a fill plan) Usable Soil Depth(Initial): 60 Usable Soil Depth(Repair): 60 Max.Trench Depth(Initial)t: 32 Max.Trench Depth(Repair)I: 34 /Measured on the downhill side of the trench Artificial Drainage Required: EYes ENo If yes,please specify details: Type of Water Supply: nPrivate well (Public well Shared well EMunicipal Supply Spring EOther: Drainfield location meets requirements of Rule.1945: Yes IT Non Drainfield location meets requirements of Rule.1950: Yes©X NoijI Permit valid for: QX Five years[site plan submitted pursuant to GS 130A-334(13a)] I I No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: See Design Licensed Soil Scientist Print Name: Wend /e ll Ove'0 Licensed Soil Scientist Signature: �rGfn.btu Date: 9/8/2023 The LSS evaluation Is being submitted pursuant to and -eta the requirements of G.S.130A-335(a2). *See attached site sketch* NC DEPARTMENT OF HEALTH AND HUMAN SERVICES•DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Building 3,Raleigh,NC 27609 MAILING ADDRESS:1632 Mail Service Center,Raleigh,NC 27699-1632 www.ncdhhs.gov•TEL:919-707-5854•FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER VIF usablesoil©gmail.corn 980-439-5007 SOIL & FORESTRY 813 Davidson Dr NW SERVICES Concord NC 28025 SoilAndForestryServices.com OF THE CAROLINAS, PA Project#23-1049 Septic System Design for a 5 Bedroom House ACCEPTED using PMANIFOLD distribution Site location: Blackwelder Rd, Lot#2 Contents Page Information for the Installer Design Specifications Layout Specifications - 3 System Flow 4 Site Plan 5 Pump Specifications • 6 Pressure Manifold Specifications 7 Calculations • 8 Soil Descriptions - 9 Copy of Draft Easement 10-17 Sep 2023 Design By: Overby Page 1 INFORMATION FOR THE INSTALLER Project#23-1049 ACCEPTED using PMANIFOLD distribution Site location: Blackwelder Rd, Lot#2 * CALL 811 BEFORE DIGGING * The permit should be read very carefully prior to bidding. The following are details that must be considered along with all other considerations. * Tanks shall be approved by DHHS, and certification supplied by the that must be considered along with all other considerations. * The installer shall be responsible to the owner for placement of the tanks and to insure that final grades are returned to the original natural grade, with exception of added structural features. * The supply trench shall be compacted to eliminate cavities left during initial fill placement. * Installation of the system shall be during dry conditions in order to protect the soil * All fittings shall be pressure rated fittings. * All joints shall be cleaned with PVC pipe cleaner and a heavy bodied glue applied to weld all joints. * Where required by the county health department, post installation inspections by the designer must be scheduled 5 week days in advance. Trenches shall be carefully excavated so the bottom is within 2" from the highest to the lowest points of elevation within the trench. If the bottom elevation needs adjusting after it has been * trenched, it will be done by removing high points rather than filling low points. It is extremely important to insure that trenches are not over excavated during initial trenching. All fine grading within the trench will be hand done with a shovel. No loose material will be left in the trench * All pipe openings in the tanks shall be properly grouted. This also applies to the joints around the riser. * All tanks shall be properly back filled and compacted to prevent slump at a later date. * Earth dams, constructed of relatively impervious material, shall be installed at the beginning and end of each lateral. * No heavy equipment shall be used on the field during or after installation. The use of a small loader(i.e. Bobcat) or a trencher(i.e. Ditch Witch 2300/2310) may be used. * Elevations at pinflag locations should be checked by the installer prior to beginning * Pump tank riser should be 6" above grade, control panel should be 12" above grade. * Septic tank riser shall be a minimum of 6" above finished grade. * System specified as ACCEPTED type using PMANIFOLD distribution * Repair specified as VPPBPS type using LPP distribution * System trench depth specified at 32" * System trenches installed on 9' minimum; 36"wide trenches * Installation does not require a soil cap * Design involves easement for drain field access Page 2 DESIGN SPECIFICATIONS Project#23-1049 ACCEPTED using PMANIFOLD distribution Site location: Blackwelder Rd, Lot#2 Business (if applicable): Contact: Daniel Renckens Phone: 704-654-7538 Email: djrenckens@gmail.com County: Catawba Location: Blackwelder Rd Source of Wastewater Flow: 5 bedroom home Estimated Daily Wastewater Production: 600 gpd System Flow: 25.18 gpm Drain field Size: 