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Home My WebLink AboutAUTH-12-09-3258.TIF CONSTRUCTION For Office Use Only AUTHORIZATION *CDP File Number 3 6 9 7 5 Catawba County Public Health Department County ID Number: EHPR-11-09-2732 ® Environmental Health Division Evaluated For: REPAIR P.O Box 389, 100-A Southwest Blvd Township: Newton NC 28658 PERMIT VALID TIL: Phone: (828)-465-8270 Fax: (828) 465-8276 1 a/ 0 7/ a 0 1 4 Applicant: Javier Chavez Property Owner: Javier Chavez Address: 2079 Redberry Ln Address: 2079 Redberry Ln City: Conover City: Conover State/Z ip: NC 28613 State/Zip." NC 28613 Phone Phone Property Location & Site Information Address/Road Subdivision: Strawberry Field Phase: Lot: g0 2079 Redberry Ln Conover NC 28613 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: 5 'Water Supply: PUBLIC s em specifications Minimum Trench Depth: a 4 Inches rDesign ssification: PS Minimum Soil Cover. 1 a Inches low: 3 6 0 Maximum Tr ench Depth: 3 6 Inches ication Rate: 0 3 a 5 Maximum Soil Cover: a 4 Inches *System Classification/Description: *Distribution Type: PRESSURE MANIFOLD TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: Gallons *Proposed System: 25% REDUCTION 1-Piece: OYes ONo Nitrification Field Pump Required: ®Yes ONO OMay Be Required 8 5 a Sq_ ft. Gallons No. Drain Lines Pump Tank: 1 0 0 0 5 1-Piece: OYes ONO Total Trench Length: a 8 4 ft. a 5 GPM-vs- 1 8 ft. TDH Trench Spacing: iFeet Inches O.C. _ 9 O.C. Dosing Volume: _ 1 6 0 Gallons Trench Width: 3 Inches • Feet Aggregate Depth: Grease Trap: Gallons inches Pro-Treatment: ONSF OTS-I OTS-11 Septic Tank Installer Grade Level Required: 01 011 0111 OIV Page 1 of 3 CDP File Number 36975 County ID Number: EHPR-11-09-2732 ❑ Open Pump System Sheet Repair System Required:OYes ONo ONo, but has Available Space epair System Trench Spacing: Q Inches O. *Site Classification: - _8 Feet O.C. Trench Width: Inches Design Ftow: - Feet Soil Application Rate: Aggregate Depth: inches Minimum Trench Depth: *System Classification/Description: Inches Minimum Soil Cover. Inches Maximum Trench Depth: 'Proposed System: Inches Maximum Soil Cover: Nitrification Field Sq. ft Inches . No. Drain Lines *Distribution Type: Total Trench Length: ft Pump Required: (Yes (No (May Be Required 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 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 wlidity of the Construction Permit, the information submitted in the application for a permit or Construction Authorization is found to have been incorreec% falsified or changed, or thee! 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 regard' system Iocatlon installation, operation, mainterrance monitoring, reporting and repair (1938(b)). ApplicanVLegal Reps. Signature R q i ? ` (Yes c~ Applicant/Legal Reps. Signature- Date: 'Issued By: 1952-Phelps, itot>sit Date of Issue:. 1 a/ 0 7/ a 0 0 9 Authorized State Agent: 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: 36975 County ID Number: E"PR-1 1-09-2732 Drawing Type: Construction Authorization Date: 1 a 0 7/ a 0 0 9 0Inch Drawing Scale: OBk)ck = ft. O N /A I~ 0 VIL }~~S ~ S L~ rat f) p~'1 t i ~n qS , o e N. E0.0, ohr off,-_b$ ff ~ Q,% ~n f~q l CJ-0- V~Vy Page 3 of 3 NCDENR Division of Environmental Health 'Date: / e s/ e e 9 On-Site Wastewater Section Soil/Site Evaluation *File 3 6 9 7 5 For On-Site Wastewater System PIN EHPR-11-09-2732 *OwnerJavier Chavez Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 e Location of Site 2079 Redberry Ln Property Size 0.409 Water Supply PUBLIC Evaluation Method Pit 1 40 Horizon SOIL MORPHOLOGY Landscape Depth .1941 Other Profile Profle# Slo POS pe % (IN) Texture Structure Consistence Color trx Color Factors 1 0-48 SCL sbk fr ss sp .1942 wet. % .1943 Depth 4 8 GPs Saprolite: (in) .1944 Rest_ Horizon EHS .1947 Class Profile LTAR _L. 3 .1 5 2 0-27 SCL sbk fr ss sp .1942 wet. % 2748 sbk fr ss sp + sap 1943 Depth 4 8 GPS Saprolite:(in) .1944.Rest. Horizon .1947 Class EHS ICoDY olile P Ofi e 0 3 a 5 L~ .1942 wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon .1947 Class 10 EHS opy roltle Profile iLTAR _ 1942 Wet % 1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 12 .1947 Class EHS opy rolile Profile LTAR .1942 Wet. % .1943 Depth GPS Saprolite:(n) .1944 Rest. Horizon .1947 Class EHS opy ofile Profile LTAR Available Space (.1945) Other Factors(.1946) Ste Classification (.1948) Initial LTAR: Repair LTAR: e . 3 Others Present: Comments: Evaluated By. Phelps, Robert NCDENR Division of Environmental Health On-Site Wastewater Section Date. 1 7 J e s/ 2 e e 9 Soil/Site Evaluation Fie 3 6 9 7 5 For On-Site Wastewater System PIN 9: E H P R- 1 1- e 9 1940 Horizon SOIL MORPHOLOGY Profile# Landscape Depth .1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 Wet. % 1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon .1947 Class EHS Copycrof,l Profile LIAR _ .1942 Wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. ,,rr,,~~ Horizon 1941 Class EHS Copy-P-rofit Profile LTAR .1942 Wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 12 EHS 1947 Class Copy rofile Profile 71 ILTAR .1942 Wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 1947 Class EHS - COPYE50file Profile U LTAR 1942 Wet. % 1943 Depth GPS Saprolite:pn) .1944 Rest. Horizon 10 EHS 1947 Class Copy~rofile Profile- 0 PAR Comments: Attach Image The "Open Drawing Form" button, opens the the drawing form. The "Import" button, attaches the drawing, or other image into the space below. Open Drawing Form TEA V Profile: 1 X Y Z Profile: 2 X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: ® X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z EHPR-11-09-2732 TRACKING INFORMATION Date Calls 11-20-09 1" Contact - Discussion Only 11-20-09 Site Ready to be Flagged 11-20-09 Site Flagged 12-1-09 Site Ready to be Evaluated 12-1-09 Site Evaluated 12-1-09 Approved for Issuance Other Date Comments/Field Notes