HomeMy WebLinkAboutAUTH-11-09-2490.TIF
CONSTRUCTION For Office Use Only
r" \ IC *CDP File Number
AUTHORIZATION 3 5 9 3 0
r I Catawba County Public Health Department County ID Number: EHPR-10-09.2202
--A ` Environmental Health Division Evaluated For: NEW
P.O Box 389, 100-A Southwest Blvd `Township: ~111~{ aQ
Newton NC 28658 PERMIT VALID UNTIL
Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ 0 5/ a 0 1 4
Applicant: Hugh Rudisili Property Owner. Hickory Hollow, LLC~
Address. 1922 Wilson Ridge Address: 211 Fairway Dr.
City: Maiden City Fayetteville
State!Zip. NC 28650 State.2ip. NC 28305
Phone
` Phone ii
Property Location 8 Sit`e` Information
Address1Road # Subdivision. C0v 4rl V AI'Cl Phase. Lot 3q
3612 Ole Country Lane
Claremont NC 28610 Directions
Structure MOBILE HOME
# of Bedrooms. 3
of People
`Water Supply: COMMUNITY
s em ect Ica Ions
Minimum Trench Depth: 1 $
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•CONV. TRENCH SYSTEMS
Septic Tank
1 0 0 0 Gallons
'Proposed System 25% REDUCTION 1-Piece: OYes C)No
Nitrification Field Pump Required OYes (j)No Otvtay Be Required
9 0 0 Sq ft pump Tank. Gallons
No Drain Lines 4
1-Piece:OYes ()No
Total Trench Lenglh: 3 0 0
ft. GPlrt-vs-- ft TDH
Trench Spacing, 9 Inches 0 C.
`.Feet 0 C Dosing VOlume _ Gallons
Trench Width 3 Inches
Feet
Aggregate Depth. Grease Trap. Gallons /
inches Pre-Treatment ONSF OTS-1 OTS-II /l
\ Septic Tank Installer Grade Level Required: J)I c`711 0111 01V
Page 1 of 3
CDP File Number 35930 County ID Number: EHPR-to-09-2202
❑ Open Pump System Sheet
RepairSystem Required Yes ONo ONo, but has Available Space
/Repair System
Trench Spacing: O Inches O.C.
'Site Classification. ps - Feet O.C.
Trench Width 8Inches
Design Flow 3 6 0 - Feet
Aggregate Depth:
Soil Application Rate- 0 3 inches
u Minimum Trench Depth:
'System Classifcation/Description Inches
TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Minimum Soil Cover.
Inches
Maximum Trench Depth
*Proposed System 5W6 REDUCTION Inches 1
Maximum Soil Cover
Nitrification Field Sq. ft. Inches
.
No Drain Lines 'Distribution Type
Total Trench length ft Pump Required, OYes ONo OMay 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 pennit 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 ft. from property lines, 5 ft. from structures, 15 ft. from cuts and ditches. Driveway must be
directly beside property line and not cover any part 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 Penult, 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 awning 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? Oyes dONO
ApplicanULegat Reps. Signature:~~ Date: _ l./ I d l C~
"Issued By 2246 - Megen McBride Date of Issue 1 1 / 0 5 / D 0 0 9
uthorized State Agent: Nwn~\- Malfunction Log OYes
L~\-~BAjk A
C~Hand Drawing Olmport Drawing Total Time (HH LIM)
**Site Plan/Drawing attached.**
Hours 0 to inures
Page 2 of 3
CDP File Number: 35930 County ID Number: E"PR-10-09-2202
Drawing Type: Construction Authorization Date: 1 1/ 0 5/ x 0 0 9
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Page 3 of 3