500 If Lateral Length Required: 504 If Loading Rate: 0.3 gpd/ft.2 Trench Depth: 32 in Trench Width: 36 in Soil Cap: 0 in Total Area Trench Bottom: 1500 sf Septic Tank Size: 1500 gal Pump Tank Size: 1500 gal Estimated Supply Line Length: 280 If Supply Line Diameter: 2 in. SCH 40 PVC Supply Line Volume: 49 gal Dosing Volume: 230 gal Pump Draw Down: 7.9 in Pressure Head: 2 ft Friction Head: 3.6 ft Elevation Head: 38.0 ft Total Dynamic Head: 44.0 ft Threaded Union: In Tank Gate Valves: 1 in Tank: 1 @ manifold Check Valves: In Tank Anti-Siphon Hole: n/a Recommended Pump: Zoeller 161 or County Approved Effluent Rated Pump Capable of Delivering 44 ft.of Head at 25 gpm Total Flow Page 3 LAYOUT SPECIFICATIONS Project#23-1049 ACCEPTED using PMANIFOLD distribution Site location: Blackwelder Rd, Lot#2 Daily Flow (gpd) 600 Sep 2023 LINE# FLAG BS HI FS ELEV FLAGGED DESIGN COLOR — — — LENGTH LENGTH TBM 0.0 100.0 INSTR. 1 100.0 REPAIR 1 Pink 1.7 98.3 38 38 2 Red 2.0 98.0 60 60 3 Orange 2.2 97.8 66 66 4 Yellow 2.4 97.6 84 84 5 Blue 3.4 96.6 112 85 SYSTEM 6 Pink 3.8 96.2 155 140 7 Red 4.9 95.1 140 140 8 Orange 5.9 94.1 122 112 9 Yellow 6.9 93.1 94 80 10 Blue 8.7 91.3 32 32 LINE LIAR SYSTEM REDUCTION TRENCH SOIL LENGTH GPD/FT2 TYPE TYPE DIST DEPTH CAP SYSTEM 504 0.300 ACCEPTED 25% PMANIFOLD 32 0 REPAIR 333 0.300 VPPBPS 50% LPP 34 0 Notes: **TBM is assumed to be 100' **AII measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Page 4 SYSTEM FLOW Project#23-1049 ACCEPTED using PMANIFOLD distribution Site location: Blackwelder Rd,Lot#2 Line Line Line# Color Elev Length Hole Size Flow/Tap gpd Trench Area Flow/Line Line LTAR 6 Pink 3.8 140 SCH 40 1/2 7.11 169 420 0.051 0.40 7 Red 4.9 140 SCH 40 1/2 7.11 169 420 0.051 0.40 8 Orange 5.9 112 SCH 80 1/2 5.48 131 336 0.049 0.39 9 Y& B 6.9 112 SCH 80 1/2 5.48 131 336 0.049 0.39 total feet= 504 gal/min= 25.2 Design Flow 600 gpd Pump Run to Dose 600 gpd= 23.83 Soil LTAR 0.300 Accepted LTAR 0.40 04",'ti ` !� 760 CONTOUR LINE PER p _�—ACTUAL FIELD SURVEY�---- 0V Is) L8 C C _2 \< FD O v L11.,(7 V C�9 41414 � WELL LOT i )Nr..":0•" (1.00 AC.) (,3 < v• so„ -' 1s �, co.g l•..r �REe w %I ` L16 !!\��o\ 1 Al ��o / c., 1 L23 o a FLOOD r' • (2 N COS ti3 LINEat R co v r o. 9y o• cV P fs REBAB LOT 2 (1.14 AC.) P 4/6/ 61 40 " aEB�` �_ 9 It • 70•ss, SU'•- 'k a ' WELL OR SLEEVE I I VA Ns •, • 1\9:25... 0p6 , a2 \ BURY SUPPLY 30" / IPs.. -� OR SLEEVE IN DUCTILE s '`O?.v�.... R/W ` 09. 0603418109 I s µ EAR 1 IULTS LLC 300 J �'9�, IPs' ``.' `� / 1 PERPETUAL ``` SEPTIC b O o EASEMENT `t (0.60 AC.) o m v 2 w co B IPs"���� Y I IPS o R N ^00 B `tl (, d� A\ c VD CD rn P '�/ �O. CONSTRUCTION ANI N . •1, � � ENCROACHMENT A .1 4a: crt y p (PER D8,3805 PG. Zs: o R P\Cfl... \ B - Y .f^ '. O Y •o R P B J R a��A� 'sr Y IPS 0 GRAPHIC SCALE 1.103 4 I P R 0 Y B R 1 " = 60' P 60 0 60 120 IPs 6 IPs gal I I o 1102 SHEET TITLE: PROJECT NAME: ';n 0 % w 15) Soil &Forestry Services ee c y of the Carolinas,PA u y O 1 O O 0 O p :,. SEPTIC SYSTEM LAYOUT BLACKWE DER RD �1'� 6 f1���T�l Concord�NC 28025dson Dr W oli 2 �: SKETCH MAP CATAWBA COUNTY c Y c o I. - SEPTEMBER 2023 l`1S'1`� usablesoili�gmail.com ,zr, C OF THE oARuuNAL w�► 980-439-5007 0 161 Z�3sw , Flow-Mate r Heavy duty construction with oversized bearings and a balanced bronze,non-cloggingvorteximpeller allow these pumps to stand up to the highest heads and maximum flows.They are well suited to applications with low pressure pipe(LPP)and enhanced flow STEP systems.Using Zoeller's cool run design,we added fins to these pumps,lowering operating temperatures. The corrosion- resistant,powder coated epoxy finish and hermetically sealed, oil-filled motor add up to a long-lasting,trouble-free product. ® c APPLICATIONS: • Onsite or septic applications r • Enhanced flow STEP systems • Commercial dewatering m • Sump/dewatering 2 SPECIFICATIONS: _ • 1-1/2"NPT discharge(available with 2"or 3"NPT bolt-on flange) • 1/2 HP through 1 HP • Available in automatic or nonautomatic • 3/4"(19 mm)spherical solids capacity with bronze vortex impeller • Hazardous location/explosion-proof version available (automatic and nonautomatic) • Double shaft seat versions available for added protection • Thermally protected motor For more information,see Technical Data Sheet FM2785. -. W w PUMP PERFORMANCE CURVE MODELS 161/4161 - 163/4163- 165/4165 '_ 90 24- 80 165/4165 70 LIc 20- /416360 ` ,` ate, z 16 50 \,,".