Loading...
HomeMy WebLinkAboutAUTH-12-09-3317.TIF CONSTRUCTION For Office Use Only AUTHORIZATION 'CDP File Number 3 6 9 7 6 Catawba County Public Health Department County ID Number: EHPR-11-09-2767 jt f l 1---- # Environmental Health Division Evaluated For. REPAIR `t~ P.O Box 389, 100-A Southwest Blvd Township: / Newton NC 28658 PERMIT VALID NTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 l a/ 1 0 a 0 1 4 Applicant: David Lewis Property Owner: David Lewis Address: 2744 Honeycutt Rd Address: 2744 Honeycutt Rd Cdy: Claremont City: Claremont State/Zip: NC 28610 State/Zip: NC 28610 Phone Phone Property Location & Site Information Address/Road 4; Subdivision: Phase: Lot: 2744 Honeycutt Rd Claremont NC 28610 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People- 4 "Water Supply: EXISTING WELL J s em-S- eci' tf cations ~O Minimum Trench Depth: nches ~ 4 I 'Site Classification: PS Minimum Soil Cover. I a Inches Flow: 3 6 0 Maximum Trench Depth: a 6 Inches Soil Application Rate: 0 . 4 Maximum Soil Cover: 1 4 Inches *System Classification/Description. *Distribution Type: PUMP TO GRAVITY TYPE III B. SYSTEM WtSINGLE EFFLUENT PUMP Septic Tank: 1 0 0 0 Gallons 'Proposed System: 25% REDUCTION 1-Piece: O Yes O No Nitrification Field 6 Pump Required: ®Yes ONo OMay Be Required 7 5 Sp_ ft. No. Drain Lines 4 Pump Tank: 1 0 0 0 Gallons 1-Piece:OYes ONo Total Trench Length: a 5 ft. a 5 GPM-vs-- a a It, 7DH Trench Spacing: _ 9 8Inches O.C. Feet O.C. Dosing Volume: _ 1 6 0 Gallons Trench Width. 8Inches 3 Feet Aggregate Depth: Grease Trap: Gallons inches Pre-Treatment: (:)NSF OTS-1 O TS-11 Septic Tank Installer Grade Level Required: 01 *11 0111 (:)IV Pagel of3 CDP Fire Number 36976 County ID Number: EHPR-1 1-09-2767 ❑ Open Pump System Sheet Repair System Required:GYes GNo QNo, but has Available Space Repair System Trench Spacing: FFeet s O. `S ite Classification: O.C. Trench Width: 8Inches Design Flow: _ 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 Inches Sq. ft. No. Drain Lines "Distribution Type: Total Trench Length: Pump Required: QYes oNo oMay Be Required Pre-Treatment: O N SF CATS-1 OTS-II 'Site Modifications No grading or construction acti4ity is allowed in areas designated for system and repair without approval of Health Department. 'Permit Conditions The issuance ofthis 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. Stay 50 feet from creek and 100 from well with any part of septic system. 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 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 theapplication fora 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 (193%b)). Applicant/Legal Reps. Signature Re bred? ( Yes N 0 r) l Applicant/Legal Reps. Signature Date: / / 'Issued By, 1952 • Phelps, Robert Date of issue: 1 a / 1 0 / a 0 0 9 Authorized State Agent: 17eZP- Malfunction Log QYes Hand Drawing 01rnport Drawing Total Time:(HH:MM) **Site Plan/Drawing attached.** Hours -tit inutes Page 2 of 3 CDP File Number: 36976 County ID Number: EHPR-11-09-2767 Drawing Type: Constru 'on Authorization Date: 1/ 1 0/ x 0 0 9 Olnch Di'AII Scale: {Block ft. QN/A ~YC \0 Cr -6 -e ~t w.a.ll d 146 h t.y G v f1" Page 3 of 3 NCDENR Division of Environmental Health On-Site Wastewater Section "Date: 1 a 1 t3 a / ©a e Soil/Site Evaluation `File m: 3 6 9 7 6 For O n-Site Wastewater System PIN 9: EHPR-11-09-2767 'Owner David Lewis Proposed Facility SINGLE FANCILY Proposed Design Fiow (.1949) 3 6 u Location of Site 2744 Honeycutt Rd Property Size Water Supply EXISTING WELL Evaluation Method Pit 1P40 Horizon SOIL MORPHOLOGY Profileg Landscape Depth 1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1 0-44 Fill 1942 Wet. % .1943 Depth CPS Saprolite: (in) 1944 Rest. Horizon EHS .1947 Class U Profile LTAR - 0-33 Fill .1942 Wet. oro 33 4$ SC 0-Masi m 1943 Depth CPS Saprolite'(in) 1944 Rest. Horizon 1947 Class U ENS Cop; rofile Ptofite LTAR _ 3 0-16 SC sbk fr ss sp .1942 Wet. % 16-42 SC sbk fr s Sp .1943 Depth CPS Saproirte:(in) 42.48 Sc sbk IT s sp chroma 3 F sap .1944 Rest. Horizon EHS .1947 Class Copr Profile Profile fl 5 LTAR _ 4 0-6 O 1942 Wet. 15 % 6-35 CL abk fr ss sp .1943 Depth 3 5 GPs saproute:(m) 35-48 C abk If ss sp chroma2 .1944 Rest. Horizon EHS .1947 Class Copr rofile IProfile LTAR 0 . 5 5 0.6 SCL sbk fr ns np A942 Wet. % 6-50 gr fr ns tip Sap 1943 Depth 5 0 GPS Saprolite:(in) .1944 Rest. Horizon P 1947 Class ps EHS Cap Y rofile Profile LTAR 4 Available Space (.1945) Other Factors(. 1946) Site Classification (.1948) Initial LTAR: Repair LTAR: o . 4 Others Present: Lucas Sears Comments: Evaluated By: Phelps, Robert NCDENR Division of Environmental Health On-Site Wastewater Section Date: 1 a/ e s/ a e e 9 Soil/Site Evaluation File 9: 3 6 9 7 6 For On-Site Wastewater System PIN E H P R - - 0 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 EHS .1947 Class Copy❑Prof l Profile LIAR .1942 Wet. °o .1943 Depth GPS Saprolite.(in) .1944 Rest. Horizon EHS 1947 Class Copf-2ronl Profile LTAR .1942 :vet. % .1943 Depth CPS Saprolite (in) .1944 Rest. Horizon .1947 Class EHS Cop+ rota Profile LTAR .1942 Wet. % .1943 Depth CPS Saprolite.(in) .194.1 Rest. Horizon .1947 Class EHS Copycrofile Profile LTAR .1942 Wet. % .1943 Depth CPS Saprolitejin) 1944. Rest Horizon EHS 1947 Class ~I Copv-Rrotil Profile iLTAR 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 0 2 Profile. 1 X Y Z Profile. 2 a X Y Z Profile: 3 X Y Z Profile: 4 X Y Z Profile. 5 X Y Z Profile: X Y Z Profile: X Y Z Profife X Y Z Profile: I X Y Z Profile: X Y Z EHPR c;0(P 7 TRACKING INFORMATION Date Calls 11-18-09 1" Contact - Discussion Only 11-18-09 Site Ready to be Flagged 11-18-09 Site Flagged 11-30-09 Site Ready to be Evaluated 11-30-09, 12- Site Evaluated 1-09 12-1-09 Approved for Issuance Other Date Comments/Field Notes 12-1-09 Jason Boyd, Luke Sears and Robbie Phelps evaluated lot