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AUTHORIZATION 'C6 Pf~ue Number 35 9' 5:~
r EHpR-10 t)J2Q19
Catawba County Public Health Department County, ID Number:
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i, Environmental Health Division Evaluated For REPAIR
"1- P.O Box 389, 100-A Southwest Blvd >ro4wnsl7ip: -
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w Newton NC 28658 PERMIT VALID UNTIL'
Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ 0 9 a 0 1 4
Applicant: Lake Norman Marina Inc. Property Owner.- Lake Norman Marina Inc. ~
Address: 6965 E NC HWY 150 Address: 6965 E NC HWY 150
City: Sherrills Ford City: Sherrills Ford
State/Zip: NC StatetZip: NC
Phone (704) 483-5546 Phone w:
Property Location & Site Information
Address/Road Subdivisbn: Phase: Lot:
6965 E NC 150 Hwy
Sherrill-s Ford NC Directions
Structure: SINGLE FAMILY Hwy 16 S, LT Hwy 150 E, 3 miles on LT, white mobile
home behind marina
4 of Bedrooms: 3
9 of People:
`Water Supply: EXISTING WELL
S em eCl tCa tons
Minimum Trench Depth:
Inches
(Design e Classification: Minimum Soil Cover:
Inches
Flow: 3 6 0 Maximum Trench Depth:
Inches
Soil Application Rate: Maximum Soil Cover:
' Inches
System Classification/Description: 'Distribution Type:
Septic Tank:
1 0 0 0 Gallons
'Proposed System. 1-Piece: O Yes O No
Nitrification Field Pump Required: 0Yes (DNo QMay Be Required
Sq. ft. Pump Tank: Gallons
No. Drain Lines
1-Piece: QYes (DNo
Total Trench Length:
ft. GPtvl -vs-- ft, TDH
Trench Spacing: (:)Inches O.C.
OFeet O.C. Dosing Volume: _ Gallons
Trench Width: Inches
)Feet
,Aggregate Depth Grease Trap: Gallons
inches pre-Treatment: (-.NSF CATS-I OTS-II
Septic Tank Installer Grade Level Required: XJI oll 0111 01V
Pagel of 3
CDP File Number 35950 County ID Number: EHPR-10-09-2419
❑ Open Pump System Sheet
Repair System Required:CDYes ONo ON o, but has Available Space
Repair System
Trench Spacing: Inches Q.C.
*Site Classification Feet O.C.
Trench Width: 8 Inches
Design Flow: _ Feet
Soil Application Rate: Aggregate Depth: inches
Minimum Trench Depth:
'System Classification/Description Inches
Minimum Soil Cover
Inches
Maximum Trench Depth:
'Proposed System: Inches
Maximum Soil Cover:
Nitrification Field Sq. ft Inches
.
No. Drain Lines *Distribution Type:
Total Trench Length: ft Pump Required: (Yes (~No (May lie Required
Pre-Treatment: NSF ~7TS-I CJTS-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 ofthis 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.
PERMIT IS BEING ISSUED FOR REPLACEMENT OF COLLAPSED TANK ONLY'New tank must be minimum: 50' from any individual well, 5' from
home, 50' from lake, 10' from property iines'System is pumping to large pre treatment unit on other side of property'New tank is to have tee and filter
installed'Use schedule 40 pvc from septic tank to pump tank'Existing tank must be pumped, crushed, then backfilled with soil
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 sametime the Improvement Permit issued (NCGS 130A-336(b)). If the installation has not been
completed during the period of validity of the Construction Permit, the information submitted in theapptication for a permit or Construction
Authorization is found to have been incorrect, falsitled 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 laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required) Yes ONO
ri
Applicant/Legal Reps. Signaturer~ - aC _ Date:
'Issued By. 1810- Boyd. Jason Date of Issue: 1 1 0 9 / ~2 0 0 9
Authorized State Agent ll Malfunction Log 0Yes
Y
Hand Drawing Olmport Drawing Total Time (HH Mfit)
**S a Plan/Drawing attached.**
Page 2 of 3 Hours , Minutes
CDP File Number: 35950 County ID Number: E"PR-10-09-2419
Drawing Type: Construction Authorization Date: 1 1/ 0 9/ a 0 0 9
'2`lnch
Di-awing Scale: 1 ()Black - 0 6 0 ft.
ON /A
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