■■■ •• 141,,12- 40 30 8- 20 161/4161 • 4- 10 -•• 0 ' 10 20 30 40 50 60 70 80 90 100 110 GALLONS LITERS 0 60 160 240 320 400 FLOW PER MINUTE Explosion-proof models available 009920A ©All rights reserved. ZOELLER PUMP CO. 1502-778-2731 1800-928-7867 I zoellerpumps.com 9 r z co co i a- z O a •�kil/%%tit%/44,•�/ cn cn cn cn -o Ln ik*"#�j`f`/'`�� co 0o 'Stitt a..0 �s�a 4-/ „ A.: i ;iv ® Af 6 ii ." .40! . lx „. k ' , 7 7JZ . ;., 71 I i N ./ ' ` vA jl®a(i'x f 4 > 101 F. 4P • let , 0.4 ••! ., Alo :;•:, ' AA . N , ," ... ;i3N, Tilt 0 11 Pg VS44, \14 ''''‘';N Page 8 CALCULATIONS Project#23-1049 ACCEPTED using PMANIFOLD distribution Site location: Blackwelder Rd, Lot#2 Designer Overby Project# 23-1049 Project MM YYYY Sep 2023 Project Location Blackwelder Rd Lot#(if applicable) 2 Subdivision (if applicable) N/A Z Parcel# 460603411800 Lot size(acres) 1.14 Contact(Owner) Daniel Renckens o Mailing Address (Owner) cc Business(if applicable) °. Phone(Owner) 704-654-7538 Email (Owner) djrenckens@gmail.com County Catawba Bedrooms 5 Water Source Private Well Daily Flow 600 System LTAR 0.3 System Type ACCEPTED System Distribution PMANIFOLD System Trench Center Distance(feet) 9 System Trench Width(inches) 36 System Trench Depth (inches) 32 Soil Cap (inches) 0 Usable Soil Depth (inches) 60 Aggregate Depth (inches) 12 Tank Size 1500 Supply Line Length (feet) 280 Supply Line Volume(gal) 49 Supply Line Diameter 2 in. SCH 40 PVC Required Feet of Line(system) 500 Repair LTAR 0.3 Repair Type VPPBPS Repair Distribution LPP Repair Trench Center Distance(feet) 6 rt Repair Trench Width (inches) 36 w Repair Trench Depth (inches) 34 Soil Cap(inches) 0 Usable Soil Depth (inches) 60 Tank Size 1500 Required Feet of Line(repair) 333 Amount of Line from Layout(feet) 504 Gallons per Minute 25.2 Required Septic Tank Capacity(gal) 1500 -J Minimum Standard Tank Size(gal) 1500 Q Lateral Line Volume(gal) 329 Dosing Volume(gal) 230 > Tank Draw Down(inches) 7.9 o Pump Run Time(min) 9.1 Elevation Head(feet) 38 o_ Pressure Head (feet) 2 In Friction Factor(fU100ft from the interpolater) 1.3 Friction Head (feet) 3.6 Friction Head +10%(feet) 4.0 Total Dynamic Head (feet) 44.0 Pump Recommendation Zoeller 161 Sheet 1 of #REFI PROPERTY ID#: 460603411800 COUNTY: Catawba SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (complete all fields in full) OWNER: Daniel Renckens APPLICATION DATE: ADDRESS: DATE EVALUATED: 4/5/2023 PROPOSED FACILITY: 5 bedroom house PROPERTY SIZE: 1.14 acres LOCATION OF SITE: Blackwelder Road lot 2 PROPERTY RECORDED: WATER SUPPLY: L) Private O Well 0 Spring Ll Other EVALUATION METHOD: 0 Auger Boring El Pit 0 Cut TYPE OF WASTEWATER: 0 Sewage 0 Industrial Process 0 Mixed P R 0 SOIL MORPHOLOGY OTHER F .1940 HORIZON (.1941) PROFILE FACTORS PROFILE LANDSCAPE I POSITION/ DEPTH CLASS L SLOPE% (IN.) .1941 .1941 .1942 .1943 .1956 1944 &LTAR E SOIL STRUCTURE/ CONSISTENCE/ SOIL SOIL SAPR RESTR # TEXTURE MINERALOGY WETNESS/C DEPTH CLASS HORIZ 0- 2 DBCLWFG FRSSSP 2- 18 BRCWMS FRSSSP 1 L/6% 18- 39 R CL WMS FR SS SP F SAP N/A 48 N/A N/A .3-/4 39- 48 BR L/SIL WMS FR SS SP C SAP 0- 3 Y8SLWFG FRSSSP 3- 6 YR SCL WMS FR SS SP 2 L/11% 6- 24 R C WMS FR SS SP N/A 24 N/A N/A .3-.4 24- 60 VAR L MASS SAP 0- 4 Y8LWFG FRSSSP 4- 6 RSCWFS FRSSSP 3 L/11% 6- 22 BR CL WMS FR SS SP N/A 34 N/A N/A .3-.4 22- 34 YR SCL WFS FR SS SP F SAP 34- 60 VAR SL MASS FR SS SP 0- 7 RBSCLWFG FRSSSP 7- 24 R C WMS FR SS SP F SAP 4 L/8% 24- 60 BR L WFS FR SS SP C SAP N/A 60 N/A N/A .3-.4 0- 3 RBSCLWFG FRSSSP 3- 24 RCWMS FRSSP 5 L/11% 24- 33 BR CL WMS FRSSSP N/A 60 N/A N/A .3-.4 33- 60 RB L/SL WMS FR SS SP SAP 0- 12 BSCLWFG FRSSSP 12- 30 RCWMS FRSSSP 6 L/11% 30- 60 RB L WMS FR SS SP C SAP N/A 60 N/A N/A .3-.4 0- 8 BCLWFG FRSSSP 8- 12 RCWFS FRSSSP 7 L/14% 12- 30 RB CL WMS FR SS SP C SAP N/A 30 N/A N/A 3-A 30- 60 VAR SL MASS SAP 0- DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): ITE - FICATION(.1948): PS Available Space(.1945) 500 333 otp 60R EVALUATED BY: OVERBY System Types(s) ACCEPTED VPPBPS L'-� 0et<0 .f. RESENT: SIteLTAR 0.3 0.3 }';.;A" � --_ Ail `���'���; - la COMMENTS: ,a^i 1 , ------ - .•. r«am 5.,. 3826-1177 FILED ELECTRONICALLY CATAWBA COUNTY NC DONNA HICKS SPENCER FILED Aug 18, 2023 AT 10:02:00 AM BOOK 03826 START PAGE 1177 END PAGE 1184 INSTRUMENT # 14609 EXCISE TAX $0.00 Prepared by:Wagner Hicks PLLC Return to:Knipp Law Office,PLLC 8221 Village Harbor Drive, Cornelius NC 28031 SEPTIC SYSTEM EASEMENT AGREEMENT This Septic System Easement Agreement(this"Agreement")is made 23//?