HomeMy WebLinkAboutAUTH-11-09-2329.TIF
CONSTRUCTION For Office Use Only
{ AUTHORIZATION *CDP File Number 3 S $ 4 6
V~ Catawba County Public Health Department County ID Number: EHPR-1.0-09-2424
Environmental Health Division Evaluated For. REPAIR
` W, f , q-
P.O Box 389, 100-A Southwest Blvd PERMIT VALID UNTIL: ~3)
Newton NC 28658 1 1/ 0 a/ a 0 1 4
Phone: (828)-465-8270 Fax: (828) 465-8276 -7 Applicant: Aghi Peters Property Owner: Aghi Peters
Address: 1620 Power Line AV Address: 1620 Power Line AV
City: Newton City: Newton
State/Zip: NC 28658 StatefZip: NC 28658
Phone Phone
Property Location & Site Information
Address/Road Subdivision: Mill Ridge Phase: Lot:
1852 Paris Dr
Conover NC Directions
Structure: SINGLE FAMILY
# of Bedrooms: 3
# of People:
*VVater Supply: EXISTING WELL
s em eci ica ions
Minimum Trench Depth:
Inches
*Site Classification: PS Minimum Soil Cover:
Inches
Design Flow: 3 6 0 Maximum Trench Depth:
Inches
Soil Application Rate: Maximum Soil Cover:
u Inches
*System Classification/Description: *Distribution Type: PUMP TO GRAVITY
Septic Tank: 1 0 0 0 Gallons
*Proposed System: 1-Piece: QYes QNo
Nitrification Field Pump Required: QYes QNo Q May Be Required
Sq. ft' Pump Tank: 1 0 0 0 Gallons
No. Drain Lines
1-Piece: QYes QNo
Total Trench Length:
ft. a 3 GPM--vs-- 1 1 ft. TDH
Trench Spacing: OInches O.C.
_ Feet O.C. Dosing Volume: _ 1 0 5 Gallons
Trench Width: ()Inches
Q Feet
Aggregate Depth: Grease Trap: Gallons
inches Pre-Treatment: Q NSF OTS-1 OTS-11
Septic Tank Installer Grade Level Required: 01 @11 0111 ON
Page 1 of 3
CDP File Number, 35846 County ID Number: EHPR-10-09-2424
❑ Open Pump System Sheet
Repair System Required:OYes O No ONo, but has Available Space
Repair System
Trench Spacing: Inches O.C.
*Site Classification: - Q Feet O.C.
Trench UUidth: Inches
Design Flow: - Feet
Soil Application Rate: Aggregate Depth: inches
u Minimum Trench Depth:
*System Classification/Description: Inches
Minimum Soil Cover:
Inches
Maximum Trench Depth:
*Proposed System: Inches
Maximum Soil Cover:
Nitrification Field Inches
Sq. ft.
No. Drain Lines *Distribution Type:
Total Trench Length: ft Pump Required: OYes QNo ()May Be Required
Pre-Treatment: O NSF OTS-1 OTS-11
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
*Permit Conditions
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 Permit is for the installation of a septic tank, pump tank, and pump controls to replace the grinder pump.
This Authorization for Wastewater System Construction shall be valid fora person equal to the period of validity of the Improvement Permit, not
to exceed five years, and maybe issued at the same time the Improvement Permit issued (NCGS 130A336(b)). If the installation has not been
completed during the period of validity of the Construction Permit, the Information submitted In the application for a permit or Construction
Authorization is found to have been incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall become
invalid, and may be suspended or revoked (.1937(8)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? *Yes ONo
Applicant/Legal Reps. Signature Date:
*Issued By: 1952 - Phelps, Robert Date of Issue:. 1 1 0 a a 0 0 9
Authorized State Agent: Malfunction Log OYes
* Hand Drawing Olmport Drawing Total Time:(HH:MM)
**Site Plan/Drawing attached.** 0
Hours Minutes
Page 2 of 3
CDP File Number: 35846 County ID Number: E"PR-io-os 2a2a
Drawing Type: Construction Authorization Date: 1 1 0 a/ a 0 0 9
OInch
Scale- OBlock = ft.
Drawing ONIA
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Page 3 of 3
EHPR c~?,~c) TRACKING INFORMATION
Date Calls
10-30-09 1" Contact - Discussion Only
10-30-09 Site Ready to be Flagged
10-30-09 Site Flagged
10-30-09 Site Ready to be Evaluated
10-30-09 Site Evaluated
11-2-09 Approved for Issuance
Other
Date Comments/Field Notes