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CONSTRUCTION For Office Use Only
AUTHORIZATION *CDP Fite Number 3 6 6 9 a
Catawba County Public Health Department County ID Number: EHPR-11.09-2611
4 Environmental Health Division Evaluated For. FLOW AC 11109-
t.
P.O Box 389, 100-A Southwest Blvd Township: ►1,4,140q
Newton NC 28658 PERMIT VALID UNTIL -3rQ~
Phone: (828)-465-8270 Fax: (828) 465-8276 1 2/ 0 1/ a 0 1 4
Applicant: Dale Sloan Property Owner: Dale Sloan
Address: 7354 Broad Wing Lane Address: 7354 Broad Wing Lane
City: Sherrills Ford City: Sherrills Ford
State/Zip'. NC 28673 State/Zip: NC 28673
Phone Phone
Property Location 8 Site Information
Address/Road Subdivision: Eagle Harbor Phase: Lot: 14
7354 Broad Wing Lane
Sherrills Ford NC 28673 Directions
Structure: SINGLE FAMILY
# of Bedrooms: 4
# of People: 3
*Water Supply: EXISTING WELL
stem eci Ic lio s
Minimum Trench Depth: 1 $
7Inches
(Design Classification: PS Minimum Soil Cover. 0 6
Inches
Flow: 4 8 0 Maximum Trench Depth: 3 0
Inches
Application Rate: 0 3 Maximum Soil Cover:
1 $ Inches
'System Classification/Description: *Distribution Type: GRAVITY - PARALLEL (eq. d-box)
TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS
Septic Tank:
_ Gallons
*Proposed System : 25% REDUCTION I -Piece: Q Yes ()No
Nitrification Pump Required: QYes (*No (:)May Be Required
Field Sq. R. Pump Tank: Gallons
No. Drain Lines a
1-Piece: ()Yes ONo
Total Trench Length: 1 0 0
ft_ GPM-vs-- ft. TDH
Trench Spacing: 9 0Inches O.C.
- *Feet O.C. Dosing Volume: _ Gallons
Trench Width: Inches
3 Feet
Aggregate Depth: Grease Trap: Gallons
inches Pre-Treatment: ONSF OTS-1 OTS-II
Septic Tank Installer Grade Level Required: ®1 Oil 0111 01V
Pagel of 3
COP File Number 36692 County ID Number: EHPR-11-09-2611
❑ Open Pump System Sheet
Repair System Required: *Yes ONo ONo, but has Available Space
eDair System
Trench Spacing: Q Inches O.C.
'Site Classification: Ps - _8 Feet O.C.
Inches
Trench Width: 8Feet
Design Flow: 4 8 0 Soil Application Rate: 0 3 Aggregate Depth: inches
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. ft Inches
.
No. Drain Lines 'Distribution Type: LOW PRESSURE PIPE
Total Trench Length: Pump Required: (&Yes ONo OMay Be Required
ft.
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.
This permit is for the house to go from 3 bedrooms to 4 bedrooms. To compensate for this increase, additional drainfield is required.
Repair has been re-designated to PPBPS (LPP distribution).
Do not drive, grade, cut, fill,or build over septic system or repair area.
Septic system must be at least 50 it. from any well, 10 ft. from property lines, 5 ft. from structures. 15 ft. from storm pond. 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)J If the installation has not been
completed during the period of validity of the Constrtxtion 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 per on owning or controlling the system shall be responsible for assuring compliance
with the laws rotes, and permit conditions arding cyst ation installation, operation maintenance monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature R'' uired? es No
Applicant/Legal Reps. Signatur W Date: 0-
'Issued By, 2246 - Megen McBride Date of Issue: 1 1 / 0 1 / 1 0 0 9
Authorized State Agent: Malfunction Log Oyes
®:Hand Drawing Olmport Drawing Total Time:(HH-MM)
**Site Plan/Drawing attached.**
Hours minutes
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CDP File Number: 36692 County ID Number: EHPR-11.09-2611
Drawing Type: Construction Authorization Date:
0 Inch
Drawiing Scale: QBlock
*N/A
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