(ZJ (the "Effective Date"), by and between Denver Vaults, LLC, a North Carolina limited liability company ("Denver Vaults" or "Grantor") and Daniel and Meghan Renckens ("Renckens" or "Grantee"), collectively Grantor and Grantee are sometimes together referred to in this Agreement as the"Parties,"and separately as a"Party." RECITALS WHEREAS, Grantor is the owner of that certain approximately 77.59 acre tract of property located in Catawba County,North Carolina,more particularly described on Exhibit A attached hereto and incorporated herein by reference(the"Denver Vaults"); WHEREAS, Grantee is the owner of that certain approximately 3.09 acre tract of property located in Catawba County,North Carolina,more particularly described on Exhibit B attached hereto and incorporated herein by reference(the"Renckens Property");and WHEREAS,Grantor intends to convey to Grantee rights and easements for the construction, use,and maintenance of a septic system across a 1.01 acre portion of the Denver Vaults Property, all as more particularly described herein. NOW, THEREFORE, in consideration of the agreements herein contained, Grantor and Grantee hereby agree as follows: 1. Construction of the Septic System.Subject to the terms hereof•;Grantee hereby agrees, at Grantee's sole cost and expense,to construct septic system(s)(collectively,the"Septic System") serving the Renckens Property with facilities on both the Renckens Property and in the area within the Denver Vaults Property more particularly described as"Proposed Perpetual Septic Easement" on Exhibit C attached hereto and incorporated herein by reference (the "Septic Area"). To the extent that portions of the Septic Area are not adequate for Grantee's septic requirements,Grantor shall make available additional areas adjacent to the Septic Area as necessary to accommodate Grantee's septic requirements of two(2)five-bedroom homes,as subject to Grantor's approval. Accordingly,Grantor hereby grants to Grantee,its agents,successors and assigns,the temporary, non-exclusive right and easement(the"Temporary Construction Easement")over and upon the Denver Vaults Property for the sole purpose of accommodating Grantee's construction of the Septic System located on the Denver Vaults Property,which may include the installation ofpipes and other facilities and conducting grading within the Septic Area. submitted electronically by "Knipp Law office, PLLC" in compliance with North Carolina statutes governing recordable documents and the terms of the submitter agreement with the Catawba County Register of Deeds. 3826-1178 Grantee shall obtain all necessary governmental permits and approvals for the construction of the Septic System,and shall perform(or cause to be performed)the construction of the Septic System in accordance with all applicable regulatory codes, rules, ordinances and guidelines, and in a good and workmanlike manner. The Temporary Construction Easement includes, but is not limited to,the right and privilege by Grantee,its contractors and agents,to ingress and egress onto the Denver Vaults Property with such vehicles,equipment,machinery,and construction supplies which are reasonably required in order to perform the construction of the Septic System in accordance herewith.Upon the completion of the Septic System,Grantee shall remove all vehicles, equipment, machinery, and construction supplies from the Denver Vaults Property and restore all areas of the Denver Vaults Property affected by the construction of the Septic System to a condition reasonably satisfactory to Grantor, at which time the Temporary Construction Easement shall automatically terminate and be of no further force and effort. 2 Maintenance Easement.Upon completion of the Septic System in accordance with the foregoing,and thereafter during the effectiveness of this Agreement,Grantee, its successor and assigns,shall have the obligation of maintaining,repairing,and otherwise keeping the Septic System in clean,good and safe condition and state of repair in accordance with all applicable laws and regulations at its sole cost and expense, and Grantor hereby grants Grantee an easement for access,ingress and egress for operation,maintenance,monitoring,and repairs to the Septic System over the Denver Vaults Property for such purpose. 3. Sewage Discharge Easement. Subject to, and upon completion of,the Septic System in accordance with Paragraph 1 of this Agreement, Grantee shall have, and Grantor hereby conveys, establishes,and grants to Grantee and its heirs,successors and assigns,the exclusive right, privilege, and easement for the discharge of sewage in accordance with applicable laws and regulations over,across and through that portion of the Septic System located on the Denver Vaults Property. 4. Authority. Grantor and Grantee each hereby represent and warrant they have the right, power,and authority to enter into this Agreement and to grant the easements in accordance with the terms and conditions hereof.This Agreement,when executed and delivered by the parties hereto,will be a valid and binding obligation of the parties in accordance with its terms. 