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RBPR-11-2023-46014.tif
SBA THIS IS NOT A PERMIT Case# RBPR-1 1-2023-46014 ;" CATAWBA COUNTY HEALTH DEPARTMENT .) 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \8 Z 5A+ Residential Building Plan Review-Building New NEW WELL -ACa2 Permit Fee - IPa2 Permit Fee Applicant *KENNETH BEALER HOMES,INC.,PO BOX 3398,MOORESVILLE NC 28117 B:7046626400 C:7046220728 KERRY a KBHLAKENORMAN.COM Owner LEONARD SEALER FAMILY REVOCABLE TRUST,PO BOX 4357,MOORESVILLE NC 28117 NAME TO APPEAR ON PERMIT *Kenneth Bealer Homes, Inc. SITE ADDRESS: 4218 SIGMON COVE LN,TERRELL NC 28682 PIN# 461704508836 NAME of SUBDIVISION: THE VINEYARDS AT KISER Lot# 6 Section/Block PROPERTY SIZE: Square Feet Acres 0.59 DIRECTIONS: Kiser Island Rd,left Sigmon Cove Ln PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: a2 IP/AC new 4 bedroom home County issued Well Permit SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES",then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8 PROPOSED CONSTRUCTION it OF NEW BEDROOMS:: 4 Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO ehapplicaUun 11/09/2023 12:48 Page 1 of 3 = � CATAWBA COUNTY r fi -� Public Health Department Case# RBPR-11-2023-46014 Subdivision THE VINEYARDS AT KISER d . H Environmental Health Division PIN# 461704508836 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 84:2 s. NAME ON PERMIT: *KENNETH BEALER HOMES,INC. ( ),PO BOX 3398,MOORESVILLE NC 28117 *Kenneth Bealer Homes, Inc. Site Address: 4218 SIGMON COVE LN,TERRELL NC 28682 Property Size: Square Feet Acres 0.59 Directions: Kiser Island Rd,left Sigmon Cove Ln Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. The undersigned is the owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREAS FEENAME DATE FEE AMOUNT Well Permit&Inspection Fee 11/09/2023 $300.00 Authorization to Construct Fee(New/Expansion) 11/09/2023 $300.00 Fee Improvement Permit Fee 11/09/2023 $150.00 TOTAL FEES S750.00 FEES ARE NON—REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ilinpplican"0 11/09/2023 12:48 Page 2 of 3 Robert Phelps From: Robert Phelps Sent: Wednesday, July 19, 2023 10:31 PM To: Trevor Hackney Subject: 4218 Sigmon cove Trevor, This one has the same supply line issue as lot 3 in the previous email.Also what is the slope in the initial system area? If you are doing fill for cover on slopes between 15-30%a slope stabilization plan is required. The builder told us to hold this one but I just wanted to get this info out to you. Thanks Robbie Phelps, REHS Environmental Health Supervisor, OSWP Division 25 Government Drive, Newton, NC 28658 (828)320-3077 cell https://www.catawbacountvnc.gov/county-services/environmental-health/ catawba county Confidentiality Statement:The information contained in electronic transmissions is confidential and may be subject to protection under the law,including the Health Insurance Portability and Accountability Act(HIPAA).An electronic transmission is intended for the sole use of the individual or entity to whom it is addressed.If you are not the intended recipient,you are hereby notified that any use,distribution or copying of the message is strictly prohibited.If you received a message in error, please contact the sender immediately by replying to the e-mail and delete the material from any computer. 1 • County: 1Catawba IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11 P �/'' �� �0' PIN/Lot Identifier: 461704508836 Issued To: Kenneth Bealer Homes Property Location: 4218 Sigmon Cove Ln, Terrell, NC. 28682 Subdivision: The Vineyards At Kiser Island Lot#: 6 Block: Section: LSS Report Provided: Yes CX No❑ If yes,name and license number of LSS: Chris McGee#1324 New IX Repair❑ Expansion 0 System Relocation 0 Proposed Structure: Single family residence Proposed Wastewater System Type: Gravity 50% Reduction (Initial) Pressure Manifold 50% Reduction (Repair) Fill System:❑Yes I No If yes,specify:0 New 0 Existing (when adding more than 6 inches of fill to system area please provide a fill plan) Proposed Design Daily Flow: 480 GPD Proposed LTAR(lnitial):0.3GPD/ft2 Proposed LIAR(Repair): 0.3 GPD/ft2 Design Wastewater Strength:[X domestic 0 high strength 0 industrial process Number of bedrooms: 4 Number of Occupants: 8 Other: Pump Required: ❑Yes 121 No 0 May be required based upon final location and elevations of facilities Artificial Drainage Required: ❑Yes EX No If yes,please specify details: Type of Water Supply:CR Private well 0 Public well 0 Municipal Supply 0 Spring ❑Other: Drainfield location meets requirements of Rule.1945: Yes IX No❑ Drainfield location meets requirements of Rule.1950: Yes IX No❑ Permit valid for:EX Five years[site plan submitted pursuant to GS 130A-334(13a)] ❑ No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: The primary system will require a 2-Inch Soil Cap. The repair system will be a pressure manifold system. A Well Variance will be required for the well location Licensed Soil Scientist Print Name: Chris McGee Licensed Soil Scientist Signature: C'04- Date: 6/26/2023 The LSS evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* (4„3U County: Catawba This Section for Local Health Department Use Only Initial submittal received: by Date Initials Permit Number: G.S. 130A-335(a4)states the following: 'If a local health department fails to act on an application for an improvement permit submitted pursuant to subsection (a3)of the section within 10 business days of receipt of a complete application, the local health department shall issue the improvement permit.' In accordance with G.S. 130A-335(a3)the improvement permit application is: ❑ Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: ❑ Denied(See attached report.) Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: ❑ Complete State Authorized Agent:_ Date of Issuance: This Improvement Permit is issued pursuant to G.S.130A-335 (a2),(a3),and(a4)using the signed and sealed LSS/LG evaluation(s) attached here. The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan,plat,or the intended use changes,or if information submitted in the application was falsified, inaccurate or misleading. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to evaluations,submittals,or actions from a licensed soil scientist or licensed geologist pursuant to GS 130A-335(a2). Improvement Permit Expiration Date: *See attached site sketch* County: Catawba CONSTRUCTION AUTHORIZATION FOR G.S.130A-335(a2)/5L2022-11 PIN/Lot Identifier: 461704508836 Issued To: Kenneth Bealer Homes Property Location: 4218 Sigmon Cove Ln, Terrell, NC. 28682 AOWE/PE Plans/Evaluations Provided: Yes 1:4 No❑ If yes,name and license number of AOWE/PE: Chris McGee; #10015E Facility Type: Single Family Residence I,$New 0 Expansion ❑Repair System Relocation ❑ Basement? 0 Yes (X No Basement Fixtures? 0 Yes rg No Type of Wastewater System** Gravity 50% Reduction (Initial) Pressure Manifold 50% Reduction (Repair) Design Daily Flow: 480 GPD Wastewater Strength:(V domestic ❑high strength ❑industrial process Session Law 2014-120 Section 53, Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? 0 Yes 21 No Installation Requirements/Conditions Septic Tank Size: 1250 gallons Total Trench/Bed Length: 267 feet Trench/Bed Spacing: 9 feet on center Drainfield square footage: 801 Trench/Bed Width: 36 inches LIAR: 0.3 gpd/ft2 Soil Cover: 4 inches Slope Adjusted Maximum Trench/Bed Depth: 18 inches Aggregate Depth: inches above pipe inches below pipe inches total Pump Tank Size(if applicable): gallons Requires more than 1 pump? El Yes CX No Pump Requirements: ft.TDH vs. GPM Grease Trap Size(if applicable): NA gallons Distribution Method: (X Serial 0 D-Box or Parallel 0 Pressure Manifold(s) 0 LPP ❑Other: Artificial Drainage Required: Yes❑ No X If yes,please specify details: Legal Agreements(If the answer is"Yes"to any type of legal agreements,please attach a copy of the agreement.) Multi-party Agreement Required[.1937(h)]: Yes 0 No 24 Easement,Right-of-Way,or Encroachment Agreement Required[.1938(j)]: ❑Yes IX No Declaration of Restrictive Covenants: ❑Yes lNo **if applicable: I understand the system type specified is different from the type specified on the application. I accept the specifications of this permit. Owner/Legal Representative Print Name: Owner/Legal Representative Signature: Date: Pre-Construction Conference Required: Yes❑ No IN Conditions: The primary system will require a 2-Inch Soil Cap. The repair system will need a pump. A well variance will be required for the proposed well location. The construction and installation requirements of Rules.1950,.1952,.1954,.1955,.1956,,1957,.1958,and.1959 are incorporated by reference into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. AOWE/PE Print Name: Chris McGee AOWE/PE Signature: O's - Date: 6/26/2023 This AOWE/PE submittal is pursuant to and meets the requirements of G.S.130A-335(a2)and(a5). *See attached site sketch* County: This Section for Local Health Department Use Only Initial submittal received: by Date Initials Permit Number: G.S. 130A-335(a6)states the following: 'If a local health department fails to act on an application fora construction authorization submitted pursuant to subsection(as)of the section within 10 business days of receipt of a complete application, the local health department shall issue the construction authorization.' In accordance with G.S. 130A-335(a5)the construction authorization application is: ❑ Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the AOWE/PE and the Owner on Date State Authorized Agent: Date: ❑ Denied (See attached report.) Copies of this were sent to the AOWE/PE and the Owner on Date State Authorized Agent: Date: ❑ Complete State Authorized Agent: Date of Issuance: This Construction Authorization is issued pursuant to G.S. 130A-335(a2),(a5),and (a6) using the signed and sealed plans or evaluations attached here.This Construction Authorization is subject to revocation if the site plan,plat,or the intended use changes,or if information submitted in the application was falsified,inaccurate or misleading. The Construction Authorization shall not be affected by a change in ownership of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner. Final landscaping shall be constructed to divert water and establish vegetative cover. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to plans,evaluations,preconstruction conference findings,submittals,or actions from a person licensed pursuant to Chapter 89C of the General Statutes as a licensed engineer or a person certified pursuant to Article 5 of Chapter 90A of the General Statutes as an Authorized On-Site Wastewater Evaluator in GS 130A-335(a2), (as),and(a7).The Department,the Department's authorized agents,and the local health departments shall be responsible and bear liability for their actions and evaluations and other obligations under State law or rule,including the issuance of the operations permit pursuant to GS 130A-337. Construction Authorization Expiration Date: *See attached site sketch* �....1 AGRITEC-01 GKROHL '4C4:2, RO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) kii.......--- 3/14/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Connie Garkalns NAME: Hartsfield&Nash Agency,Inc. PHONE FAX 10405 Ligon Mill Rd.,Ste H (Arc,No,ExI):(919)556-3698 (ac,No):(919)556-8758 Wake Forest,NC 27587 E-MAIL Gay ADDRESS:Connie@hartsfield-nash.