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CONSTRUCTION For office use only
AUTHORIZATION 'CDP File Number 3 6 S 1 8
Y Catawba County Public Health Department County ID Number: EI-iPR-11-09-2729
Environmental Health Division Evaluated For. NEW
; , 2" 4 P.0 Box 389, 100-A Southwest Blvd XU WW ii
Township: ll"
.i ,S~.j _ Newton NC 28658 PERPAIT VALID 'UNTIL
Phone: (828)-465-8270 Fax: (828) 465-8276 1 1 / D 4/ a 0 1 4
Applicant: RMR Construction Property Owner: RMR Construction
Address: PO Box $'-1 S- Address: PO Box T11 F
City: Conover City. Conover
StatetLip: NC 28613 State/Zip: NC 28613
~,~Phoneg- ~ Phone N:
Property Location & Site Information
Address/Road Subdivision: Phase: Lot' 8
1810 Thomasville Rd
Conover NC 28613 Directions
Structure: SINGLE FAMILY
# of Bedrooms: 3
# of People:
„Water Supply: NIA
stem ecl tca tons
Minimum Trench Depth: 2 4 l
Inches
*Site Classification: PS Minimum Soil Cover; 1 \
Inches
Flow: 3 6 0 Maximum Trench De the
p 3 6 Inches
pplication Rate: 0 3 Maximum Soil Cover:
a 4 Inches
'System Classification/Description: `Distribution Type: PUMP TO GRAVITY
TYPE 1118, SYSTEM VV/SINGLE EFFLUENT PUMP
Septic Tank: 1 0 0 0 Gallons
'Proposed System: 25% REDUCTION 1-Piece: (Dyes 0 No
Nitrification Field Pump Required: (Yes (ENO (May Be Required
9 0 0 sq ft.
No. Drain Lines Pump Tank: 1 0 0 0 Gallons
5 1-Piece: (-)Yes ONo
Total Trench Length: 3 0 0
ft. a 7 GPM-vs-- 1 5 ft. TOH
Trench Spacing: (Inches O.C.
(:)Feet O.C Dosing Volume: _ 1 6 0 Gallons
Trench Width: Inches
3 t,)Feet
Aggregate Depth: Grease Trap. Gallons J
inches S STS -I TS-II /
Pre Treatment:
Septic Tank Installer Grade Level Required: Q I {`)II 111 C~ IV
Page 1 of 3
CDP File Number 36518 County ID Number EHPR-1t-09-2729
❑ Open Pump System Sheet
Repair System Required (--)Yes 0No ONo, but has Available Space
/Repair System
Trench Spacing: Inches O C
*Site Classification: PS 9 i Feet O.C.
Trench Width: Inches
Design Flow: 3 6 0 - , 3 ~ Feet
Aggregate Depth.
Soil Application Rate 0 3 inches
u Ntinimum Trench Depth:
'System Classification/Description Inches
TYPE III B. SYSTEM wfSINGLE EFFLUENT PUMP Minimum Soil Cover
Inches
Maximum Trench Depth: 3 6
'Proposed System: 25%REDUCTION Inches
Maximum Soil Cover:
Nitrification Field Inches
9 0 0 Sq. ft.
No. Drain Lines 5 ""Distribution Type: PUMP TO GRAVITY
Total Trench Length 3 0 0 ft Pump Required: vYes (:)No 0May Be Required
Pre-Treatment: (.NSF OTS-1 OTS-II
Site Modifications
No grading or construction actrvity 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 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, Me permit or Construction Authorization shall 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)).
ApphcanULegal Reps. Signature Required? ()Yes ONo
Applicant'Legal Reps. Signature _Da l~
'Issued By, 1952 - Phelps. Robert Date of Issue: 1 1 / a 4 / a 0 0 9
Authorized State Agent J~I e Malfunction Log OYes
Hand Drawing Olmport Drawing Total Time (HH tr M)
**Site Plan/Drawing attached.**
Hours rinures
Page 2 of 3
EHPR-I 1-09-2729
TRACKING INFORMATION
Date Calls
11-19-09 1" 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