5. Binding Effect;Benefits and Burdens Running With Land. This Agreement shall be binding upon and inure to the benefit of the parties hereto,their employees,agents,and licensees, heirs, successors and/or assigns. The benefits and burdens,rights and obligations,easements and restrictions created by this Agreement shall be appurtenant to and run with and burden and be binding upon the lands described herein, and shall inure the benefit of and be binding upon the parties hereto and those claiming by,through,or under them. This easement granted shall be valid in perpetuity,without restriction to the number of septic systems as described in Paragraph 1 or in the event the Denver Vaults Property and/or the Renckens Property are subdivided into smaller parcels.The covenants,agreements,terms,provisions and conditions of this Agreement shall bind and benefit the successors in interest of the parties hereto with the same effect as if mentioned in each instance when a party hereto is named or referred to,it being understood and agreed that upon any transfer of ownership or all or part of any of the tracts, each such successor in interest shall 3826-1179 thereupon and thereafter assume,and perform and observe, any and all of the obligations of its predecessors in interest under this Agreement. 6. Notices.All notices required or provided in this Agreement must be given by personal delivery, in writing by electronic mail as well as by overnight delivery by recognized overnight delivery services, or first-class U.S. mail,addressed as follows: To Grantor: Denver Vaults,LLC 2303 W. Morehead St., Ste. 200 Charlotte,NC 28202 To Grantee: Daniel and Meghan Renckens do Wagner Hicks PLLC 831 E Morehead St, Suite 860 Charlotte,NC 28202 With copy to: Sean Wagner Wagner Hicks PLLC 831 E Morehead Street, Suite 860 Charlotte,NC 28202 7. Title to Property. Grantor is the sole owner of good,marketable and insurable fee simple title to the Denver Vaults Property as described herein and shown on Exhibit A.Grantee is the sole owner of good,marketable and insurable fee simple title to the Renekens Property as described herein and shown on Exhibit B. & Severability. Should any provision hereof be declared invalid or unenforceable by legislative, administrative or judicial body,the other provisions hereof shall remain in full force and effect and shall be unaffected by same. 9. Amendment to Agreement.This Agreement may be amended only by a written agreement executed by each of the parties hereto and properly recorded in the Catawba County Register. 10. Remedies for Breach. The terms and conditions of this Agreement shall be enforceable by either of the parties hereto by actions for specific performance or injunction, in addition to any other remedies available at law. 11. No Waiver.No delay or omission by any party in exercising any right or power accruing upon any noncompliance or failure of performance by the other party under the provisions of this Agreement shall impair any such right or power or be construed to be a waiver thereof. 12. Counterparts. This Agreement may be executed in counterparts all of which taken together shall be deemed one original when executed by both parties. [SIGNATUTRES BEGIN ON FOLLOWING PAGE] 3826-1180 GRANTOR: Denver Vaults, LLC A North Carolina limited liability company BY: Name: PeVtai,Member/Manager GRANTEE: Nairfe: aniel Renckens Owner of Renckens Property cL,"11 ' Name: Me an Renckens Owner of Renckens Property STATE OF NORTH CAROLINA COUNTY OF el(fl b SWORN TO and SUBSCRIBED before me ;n Their 1 i sled m Gtkj UU peter C& Rtnckerls, &mei Mtiklaki gtnckths. This 1 7 day of A 'r-- ,2023. .7' Co Ill; �• 'i Notary Public UDC/Cr J - My Commission Expires: sill( Z g � yr' �Q28C.)w 3826-1181 Exhibit A Beginning at a#5 rebar on the right of way limit of Blackwelder Rd., said beginning point being located S 47-56-37 W 31.94' from a concrete monument on the right of way limit of Blackwelder Rd.(corner of Tract 1),thence from said beginning point following the right of way limit of Blackwelder Rd. the following 19 courses: S 07-30-13 E 77.72' to a#4 rebar;thence on a curve to the left, said curve having a radius of 50.00', a length of 156.51 ', and a chord bearing and distance of S 24-36-57 E 100.00' to a #4 rebar; thence S 61.