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of the Southeast 39926 INSURED INSURER B:ACCIDENT FUND INSURANCE COMPANY OF AMERICA 10166 Agri-Waste Technology Inc INSURER C:Evanston Insurance Company 501 N.Salem St Ste 203 INSURER D: Apex,NC 27502 -. INSURER E: ' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD VAID IMM/DDIYYYYI IMM/DDN YYY1 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR S 2253659 1/18/2023 1/18/2024 DAMAGETORENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X Flef LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (F: rcident) $ X ANY AUTO S 2253659 1/18/2023 1/18/2024 BODILY INJURY(Per person) $ — OWNED SCHEDULED AUTOS ONLY AUTOS pp BODILY INJURY(Per accident) $ AI S ONLY AU OS ON Y (Perr acoidentDAMAGE $ 1 $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE S 2253659 1/18/2023 1/18/2024 AGGREGATE $ 2,000,000 DED RETENTION$ $ B WORAND EMPLOY EMPLOYERS'LIABILITY Y!N N X STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE 100003072 1/18/2023 1/18/2024 1,000,000 OFFICER/MEM�E 2 EXCLUDED? N N/A E.L.EACH ACCIDENT $ 1,000,000 ( andatory n ) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Prof&Pollution MKLV3ENV103400 8/22/2022 8/22/2023 Each Claim 5,000,000 A Leased/Rented S 2253659 1/18/2023 1/18/2024 Equipment 25,000 DESCRIPTION OF OPERATIONS/LOCATIONS I 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, ***This is ONLY For Informational Purposes ACCORDANCE WITH THE POLICY ROVISIONSCE WILL BE DELIVERED IN Contact Agency for Specific Holder info to be added **** AUTHORIZED REPRESENTATIVE Aihek c,U ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AIAFT' Engineers and Soil Scientists Agri-Waste Technology, Inc. 501 N Salem Street, Suite 203,Apex, NC 27502 agriwaste.com I 919.859.0669 ; Fp SOIL so/ $z :A 's ,gyp ���_ �� ,t IIIbRR{ Soil Suitability for Domestic Sewage Treatment and Disposal Systems 4218 Sigmon Cove Lane, Terrell, NC. 28682 Catawba County PIN: 461704508836 PREPARED FOR: Kenneth Bealer Homes, Client PREPARED BY: Chris McGee, Licensed Soil Scientist Trevor Hackney, Environmental Scientist DATE: June 26, 2023 Soil suitability for domestic sewage treatment and disposal systems was evaluated on May 11. 2023, for the property located at 4218 Sigmon Cove Lane, Terrell,NC. Chris McGee and Trevor Hackney of Agri-Waste Technology, Inc. (AWT) conducted the soil evaluation. This evaluation was done to facilitate permitting for a 4-bedroom home. This report and attached documents were prepared to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2) and(a3). The LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A- 335(a2). 1 A drawing of the site plan, septic layout, and boring locations is included in Attachment 1. Profile descriptions for each boring are included in Attachment 2. Additional documentation about the property is included in Attachment 3. The total property area is approximately 0.761 acres. The property is mostly wooded. The proposed system is a gravity 50%reduction primary and pressure manifold 50% reduction repair system. The property is adjacent to Lake Norman, therefore is subject to a 50' setback from the 760' contour. The well location will require a variance and special well drilling considerations. Soil Suitability for Domestic Sewage Treatment and Disposal Systems The drawing in Attachment 1 details the property boundaries (as surveyed R. S. Hollifield Land Surveying), soil boring locations, and layout of drain field trenches (Completed by AWT). Eight soil borings were assessed on the property. Soil borings were examined to determine soil suitability for on-site sewage disposal systems in accordance with 15A 18A .1900 Rules for Sewage Treatment and Disposal Systems. These borings were advanced with a hand auger. Soil borings 1, 2, 4, and 5 are being utilized for the primary system area while soil borings 6-8 are being utilized for the repair drain field area. A septic layout was performed to demonstrate available space (.1945). The layout in Attachment 1 indicates there is available space for a four-bedroom primary and repair system. The proposed LTAR(Long Term Acceptance Rate) by AWT is 0.3 GPD/ft2 for the primary and repair septic system. The soils on this property are group IV soils within the distribution and treatment zone as used to define the LTAR. Since usable slope corrected soil depths meet or exceed 30"AWT is recommending the use of horizontal panel block style trench to utilize the 50% reduction for the primary system. The maximum trench bottom should not exceed 18". A two-inch soil cap will be required over the primary system with this proposed trench bottom. With an LTAR of 0.3 GPD/ft2, 267 linear feet of panel block trench is necessary to support a four-bedroom home. The attached drawing proves that 269 linear feet of trench can be installed for the primary system. The usable slope corrected soil depths for the repair area meet or exceed 48". There is fill soil within the repair field area. The fill should be sifted prior to backfilling with the material if the repair is ever installed. The maximum trench bottom for the repair area is 36". The attached drawing proves that 274 linear feet of trench can be installed for the repair system. Any disturbances or grading done in the usable area will change the potential of using the area designated for a drain field. Prior to moving forward with building on the property, Catawba County Environmental Health Department should be contacted to complete the necessary review of this documentation to issue an IP (Improvement Permit) for the property and the CA(Construction Authorization). 2 Conclusions An IP (Improvement Permit) and CA(Construction Authorization) for this property can be issued with the site plan that is in Attachment 1. A CA permit will be required in order to secure a building permit for the property. The county issues an Operation Permit after the system has been installed to meet the specifications of the Authorization to Construct. Additional septic layouts have been or will be performed as needed. It will be critical to not disturb any of the proposed septic area or there is a risk that the IP and CA will be revoked. The LSS/AOWE Evaluation and attached documents were prepared to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2) and(a3). The LSS/AOWE evaluation is being submitted pursuant to and meets the requirements of G.S. 130A-335(a2) We appreciate the opportunity to assist you in this matter. Please contact us with any questions, concerns, or comments. Sincerely, C.1)44 o&L-C/1/ t, Va.,c_Xinets Chris McGee Trevor Hackney Attachment 1: Site Plan/Drawing K p m� ray irdo > <i g c]., Y m U N V`t 2 a g 1 c 4 —14---41p1 e L r 45 1 i OQl OQ co = Q "- O (6 H~ _a) CFi CD O - C z >, C o -C .0 . 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Lot#: Permit#: Project Manager: Owner: Kenneth Bealer Homes Chris McGee, LSS Address: 1454 Brawley School Rd Type of System: Ill e cmcgee@agriwaste.com Mooresville, NC 28117 919-367-6316 Phone: 704-662-6400 Engineer: Email: tripp@kbhlakenorman.com PIN: 461704508836 EHS: Pump Tank Storage & Float Settings Project: KBH-Sigmon Cove Ln-4218 Location: 4218 Sigmon Cove Ln Terrell, NC 28682 County: Catawba Tank Manufacturer Shoaf Tank Model TS 1275 PT Interior Height (in.) 60.5 in. Avg. Storage 21.07 gal/in. Repair System Elevations, measured from bottom towards top (0 = Interior Bottom of Tank): Top of pump (including 4" block) 16.4 in. (Pump height= 12 13/32") Pump Off 18.5 in. Pump On 26.0 in. (set for dose volume) Alarm On 32.0 in. (6 in. above On Float) Emergency Storage Available Pump Tank 600 gal Days of Storage 1.25 days (determined from"interior top of tank"-"High Water Alarm") Drainfield Design Project KBH-Sigmon Cove Ln-4218 Location 4218 Sigmon Cove Ln Terrell,NC 28682 County Catawba Drainfield Sizing Primary LIAR 0.3 gpd/ft2 Daily Design Flow 480 gpd Type of Drainfield Media PPBPS,Horizontal Req.Drainfield Area 1,600 ft2 Required Drainline Trench Width,Eff. 3 ft After 50%Reduction 267 ft Required Drainline 533 ft Minimum Line Spacing 9 ft(O.C.) Repair LIAR 0.3 gpd/ft2 Daily Design Flow 480 gpd Type of Drainfield Media PPBPS,Horizontal Req.Drainfield Area 1,600 ft2 Required Drainline Trench Width,Eff. 3 ft After 50%Reduction 267 ft Required Drainline 533 ft Minimum Line Spacing 8 ft(O.C.) Drainfield Layout Elevation Line Length Used as Used as Line Use Flag Color (ft) (ft) Primary(ft) Repair(ft) 1. Layout Line Orange 805.2 24 7'.7 2 Layout Line White 804.1 51 47.7 3 Layout Line Purple 802.9 82 78.0 4 Layout Line Yellow 801.2 76 73.7 5 Layout Line Orange 800.0 56 52.0 6 Layout Line White 776.6 51 7A _ Layout Line Orange 774.7 36 _ 36 78 Layout Line Orange 774.6 37 36 8A Layout Line Purple 772.6 36 35 8B _ Layout Line Purple 772.6 36 35 9A Layout Line Yellow 770.7 37 35 9B Layout Line Yellow 770.8 35 35 10 Layout Line White 768.3 60 56 Total 617 267 273 Count 13 7 5 Note:Line length totals are shown to the nearest foot. PRESSURE MANIFOLD SYSTEM DESIGN (Repair) Site Information Project: KBH-Sigmon Cove Ln-4218 Location: 4218 Sigmon Cove Ln Terrell,NC 28682 County: Catawba Design Information Estimated Daily Flow 480 gal/day L.T.A.R.(from Catawba Co.) 0.3 gal/day/ft2 L.T.A.R.+5% 0.315 gal/day/ft2 Trench Width 3 ft. Line Length Required 533 ft. Length after 50%Reduction 267 ft L.T.A.R.Reduced 0.600 gal/day/ft2 L.T.A.R.Reduced+5% 0.630 gal/day/ft2 DRAINFIELD INFO.- Repair Proposed Type of System/Distribution: using PPBPS,Horizontal Flag Line I Flow Flow/Foot Line Line No. Color Length(ft.) (gpm) (gpm/ft) L.T.A.R. 1&2 Orange&White 69.4 1/2in SCH 40 7.11 0.102 0.611 3 Purple 78 , 1/2in SCH 40 7.11 0.091 0.544 4 Yellow 73.7 I 1/2in SCH 40 7.11 0.096 0.576 5 Orange 52 1/2in SCH 80 IL 5.48 0.105 0.629 Total 273 Total 26.811 Avg. 0.590 Note:Line lengths are calculated in 4'4"increments to reflect use of PPBPS product. Total Run Time 17.90 min. Drainfield Capacity 219.6 gal %of Drainfield Cap r 720%J (Max.95.5%to not exceed 3.6 gal/panel) Dose Volume 158.1 gal/dose Run TIme/Dose 5.9 minutes Time to deliver max.3.6 gal/panel Volume/depth 21.07 gal/in. (Per tank manufacturer's specifications) Estimated Drawdown 7.50 in. Manifold Box Number of Taps 4 with 0 Split(s) Manifold Length 3.5 ft. (approximate) PUMP DESIGN System(initial/repair): Repair Project: KBH-Sigrnon Cove Ln-4218 Location: 4218 Sigmon Cove Ln Terrell,NC 28682 County: Catawba Friction Losses Suction Head ft (submersible 0) Elev.Difference(highest point from pump) 30.82 ft Design Pressure At Outlet®ft Supply Line•1.5"Schedule40PVC Pipe Diameter,Nominal L_ i....,in. Pipe Diameter(ID) 1.59 in. Flow 26.81 gpm Pipe Length .. 