HomeMy WebLinkAboutAUTH-11-09-2483.TIF
CONSTRUCTION For: Use Only
AUTHORIZATION 'CDPFlle.Numbel 3. 5 g` `g
EHRR-10 09.2198
Catawba County Public Health Department County 16 Ptumbec
i Environmental Health Division
Evaluated For NEW
P.0 Box 389, 100-A Southwest Blvd
) .c
TO 11ship:,- malt_!) Newton NC 28658 PERMIT VALID UNTIL.
- Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ 0 5/ 0 0 1 4
Applicant,- Hugh Rudisill 4ti Property Owner: Hickory Hollow, LLC
Address: 1922 Wilson Ridge Address: 211 Fairway Dr.
City: Maiden City. Fayetteville
State/Z ip: NC 28650 State2 ip: NC 28305
Phone f Phone
Property Location 8 Site information
Address/Road Subdivision: Country Valley Phase: Lot: 33
3622 Ole Country Lane
Claremont NC 28610 Directions
Structure: MOBILE HOME
# of Bedrooms: 3
K of People:
'Water Supply: COMMUNITY
s em ecI tca tons
Minimum Trench Depth: 1 8
Inches
*Site Classification: PS Minimum Soil Cover,
0 6
Inches
Design Flow: 3 6 0 Maximum Trench Depth: 3 0
Inches
Soil Application Rate: 0 3 Maximum Soil Cover 1 8
Inches
'System Classification/Description: 'Distribution Type: GRAVITY
TYPE III G. OTHER NON-CONY, TRENCH SYSTEt<4S
Septic Tank:
1 0 0 0 Gallons
"Proposed System : 25% REDUCTION 1-Piece: (D Yes (:)No
Nitrification Field Pump Required: O Yes K No 0P,4ay Be Required
9 0 0 Sq_ ft, Pump Tank: Gallons
No. Drain Lines 4
1-Piece: (DYes ONo
Total Trench Length: 3 0~ 0
ft. GPM-vs-- ft. TDH
Trench Spacing: Inches O.C.
_ 9 " Feet O.C. Dosing Volume. _ Gallons
Trench Width: Inches
3 ~~Feet
Aggregate Depth: Grease Trap: Gallons
inches Pre-Treatment: (DNSF OTS-1 OTS-11
\ Septic Tank Installer Grade Level Required: &+)I OI I 0111 01V
Pagel of 3
E HPR-10-09-219$
CDP File Number 35929 County ID Number:
❑ Open Pump System Sheet
Repair System Required:0,QYes 0No ONo, but has Available Space
Trench Spacing: Inches O.C.
rDesig: air System \
Classifi cation: Ps Feet O.C.
Trench Width: Q Inches
n Flow 6 _ Feet
Soil Application Rate: 0 3 Aggregate Depth: inches
Minimum Trench Depth:
`System Class if:cation/Description: Inches
TYPE IV A. ANY SYSTEM VhTH LPP DISTRIBUTION Minimum Soil Cover.
Inches
Maximum Trench Depth:
'Pro osed System: o Inches
P 5010 REDUCTION Maximum Soil Coven
Nitrification Field 5q rt. Inches
No. Drain Lines 'Distribution Type:
Total Trench Length: 1t Pump Required: 0Yes ()No 010ay Be Required
Pre-Treatment: ONSF OTS-1 OTS-II
'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.
Septic system must be at least 100 ft, from any well, 10 fi. from property lines, 5 it. from structures, 15 It. from cuts and ditches. Driveway must be
directly beside property line and not cover any pail of the septic system.
Install on contour. Do not drive. grade, cut, or fill over septic area or repair area.
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit, not
to exceed five years, and may be issued at the same time the Improvement Permit Issued (NCGS 130A-336(b)). If the installation has not been
completed during the period of validity of the Construction Penn it, 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(g)). The person owning or controlling the system shall be responsible for assuring compliance
with the lays, 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: Ge l Go.
"Issued By, 2246 - Megen McBride Date of Issue: 1 1 / 0 5 / a 0 0 9
Authorized State Agent: Malfunction Log 0Yes
C&Hand Drawing Qlmport Drawing Total Time:(HH;MM)
**Site Plan/drawing attached.**
Page 2 of 3 0 0 Hours 0 0 ti inutes
CDP File Number: 35929 County ID Number; EHPR-10-09-2198
Drawing Type: Construction Authorization Date: 1 1 0 5/ a 0 0 9
d Inch
Draivin~ Scale: Qalock = ft.
CNIN/A
,
l
7
i I
,
,
f'
a ~ 15' '3ank f~a
c .5 ~o
CIb Id
Tc.hk rte,' be ~LPP p
lace 6n ! ettie n
2,tnd ~ -fie ho Me. ~ , ? .
;
VNI
{
,
:
3 edroo X N
:
' I
{ CUt ~
:
i
:
_ Page 3 of 3