-09-23 E 162.29'to a#4 rebar;thence on a curve to the left,said curve having a radius of 247.64', a length of 526.64' and a chord bearing and distance of N 58-55-33 E 432.86'to a#4 rebar; thence N 00-59-30 W 88.98'to a#4 rebar;thence on a curve to the right, said curve having a radius of 108.14',a length of 257,87',and a chord bearing and distance of N 67-19-25 E 200.97'to a#4 rebar;thence S 44-21-41 E 169.59'to a#4 rebar; thence on a curve to the left, said curve having a radius of 192.05', a length of288.63',and a chord bearing and distance of S 87-25-00 E 262.23'to a#4 rebar;thence on a curve to the left, said curve having a radius of 548.18', a length of 328.32', and a chord bearing and distance of N 32-22-13 E 323.43'to a#4 rebar;thence N 15-12-45 E 139.55'to a#4 rebar;thence on a curve to the right,said curve having a radius of 128,60', a length of 299.86', and a chord bearing and distance of N 82-00-39 E 236.40' to a #4 rebar; thence on a curve to the left, said curve having a radius of 288.30', a length of 333.08', and a chord bearing and distance ofS 61-52-27 E 314.86' to a#4 rebar, thence on a curve to the right, said:curve having a radius of 213.23', a length of 175.27', and a chord bearing and distance of S 69-00-36 E 170.38'to a#4 rebar; thence S 45-27-43 E 76.50'to a#4 rebar;thence on a curve to the left,said curve having a radius of 1586.46', a length of 191.38', and a chord bearing and distance of S 48-55-04 E 191.27' to a #4 rebar; thence on a curve to the left, said curve having a radius of 489.11 ', a length of 127.12',and a chord bearing and distance of S 59-49-11 E 126.77'to a#4 rebar; thence on a curve to the left, said curve having a radius of 381.15', a length of 143.39', and a chord bearing and distance of S 78-02-35 E 142.55' to a#4 rebar;thence S 88-49- 15 E 347.91'to a#4 rebar;thence on a curve to the right,said curve having a radius of 130.87', a length of 31.11',and a chord bearing and distance of S 82-00-39 E 31.04'to a#4 rebar on the right of way limit of Slanting Bridge Rd.,thence with the right of way of Slanting Bridge Rd. the following 3 courses: S 40-10-23 W 349.43' to a #4 rebar; thence on a curve to the right, said curve having a radius of 1111.39',a length of 456.35'and a chord bearing and distance of S 51-56-10 W 453.15'to a#4 rebar;thence S 63-41-57 W 76.95' to a#4 rebar, thence leaving the right of way limit of Slanting Bridge Rd. and with the lines of Russell W.Craig, Sr.the following 4 courses:N 25-28-48 W 263.92'to a nail at a 1 W'iron pipe;thence S 64-18-18 W 149.82'to a#4 rebar;thence S 25-25-01 E 32.18' to a#4 rebar; thence S 25-25-01 E 19.22'to a 1 '/x" iron pipe,comer of Jacob A, Craig, thence with the lines of Jacob A. Craig the following 3 courses: S 65-05-59 W 199.67' to a 3/a" axle;thence S 25-28-20 E 208.36' to an axle;thence S 25-28-20 E 4.40' to a#4 rebar on the right of way of Slanting Bridge Rd.,thence with the right of way of Slanting Bridge Rd. S 64-58-41 W 536.15' to a computed point on the Catawba/Lincoln County line per road signs at the time of the survey, a common corner with Tract 3, thence leaving the right of way of Slanting Bridge Rd. and following the county line S 88-19- 48 W 3086.65' to a computed point on the project boundary of Lake Norman, also a 3826-1182 common corner with Tract 3, thence leaving the county line and following the project boundary of Lake Norman the following 62 courses: N 23-39-21 E 27.37'to a point,N 54-26-46 E 58.10' to a point,N 46-18-28 E 89.97' to a point,N 46-52-09 E 85.36' to a point,N 35-03-32 E 49.09' to a point,N 66-15-39 E 51.62' to a#4 rebar,N 54-53-15 E 33.55'to a point,N 58-42-20 E 79.57'to a point,N 62-39-18 E 26.66'to a point,N 64- 38-26 E 25.14'to a point,N 40-03-15 E 31.76'to a point,N 66-17-19 E 26.65'to a point, N 52-05-02 E 56.00'to a point,N 62-20-46 E 38.57'to a point,N 50-32-23 E 26.84'to a point,N 65-25-19 E 21.62'to a point,N 84-39-56 E 29.20'to a point,S 81-18-31 E 42.72' to a point,N 56-32-47 E 30.72'to a point,N 52-29-45 E 33.42'to a point,N 64-11-21 E 38.73' to a point,N 42-23-43 E 74.54'to a point,N 41-08-31 E 30.72'to a point,N 45- 20-12 E 18.40'to a point,N 05-36-10 W 13.02'to a point,N 21-04-33 W 21.90'to a#4 rebar, N 27-06-22 E 21.97' to a point, N 45-16-42 E 41.11' to a point, N 74-18-07 E 35.34' to a point, N 55'-44-50 E 40.23'to a flat iron, N 38-30-29 E 48.37'to a point,N 61-46- 27 E 32.28'to a point,N 73-10-04 E 27.39'to a point,N 88-29-10 E 36.05'to a point, N 77-43- 30 E 72.02' to a point, N 66-10-00 E 30.96' to a point, N 44-01-09 E 52.91' to a point,N 58-'18- 19 E 46.80'to a#4 rebar, S 63-00-11 E 78.42'to a point, S 57-07-35 E 63.98' to a point, S 47- 34-43 E 32.76' to a point, S 42-18-22 E 39.91' to a point,S 62-53-52 E 22.72'to a point,S 14-52-56 E 31.12'to a point,S 63-39-17 E 17.49' to a point,N 28-42-48 W 15.11'to a point,N 03-23-24 E 52.14'to a flat iron,N 16-07- 17 W 31.59'to a#4 rebar,N 34-56-02 W 142.20'to a#4 rebar,N 09-16-28 W 21.62' to a point,N 19-37-20 W 38.24'to a point,N 08-53-43 W 34.76'to a point,N 24-42-49 E 56.09' to a point,N 12-20-25 E-43.60'to a point, N 26-39 31 E 17.87'to a point,N 18- 29-58 E 26.70'to a point,N 23-45-38 E 21.90'to a point,N 73-41-31 E 13.97'to a point, N 35-58-50 E 8.44' to a point,N 02-02-46 E 30.18'to a point,N 31-56-12 E 33.64' to a point, N 19-33-55 W 5.08' to a #5 rebar, thence leaving the project boundary of Lake Norman and with the lines of Charlie HeIfenberger S 68-34-04 E 247.07'to a#4 rebar, thence S 68-34-04 E 80:09'to the point and place of beginning, containing 79.565 acres. 