16Z ft Velocity 4.33 ft/s Pipe Length for Fittings 16.2 ft Meets requirement that 2 ft/s<v<5 ft/s. Equivalent Length 178.2 ft Estimated Friction Loss In Supply Line 8.08 ft Pressure Filter Friction Loss r ft (from manufacturer) Friction Loss-Taps/Special Fittings ;ft TOTAL 44.63 ft. Flow for Anti-Siphon Hole Hole Diameter in, Hole Flowrate 2.77 gpm Pump Efficiency (assumed,typical) Motor Efficiency (assumed for electric pumps) Flow 29.58 gpm Required Horsepower 0,53 hp TDH 44.63 ft. Pump Selection Manufacturer: Zoeller Model: __N145 Horsepower: 0.75 _ I PUMP PERFORMANCE CURVE MODEL 140141401145/4145 75 tM- ]0 20- N SO e IS- TO Operating Point I ta- g a P <- to i- $09 NIP e 1 <us <w aunrs e r r :w FLOW{ER%MULE , Attachment 2: Soil Boring Description Sheets • COUNTY: Catawba Co._ SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) CLIENT: Kenneth Bealer Homes APPLICATION DATE ADDRESS: 4218 Sigmon Cove Lane,Terrell,NC.28682 DATE EVALUATED: 5/11/2023 PROPOSED FACILITY: Single Family Residence PROPOSED DESIGN FLOW(.1949): 480 GPD PROPERTY SIZE:0.761 ac. LOCATION OF SITE:4218 Sigmon Cove Lane,Terrell,NC.28682 PROPERTY RECORDED: 2006 WATER SUPPLY: ❑Private ❑Public )(Well ❑Spring ❑Other EVALUATION METHOD: X Auger Boring LI Pit ❑Cut TYPE OF WASTEWATER: X Sewage 1 1 Industrial Process LI Mixed P e SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS 1 .1940 E LANDSCAPE HORIZON POSITION/ DEPTH 1942 PROFILE # SLOPE% (11N.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPR RESTR <AR TEXTURE MINERALOGY COLOR DEPTH 0 HORIZ CLASS 0-35" C;SBK SS;SP;Ft - 48" - Provisionally 26% Suitable 35-48" CL;WSBK SS;SP;FR 38"Slope SB - Corrected 0.3 GPD/Ft2 I 0-10" SCL;GR SS;SP;FR 48" - - 22% Provisionally SB I0-44" C;SBK SS;SP;Fl 39"Slope Suitable 2 44-48" CL;WSBK SS;SP;FR Corrected 0.3 GPD/Ft2 Sapmlite 0-14" SCL;GR SS;SP;FR 26" - Provisionally 10% Suitable SB 14-26" C;SBK SS;SP;Fl _ 22"Slope 3 26+" CL;MA SS;SP;FR Corrected 0.3 GPD/Ft2 • Saprolite SB 120�0 0-6" SCL;GR SS;SP;FR 36" - Provisionally 4 6-36" Suitable I C;SBK SS;SP;Fl 31"Slope 36+" CL;MA SS;SP;FR Corrected 0.3 GPD/Ft2 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Available Space(.1945) Provisionally Provisionally Suitable Suitable EVALUATED BY: Chris McGee T&J Panel T&J Panel OTHER(S)PRESENT: Trevor Hackney System Type(s) Pressure Manifold Pressure Manifold Site LTAR 0.3 GPD/Ft2 0.3 GPD/Ft2 COMMENTS LEGEND Updated February 2014 • use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain) CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive) D(Drainage Way) CR(Crumb) DS(Debris Slump) 11 SL(Sandy Loam) 0.8-0.6 0.4-0.3 OR(Granular) FP(Flood Plain) L(Loam) SBK(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) III Si(Silt) 0.6-0.3 0.3-0.15 PL(Platy) L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic) N(Nose Slope) CL(Clay Loam) R(Ridge) SCL(Sandy Clay Loam) MOIST WET S(Shoulder Slope) SiL(Silt Loam) T(Terrace) VFR(VeryEnable) ) NS(Non-sticky) IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) SS(Slightly Sticky) SiC(Silty Clay) El(Finn) S(Sticky) C(Clay) VEI(Very Firm v.Very Sticky) VS(Very Sticky) 0(Organic) None None EFI(Extremely Firm) NP(Non-plastic) SP(Slightly Plastic) *Adjust LTAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic) NOTES VP(Veiy Plastic) HORIZON DEPTH In inches below natural soil surface DEPTH OF FILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable)or U(unsuitable) SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less-record Mansell color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate(LTAR):gal/day/ft2 Show,trofile locations and other site features(dimensions,reference or benchmark,and North). Jj . t — •� i _L__.---- __---___-.__. --_.._-.__.____..__. , t T i1._ ...,_. __...i 1 _ L._, 1 1 _.;______ - _i I I COMMENTS: Updated February 2014 • SOIL/SITE EVALUATION Sheet_3_of_3_ (Continuation Sheet-Complete all field in full) PROPERTY ID II: 461704508836_ DATE OF EVALUATION: 5/11/2023 COUNTY: Catawba . . . . P 0 SOIL MORPHOLOGY OTHER F (1941) PROFILE FACTORS I .1940 E LANDSCAP HORIZ .1942 E ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE # POSITION/ DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPRO RESTR CLASS SLOPE% (IN.) TEXTURE MINERALOGY COLOR DEPTH CLASS HORUZ <AR 0-23" SCL;GR SS;SP;FR 35" - Saprolite Provisionally Suitable S13 23-35" C;SBK SS;SP;F1 30" 5 12% 35+" CL;MA SS;SP;FR - Slope 0.3 Corrected GPD/Ft2 0-12" Fill Soil - - - - Provisionallyi 60» Suitable 12-50" C;SBK SS;SP;FI SR 24% 50" 0.3 6 50-60" CL;WSBK SS;SP;FR Slope GPD/Ft2 Corrected 0-16" Fill Soil - - 51" Saprolite Provisionally I Suitable S 13 16-40" C;SBK SS;SP;FI 48" % 40-51" CL;WSBK SS:SP; FR Slope 0.3 Corrected GPD/Ft2 5 1+" SCL;MA SS;SP;FR 0-14" Fill Soil - - 58" - - Provisionally SB Suitable 8 14-44" C;SBK SS;SP;FI 52" 5°° 44-58" CL;WSBK SS; SP;FR Slope 0'3 Corrected GPD/Ft2 58+" SCL;MA SS;SP;FR I COMMENTS: Updated February 2014 Attachment 3: Additional Documentation T ! f 111 J BEd II i. t a A 8 $ 5i.18 1• 1 i f �! 1t3 a Av at^!! 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CQ N N • D / AND Engineers and Soil Scientists Agri-Waste Technology, Inc. 501 N Salem Street, Suite 203,Apex, NC 27502 agriwaste.com I 919.859.0669 June 26, 2023 To:Applicant 4218 Sigmon Cove Ln Terrell, NC 28682 Catawba Co Parcel/PIN: 461704508836.00 Re:Site/Soil Investigation for Catawba Co �� /� Parcel/PIN: 461704508836.00 I, /i-�p JON'Cr (applicant name, print), acknowledge that "the LSS Evaluation attached to this application is to be used to produce design and construction features for permitting in accordance with SL 2022-11/S372." Applica . i re: Date: 67 6/9 Sincerley, Chris McGee, LSS Soil Scientist Agri-Waste Technology, Inc. • NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES • VARIANCE APPLICATION FOR 2C .0100 WELL CONSTRUCTION STANDARDS: PRIVATE DRINKING WATER WELLS UNDER 15A NCAC 02C .0300 WATER SUPPLY WELLS UNDER 15A NCAC 02C.0107 All water supply wells not considered"Private Drinking Water Wells"and including irrigation.industrial,and commercial wells. WELLS OTHER THAN WATER SUPPLY UNDER 15A NCAC 02C.0108 Including monitoring and recovery wells. Print clearly or type information. Illegible submittals will be returned as incomplete. DATE: , 20 PERMIT NO.: (to be completed by DWQ/DPH) A. WELL OWNER—For single family residences list the property owner(s). For all others, list name of the business, organization,or government agency and person delegated signature authority: BEEM,DIANA LYNN Mailing Address: 4218 SIGMON COVE LN City: TERRELL State: NC Zip Code:28682 County: CATAWBA Day Tele No.: 480 201 2550 Cell No.: EMAIL Address: deedeebeem@gmail.com Fax No.: B. PHYSICAL LOCATION OF WELL SITE (1) Parcel Identification Number(PIN)of well site: 461704508592 County: CATAWBA (2) Physical Address(if different than mailing address): City: State:NC Zip Code: C. WELL DRILLER INFORMATION(if known) Well Drilling Contractor's Name: MCCALL BROTHERS,INC. NC Well Drilling Contractor Certification No.: Company Name: MCCALL BROTHERS, INC. Contact Person: JOE MCALPINE City: CHARLOTTE State: NC Zip Code: 28266 County: MECKLENBURG Day Tele No.: 704 399 1506 Cell No.: EMAIL Address: joe@mccallbro.com Fax No.: 704 398 2605 Form GW-22V Page 1 Revised February 2013 D. REASON FOR VARIANCE REQUEST —Include type of well(s) to be constructed; rule for which the variance is being requested; description of how the alternate construction will not endanger human health and welfare and the environment; and reason why construction and/or operation in accordance with the standards is not technically feasible and/or provides equal or better protection of the groundwater. E. ATTACHMENTS—Provide the following information as attachments to this application; (I) A map showing general location of the property (including road names, NC State Route Number, distances, any key landmarks,etc.)sufficient for finding the well location. (2) Detailed site map with scale showing location of proposed well relevant to septic system(s), building foundations,property lines,water bodies,potential sources of contamination,other wells,etc. (3) Submit a copy of the local well permit application and site evaluation map(if applicable). (4) Any other information relevant to the variance request such as a well construction diagram showing proposed well liner or atypical construction materials/methods. F. OTHER MINIMUM CONSTRUCTION REQUIREMENTS For water supply wells, approval of a variance will require that additional construction requirements beyond those specified in 15A NCAC 02C .0107 be met. Minimum additional construction requirements for Coastal Plain and Piedmont and Mountain region wells are referenced on Attachments A and B on pages 4 and 5 of this application. Approval of a variance will not be considered in cases where the specified minimum additional construction requirements cannot be met. G. SIGNATURES Signature of Person Responsible for Well Construction(typically the well driller) Print or Type Full Name of Person Responsible for Well Construction (typically the well driller) Signature of County Environmental Health Specialist Print or Type Full Name of County Environmental Health Specialist Per 15A 1VCAC 02C.0118 the Secretary of the Division of Water Quality or the Division of Public Health may require submittal of information deemed necessary to make a decision on the variance, may impose conditions as part of the decision, and shall respond in writing to the request within 30 days of receipt of the variance request. A variance applicant who is dissatisfied with the decision of the Director may commence a contested case by filing a petition as described in G.S. ISOB-23 within 60 days after receipt of the decision. 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O N 1 7pU O 11 J N°a 0u1 6`1 Q LL O F W b U i County: Catawba IMPROVEMENT PERMIT FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: 461704508836 Issued To: Kenneth Bealer Homes Property Location: 4218 Sigmon Cove Ln, Terrell, NC. 28682 Subdivision: The Vineyards At Kiser Island Lot#: 6 Block: Section: LSS Report Provided: Yes lX No 0 If yes,name and license number of LSS: Chris McGee#1324 New[New[21 Repair 0 Expansion 0 System Relocation 0 Proposed Structure: Single family residence Proposed Wastewater System Type: Gravity 50% Reduction (Initial) Pressure Manifold 50% Reduction (Repair) Fill System:❑Yes 01 No If yes,specify: 0 New 0 Existing (when adding more than 6 inches of fill to system area please provide a fill plan) Proposed Design Daily Flow: 480 GPD Proposed LTAR(Initial):0.3GPD/ft2 Proposed LIAR(Repair): 0.3 GPD/ft2 Design Wastewater Strength:[X domestic 0 high strength 0 industrial process Number of bedrooms: 4 Number of Occupants: 8 Other: Pump Required: 0 Yes ®No 0 May be required based upon final location and elevations of facilities Artificial Drainage Required: 0 Yes IX No If yes,please specify details: Type of Water Supply:[a Private well 0 Public well 0 Municipal Supply 0 Spring 0 Other: Drainfield location meets requirements of Rule.1945: Yes IN No 0 Drainfield location meets requirements of Rule.1950: Yes No 0 Permit valid for:IX Five years[site plan submitted pursuant to GS 130A-334(13a)] 0 No expiration[plat submitted pursuant to GS 130A-334(7a)] Permit conditions: The primary system will require a 2-Inch Soil Cap. The repair system will be a pressure manifold system. A Well Variance will be required for the well location Licensed Soil Scientist Print Name: Chris McGee Licensed Soil Scientist Signature: 604` Date: 6/26/2023 The LSS evaluation is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* RECEIVED JUL 62023 Environmental Health county: Catawba This Section for Local Health Department Use Only Initial submittal received: by Date Initials Permit Number: G.S. 130A-335(a4)states the following: 'If a local health department fails to act on an application for an improvement permit submitted pursuant to subsection(a3)of the section within 10 business days of receipt of a complete application, the local health department shall issue the improvement permit.' In accordance with G.S. 130A-335(a3)the improvement permit application is: ❑ Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the LSS and the Owner on Date State Authorized Agent: Date: ❑ Denied(See attached report.) Copies of this were sent to the LSS and the Owner on Dote State Authorized Agent: Date: ❑ Complete State Authorized Agent: Date of Issuance: This Improvement Permit is issued pursuant to G.S. 130A-335(a2),(a3),and(a4)using the signed and sealed LSS/LG evaluation(s) attached here. The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan,plat,or the intended use changes,or if information submitted in the application was falsified, inaccurate or misleading. The improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to evaluations,submittals,or actions from a licensed soil scientist or licensed geologist pursuant to GS 130A-335(a2). Improvement Permit Expiration Date: *See attached site sketch* County: Catawba CONSTRUCTION AUTHORIZATION FOR G.S.130A-335(a2)/SL2022-11 PIN/Lot Identifier: 461704508836 Issued To: Kenneth Bealer Homes Property Location: 4218 Sigmon Cove Ln, Terrell, NC. 28682 AOWE/PE Plans/Evaluations Provided: Yes 54 No 0 If yes,name and license number of AOWE/PE: Chris McGee; #10015E Facility Type: Single Family Residence [X New 0 Expansion ❑ Repair System Relocation 0 Basement? 