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Home My WebLink AboutAUTH-12-09-3255.TIF CONSTRUCTION For Office use only AUTHORIZATION •CDP File Number 3 6 9 1 1 Catawba County Public Health Department County ID Number: EHPR-11-09-2822 Environmental Health Division Evaluated For: NEW Aix P.O Box 389, 100-A Southwest Blvd Township: 1.1 - -DSs Newton NC 28658 PERMIT VALID UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 1 a/ 0 8/ a 0 1 4 Applicant: Ron A Joyce Property Owner: Ron A Joyce Address: 1676 Buffet Circle Address: 1676 Buffet Circle City: Hickory City: Hickory State/Zip: NC 28601 State/Zip: NC 28601 Phone Phone Property Location & Site Information Address/Road Subdivision: Berkshire Place Phase: Lot: 14 1676 Buffet Cir Hickory NC 28603 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: "Water Supply: COMMUNITY ecl Ica Ions s em S~i Minimum Trench Depth: Inches *Site Classification: Ps Minimum Soil Cover. Design Flow: 3 6 0 Maximum Trench Depth: Inches l a Inches Soil Application Rate: 3 Maximum Soil Cover: Inches "System Classification/Description: 'Distribution Type: GRAVITY TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Septic Tank: 1 0 0 0 Gallons `Proposed System: 25% REDUCTION 1-Piece: ()Yes ONo Nitrification Field Pump Required: QYes 9Y No OMay Be Required 9 0 0 . Sq, ft. Pump Tank: Gallons No. Drain Lines 3 1-Piece: QYes ONo Total Trench Length: 3 0 0 ft, GPM-vs-- ft. TDH Trench Spacing: 9 ~Feet Inches O.C. _ O.C. Dosing Volume: Gallons Trench Width: Q Inches 3 Vv Feet Aggregate Depth: 1 a Grease Trap: Gallons inches Pre-Treatment: ONSF OTS-1 OTS-11 Septic Tank Installer Grade Level Required: OI OII OIII OIV Pagel of 3 CDP File Number 36911 County ID Number: EHPR-11-09-2822 ❑ Open Pump System Sheet Repair System Required:OYes ONO ONO, but has Available Space epair System Trench Spacing: Q Inches O.C. 'Site Classification: PS - o Feet O.C. Trench Width: 8Inches Design Flow: 3 6 0 - Feet Soil Application Rate: 3 Aggregate Depth: inches Minimum Trench Depth: *System Classification/Description: Inches TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Minimum Soil Cover Inches Maximum Trench Depth: 1 a 'Proposed System: 25% REDUCTION Inches Maximum Soil Cover: Nitrification Field Inches 9 0 0 Sq. ft. No. Drain Lines 3 *Distribution Type: GRAVITY Total Trench Length: 3 0 0 ft Pump Required: (Yes ONo OMay Be Required Pre-Treatment: ONSF OTS-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. No Grading on site due to soil conditions. Must bring plumbing high enough to accomidate shallow placement. Must bring in 6" to 8" of topsoil to cover lower end of system. If conditions cannot be met then a pump system will be required. 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 Pernit issued (NCGS 130A-336(b)J 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 equi a OYes ONO 1,211 Applicant/Legal Reps. Signature Date: *ISSUed By: 1896 - Lucas Sears Date of Issue: 1 a / 0 8 / a 0 0 9 Authorized State Agent: 00 ru Malfunction Log Oyes Hand Drawing Olmport Drawing Total Time:(HH:MM) **Site Plan/Drawing attached.** 0 Hours minutes Page 2 of 3 CDP File Number: 36911 County ID Number: EHPR-11-09-2822 Drawing Type: Construction Authorization Date: 1 .1 / 0 8 0 Inch Scale: QBIock ft. Drawing QN/A it W\ ~v scue c 014 10\ `<-,o( \to Cow d:1 i o N s CANN W %e dnt-~ W,W o_ 'R.." s J ewn w~\\ FCC, \05\bYk.145 5,,~S~evrn. R,e,~v;ce,d I$5.14` 3ro 5,.\ Co.+d:~~oNS %it It ctc r U3M .CIO jt3 !•D-1N j„o.aeC L.:ata 3.~'Q's'a' IS` must ~ platy ao dac~ec N ~ % Q Page 3 of 3