3826-1183 Exhibit B Beginning at a concrete monument on the right of way limit of Blackwelder Rd., said beginning point being located N 47-56 37 E 31.94' from a#5 rebar on the right of way limit of Blackwelder Rd. (corner of Tract 2), thence from said beginning point leaving the right of way limit of Blackwelder Rd. and with the line of William and Susan Kays N 31-35-47 E 245.45'to a#5 rebar in the project boundary of Lake Norman, thence with the project boundary of Lake Norman the following 49 courses: S 42-25-32 E 27,27'to a point, S 08-05-57 E 31.75'to a point, S 62-50-41 E 8.92'to a point, S 21-36-43 E 28.50' to a point, S 08-59-33 E 42.43'to a point,S 68-17-54 W 19.31'to a point, S 42-20-30 E 17.10'to a point, S 77-28-22 E 25.22'to a point,S 37-31-07 E 23.21'to a point,S 32-15- 05 W 19.39'to a point,N 87-21-01 E 19.46'to a point, S 51-47-46 E 7.76'to a#5 rebar, S 18-57-12 E 23.20'to a point, S 07-19-33 W 10.87' to a point, S 35-22-42 W 9.89' to a point, S 84-30-39 E 13.71' to a point, S 49-52-57 E 32.00' to a point, N 07-22-05 W 28.28'to a point, S 65-40-37 E 11.50'to a point,S 18-33-11 E 12.96'to a point, S 64-51- 02 E 32.26'to a point, S 20-24-33 E 11.52' to a point, S 87-50-23 E 24.67'to a point, S 54-32-51 E 24.04' to a point, S 07-13-43 E 12.38' to a point, N 61-34-37 E 7.53' to a point,S 68-57-45 E 20.71'to a point, S 46-59-04 E 23.76'to a point,S 55-58-29 E 27.24' to a point, S 68-28-34 E 25.20'to a#5 rebar,N 83-01-23E11.02'to a point,N 44-49-00 W 11.85'to a point, N 88-54-51 W 7.10' to a point, N 17-40-55 W 24.59' to a point,N 64-48-56 W 21.46'to a point,N 71-09-26 E 38.75'to a point,N 34-17-40 W 77.52' to a point,N 58-51-09 W 47.97' to a point, N 45-29-49 W 35.25' to a point,N 40-43-11 W 31.79'to a point,N 28-37-03 W 56.58'to a point,N 03-41-35 W 33.92'to a point,N 22- 3 8-50 W 25.06'to a point,N 06-32-11 E 23.54'to a point,N 21-02-29 E 37.51'to a point, N 40-49-28 E 22.17'to a point,N 52-31-21 E 45.14'to a point,N 30-59-25 E 17.04'to a point, N 77-33-31 E 13.98' to a#5 rebar, thence leaving the project boundary of Lake Norman S 28-41-00 E 242.21'to a#5 rebar in the right of way.limit of Blackwelder Rd., thence with the right of way limit of Blackwelder Rd.the following 9 courses: on a curve to the left, said curve having a radius of 168.14',a length of 36.72', and a chord bearing and distances of S 05-15-55 W 36.65' to a#4 rebar; thence S 00-59-30 E 88.98'to a#4 rebar; thence on a curve to the right, said curve having a radius of 190.12', a length of 94.03', and a chord bearing and distance of S 13-10-39 W 93.08'to a#5 rebar,thence on a curve to the right,said curve having a radius of 190.12',a length of 303.61',and a chord bearing and distance of S 73-05-42 W 272.36'to a#4 rebar;thence N 61-09-23 W 102.66' to a #5 rebar; thence N 61-09-23 W 59.63' to a #5 rebar; thence on a curve to the left, said curve having a radius of 50.00',a length of 62.80',and a chord bearing and distance of N 44-00-43 W 58.75'to a#5 rebar; thence N 07-30-13 W 81.57'; thence N 22-07-13 W 14.76'to the point and place of beginning,containing 3.154 acres. 3ti2b-1 'N3A D Q D ON ALLEN Since 1871"& ASSO CIATES , p. A. " Commercial • Residential • Mortgage Surveys + Multi—Family S Construction Staking * SubdMNsion Design * Topognaphlcal "O N. 127 Promenade Drive — Suite E * Mooresville * NC • 26117 ss 3 (704) 684-7029 (704) 654-8041 Fox 7 s, I, certify that this map wos drawn under my supervision from an actual m survey made under my supervision recorded in deed book 3452 e s 3 page 1300 - and/or m eu plat book 57 page 161 , that the ratio of precision is 1':10,000, that this map a '' was prepared in accordance with the General Statutes of North Carolina Chapter 89C. a 'a my hand and seal on the 7 day of .IULY '* A.D. 20 23 a a L ` 4 M DJ SEPTIC EASEMENT— CURVE TABLE UIILLIAM � ji%� F. n CURVE RADIUS LENGTH BEARING CHORD �d'`1 - 'Y s -§ C5 250.12' 72.65' S 89'23'5B' F 72.39' c C SEAL 1 ' A { L-3499 SEPTIC EASEMENT — LINE TABLE 4 %.. : rr C _ LINE BEARING LENGTH 4 ti-0 �.` L52 S 74'58'57"_Y+M 28.09' , %.��z/"�.,..-;,.\.... .1,.. to c L53 $ C6'O3'47" W 115.29' 11 S> �1= i`'•Lq r iiF`s��, E. L54 S 14106'13' E $2 Q7' % K, t L55 S 70 55'13" E 243.13._ 4 5 m L56 N 21'47 5" E 39.0D' i. w a, L57 N 22'13'3B" W 18 . 5' .);,_4_, 3 a. =END 11)' 0. N ANAI 'o.,-P.P.-POW Mg0) 0 EAP.-e is16 TflOH POUND A`n1,INNC m. r.P.s.