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HomeMy WebLinkAboutAUTH-12-09-3308.TIF %.VIVJ 1 MU%. I IVN - pk~k. AUTHORIZATION *CDP File Number 3 7 0 6 8 Catawba County Public Health Department County ID Number: EHPR-12-09-2952 Environmental Health Division Evaluated For: REPAIR P.O Box 389, 100-A Southwest Blvd Township: Newton NC 28658 PERMIT VALID'UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 1 a/ 1 1/ a 0 1 4 Applicant: Ira Gene Sherrill Property Owner: Ira Gene Sherrill Address: 3053 Mt. Ruhama Church Rd Address: 3053 Mt. Ruhama Church Rd City: Maiden City: Maiden StatefZ ip: NC 28650 State/Z ip: NC 28650 Phone 464-9785 Phone M: Property Location & Site Information Address/Road Subdivision: Phase: Lot: 3053 Mt. Ruhama Church Rd Maiden NC 28650 Directions Structure: SINGLE FAMILY 9 of Bedrooms: 3 4 of People: 'Water Supply: EXISTING WELL s em ec1 Ica Ions Minimum Trench Depth: a a Inches *Site Classification: PS Minimum Soil Cover. 1 0 Inches Design Flow: 3 6 0 Maximum Trench Depth: a 8 Inches Soil Application Rate: 0 3 5 Maximum Soil Cover: 1 6 Inches *System Classification/Description: *Distribution Type: GRAVITY - SERIAL TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Septic Tank: Gallons *Proposed System : 25% REDUCTION 1-Piece: O Yes O N o Nitrification Field Pump Required: OYes *No OMay Be Required 7 8 ® Sq. ft' Pump Tank: Gallons No. Drain Lines 4 1-Piece: ()Yes ONo Total Trench Length: a 6 0 ft. GPM-vs- ft. TDH Trench Spacing: 8 9 Veet nches O.C. - O.C. Dosing Volume: _ Gallons nches Trench Width: Zeet 3 Aggregate Depth: Grease Trap: Gallons inches Pre-Treatment: O N SF OTS-1 O TS-II Septic Tank Installer Grade Level Required: 01011 0111 ON Page 1 of 3 GDP Frle Number 31000 Gounty ID Number: ❑ Open Pump System Sheet Repair System Required:OYes ONo ONo, but has Available Space rRepair System Trench Spacing: Q Inches O.C. assification: o Feet O.C. Trench Width: 8Inches 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 Sq. ft Inches . No. Drain Lines *Distribution Type: Total Trench Length: ft Pump Required: QYes ONo OMay 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)~ If the installation has not been completed during the period of validity of the Construction Permit, the information submitted in theapplication for a permit or Construction Authorization is found to have been incorrect, falsified or changed, or the site is altered, the permit or Construction Authorisation shall become invalid, and may be suspended or revoked (.1937(g)). The person awning or controlling the system shalt 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 R quired? OYeS Q'N Applicant/Legal Reps. Signature, i Date: / U J *Issued By: 1952 - Phelps, Ro ! Date of Issue:. 1 a 1 1 a 0 0 9 Authorized State Agent: VA Malfunction Log QYes Hand Drawing Olmport Drawing Total Time:(HH:MM) **Site Plan/Drawing attached.** Hours U inutes Page 2 of 3 CDP File dumber: 37068 County ID Number: E"PR-12-09-2952 Drawing Type: Construction Authorization Date: l a l l/ a 0 0 9 0Inch Scale: 0Block = ft. Drawing QN/A AA w~,1t ovS-x- d ~1~ q ; rA e M T 11 v V% G\ V. CN G vvd Page 3 of 3 NCDENR Division of Environmental Health On-Site Wastewater Section 'Date: 1>> a 0 0 9 Soil/Site Evaluation 'File 3 7 0 6 8 For On-Site Wastewater System PIN EHPR-12-09-2952 -Owner Ira Gene Sherrill Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 0 Location of Site 3053 Mt. Ruhama Church Rd Property Size Water Supply EXISTING WELL Evaluation Method Pit 1940 Horizon SOIL MORPHOLOGY Lahti cape Depth •1941 Other Profile Profle# POS~ (IN) Mineralogy Matrix Mottle Factors Slope Texture Structure Consistence Color color 1 0-11 Fill .1942 wet. % 11-33 SCL sbk fr ss sp .1943 Depth 4 8 GPS Saprolite: (in) 33-48 SCL sbk If ns np +sap .1944 Rest. Horizon EHS .1947 Class Profile LTAR 0 . 3 5 0-8 Fill .1942 wet. % 8-28 SCL sbk fir s sp .1943 Depth 2 8 GPS Saprolite:(in) 28+ efi rock .1944 Rest. Horizon 1947 Class 12 EHS I. I opy rolls Profile 0 3 5 LTAR _ 3 0-35 Fill .1942 wet. % 3548 SC sbk fr ss sp .1943 Depth GPS Saprwite:(in) .1944 Rest. Horizon .1947 Class U EHS opy rofle Profile ILTAR .1942 wet. % .1943 Depth GPS Saprolite:(In) .1944 Resl. Horizon 1947 Class EHS Copy rofle Profile LTAR .1942 Wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 1947 Class 12 EHS Copy rofile Profile LTAR Available Space (.1945) Other Factors(.1946) Site Classification (.1948) Ps Initial LTAR: Repair LTAR: 0 . 3 5 Others Present: Boyd. Jason Comments: Evaluated By: Phelps, Robert NCDENR Division of Environmental Health On-Site Wastewater Section Date: 1/ 2 o e 9 Soil/Site Evaluation Fie 3 7 0 6 8 For On-Site Wastewater System PIN E H P R - 1 a - © 9 1940 Horizon SOIL MORPHOLOGY Profle# Landscape Depth .1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 Wet. % .1943 Depth GPS Saprolitojin) .1944 Rest. Honzon 12 .1947 Class EHS CoDY ofit Profile LPr J VAR .1942 Wet. .1943 Depth GPS Saprolite:pn) .1944 Rest. Horizon 1947 Class 12 EHS Copy-p-rofil Profile LTAR .1942 Wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon .1947 Class EHS Copy rofil Profile ILTAR _ .1942 W et. % .1943 Depth CPS Saprolke:(in) .1944 Rest. Horizon 1947 Class ro EHS R Copy profile Profile u VAR .1942 Wet. % .1943 Depth GPSS Saprolite:(in) .1144izonst. 1947 Class EHS CoDy~Johle Profile- LJ 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 71- C vim. Profile: 1 X Y Z Profile: 2 X Y Z Profile: 3 ! X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profile: Q X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z