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Home My WebLink AboutAUTH-11-09-2835.TIF CONSTRUCTION For office use only *CDP File Number AUTHORIZATION 3 6 3 0 7 Catawba County Public Health Department County ID Number: EHPR-10-09-2600 ti k Environmental Health Division Evaluated For: NEW P.O Box 389, 100-A Southwest Blvd Township: U q-# Uq r J Newton NC 28658 PERMIT VALID UNTIL / Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ 1 9/ D 0 1 4 Applicant Jackie Wilson Property Owner Jackie Wilson Address. 2210 Little Coulters Church Rd Address: 2210 Little Coulters Church Rd City: Newton City Newton State2rp: NC State2ip: NC Phone # (828) 324-6384 Phone 1 Property Location 8 Site Information AddressrRoad # Subdivision: Phase: Lot 2210 Little Coulter-s Church Rd Newton NC Directions Structure MOBILE HOME 321 Bus. S, RT McKay Rd, RT Little Coulters Church Rd, got to end, gravel drive beyond state maintenance w of Bedrooms: 3 of People *Water Supply: EXISTING WELL stem ect ica Ions Minimum Trench Depth: Inches ~ (Design Glasslflcation PS Minimum Soil Cover_ Inches Flow 3 G 0 Maximum Trench De th; p a 4 Inches pplication Rate 3 Maximum Soil Cover 1 ~ Inches `System Classification/Description: *Distribution Type: GRAVITY - SERIAL TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Septic Tank_ 1 0 0 0 Gallons 'Proposed System: 1-Piece: OYes No Nitrification Field Pump Required {Yes rNo QMay Be Required 9 0 0 Sq. ft Pump Tank: Gallons No. Drain Lines 3 1-Piece: (DYes ()No Total Trench Length: 3 0 0 R. GPM -vs-- ft. TDH Trench Spacing: 9 C` 11ches 0 C. _ eet O C Dosing Volume: _ Gallons Trench Width. 3 Inches ( eet Aggregate Depth Grease Trap. Gallons inches Pre-Treatment: O N SF OTS-1 O TS-II \ Septic Tank Installer Grade Level Required. X rill 0111 01V r Pagel of 3 CDP File Number 36307 County ID Number'. EHPR-10-0g-2600 ❑ Open Pump System Sheet Repair System Required,OYes No ONo, but has Available Space `Repair System Trench Spacing Inches 0..C * Site Classification PS - _ eet O.C. Trench Width Inches Design Flow. 3 6 0 - 3Feet Soil Application Rate: 3 Aggregate Depth inches Pttnimum Trench Depth: 'System Classification/Description: Inches TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Minimum Soil Cover Inches Maximum Trench Depth: 4 *Proposed System: inches to-iaxtrnum Soil Cover 1 a Nitrification Field Inches 9 0 0 Sq. ft. No. Drain Lines 3 *Distribution Type 1 Total Trench Length 3 0 0 ft Pump Required: Oyes ~No Olvtay Be Requ7,1_111 . 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. 'Keep all pans of septic minimum: 1010' front any well. 50' from any creek. 5from home or building foundation 10' from property lines'Lmes to be installed on coniour'Do not grade drive Will over system or repair This Authorization forvlastewater 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-33$(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(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 Req)9pd2 /Yes ONo Applicant!Legal Reps. Signature Date:_ 'Issued By 1810-Boyd Jason Date of Issue.. 1 1/ 1 9/ x 0 0 9 Authorized State Agent i Malfunction Log O Yes Hand Drawing Olrnport Drawing Total Time (HH MM) **Si a Plan/Drawing attached.** Page 2 of 3 Hours Minutes CDP File Number. 36307 County ID Number: EHPR-10•0zsoo Drawing Type: Construction Authorization Date: 1 9/ a 0 0 9 Inch Scale: 1 . 0BIock = 0 6 Oft. Drawink O N/A 4- L r!~ ~ ~ If Qo GAS ~oC ~o"L~ "*-It r r ~ p y1t,ti, 1 t 36kp 3 O:k:p:- c, r c ~ C p r ~ o 4 C_ l Jv Q.. N/ Page 3 of 3