0 Yes IX No Basement Fixtures? 0 Yes IX No Type of Wastewater System** Gravity 50% Reduction (Initial) Pressure Manifold 50% Reduction (Repair) Design Daily Flow: 480 GPD Wastewater Strength:($)domestic ❑high strength 0 industrial process Session Law 2014-120 Section 53,Engineering Design Utilizing Low-flow Fixtures and Low-flow Technologies? 0 Yes IX No Installation Requirements/Conditions Septic Tank Size: 1250 gallons Total Trench/Bed Length: 267 feet Trench/Bed Spacing: 9 feet on center Drainfield square footage: 801 Trench/Bed Width: 36 inches LTAR: 0.3 gpd/ft2 Soil Cover: 4 inches Slope Adjusted Maximum Trench/Bed Depth: 18 inches Aggregate Depth: inches above pipe inches below pipe inches total Pump Tank Size(if applicable): gallons Requires more than 1 pump? 0 Yes 51 No Pump Requirements: ft.TDH vs. GPM Grease Trap Size(if applicable): NA gallons Distribution Method: IX Serial ❑ D-Box or Parallel 0 Pressure Manifold(s) 0 LPP 0 Other: Artificial Drainage Required: Yes 0 No C4 If yes,please specify details: Legal Agreements(lf the answer is"Yes"to any type of legal agreements,please attach a copy of the agreement.) Multi-party Agreement Required (.1937(h)): Yes❑ No lX Easement,Right-of-Way,or Encroachment Agreement Required(.19380)j: 0 Yes EX No Declaration of Restrictive Covenants: 0 Yes EXNo **if applicable: I understand the system type specified is different from the type specified on the application. I accept the specifications of this permit. Owner/Legal Representative Print Name: Owner/Legal Representative Signature: _ Date: Pre-Construction Conference Required: Yes 0 No(a Conditions: The primary system will require a 2-Inch Soil Cap. The repair system will need a pump. A well variance will be required for the proposed well location. The construction and installation requirements of Rules.1950,.1952,.1954,.1955,.1956,.1957,.1958,and.1959 are incorporated by reference into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. AOWE/PE Print Name: Chris McGee AOWE/PE Signature: O Date: 6/26/2023 This AOWE/PE submittal is pursuant to and meets the requirements of G.S.130A-335(a2)and(a5). *See attached site sketch* 1 County: This Section for Local Health Department Use Only Initial submittal received: by Date Initials Permit Number: G.S. 130A-335(a6)states the following: 'If a local health department fails to act on an application for a construction authorization submitted pursuant to subsection(a5)of the section within 10 business days of receipt of a complete application, the local health department shall issue the construction authorization.' In accordance with G.S. 130A-335(a5)the construction authorization application is: ❑ Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the AOWE/PE and the Owner on Date State Authorized Agent: Date: ❑ Denied(See attached report.) Copies of this were sent to the AOWE/PE and the Owner on _ Date State Authorized Agent: Date: ❑ Complete State Authorized Agent: Date of Issuance: This Construction Authorization is issued pursuant to G.S.130A-335(a2),(a5),and(a6) using the signed and sealed plans or evaluations attached here.This Construction Authorization is subject to revocation if the site plan,plat,or the intended use changes,or if information submitted in the application was falsified,inaccurate or misleading. The Construction Authorization shall not be affected by a change in ownership of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. The location and identification of all property lines,easements,water lines,and other appropriate utilities shall be the responsibility of the owner. Final landscaping shall be constructed to divert water and establish vegetative cover. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to plans,evaluations,preconstruction conference findings,submittals,or actions from a person licensed pursuant to Chapter 89C of the General Statutes as a licensed engineer or a person certified pursuant to Article 5 of Chapter 90A of the General Statutes as an Authorized On-Site Wastewater Evaluator in GS 130A-335(a2),(a5),and(a7).The Department,the Department's authorized agents,and the local health departments shall be responsible and bear liability for their actions and evaluations and other obligations under State law or rule,including the issuance of the operations permit pursuant to GS 130A-337. Construction Authorization Expiration Date: *See attached site sketch* _ _ J 1 �......, AGRITEC-01 GKROHL ACORO DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 3/14/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Connie Garkalns Hartsfield&Nash Agency,Inc. PAHOONNa,ext 919 556�3698 FAX (919 556-8758 10405 Ligon Mill Rd.,Ste H ( ) �A/c,No): ) Wake Forest,NC 27587 neDRiss:Connie@hartsfield-nash.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of the Southeast 39926 INSURED INSURER B:ACCIDENT FUND INSURANCE COMPANY OF AMERICA 10166 Agri-Waste Technology Inc INSURER c:Evanston Insurance Company 501 N.Salem St Ste 203 INSURER D: Apex,NC 27502 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE J 2,000,000 CLAIMS-MADE X OCCUR S 2253659 1/18/2023 1/18/2024 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one Demon) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accidentl $ X ANY AUTO _ S 2253659 1/18/2023 1/18/2024 BODILY INJURY(Per person) $ — OWNED SCHEDULED _ AUTOSI ONLY AUTOS W p BODILY INJURY(Per accident) $ AUS ONLY AUTOS ONtY (Per ardent)DAMAGE $ • $ A X 1 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS UAB CLAIMS-MADE S 2253659 1/18/2023 1/18/2024 AGGREGATE $ 2,000,000 DED I RETENTION$ $ B AND EMPLOYERS'LIABILITY YIN MPENSATION X $TATUTE PER RH- . 100003072 1/18/2023 1/18/2024 1,000,000 OFFICER/MEMBERY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) El.DISEASE-EA EMPLOYE $ 1,000,000 E yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Prof&Pollution MKLV3ENV103400 8/22/2022 8/22/2023 Each Claim 5,000,000 A Leased/Rented S 2253659 1/18/2023 1/18/2024 Equipment 25,000 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 ***This is ONLY For Informational Purposes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. Contact Agency for Specific Holder info to be added **** AUTHORIZED REPRESENTATIVE Knsi44 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD J AN A r Engineers and Soil Scientists Agri-Waste Technology, Inc. 501 N Salem Street, Suite 203,Apex, NC 27502 agriwaste.com I 919.859.0669 .;:, gyp SOIL sC� ti Qom, �i3 SriiL• '. 49 Zoo -4 ,.. • 1 . �•erg' 6." 1;4 1; (*.NORDIC" Soil Suitability for Domestic Sewage Treatment and Disposal Systems 4218 Sigmon Cove Lane,Terrell, NC.28682 Catawba County PIN: 461704508836 PREPARED FOR: Kenneth Bealer Homes, Client PREPARED BY: Chris McGee, Licensed Soil Scientist Trevor Hackney, Environmental Scientist DATE: June 26, 2023 Soil suitability for domestic sewage treatment and disposal systems was evaluated on May 11. 2023, for the property located at 4218 Sigmon Cove Lane, Terrell,NC. Chris McGee and Trevor Hackney of Agri-Waste Technology, Inc. (AWT)conducted the soil evaluation. This evaluation was done to facilitate permitting for a 4-bedroom home. This report and attached documents were prepared to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2) and(a3). The LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A- 335(a2). 1 A drawing of the site plan, septic layout, and boring locations is included in Attachment 1. Profile descriptions for each boring are included in Attachment 2. Additional documentation about the property is included in Attachment 3. The total property area is approximately 0.761 acres. The property is mostly wooded. The proposed system is a gravity 50%reduction primary and pressure manifold 50% reduction repair system. The property is adjacent to Lake Norman, therefore is subject to a 50' setback from the 760' contour. The well location will require a variance and special well drilling considerations. Soil Suitability for Domestic Sewage Treatment and Disposal Systems The drawing in Attachment 1 details the property boundaries (as surveyed R. S. Hollifield Land Surveying), soil boring locations,and layout of drain field trenches (Completed by AWT). Eight soil borings were assessed on the property. Soil borings were examined to determine soil suitability for on-site sewage disposal systems in accordance with 15A 18A .1900 Rules for Sewage Treatment and Disposal Systems. These borings were advanced with a hand auger. Soil borings 1, 2, 4, and 5 are being utilized for the primary system area while soil borings 6-8 are being utilized for the repair drain field area. A septic layout was performed to demonstrate available space (.1945). The layout in Attachment 1 indicates there is available space for a four-bedroom primary and repair system. The proposed LIAR(Long Term Acceptance Rate) by AWT is 0.3 GPD/ft2 for the primary and repair septic system. The soils on this property are group IV soils within the distribution and treatment zone as used to define the LTAR. Since usable slope corrected soil depths meet or exceed 30"AWT is recommending the use of horizontal panel block style trench to utilize the 50%reduction for the primary system. The maximum trench bottom should not exceed 18". A two-inch soil cap will be required over the primary system with this proposed trench bottom. With an LTAR of 0.3 GPD/ft2, 267 linear feet of panel block trench is necessary to support a four-bedroom home. The attached drawing proves that 269 linear feet of trench can be installed for the primary system. The usable slope corrected soil depths for the repair area meet or exceed 48". There is fill soil within the repair field area. The fill should be sifted prior to backfilling with the material if the repair is ever installed. The maximum trench bottom for the repair area is 36". The attached drawing proves that 274 linear feet of trench can be installed for the repair system. Any disturbances or grading done in the usable area will change the potential of using the area designated for a drain field. Prior to moving forward with building on the property, Catawba County Environmental Health Department should be contacted to complete the necessary review of this documentation to issue an IP (Improvement Permit)for the property and the CA (Construction Authorization). 