HomeMy WebLinkAboutAUTH-11-09-2960.TIF
CONSTRUCTION For Office use Only
AUTHORIZATION 'CDP File Number
Catawba County Public Health Department County ID Number. EHPR-1 1-09-2727
Environmental Health Division
Evaluated For: NEW
-~~P.O Box 389, 100-A Southwest Blvd
f Township: _Q
Newton NC 28658 PERMIT VALID UNTIL;
Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ 0 4 0 1 4
Applicant: RMR Construction Property Owner-. RMR Construction
Address: PO Box 595 Address: PO Box 595
City: Conover City: Conover
State/Zip: NC 28613 State/zip: NC 28613
Phone 9: Phone
Property Location & Site Information
Address/Road 9: Subdivision: Phase: Lot: 11
1789 Thomasville Rd
Conover NC 28613 Directions
Structure: SINGLE FAMILY
of Bedrooms: 3
of People:
'Water Supply: NIA
s em-S-ecificaf-ions
Minimum Trench Depth:
a 4 Inches
rDesign ssification: PS Minimum Soil Cover 1
Inches
loNr: 3 6 0Maximum Trench Depth: 3 a
Inches
Soil Application Rate: 0 3 Maximum Soil Cover:
a 0 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'. 25% REDUCTION 1-Piece: Q Yes (-)No
Nitrification Field Pump Required: OYes (No OMay Be Required
9 0 0 Sq. ft. Pump Tank- Gallons
No. Drain Lines 5
1-Piece:OYes ONo
Total Trench Length. 3 0 0
ft. GPM-vs-- ft. TDM
Trench Spacing: 9 Inches O.C.
Feet O.C. Dosing Volume: Gallons
Trench Width: Inches
3 Feet
Aggregate Depth: Grease Trap. Gallons
inches
Pre-Treatment: O N SF QTS-1 O TS-11
Septic Tank Installer Grade Level Required: (DI 011 0111 01V • '
Pagel of 3
CDP File Number, 36517 County ID Number- EHPR-1 1-09-2727
❑ Open Pump System Sheet
Repair System Required:(~)Yes 0No ONO, but has Available Space
Repair System Trench Spacing. (tiInches O.C.
'Site Classificaton Ps 9 Feet O C.
Design Flow 3 6 Trench Width _ 3 es
(7)Feet
Soil Application Rate: 0 3 Aggregate Depth inches
u Minimum Trench Depth:
`System Classification/Description Inches
TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS to nimum Soil Cover
Inches
Maximum Trench Depth:
'Proposed System' 25°o REDUCTION Inches
Maximutll Soil Cover'
NRrification Field 9 0 0 Inches
Sq. ft.
No. Drain Lines 'Distribution Type
Total Trench Length: 3 0 0 ft Pump Required. 0Yes ONo C)IAay Be Required %
Pre-Treatment: ONSF 13TS-1 OTS-11
'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.
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 13OA-336(b)). If the installation has not been
completed during the period of validity of the construction Permit, the information submitted in theapplication 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 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)).
ApplicanVLegal Reps. Signature Required? OYes ONO
ApplicanVLegal Reps. Signature: Dat
'Issued By 1952 - Phelps, Robert Date of Issue1 1 / a 4 / 2 0 0 9
Authorized State Agent' `114~ 6417 Malfunction Log Oyes
Hand Drawing C lImport Drawing Total Time (HH M41)
**Site Plan/Drawing attached.** 0
Hours _ M inures
Page 2 of 3
CDP File Number: 36517 County ID Number: Er~PR-1 1-09 -2727
Drawing Type: Construction Authorization Date: 1 1/ a 4/ a 0 0 9
(D Inch
Dra« Ina Scale: (,Block = ft.
N lA
i~ ~9~0 ~i
i Z
,)ZV b '
0 Ix
CO W to
to
Itar
0
Page 3 of 3
EHPR-11-09-2727
TRACKING INFORMATION
Date Calls
11-19-09 1s` Contact- Discussion Only
11-19-09 Site Ready to be Flagged
11-19-09 Site Flagged
11-19-09 Site Ready to be Evaluated
11-19-09 Site Evaluated
11-19-09 Approved for Issuance
Other
Date Comments/Field Notes