•to MBAR SET R/til-RICHr-OF-WAY \ VlClN)TY MAP NO SCALE 3 ff �'" O to iD y `P"COMPUTE]PONT ``R ` . `1/4 PARCEL 460603411800 a ii 4J \ DENVER VAULTS LLC co OD IPS 3452/1300 a g tD 63 ���--1ICU Hs7b �Z`v� `'�\ BLACKWELDER ROAD 0. `< G�J REBAR`\ 60' PUBLIC R/W i Q g c s' CA 1 ° r1 4 J 3 LD 1P$ R f N .r.r ° '� A I m3 PARCEL 460603418109 * ° V Ps PROPSED DENVER VAULTS LLC s w :M PERPETUAL SEPTIC EASEMENT 3452/1300 A Cit 1 (1.01 AC.) \ 67/161 o 0 .t A o. C ,� o o coa V ` a 3 g ` E. " !P ....... \ 3 A'(-7) N...., �` rt W '.., o 3- �„&Ss` '�� IPS o .5— C', PARCEL 460603418109 '� .,` ,, DENVER VAULTS LLC '� 3452/1300 ' 57/161 IPS NOTES 1) THIS PRCPERT?MAY BE SU9.ECT To ANY EASEMENTS AND/OR 0' 25' 50' 100' 2) eA cao cOORDe4ATE METHOD. `J SEPTIC EASEMENT SURVEY 4) „O ter vc„C„ SCALE IN FEET OF 2000 FEET. PARCEL . 460603418109 A PORTION OF PARCEL 4 OF PB.57 PG.161 SCALE 1" 50' MOUNTAIN CREEK TWSP., CATAWBA COUNTY, NORTH CAROLINA nnap, StJ4CXN�EMD sOaTc a o Fll iFR raT 734zo,,G ACQUIRED BY: DANiEL RENCKENS & MEGHAN RENCKENS DC FTI.E N/A TAX MAP 140 460e0341e100 Catawba County Environmental Health 4:.. 55 97 �.• V 31 ", ! • '9 1 TES 6915• �a _�D" ! 97 396 * 192.0 •7286 1 30 Io.b w cP > N 1800 r--------- 5aso 1p w 1. a�o" 36.72 co rn co . 2q co. boor 14.76 .0T 8009 �o� 11f 1" , —4 0t'� r9j 74 106 ••.0 n 30 '' 779 79�(9 ' f�2 63 69. 1 7 2 53.15 • 156. + ca 70?� 303.61 ilp BLACKWEI. R 54 Parcel: 460603411800, 7342 BLACKWELDER 1 in=100ft RD DENVER, 28037 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2023 Catawba County NC 09/11/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460603411800 Owner: DENVER VAULTS LLC Parcel Address: 7342 BLACKWELDER RD Owner2: City: DENVER, 28037 Address: 2303 W MOREHEAD ST STE 200 LRK(REID): 17835 Address2: Deed Book/Page: 3452/1300 City: CHARLOTTE Subdivision: State/Zip: NC 28208-5185 Lots/Block: 2/ Last Valid Sale: School Information: Plat Book/Page: 57/161 School District: COUNTY Elementary School: SHERRILLS FORD Legal: LOT PARCEL 2 PLAT 57-161 Calculated Acreage: 3.090 Middle School: MILL CREEK Tax Map: 017 X 02028 High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: TaxNalue Information: Tax Rates Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $0 Zoning2: Land Value: $618,600 Zoning3: Assessed Total Value: $618,600 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-465-8436 Current Tax Bill Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710460600J If available, Building Permits for this parcel. Septic 2010 Census Block: 4998 links are not permits. 2010 Census Tract: 011504 Septic Final Permits prior to 08/2018, contact Cj Jiii)%) Agricultural District: Environmental Health. / Building Details hi)hict PiAthlt-tia WaterShed: WS-IV Critical Area � iw� � � 1Lit, Voter Precinct: P41/ Voting Map - Parcel Report Data Descriptions Ae �""' (�Gyi � j2Ol jz.b d,v,5j a�u List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity, ©2023, Catawba County Government, North Carolina. All rights reserved. SOIL It FORESTRY • SERVICES OF THE CAROLINAS, PA 9/8/2023 Catawba County Environmental Health Attn: Robbie Phelps 25 Government Drive Newton,NC 28658 Re: Improvement Permit Submittal for Blackwelder Rd (Lot#2) Mr. Phelps, Attached please find sealed soil notes as well as site plans and design related data for a 5 bedroom ACCEPTED system using PMANIFOLD distribution. "The LSS evaluation attached to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2) and (a3)." Owner/Applicant: Daniel Renckens Signature: OrD___ Date: 09/08/23 "The LSS Evaluation is being submitted pursuant to and meets requirements of GS 130A- 335(a2)."This Improvement Permit is issued pursuant to G.S. 130A-335(a2),(a3), and (a4) using the signed and sealed LSS evaluation attached here". "This AOWE submittal is pursuant to and meets the requirements of G.S. 130A-335(a2) and (aS)". Wendell Overby, LSS Signature: Zei,i C5. ogrowew Date: 9/8/2023 Seal: 1 G CATAWBA COUNTY �� ,4 I OOA SOUTHWEST BLVD NEWTON,NORTH CAROLINA 28658 RECEIPT U �J PHONE:828.465.8399 `� Monday, September 11, 2023 1 g 4 2 sM www.catawbacountync.gov PAYOR: J2 Investment Properties J2 Investment Properties PAYMENTS TRANSACTION NUMBER: TRC-72916303-11-09-2023 PAYMENT DATE: 09/11/2023 PAYMENT TYPE: Credit Card 310594989 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 09-23-427952 110-580200-663000 IPa2 Permit Fee $150.00 TOTAL PAYMENTS: $150.00 EHPR-09-2023-45442 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 7342 BLACKWELDER RD,DENVER NC 28037 Applicant SOIL&FORESTRY SERVICES,813 DAVIDSON DR NW,CONCORD NC 28025 C:9804395007 USEABLESOIL@GMAIL.COM Owner DANIEL RENCKENS, 131 ASHFORD HOLLOW LN,MOORESVILLE NC 28117 Paid By J2 INVESTMENT PROPERTIES,831 E MOREHEAD ST,CHARLOTTE NC 28202 **NO PEOPLESOFT ACCOUNT ASSIGNED** t e,ci In 09/11/2023 12:49 Page 1 of 1