2 Conclusions An IP (Improvement Permit) and CA (Construction Authorization) for this property can be issued with the site plan that is in Attachment 1. A CA permit will be required in order to secure a building permit for the property.The county issues an Operation Permit after the system has been installed to meet the specifications of the Authorization to Construct. Additional septic layouts have been or will be performed as needed. It will be critical to not disturb any of the proposed septic area or there is a risk that the IP and CA will be revoked. The LSS/AOWE Evaluation and attached documents were prepared to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2) and(a3). The LSS/AOWE evaluation is being submitted pursuant to and meets the requirements of G.S. 130A-335(a2) We appreciate the opportunity to assist you in this matter. Please contact us with any questions, concerns, or comments. Sincerely, C.Adi I giciAcact Chris McGee Trevor Hackney 3 Attachment 1: Site Plan/Drawing AWT KBH-SIGMON COVE LN-42184" 41'N'tVgreM% F m��gfv1in� Project Location 4218 Sigmon Cove Ln •F Terell,NC 28682 .Sign' ovelr Kama. I®M-Kenneth Beeler Cow lm d21! Catawba County4121.Semen Lew Ln PIN:461704508836 9 P* " 11.BMA.StReel PO Project Owner Kenneth Beeler Homes I "'°"""`"""""'" 1454 Brawley School Rd Mooresville,NC 28117 i 704-662-6400 i tripp@kbhlakenorman.com For Project Consultant Chris McGee,L.S.S VICINITY MAP Review (919)367-6313 Only Agri-Waste Technology,Inc. Sheet Index 501 N.Salem Street,Suite 203 Sheet 1 Cover Sheet Apex,NC 27502 Sheet 2 Property Layout (919)859-0669 Sheet 3 Component Layout "'"°"®^" (919)233-1970 Fax Sheet 4 Primary Drainfield Sheet 5 Repair Drainfield System Overview Single Family Residence Sheet 6 Detail Sheet Four(4)Bedroom,480 gpd Sheet 7 Detail Sheet Primary T&J Panel Block(Horizontal)Dispersal Sheet 8 Excavation Safety w/Gravity(Drop Box)Distribution Repair T&J Panel Block(Horizontal)Dispersal Sheet w/Pressure Manifold Distribution eastitt Imo etas » I 811 en lathe ne . __._ -ow Av r li\\ \N \ a 7o ea Feet ' � A', \ \ qn m* r»xJ .r.Waau..+n .1f? B „ \ reisy�a Cave r.rie9` � 9 91 O V ?9*IX‘' -'s'a, -ab 1, -4, -,,,,\ .-i, ,,,,, ,,z„ ,,, ...,.N '\\ _ fie. a!6.i?utY''r — — :.Y� .-1. uN+rfuaa \ . 1 ‘ \ \ C:411:111111110% / 44........"0.L.A.-, e, ---- ...', *::+ l$ "" ,`J�� b % For �/ i. 'r',, i`'�i Review , „, , . , \ \ � < -� �, 1, v, , - a �� - Only 1 r •r e p ,�I� rs . Iiiiiiii' .;'':'ifi. 711 e + ; 1 , —I si. ...................4 ......„.....' -'•:,-.*::11, 136 .4r 4:1, 1 \ eR no Mt=dl ikLTi 4'� 1 'a 1 `� 3J� ° PIER 'et,,.os. Let 6 \t ` 51 °' oC .84 a sa ZONE lallkL �� N \ :03' 5,03 ErYprnnc1 p�,.01 � Property Layout 67..,k1 \\\ mMM Im Foundation Drain Setbacks: s.uawn Mgtou Elevation contours are from GIS data and may to Upsiope ' ex WW3M tit 0. 3,311.3130 WAD tit 0 l not accurately reflect the actual ground surface 15'Sideslope "" Location for repair pump tank marked with a Q 1 or recent grading operallons. 25'Downalope si ltiks Mao ()PROPERTY LAYOUT WW-2 r . - - . , _ _ _ _ /NWT ` ` Kann.War Mamas iml«spm.Coro u..�ie Cleanout Y \ Cans ;Caury • II ■ $P10 L L � Place Drainline on Notuoil\0 . ----... 1 [Wooden Porch r ■ For ‘sj ��" SCH40 PVC Review %'••\ Supply Line* Control i'----' j ' Panel* may---� Only I INf 5'Foundation Setback g ,,E. IN Septic Tank Effluent • I Filter Pump Tank* • I • • i ear ass Components marked with*to be Installed with repair system • Component Layout NOTES-Contractor to adjust tank placements as necessary to maintain: • 1.25'downslope/15'sideslopell0'upslope setback from foundation drain av 2.Min.12"cover over Septic Tank(Not to exceed 36") 0' On MAD alt a.n * *a*aan 3.Min.18"cover over pipes g-, a . * � rMS am et 4.Min.2%grade on gravity pipe from house to Septic Tank �" I I--I I I Fee' mono It aowm es COMPONENTsLAYOUT ° 0 NAI XR Q" WW-3 . • AWT General Drainfleld Notes- Line Used 1. Clear all trees less than 8" in _ _ h aa..x ' "g"w diameter (measured of a - Bthl l Primary tgl 4-'I°+oawww's'' 7A Layout Line Orange 774.7 _ 36 36 height 3' from soil surface) ....N..,,., from the drainfleld. 713 Layout Line Orange 774.6 37 36 2. Vegetation that Will re-grow 8A Layout Une Purple 772.6 36 35 �µs t.re from o cut stump shall be B8 Layout Une Purple 772.6 36 35 „y,,,,9,,, stumped or pulled from the 9A Layout Une yellow 770.7 37 35 ground. Stumps shall not be pushed over. 9B Layout Une Yellow 770.2 35 35 - ••,e.b^ 3. Droinfield area shall be cleared 10 Layout Line White 768.3 60 56 of all leaves, pine draw, '"'"" debris, etc. The accumulated rm.*,, „ • material shall be removed from I �—� \ 39,101 the droinfield. 1 4. In clayey soils, sides of I i" \ i trenches shall be raked and \ { °'w„B01e 1 limed per manufacturer's -01— Wooden Porch Ill lit t I instructions- I \ I O !c 5. Supply lines shall be installed I f �'( With o minimum of 18e cover. �,` 6. The trenches shall be backrilled \� Ot .5'Porch-dEI4ack `, J appropriately so that na IOW _ N \ ,`n� precis are present. \ t�R�r,gQVj For 7. Apply lime over the droinfield ^; 0,."•.\ ( 0OY- 8_36 _ i Q r ",y�` Review area as needed. Seed fine OQ __ L \` fescue over the droinfield at \ •' 0 / 40 w•ee � Fr 6 �j� Only the rote recommended by the ' (` O', 0 seed monufocturer. Hand rake the seed into the soil surface. G�• OQ�O'>• _35'�• �\ Strata the seeded area of the 'r /• 0( .- G � rote of 1.5-2 boles per 1000 .4',,---* , �,(,Q sq. tl• ri V P.."' . gOX l.9 B-35' — ` 4 II O • / ‘,j-/ W u • •CO ��/ I Total=267' o'/ MR mle Primary Droinfield /. • Leade Ok WOW Ma / I aysa en" KW.1--ItII I Fee, [LEASED et CEASED Gt ii:::1 a WOO 400 O Primary Droinfield SOURCB,..N...., .rIn•. WW-4 J r AWT Denerol Drainfleld Notes* DRAINFELD INFO.-Repair pg11inin°'egOignRai 1. Cleor all trees less than 8" in Proposed Type of System/Dlstnbullan:I Pump fo Pressure Manifold I *° ' 114 m diameter (measured of o ualny pPBpS,Hori onmi "*Ca., '9''' height 3' from soil surface) `""°v'"'"`°" from the droinfield. Flag Line 1 Flow Flow/Foot line 2. Vegetation thot Will re—grout Line No. Color lenplh(R.) (gpm) ! (gpmnl) LT.A.R. v-n'"nea101 Han from o cut stump shod be �wa0"on ca.,m• re stumped or pulled from the 1&2 Orange White 69.4 Win SCH 40 7.11 0102 0611 F.,..,..,...,„ . ground. Stumps sholl not be 3 Purple 78 1IZ%SCH 40 7.11 0.091 0.544 MC IOW _ fowl pushed over. 4 Yellow 73.7 Van SCH 40 7.11 0.006 0.576 '^ i011 3. Drainfield areo shall be cleared --- ---- - -- -- of all leaves, pine straw, 5 Orange I 52 1rI91Sgi 80 5.81 1 0.105 0.629 ....,^a. .. 28.IN debris, etc. The accumuloted Total 273 Total Avg.l 0.590 ;,,,,""„'u',"„" material shall be removed from / I H 1II I r""1 .......--- the droinfield. \,; / --- a. In clayey sons, aides or I / ----'r� Total=273' _— trenches shall be raked and '�— limed per manufacturer's �7'r —'�• i instructions. /.• SUCO j/ *s........* 5. Supply lines shall be installed PVas tot -•—',—Y— / With a minimum of 18" cover. / /.. 8�1tO /! j/ W 6. The trenches shall be backfilled f ref % j `pappropriately so that no IoW J.-��J �' / c oreas ore present. I 7— LA,' , ! % // d:M For 7. Apply lime over the droinfield I j • N o area as needed. Seed floe �j/ / %/ i th Review co fescue over the droinfield of I • 1�/ / / (q the rote recommended by the I (1 �ePdO`f•1 �.r ,b j // / Only seed monufocturer. Hand rake _ S /' v% p,j ./ the seed Into the soil surface. I / 1/ StraW the seeded area at the I .. �.-' �,t.% / rate of 1.5-2 boles per 1000 • �.' / h�j — —— sq. ft. I �.-. /! 4y,/ — ,*o.w i' i� `tea•„ \1 ji/ :"IV Foindato11.515ti k Zk\ a sow m.a / \ \ >.• .__N PavemenL3140 7 \ \ •�- .P5Y0o �a�o�aa_Caak , �� i-—r e / .> /ctc°y / \ I/ I • Driveway1 � Primary Drainfield I •li .�P' 1 o I ,i 1 t§ WO temenu n e. omrm at N IWO OW yl �... \ mat St *WIG MAte O Primary Drainfield Acr.....,.,^... WW-5 J ^Wr MODEL TS 1275 PT MODEL TS 1250 STS """'"K: o NON TRAFFIC vxa^;j"'• ,,LI "" NON TRAFFIC `•"`8 1275 Gallon pump Tank 0,!. ............,,,_ „...,..._ _ 1250 Gallon Sepik Tank _-...�P...V-...t -< <. .�� ,r..._..•„w.. Noma,Bub,der ill I I 0 ,II l __ ____ xe. mnceeu.4_ie FILIIii ;: �_ Iseerwr.NC NI, INI J:... i , . 1 II, IN For Review O Septic Tank(or equivalent 1,250-gal tank) O Pump Tank(or equivalent 1,275-gal tank) Only yawn.sn.s a•w... Sofia en..e«..re..M Waal SdMr I.,F(..el.asp NOTES 11. Controctor to seed and/or mulch disturbed croon to coincide ass D.bs not t ".anan an °°� With existing landscape. Area shall not be left With uncovered Inner I. Installation to follow oil NC OHHS and Cotowbo County soil, .s....r ..+_all r.':•.,. applicable rules and regulations, u r'. 4"sue^�• 12. Mount Control Panel o minimum of 24.above grade.�..��... r .r�..r 2. ColoWbo County to perform construction inspections and final R�� 'e�'G:' r "r...w, system certification. 13.Power to panel to be installed by licensed electrician per " 7i.:' :s code. One 15-amp circuit and one 20-amp circuit with .Ls_ ,,.—.,. 4,'r6 ';,,, 3. Septic Tank to have approved effluent filter. Individual neutrals to be run from house to control panel. ^ a L''L s "'`"� 4. Contractor to abide by all safety regulations during system 14.All risers to have cast-In-place tank adopters and betaws.," installation, 4 .,•.s..,,s.w single-piece riser. Risers to extend 6"above soil surface �«-w,w.a.w w.r a.."-... and be designed to prevent surface Water follow. . .."'� 5. Contractor shall backfill around all access areas such that ....kx., aa..r'. .7wa'°wr"' storm Water is shed Sway from potential entry points. 15.Backfill around tank(s) shall be grovel or tank hole shall be at..1.•', .rz. 6. Invert elevations of oil components to be verified in field by over-excavated a minimum of 2' in all directions to allow for proper operation. mechanical tamping of bockfill. as Mo. `¢," contractor to Insure WIT MI r"..".."'.+a'�e:nxs"ti, 16.All penetrations to be sealed. =` � '" 7. All system piping to be SCH4O PVC (except where noted). Detail Sheet T '% ",= ."•"" 17.All pressure lines to maintain 1B" min. cover. % � .w«.�• 8. All gravity elbows to be long radius or long sweeping type 1. y _ elbows. ie.Contractor to adjust tonic placement to meet site constraints. mom rAN[0 of 9. Actual Installation and placement of treatment system to be s_a"a". srxrmxa RK.ID Olt overseen by Contractor. ems" 10.Tooke to be set on 6" minimum grovel base. Use #5 or #57 ()Riser Safety Nets stone for base. R _! SOURCE IN {WVI�WV7 U 1 i AWT A,M11+eMeeea.nmwa >''Cel•ro P. . vw ..n....-I?rYi�r\�ii`�O��p r`�r`�9\�r0%�i`�4��ri��r��ri��ri aII- ....n..Fa.a, CM.serf ra.i a .,c..e...."� H,.I y� �Y.h• yayy4 ('.