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CONSTRUCTION For Office Use Oni
AUTHORIZATION *CDP File Number a 4 7 7 a
Catawba County Public Health Department County ID Number WLS2008.01081
Environmental Health Division Evaluated For. NEW
P.O Box 389, 100-A Southwest Blvd Township:
f Newton NC 28658 PERMIT VALID UNTIL
Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ a 3/ a 0 1 4
Applicant- WOBBLY BOX LLC Property Owner. HICKORY HOLLOW LLC
Address: 1324 PINE VALLEY CT Address: 211 FAIRWAY DR
CRY CLAREMONT City. FAYETTEVILLE
State!Zip NC 28610 State2ip NC 28305-5571
Phone F: Phone #
Property Location & Site Information
AddressiRoad Subdivision: COUNTRY VALLEY PH 2 Phase Lot 30
3654 OLE COUNTRY LN nu Gn no
CLAREMONT NC Directions
HWY 10 E TO BETHANY CHURCH RD - TURN RT - 1ST
Structure: MOBILE HOME LF ONTO SHADY VALLEY LN - NEXT LEFT ONTO OLE
r of Bedrooms: 3 COUNTRY LN
# of People
'Water Supply COMMUNITY
S ems v ecl Ica Ions
Minimum Trench Depth: a 4
Inches
'Site Classification PS Minimum Sod Cover. 1 a
Inches
Design Flow 3 6 0 Maximum Trench Depth:
3 6 Inches
Sod Application Rate: 0 3 Maximum Sod Cover
a 4 inches
`System Class ification!Description: 'Distribution Type: GRAVITY
TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS
Septic Tank:
1 0 0 0 Gallons
'Proposed System: 25% REDUCTION 1-Piece: Oyes ONo
Nitrification Field Pump Required Oyes Ix No OMay Be Required
9 0 0 Sq ft. Pump Tank: Gallons
No. Drain Lines 4
1-Piece:OYes ONo
Total Trench Length- 3 0 0
ft. GPM-vs-- ft TDH
Trench Spacing: Inches O C.
- 9 Feet 0 C Dosing Volume: _ Gallons
Trench Width 2Inches
3 Feet
Aggregate Depth: Grease Trap. Gallons
inches
Pre-Treatment: O N SF OITS? -I O TS-II
Septic Tank Installer Grade Level Required: 1011 0111 OIV
Pagel of 3
CDP File Number 24772 County ID Number WLS2008-01081
❑ Open Pump System Sheet
Repair System Required Yes (DNo ONlo, but has Available Space
Repair System
Trench Spacing: Inches O.C.
(Design ite Classification. Ps 8 Feet O.C.
Trench Width QInches
Flow: 3 6 0 - V Feet
Aggregate Depth:
Soil Application Rate: 0 3 inches
u Minimum Trench Depth:
`System Classification/Description' Inches
TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Minimum Soil COVer
Inches
Maximum Trench Depth:
Proposed System: 50%REDUCTION Inches
Maximum Soil Cover:
Nitrification Field Sq Inches
. ft.
No. Drain Lines "Distribution Type: LOW PRESSURE PIPE
Total Trench Length. ft Pump Required &Yes ()No UMay Be Required
Pre-Treatment: <JNSF STS-I ~~?TS-II
Site Modifications
No grading or construction activity is allowed to 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, frorm any well, 5 ft. from structures, 10 ft. from property lines, 15 ft. from cuts and ditches. Driveway must riot go
over septic system.
Do not drive, grade, cut or fill over septic area or repair area.
Install on contour.
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 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 shalt become
invalid, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shalt be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting and repair
(1938(b)).
AppficanULegal Reps. Signature Required? C)Yes ONO
Applicant/Legal Reps. Signature / ~ Date:
"Issued By, 2246 - Mogen McBride Date of Issue 1 / a 3 / a 0 0 9
I
Authorized State Agent: WAMX~~ KIL,~),-- Malfunction Log QYes
Hand Drawing 0Import Drawing Total Time (HH hifil)
**Site Plan/Drawing attached.**
Hours @ tFiinutes
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CDP File Number: 24772 County ID Number: WLs2008-01081
Drawing Type: Construction Authorization Date: 1 1/ a 3/ a 0 0 9
O Inch
Drawing Scale: QBiock = ft.
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Page 3 of 3