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CONSTRUCTION For Office Use Only
r^' AUTHORIZATION 'CDP File Number 3 6 7 9 4
.rr 3 r. Catawba County Public Health Department County ID Number: EHPR-11.09-2856
Environmental Health Division
Evaluated Far: NEW
' P.O Box 389, 100-A Southwest Blvd Township- k1P-u-b9-3)36,,/
r `~""✓""j`st+ Newton NC 28658 PERMIT VALI UNTIL,
Phone: (828)-465-8270 Fax: (828) 465-8276 1 a/ 0 4/ D 0 1 4
Applicant: Gemini Homes Inc. Property Owner' Gemini Homes Inc.
Address: PO Box 376 Address: PO Box 376
City Terrell City: Terrell
StaterLrp: NC 28682 State/Zip: NC 28682
Phone (704) 641-0325 Phone if:
Property Location & Site Information
Address/Road 9: SubdNision: Enoch And Ina Sigmon Phase: Lot: 59
4541 Lake Dr
Sherrill-s Ford NC 28673 Directions
Structure: OTHER Hwy 16S, LT, 150 E, RT Slanting Bridge Rd, Rt Enoch Dr,
Lot on LT
of Bedrooms: 0
4 of People:
'Water Supply. EXISTING WELL
s em Si5ec-ifications
Minimum Trench Depth:
Inches
a
'Site Classification: PS Miniimfl 1 Sod Cover.
Inches
Design Flow a 4 0 Maximum Trench Depth: 0 4 Inches
Soil Application Rate: 3 5 Maximum Soil Cover:
1 a Inches
`System Classification,'Description: 'DistnbutionType: GRAVITY - SERIAL
TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS
Septic Tank:
1 0 0 0 Gallons
'Proposed System: 25% REDUCTION 1-Piece: OYes XNo
Nitrification Field Pump Required: Oyes /N o OfAay Be Required
5 1 0 Sq ft.
No. Drain Lines Pump Tank: Gallons
~
1-Piece:OYes ONo
Total Trench Length: 1 7 0
ft. GPM-vs- ft. TDH
Trench Spacing: 9 - ches O.C.
eet O C. Dosing Volume. Gallons
Trench Width (Inches -
3 (OFeet
Aggregate Depti°1: Grease Trap. Gallons
inches Pre-Treatrnent: ONSF OTS-1 0 TS-11
Septic Tank Installer Grade Level Required: I 011 0111 OIV
Page 1 of 3
'
GDP File Number 36794 County ID Number: EHPR-1 1.09.2856
❑ Open Pump System Sheet
Repair System Required:Yes ONo ONo, but has Available Space
;'Repair System
Trench Spacing. C7lnchPS O.
`Site Classification: ps - 8 Feet O.C
Trench Width inches
Design Flow: .1 4 0 - ( Feet
Soil Application Rate: 3 5 Aggregate Depth: inches
hinimurn Trench Depth:
"System Class ificatiowDescription- Inches
TYPE Iv A. ANY SYSTEM WITH LPP DISTRIBUTION Minimum Soil Coven
Inches
"Proposed System Maximum Trench Depth: 3 0 Inches
:
Maximum Soil Cover: 1 ~
Nitrification Field Inches
3 4 5 Sq. ft
No. Drain Lines `Distribution Type: LOW PRESSURE PIPE
1 Total Trench Length: 1 5 Pump Required: Yes ()No Otvtay Be Required
Pre-Treatment: ONSF C)TS-1 TS-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.
'All parts of septic system must be minimum: 50' from any individual weil, 50' frorn lake, 10' from porpeny lines, 5' from building foundation' Lines to be
installed on contour'Do not grade, drive, or fill over system or repair area'Trees to be removed as needed for installation of septic system'Evaluated lot
to include 480 gallon per day home and additional 240 gallons of flow"If repair is required for either system, 50' mark from lake will be required to be
surveyed to determine exact amount of usable space'lf 50' mark needs to be encroached upon for repair, a pretreatment system will be required and
will need to be designed by an engineer or licensed soil scientist'Call EnvironrnentalHealth 1 week prior to installation of system at 244 -0943' Reference
additional permit page on page 4
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, 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
(1936(b)).
Applicant/Legal Reps. Signature Require e ONo
ApplicanULegal Reps. Signature Date: 1,21
a 4 7
'Issued By. 1810- Boyd, Ja n Date of Issue: 1 D/ 0 4/ a 0 0 9
Malfunction Log OYes
Authorized State Agent*_
IJO
C.) Hand Drawing Olmport Drawing Total Time (HH.MM)
**Site Plan/Drawing attached.**
Page 2 of 3 Hours M inutes
Additional Permit Conditions for the Improvement Permit
And Authorization to Construct the Wastewater System for
Gemini Homes, Inc.; Accessory Structure Located at 4541 Lake Dr.
Catawba County Case# EHPR-11-09-2856
1. The issuance of this septic system permit shall not, at any time, imply
permission to occupy this accessory structure as a habitable dwelling in
violation of Catawba County Zoning requirements.
2. The existence of a full bath in the structure, as interpreted by NCDENR
officials, requires a minimum 240 gallon per day design flow, as it
constitutes a dwelling unit for design flow purposes only, in accordance
with 15A NCAC 18A.1900 (Laws and Rules for Sewage Treatment and
Disposal Systems), Rule .1949a.
Page 4
CDP File Number:-3679`t County ID Number: EHPR-11"09-2856
Drawing Type: Construction Authorization Date: 1 a/ 0 4/ J 0 0 9
(Inch
Di-giving Scale: 1 . 01310ck = 0 4 Oft.
()N/A
0
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F ~ ~
1~Nrpkx
d.
100
~v n
0
01 e-6
I° I r- ~ S T C6
YJ Q
t? 3. a
Page 3 of 3