�p��� �,�y��(0� � T i Rennes&aNr Hanes Sni el r.. -Y'IwY ..ar. '_'R,0/11:41•yt¢ •k.T::..•1 PRA STRA*Gma Ln-.Ita r Ans. /-o w. ""''°'\ w~ A' -a"4�r,�YPN. ..•a iF..:.:dEw ,d,'`�:'.a:� l „Crbel \ , ,� """ .: :.gin,;=^<.I milt ` '!• A .,Mv 'a7• II I ..«.a..... r=ir —ILrL- -n=n— r a"«,.«N..» tli b =1M1 M.w 1= r" - -- "",Mwsn.w. r w sob� MN ti.x eMe 11— •HOR.PANEL BLOCK CROSS SECTION kn. lame Tu rani Wane �\ I- i' Ill�rll ,' .. wrr..at la 61 "'nY .aMP a.aNe. "—� II IWI. ....o-ad-h ll -_ q S. 11�1=11t `0 ..• ".' _ast taMn �a Ye a-,_. \)`, I-Scren Me a==::i <,� °"f --- �► �—�— �-. For =i-u= _1T _1�n= — _ �= Review • wi w SYSTEM PROFILE VIEW(REPAIR) •PANEL BLOCK INSTALLATION Only .i buses MI Pew*slant .xe jowl .OS TREATED POST ST ` 1 MOUNT PANEL DIRECTLY / WIT- TDP()9T9IXt iD PATF1 µUMINOF PUTT �'��®q 1361:414=n � a OFF PROTRUDING �ee© .m Tnraucs a'"' Co.,nte SPPPo.1 aCCIOJI1G. II e e on„, - . ( SOS„-„ POC 1B'xi9'w4' Svoport (epMceell ]A.TR ATED.500JRE T i WTN A.*DEO<*TREWS � 111111 PER PDST k`t.e� . RISER GE ZA 4•min. E-� CORRUGATEDRISER IIIIIII e PIP an •--•- r FoOrtc tll _// ;btevel ' III I DRAVEI. re.w.nman...a nway. ti�.Z• - FobrtL ;bmin Ib �� � . r MPIIAIUM 1B W. REEL 811E ! ' tIM.I� celwni:.a --I/ra(MOM Detail Sheet 2 - •I-II:I�i�177V 4•.4•Tmotelf Poet\ Elbe* r i�0� 48'bud*(mkt) \ IULTIPL o BE fR•6TM MULTIPLE at... CONDUITS A8 •`.•' RESEE.. NESTED 2'BURIAL DEPTH 01.BA. CaA88 at .MF,Y MINIMUM s LsAastA aDaOM cit em1.. eu.w. RD NM ANE Mt Rey® IEIEASED ITS RIFA9➢as OPRESSURE MANIFOLD(Typical)-Illustration Only •YARD HYDRANT(if required) •CONTROL PANEL SUPPORT Drome Imo�p7 r�� MU. •N..r AET rrs. some AN'r wl. SW=AM W W-/ __ TUT.hlnp and EYUVatbn SNNy au..o•0w+.+w...n..rua..yvv.y....... 4}R.I."... r ".=.".wee,u''''""..ase.r r.]aesr..oi.nav ] ♦srNe...sro.enwa..rya..a.rrr rn. s a.saoa. a^na..=,..-rn--.rc.a.miwvrd- ,. sa w.c..wamws..wwonwrm.na.mrniNm ram m.a ona to r.r..u.m.w.,noro..i.a. 8...... •••iei•n��nr.. nun r..dwan.om.w arrnuaa.wwoww.w na,.w.ua e•.uew.ie..a�owa.wy. 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M"bw a\="116: 11080 MA 12 ,. .,i...i.n.rn..n..N..,.ea... .a.an.aan.,ar..l.�..,]w., ''':minter."' waw....rwn 18.n..a.,.wm e.w N,..n.m., ...a AC,.R0 SSW IRE 88•88.1888,1101,181a Ms II 8.118 ..e..,.aa.8r,aenoa.se.r en.aa r ar..Naaa Ra..w...we.w l,.,w.nw.a.a.n.rw.»w.a _ � Excavation Safely Am,_ A COMl ao atom at 101,1118 RE ft B wxteu LOWER POP*. n<w.Rc//�/�Jlj/^g`f,/L.JI— REMw MHO trari R6L YFD BDfAM at 041,10 p.Mu aw..rn w ^Yqw rli�afbvwv.vwn.wYNn Nawwuen...n..n..N^.ame..wwne..m.eaw.prmrw..4l.tl.sq. aananwen..wroxm..Na.10.4.144.....e.awmuam nl,a T,. WW-8 J Septic System Design - Summary Page Project: KBH-Sigmon Cove Ln-4218 Date: 7/5/2023 ,Zik Property: 4218 Sigmon Cove Ln Terrell, NC 28682 County: Catawba Engineers and Soil Scientists Subdiv.: Agri-Waste Technology,Inc. Lot#: Permit#: Project Manager: Owner: Kenneth Bealer Homes Chris McGee, LSS Address: 1454 Brawley School Rd Type of System: Ill e cmcgee@agriwaste.com Mooresville, NC 28117 919-367-6316 Phone: 704-662-6400 Engineer: Email: tripp@kbhlakenorman.com PIN: 461704508836 EHS: L J Pump Tank Storage & Float Settings Project: KBH-Sigmon Cove Ln-4218 Location: 4218 Sigmon Cove Ln Terrell, NC 28682 County: Catawba Tank Manufacturer Shoaf Tank Model TS 1275 PT Interior Height(in.) 60.5 in. Avg. Storage 21.07 gal/in. Repair System Elevations, measured from bottom towards top(0 = Interior Bottom of Tank): Top of pump (including 4" block) 16.4 in. (Pump height = 12 13/32") Pump Off 18.5 in. Pump On 26.0 in. (set for dose volume) Alarm On 32.0 in. (6 in. above On Float) Emergency Storage Available Pump Tank 600 gal Days of Storage 1.25 days (determined from"interior top of tank"-"High Water Alarm") 1 Drainfield Design Project KBH-Sigmon Cove Ln-4218 Location 4218 Sigmon Cove Ln Terrell,NC 28682 County Catawba Drainfield Sizing Primary LTAR 0.3 gpd/ft2 Daily Design Flow 480 gpd Type of Drainfield Media PPBPS,Horizontal Req.Drainfield Area 1,600 ft2 Required Drainline Trench Width,Eff. 3 ft After 50%Reduction 267 ft Required Drainline 533 ft Minimum Line Spacing 9 ft(0.C.) Repair LTAR 0.3 gpd/ft2 Daily Design Flow 480 gpd Type of Drainfield Media PPBPS,Horizontal Req.Drainfield Area 1,600 ft2 Required Drainline Trench Width,Eff. 3 ft After 50%Reduction 267 ft Required Drainline 533 ft Minimum Line Spacing 8 ft(O.C.) Drainfield Layout Elevation line Length Used as Used as Use Flag Color (ft) (ft) Primary(ft) Repair(ft) 1 Layout Line Orange 805.2 24 21.7 2 Layout Line White 804.1 51 47.7 3 Layout Line Purple 802.9 82 78.0 4 Layout Line Yellow 801.2 76 73.7 5 Layout Line Orange 800.0 56 52.0 6 Layout Line White 776.6 51 7A Layout Line Orange 774.7 36 36 7B Layout Line Orange 774.6 37 36 8A Layout Line Purple 772.6 36 35 8B Layout Line Purple 772.6 36 35 9A Layout Line Yellow 770.7 37 35 9B Layout Line Yellow 770.8 35 35 10 Layout Line White 768.3 60 56 Total 617 267 273 Count 13 7 5 Note:Line length totals are shown to the nearest foot. t J PRESSURE MANIFOLD SYSTEM DESIGN (Repair) Site Information Project: KBH-Sigmon Cove Ln-4218 Location: 4218 Sigmon Cove Ln Terrell,NC 28682 County: Catawba Design Information Estimated Daily Flow 480 gal/day L.T.A.R.(from Catawba Co.) 0.3 gal/day/ft2 L.T.A.R.+5% 0.315 gal/day/ft2 Trench Width 3 ft. Line Length Required 533 ft. Length after 50%Reduction 267 ft L.T.A.R.Reduced 0.600 gal/day/ft2 L.T.A.R.Reduced+5% 0.630 gal/day/ft2 DRAINFIELD INFO.- Repair Proposed Type of System/Distribution:Pump to Pressure Manifold using PPBPS,Horizontal Flag Line Flow Flow/Foot ' Line Line No. Color Length(ft.) (gpm) (gpm/ft) L.T.A.R. 1&2 Orange&White 69.4 1/2in SCH 40 7.11 0.102 0.611 3 Purple 78 1/2in SCH 40 7.11 0.091 0.544 4 Yellow 73.7 1/2in SCH 40 7.11 0.096 0.576 5 Orange 52 1/2in SCH 80 5.48 0.105 0.629, • Total 273 Total 26.81 Avg. 0.590 Note:Line lengths are calculated in 4'4"increments to reflect use of PPBPS product. Total Run Time 17.90 min. Drainfield Capacity 219.6 gal %of Drainfield Cap 72.0% (Max.95.5%to not exceed 3.6 gal/panel) Dose Volume 158.1 gal/dose Run Time/Dose 5.9 minutes Time to deliver max.3.6 gal/panel Volume/depth 21.07 gal/in. (Per tank manufacturer's specifications) Estimated Drawdown 7.50 in. Manifold Box Number of Taps 4 with 0 Split(s) Manifold Length 3.5 ft. (approximate) PUMP DESIGN System(initial/repair): Repair Project: KBH-Sigmon Cove Ln-4218 Location: 4218 Sigmon Cove Ln Terrell,NC 28682 County: Catawba Friction Losses Suction Head l Aft (submersible 0) Elev.Difference(highest point from pump) 30.82 ft Design Pressure At Outlet 2lft Supply Line-1.5"Schedule4OPVC Pipe Diameter,Nominal 1.5 in. Pipe Diameter(ID) 1.59 in. Flow 26.81 gpm Pipe Length 162 ft Velocity 4.33 ft/s Pipe Length for Fittings 16.2 ft Meets requirement that 2 ft/s<v<5 ft/s. Equivalent Length 178.2 ft Estimated Friction Loss in Supply Line 8.08 ft Pressure Filter Friction Loss ' rft (from manufacturer) Friction Loss-Taps/Special Fittings Oft TOTAL 44,63 ft Flow for Anti-Siphon Hole Hole Diameter •3`in in. Hole Flowrate 2.77 gpm Pump Efficiency 0,7(assumed,typical) Motor Efficiency ¢.9(assumed for electric pumps) Flow 29.58 gpm Required Horsepower 0.53 hp TDH 44.63 ft. Pump Selection Manufacturer: Zoeller Model: N145 Horsepower: 0.75 PUMP PERFORMANCE CJ JPVE MODEL 14014140/14514145 n - • Y a Y - Operating $ Point 2• Y b a M ▪- • 24 1- a •- 2- II Mr trr qua eY uAuars uric P p NO m !D FLOW PER MINUTE Attachment 2: Soil Boring Description Sheets J I COUNTY: Catawba Co._ SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) CLIENT: Kenneth Bealer Homes APPLICATION DATE ADDRESS: 4218 Sigmon Cove Lane,Terrell,NC.28682 DATE EVALUATED: 5/11/2023 PROPOSED FACILITY: Single Family Residence PROPOSED DESIGN FLOW(.1949): 480 GPD PROPERTY SIZE:0.761 ac. LOCATION OF SITE:4218 Sigmon Cove Lane,Terrell,NC.28682 PROPERTY RECORDED: 2006 WATER SUPPLY: 0 Private ❑Public X Well ❑Spring ❑Other EVALUATION METHOD: j Auger Boring ❑Pit 0 Cut TYPE OF WASTEWATER: X Sewage ❑Industrial Process ❑Mixed P R 0 SOIL MORPHOLOGY OTHER F (.194I) PROFILE FACTORS I .1940 L LANDSCAPE HORIZON E POSITION/ DEPTH 1942 PROFILE # SLOPE% UN .1941 .1941 SOIL .1943 .1956 .1944 CLASS STRUCTURE/ CONSISTENCE/ WETNESS/ SOIL SAPR RESTR <AR TEXTURE MINERALOGY COLOR DEPTH 0 HORIZ CLASS 0-35" C;SBK SS;SP;F] - 48" Provisionally 26% Suitable 35-48" CL;WSBK SS;SP;FR 38"Slope SB Corrected 0.3 GPD/Ft2 1 0-10" SCL;GR SS;SP;FR 4S" - 22% Provisionally SB 10-44" C;SBK SS;SP;FI 39"Slope Suitable 2 44-48" CL;WSBK SS;SP;FR Corrected 0.3 GPD/Ft2 • Saprolite 0-14" SCL;GR SS;SP;FR 26" - Provisionally 10% Suitable SI3 14-26" C;SBK SS;SP;FI 22"Slope 3 26+" CL;MA SS;SP:FR Corrected 0..3 GPD/Ft2 Saprolite 0-6" SCL;GR SS;SP;FR 36" Provisionally SB 12% 4 6-36„ Suitable C;SBK SS;SP;Fl 31"Slope 36+" CL;MA SS;SP;FR Corrected 0.3 GPD/Ft2 DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM I OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): Available Space(.1945) Provisionally Provisionally Suitable Suitable EVALUATED BY: Chris McGee T&J Panel T&J Panel OTHER(S)PRESENT: Trevor Hackney System Type(s) Pressure Manifold Pressure Manifold Site LTAR 0.3 GPD/Ft2 0.3 GPD/Ft2 COMMENTS LEGEND Updated February 2014 k— 1 use the following standard abbreviations SOIL CONVENTIONAL LPP MINERALOGY/ LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR* .1957 LTAR* CONSISTENCE STRUCTURE CC(Concave Slope) I S(Sand) 1.2-0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain) CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive) D(Drainage Way) CR(Crumb) DS(Debris Slump) ll SL(Sandy Loam) 0.8-0.6 0.4-0.3 GR(Granular) FP(Flood Plain) L(Loam) SBK(Subangular Blocky) FS(Foot Slope) ABK(Angular Blocky) H(Head Slope) III Si(Silt) 0.6-0.3 0.3-0.15 PL(Platy) L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic) N(Nose Slope) CL(Clay Loam) R(Ridge) SCL(Sandy Clay Loam) MOIST WET S(Shoulder Slope) SiL(Silt Loam) T(Terrace) VFR(Very Friable) NS(Non-sticky) IV SC(Sandy Clay) 0.4-0.1 0.2-0.05 FR(Friable) SS(Slightly Sticky) SIC(Silty Clay) Fl(Firm) S(Sticky) C(Clay) VFI(Very Finn v.Very Sticky) VS(Very Sticky) 0(Organic) None None EFI(Extremely Finn) NP(Non-plastic) SP(Slightly Plastic) *Adjust LTAR due to depth,consistence,structure,soil wetness,landscape,position,wastewater flow and quality. P(Plastic) NOTES VP(Very Plastic) HORIZON DEPTH In inches below natural soil surface DEPTH OF FILL In inches from land surface RESTRICTIVE HORIZON Thickness and depth from land surface SAPROLITE S(suitable)or U(unsuitable) SOIL WETNESS Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less-record Munsell color chip designation CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable) Evaluation of saprolite shall be by pits. Long-term Acceptance Rate(LIAR):gal/day/ft2 Show profile locations and other site features(dimensions,reference or benchmark,and North)..1._ ii i _ .. lii II- -■ BI �._..__.. i r— ■ r ► �__ - n■■ III III II _ _. ■■ _ ._..___ _, _ - . ________ __ ___ iii - I III ME I II 1 . I COMMENTS: Updated February 2014 t 1 11 SOIL/SITE EVALUATION Sheet_3_of_3_ (Continuation Sheet-Complete all field in fiell) PROPERTY ID#: 461704508836 DATE OF EVALUATION: 5/11/2023 COUNTY: Catawba P R SOIL MORPHOLOGY OTHER 0 F (.1941) PROFILE FACTORS I .1940 E LANDSCAP HORIZ .1942 E ON .1941 .1941 SOIL .1943 .1956 .1944 PROFILE # POSITION/ DEPTH STRUCTURE/ CONSISTENCE/ WETNESS/ SOH, SAPRO RESTR CLASS SLOPE% (IN) TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ <AR 0-23" SCL;GR SS;SP;FR 35" - Saprolite Provisionally Suitable SB 23-35" C;SBK SS;SP;FI 5 30" - Slope 0.3 35+" CL;MA SS;SP;FR GPD/Ft2 Corrected r 0-12" Fill Soil - - - Provisionally 60" Suitable 12-50" C;SBK SS;SP;FI Sl3 21% 50" 0.3 6 50-60" CL;WSBK SS;SP;FR Slope GPD/Ft2 Corrected 0-16" Fill Soil - - 51" - Saprolite Provisionally Suitable SB 16-40" C;SBK SS;SP;FI 48" 7 7% 0.3 40-51" CL;WSBK SS: SP;FR Slope GPD/Ft2 Corrected 51+" SCL;MA SS;SP;FR • 0-14" Fill Soil - - 58" - - Provisionally SB - Suitable - 8 14-44" C;SBK SS; SP;FI 52" 15% 44-58" CL;WSBK SS; SP;FR Slope 0 3 s Corrected GPD/Ft2 SCL;MA SS; SP;FR • COMMENTS: Updated February 2014 `._ v Attachment 3: Additional Documentation L r Final Plot, Sheet 1 of 2 ---- — - '-'—• PROPLRI'Y OP, OR 27)5-902 i<6,. _ �..1,. 9.324 Total Acs. RrvexoPm Rr•6oRtAxR•rAreanaR,rx 3; ^"^ P a eox s.as The Vineyards At Kiser «�M6s0R•170.0 WCOO A -,, _ ' SF:. .-_ Na.E:FOR O AWi.CCER terICAI,;PJ• 4 , M14 PM>>�. arr a� ar e ��rls�a EE £,x y1,E .. .;> e.. F;eA se.s3o,�46 a.F Th: FoAm ,e,,,t � x F air . • r� '..„„ a..19 M.6 44.4944419eb.,,e.,., fry, ' Ait 61ae k G 4.,A�.,e i 7t 4', , ,ec�x„ uNER TABU" ws. �''.l44st46-r „y0t c t `\ �i' s \\y ,\ }�. y ""''^.m.° :. :z. ,...w. w. 41 w m l \ \.•._ ''4 , C ke«!.:T 101-04 1.4 „s aw- _ , 1$ .00 .,M.,,.�..6..w„ • SS GS�r so r, `".".,... °.,v.e ''.7„",1..., , q� \ \, u 5 - ` 'tn'rl' a rya.." ..t'.:.:':::2 e sys•• ��ool• ss1 w.w..,.P 1.e:rr......At,i g \ .1 - 1 C.l Qw.l i la lr_ or,1 vo..Q. __ _« �� _... .�.. _.a~.._ r-e. sx•,bu•e se sa' •Mt::. ,w„o'.. .,..-.w...�..�..w •�s.4,•.� '�„` \ syN'.!`.'' I r I �I� : n C.14.- °t r w Ioo.. �.,«..,,,.w. +.,«„ro sA. Yir. .5 \, \ o'e r r I I 1 a< t,. \la ,_ccw. - OR 9x, \ ,e -l 1... ..+.. I , .'.. i .uh', m'.i;�.°b`..w.as,� ri ante,macaw ea ,N. --- . - `,ada - - r , ' ' --- ,':. , I II 'R^I I N Lot 1 `1a rtvtN,A�,OR`9°4'4 g. -I . G ry 1 R a.1 Lot 3 I 'I Lot Ac.2 ,p 1 1.439 Ac ,\ 5 6e �„__.,_ r} r rRr 1.169 Ac. '} !I Total 1 .1 Total 1 r."'p . r / , r r',.r Lot 4L078 Ac. 4 IS Total I �`- y�.. r r Lot 5 r r Total I1 if, 1' ' 8 II ,a 7 'M Lot 7 Lot6 1{'dr 0.974 Ac. rd b > I I -737 F 4'•`r `,' 0 761 Ac. r .r Total 1 4 , I I ,6 ' ds ,M&,'t r Oeo7 Total Ac r•'., Total r}��, Q. ?r r I 1 r I ,; YF - , ! I ISEPRG REPAIR AREA 11, II II 4 cos. -_1_ _ 1 I rI .".',•Y I '"' I EA`+EMEN,FOR Lo'7,u•aw,-wn:a'nv�-ero -Akaaiiiiiiu�.-c rse.rcov.- .•s n mse. .�1 1 _--i.=-._----;l- 4v s '� rs•POMMY awry AMP urmscMRr rescvrvr!owl a co.�t_ a - '.$74, S ' i 'yb1 r' a>�3Ac OSkS ON CO VB'LANE' COS ti ,.. seo;u.R a1; 6232A n... a194 Ac CO,S' ,... :-�~__ !`L fs! ss;r..rR ssa..w n7res^w vz.,R'a sre,..w �s T'swr.ew a.242 Ac c sA se..., SLAP., -NY KISL'R ISLAND ROAD SR.M. - RR P.&R 1? S Nolew d .,.r �...Won leasn' A„ renMc cne-,me r .mf p . 575 .... rzM6-117,7 - 4,4.` 6a .o . 01111/ .,. .94.1114. gA ,,...L — r 1 AVI/1" Engineers and Soil Scientists Agri-Waste Technology, Inc. 501 N Salem Street, Suite 203,Apex, NC 27502 agriwaste.com I 919.859.0669 June 26, 2023 To:Applicant 4218 Sigmon Cove Ln Terrell, NC 28682 Catawba Co Parcel/PIN: 461704508836.00 Re:Site/Soil Investigation for Catawba Co / Parcel/PIN: 461704508836.00 I, �r�/ 9:ler (applicant name, print), acknowledge that "the LSS Evaluation attached to this application is to be used to produce design and construction features for permitting in accordance with SL 2022-11/S372." Applica. . g e: Date: 676/1.3 Sincerley, Chris McGee, LSS Soil Scientist Agri-Waste Technology, Inc. L J 1 Catawba County Environmental Health NN\ -..\\ ns) ■ 2$ 5e (118) 0 r1gS) ,. ..... eNi cV r))) •4210 irirn O p r * Ce $ (246) ,, 0 Z y 28,7 IX 08) Y •4218 11.7 * J a > 6' 0 os 2 N .A ■ U, •4224 S2,56 9.55 N (76) S s e (269) 0 26 Parcel: 461704508836, 4218 SIGMON COVE LN 1 in=60ft TERRELL, 28682 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 07/07/2023 _ ___ 4 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461704508836 Owner: BEALER LEONARD K FAMILY Parcel Address: 4218 SIGMON COVE LN REVOCABLE TRUST City: TERRELL, 28682 Owner2: LRK(REID): 802990 Address: PO BOX 4357 Deed Book/Page: 3738/0149 Address2: Subdivision: THE VINEYARDS AT KISER City: MOORESVILLE Lots/Block: 6/ State/Zip: NC 28117-2357 Last Valid Sale: $350,000 on 2022-04-14 School Information: Plat Book/Page: 64/178 School District: COUNTY Legal: LOT 6 PLAT 64-178 Elementary School: SHERRILLS FORD Calculated Acreage: .590 Middle School: MILL CREEK Tax Map. High School: BANDYS Township: MOUNTAIN CREEK State Road #: School Map 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: $314,200 Zoning3: Assessed Total Value: $314,200 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: 2008-03-18 Building Permit Address Search for this parcel. Firm Panel #: 3710461700K If available, Building Permits for this parcel. Septic 2010 Census Block: 5016 links are not permits. 2010 Census Tract: 011504 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Critical Area Voter Precinct: P41/ Voting Map Parcel Report Data Descriptions 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. 1 Julia English From: Tripp Tower <tripp@kbhlakenorman.com> Sent: Wednesday, July 12, 2023 1:50 PM To: Julia English Cc: Kerry Redemer; Len Bealer;Trevor Hackney Subject: Re:4218 Sigmon Cove LN Attachments: image006.png Yes ma'am we have a small amount of rework that may be done on the layout. So, we may submit new paperwork. Please put this one on hold for now. Thank you, Tripp Tower III Vice President Licensed NC Building Contractor Estimator/Qualifier Kenneth Bealer Homes, INC PO Box 3398 Mooresville, NC 28117 704-662-6400 office 704-622-4659 cell 704-662-6401 fax Tripp@KBHLakeNorman.com http://www.kbhlakenorman.com Thank you for your business! As a small business, your testimonials help us grow. Please help us by letting us know your feedback from doing business with Kenneth Bealer Homes. If you have any photos you'd like to share from our project, please reply to this email. We greatly appreciate it! Yes! I will recommend [google.com] on Google 1 NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES VARIANCE APPLICATION FOR 2C .0100 WELL CONSTRUCTION STANDARDS: PRIVATE DRINKING WATER WELLS UNDER I5A NCAC 02C .0300 WATER SUPPLY WELLS UNDER 15A NCAC 02C.0107 All water supply wells not considered"Private Drinking Water Wells"and including irrigation,industrial,and commercial wells. WELLS OTHER THAN WATER SUPPLY UNDER 15A NCAC 02C.0108 Including monitoring and recovery wells. Print clearly or type information. Illegible submittals will be returned as incomplete. DATE: , 20 PERMIT NO.: (to be completed by DWQ/DPH) A. WELL OWNER—For single family residences list the property owner(s). For all others, list name of the business, organization,or government agency and person delegated signature authority: BEEM,DIANA LYNN Mailing Address: 4218 SIGMON COVE LN City: TERRELL State: NC Zip Code:28682 County: CATAWBA Day Tele No.: 480 201 2550 Cell No.: EMAIL Address: deedeebeem@gmail.com Fax No.: B. PHYSICAL LOCATION OF WELL SITE (1) Parcel Identification Number(PIN)of well site: 461704508592 County: CATAWBA (2) Physical Address(if different than mailing address): City: State:NC Zip Code: C. WELL DRILLER INFORMATION (if known) Well Drilling Contractor's Name: McCALL BROTHERS,INC. NC Well Drilling Contractor Certification No.: Company Name: McCALL BROTHERS,INC. Contact Person: TOE MCALPINE City: CHARLOTTE State: NC Zip Code: 28266 County: MECKLENBURG Day Tele No.: 704 399 1506 Cell No.: _ EMAIL Address: joe@mccallbro.com Fax No.: 704 398 2605 Fonn GW-22V Page 1 Revised February 2013 D. REASON FOR VARIANCE REQUEST—Include type of well(s) to be constructed; rule for which the variance is being requested; description of how the alternate construction will not endanger human health and welfare and the environment; and reason why construction and/or operation in accordance with the standards is not technically feasible and/or provides equal or better protection of the groundwater. E. ATTACHMENTS—Provide the following information as attachments to this application: (1) A map showing general location of the property (including road names, NC State Route Number, distances, any key landmarks,etc.)sufficient for finding the well location. (2) Detailed site map with scale showing location of proposed well relevant to septic system(s), building foundations,property lines,water bodies,potential sources of contamination,other wells,etc. (3) Submit a copy of the local well permit application and site evaluation map(if applicable). (4) Any other information relevant to the variance request such as a well construction diagram showing proposed well liner or atypical construction materials/methods. F. OTHER NIINIMUII•i CONSTRUCTION REQUIREMENTS For water supply wells, approval of a variance will require that additional construction requirements beyond those specified in 15A NCAC 02C .0107 be met. Minimum additional construction requirements for Coastal Plain and Piedmont and Mountain region wells are referenced on Attachments A and B on pages 4 and 5 of this application. Approval of a variance will not be considered in cases where the specified minimum additional construction requirements cannot be met. G. SIGNATURES Signature of Person Responsililc for Well Construction(typically the well driller) 1'rint or Type Full Name of Person Responsible for Well Construction (typically the well driller) Signature of County Environmental Health Specialist Print or Type Full Name of County Environmental Health Specialist Per 1 SA NCAC 02C.0118 the Secretary of the Division of Water Quality or the Division of Public Health may require submittal of information deemed necessary to make a decision on the variance, may impose conditions as part of the decision, and shall respond in writing to the request within 30 days of receipt of the variance request. A variance applicant who is dissatisfied with the decision of the Director may commence a contested case by filing a petition as described in G.S. 150B-23 within 60 days after receipt of the decision. Form GW-22V Page 2 Revised February 2013 L Catawba County Environmental Health o6-, \ r- r� ■ •s 28,50 r. e (?) .4210 1\:: , COS o * o Q4 ) 28.7 (78) .4218 1.7 cosZ J W 6 �." rn I ■ •4224 r-f 52.s69.55 f?gj * 1------- __ I $ --J 5 `4ir COS Tr f26s� 0.26 \ rn N 6f6.4 .4232 Parcel: 461704508836, 4218 SIGMON COVE LN 1 in=60ft TERRELL, 28682 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 11/09/2023 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 461704508836 Owner: BEALER LEONARD K FAMILY REVOCABLE Parcel Address: 4218 SIGMON COVE LN TRUST City: TERRELL, 28682 Owner2: LRK(REID): 802990 Address: PO BOX 4357 Deed Book/Page: 3738/0149 Address2: Subdivision: THE VINEYARDS AT KISER City: MOORESVILLE Lots/Block: 6/ State/Zip: NC 28117-2357 Last Valid Sale: $350,000 on 2022-04-14 School Information: Plat Book/Page: 64/178 School District: COUNTY Legal: LOT 6 PLAT 64-178 Elementary School: SHERRILLS FORD Calculated Acreage: .590 Middle School: MILL CREEK Tax Map: 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 Zoning1: R-30 Building(s) Value: $0 Zoning2: Land Value: $314,200 Zoning3: Assessed Total Value: $314,200 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Tax Revaluation 2023: Info, COMPER Split Zoning Districts: / Online Appeals Zoning Agency Phone Numbers Valid Sales (COMPER) for this parcel Contact Tax Dept. at 828-465-8436 Current Tax Bill Miscellaneous: Firm Panel Date: 2008-03-18 Building Permit Address Search for this parcel. Firm Panel #: 3710461700K If available, Building Permits for this parcel. Septic 2010 Census Block: 5016 links are not permits. 2010 Census Tract: 011504 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Critical Area Voter Precinct: P41/Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2023, Catawba County Government, North Carolina.All rights reserved. 4$A • CATAWBA COUNTY 100A SOUTHWEST BLVD ,� NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT e�� PHONE:828.465.8399 Thursday, November 9, 2023 I842 sna www.catawbacountync.gov Invoice Number: 11-23-430272 Invoice Date: 11/09/2023 RBPR-11-2023-46014 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 4218 SIGMON COVE LN,TERRELL NC 28682 Applicant *KENNETH BEALER HOMES,INC.,PO BOX 3398,MOORESVILLE NC 28117 B:7046626400C:7046220728 KERRY@KBHLAKENORMAN.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** Owner LEONARD BEALER FAMILY REVOCABLE TRUST,PO BOX 4357,MOORESVILLE NC 28117 PAYOR: *Kenneth Bealer Homes, Inc. *Kenneth Bealer Homes,Inc. FEES RBPR-11-2023-46014 FEE AMT DUE AMT Authorization to Construct Fee(New/Expan 110-580200-663000 11/09/2023 $300.00 $0.00 sion)Fee Improvement Permit Fee ,10 s +, i:,�110-580200-663000 11/09/20231,41061l �I Well Permit&Inspection Fee 110-580200-663000 11/09/2023 $300.00 $0.00 FEES: $750.00 $0.00 TOTAL FEES: $750.00 $0.00 PAYMENTS INVOICE NUMBER FEE NAME FEE AMOUNT TRANSACTION NUMBER: TRC-77384624-09-11-2023 PAYMENT DATE: 11/09/2023 PAYMENT TYPE: Credit Card 312997881 11-23-430272 Improvement Permit Fee $150.00 11-23-430272 Authorization to Construct Fee(N $300.00 ew/Expansion) Fee 11-23-430272 Well Permit& Inspection Fee $300.00 TOTAL PAYMENTS: $750.00 invoicereceipt 11/09/2023 11:43 Page 1 of I NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES VARIANCE APPLICATION FOR 2C .0100 WELL CONSTRUCTION STANDARDS: PRIVATE DRINKING WATER WELLS UNDER 15A NCAC 02C.0300 WATER SUPPLY WELLS UNDER 15A NCAC 02C.0107 All water supply wells not considered"Private Drinking Water Wells"and including irrigation,industrial,and commercial wells. WELLS OTHER THAN WATER SUPPLY UNDER 15A NCAC 02C.0108 Including monitoring and recovery wells. Print clearly or type information. Illegible submittals will be returned as incomplete. DATE: 11/30 , 20 23 PERMIT NO.: (to be completed by DWQ/DPH) A. WELL OWNER— For single family residences list the property owner(s). For all others, list name of the business, organization,or government agency and person delegated signature authority: BEEM,DIANA LYNN Mailing Address: 4218 SIGMON COVE LN City: TERRELL State: NC Zip Code:28682 County: CATAWBA Day Tele No.: 480 201 2550 Cell No.: EMAIL Address: deedeebeem@gmail.com Fax No.: B. PHYSICAL LOCATION OF WELL SITE (I) Parcel Identification Number(PIN)of well site: 461704508592 County: CATAWBA (2) Physical Address(if different than mailing address): City: State:NC Zip Code: C. WELL DRILLER INFORMATION (if known) Well Drilling Contractor's Name: MCCALL BROTHERS,INC. NC Well Drilling Contractor Certification No.: Company Name: MCCALL BROTHERS, INC. Contact Person: JOE MCALPINE City: CHARLOTTE State: NC Zip Code:28266 County: MECKLENBURG Day Tele No.: 704 399 1506 Cell No.: EMAIL Address: joe@mccallbro.com Fax No.: 704 398 2605 Fonn GW-22V Page 1 Revised February 2013 D. REASON FOR VARIANCE REQUEST — Include type of well(s) to be constructed; rule for which the variance is .• being requested; description of how the alternate construction will not endanger human health and welfare and the environment;and reason why construction and/or operation in accordance with the standards is not technically feasible and/or provides equal or better protection of the groundwater. Requesting a variance for 15A NCAC 02C .0107(a)(2)(P). Due to limited available space the new drilled well will need to be 10ft from a building perimeter to meet the 50ft septic setback. E. ATTACHMENTS—Provide the following information as attachments to this application: (1) A map showing general location of the property (including road names, NC State Route Number, distances, any key landmarks,etc.)sufficient for finding the well location. (2) Detailed site map with scale showing location of proposed well relevant to septic system(s), building foundations,property lines,water bodies,potential sources of contamination,other wells,etc. (3) Submit a copy of the local well permit application and site evaluation map(if applicable). (4) Any other information relevant to the variance request such as a well construction diagram showing proposed well liner or atypical construction materials/methods. F. OTHER MINIMUM CONSTRUCTION REQUIREMENTS For water supply wells, approval of a variance will require that additional construction requirements beyond those specified in 15A NCAC 02C .0107 be met. Minimum additional construction requirements for Coastal Plain and Piedmont and Mountain region wells are referenced on Attachments A and B on pages 4 and 5 of this application. Approval of a variance will not be considered in cases where the specified minimum additional construction requirements cannot be met. G. SIGNATURES Signature of Person Responsible for Well Construction(typically the well driller) Print or Type Full Name of Person Responsible for Well Construction (typically the well driller) 4I L'‘ 1w Signature of County Environmental Health Specialist Robbie Phelps Print or Type Full Name of County Environmental Health Specialist Per 1SA NCAC 02C.0118 the Secretary of the Division of Water Quality or the Division of Public Health may require submittal of information deemed necessary to make a decision on the variance, may impose conditions as part of the decision, and shall respond in writing to the request within 30 days of receipt of the variance request. A variance applicant who is dissatisfied with the decision of the Director may commence a contested case by filing a petition as described in G.S. 1508-23 within 60 days after receipt of the decision. Form GW-22V Page 2 Revised February 2013 ft a Hit' I 4iHiI I 9 e! 11 g, a; ,i_____41.... . <// fey elih� ''\"1 -0 o 8 ( cn �, o Z EI . m N Qry — 2 Zl'8 _i'' .a A' V101 • oPF W 7h- *•.11.95 oc m N o „�.f, -- _� 8 2 01 $^O ,' , /1 oo c OW- H : ,/ I/ > 1 51 bw` �ls.•' ./,' 1I W C O I ,/ II , co1/ / co ' co It N- 0 f1 / 1 I--I t,,:, // /,�Et'' I/ 3 6oai) . g /r __ 3 ✓ • .- ,- (ate a I- I�L.� / —r'—1 44 J' II / / /I \ •.....tl/ / I > _�....a I I IN �' /1 N/ V 1 / Iii //1 N I \'��Y I • 1 \ !I o l !1`` \ I( \ I/ \\ \) J/i/ \\ 1 // i..' , 1 I�, .. I• A. a I ,1'‘ I I/ I I /bIII1l 4 1 s\ ti 1_J L I C` /I/l . II \ 1 / / m II ;n\ �/ % //�� 1I11�1 •• Yam` ,4 111l.� -\.' /I1 ��1 1/ l•fly0 r d! / , / (c,i,d ry. - --'-"-----------------�1 7 y i O ��� J/f !lr / /III m / e!� iI 8i 0 1/ J' } ie 3+62.00N `' 50N 3+O0N II 1+50N F r} /I �e Q/1 11 0 if,11 Al II v 0 ;1 //�] fCOS a OHd m' Li 0.1-F5- /1 m 1 _ J -------,,,, 99f .09'09 .1/'9 a M.sriairs *Li*,i .ys c O a' g 45 aY�rFwNo. ROY COOPER•Governor , 4,1: NC DEPARTMENT OF KODY H. KINSLEY•Secretary 14% tek HEALTH AND 4M �,; g HUMAN SERVICES HELEN WOLSTENHOLME• Interim Deputy Secretary for Health \., C �„ MARK T. BENTON•Assistant Secretary for Public Health Division of Public Health Onsite Water Protection Branch November 30, 2023 Diana Lynn Beem 4218 Sigmon Cove Ln Terrell, NC 28682 Re: Approval No. JMB3245 Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C .0107(a)(2)(P)] Property location: 4218 Sigmon Cove Ln Terrell, NC 28682 Dear Ms. Beem: On November 30, 2023, the On-site Water Protection Branch received your request for a variance from the Well Construction standards, Title 15A North Carolina Administrative Code Subchapter 2C .0100. The request for a variance concerns a proposed water supply well on the referenced property that will serve a single-family dwelling and part of a structure on the property will be within twenty-five feet of the well. The home is on a lot with very difficult topography. Specifically, the variance request grants you permission to construct a water supply well at a distance closer than the twenty-five-foot setback to a building perimeter. Achieving the twenty-five-foot setback would be difficult given the challenges of the property. Based upon information provided by the Catawba County Health Department, and the property owner, it is my finding that based upon current conditions as the site exist today (as well as the current proposal for use of the structure) you meet the conditions necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1) and (2). On that basis and if the following conditions are met, the requested variance is approved: NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road, Raleigh, NC 27609 MAILING ADDRESS:1642 Mail Service Center,Raleigh,NC 27699-1642 www.ncdhhs.gov • TEL:919-707-5874 • FAX:919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER 1) The new water supply well shall be constructed of either PVC, steel, or galvanized metal casing. 2) The well shall be located as far as possible from the structure where, depending upon where well rig can actually set up, will possibly encroach upon the 25foot setback, but not be closer than 10feet. 3) A preconstruction meeting shall be required with the Catawba County Health Department staff to ensure that the maximum possible distances are achieved. 4) The well will be required to have casing installed to a minimum of 43 feet below land surface or to bedrock, whichever is greater. 5) The well shall be at least fifty feet from any part of the septic system including repair area. 6) Grout will be required the entire length of the casing from land surface into bedrock. 7) A drill bit with a diameter of at least one third greater than the diameter of the casing must be used to drill the cased portion of the well. 8) Grout must be either pumped into place with the use of a tremmie pipe or pressure method. 9) If a full-length grout is not possible due to site conditions, then a packer-liner must be installed in the well. The liner must extend at least five feet beyond the end of the casing and grouted entirely with a neat cement grout. 10)The well must be constructed outside of any road right of way. 11)A grout inspection must be performed by the Catawba County Health Department. The granting of this variance is for the well location only. It in no way relieves the owner or agent from other requirements of the North Carolina Well Construction Standards including, but not limited to the requirements in 15A NCAC 2C .0113(b) to repair or to abandon any well which acts as a source or channel for the migration of contamination. This approval does not imply sufficient water quality. Further, the approval does not relieve your responsibility to comply with any other applicable Federal, State, or local laws or regulations. If you have any questions regarding this variance, please contact me at(828) 713-3335. Sincerely, John M. Brooks R.E.H.S, MS 2