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Home My WebLink AboutAUTH-12-09-3381.TIF CONSTRUCTION For Office Use Only AUTHORIZATION 'CDP File Number 3 6 7 0 6 f Catawba County Public Health Department County ID Number: EHPR-12-09-3024 Environmental Health Division Evaluated For: NEW y P.O Box 389, 100-A Southwest Blvd Townshi Imo. Newton NC 28658 PERMIT VALID UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 1 a/ 1 4/ a 0 1 4 Applicant: Mildred Moore \ Property Owner: Address: P.O. Box 672 Address: City: Hildebran City: State/Zip: NC 28673 State/zip; Phone Phone Property Location & Site Information Address/Road 4. Subdivision: Charlottes Crossing Phase: Lot: 5 2485 Genelia Dr. Claremont NC 28610 Directions Structure: SINGLE FAMILY of Bedrooms: 3 # of People: Water Supply: PUBLIC s em ect ica tons Minimum Trench Depth: a 4 Inches (Design te Classification: PS Minimum Soil Cover: 1 a inches How: 3 6 0 Maximum Trench Depth: 3 0 Inches Soil Application Rate: 0 3 Maximum Soil Cover: - 1 8 Inches 'System Classification/Description: `Distribution Type: GRAVITY TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Septic Tank: 1 0 0 0 Gallons 'Proposed System: 25% REDUCTION 1-Piece: OYes (_-)No Narification Field Pump Required: OYes *No Otvlay Be Required 9 0 0 sq. ft. No. Drain Lines 3 Pump Tank: Gallons 1-Piece:OYes ONo Total Trench Length: 3 0 0 ft. GPM-vs-- ft. TDN Trench Spacing: 9 Oinches O.C. (S) Feet O.C. Dosing Volume: Gallons Trench Width: _ 3 Inches - ~ Feet Aggregate Depth: Grease Trap: GalO s inches Pre-Treatment: O NSF OTS-1 TS-I1 Septic Tank Installer Grade Level Required: ~J 1011 0111 OIV Pagel of 3 CDP File Number 36706 County ID Number. EHPR-12-09-3024 ❑ Open Pump System Sheet Repair System Required:~~Yes ONo ONo, but has Available Space epair SVstem Trench Spacing: Inches 0..C * Site Classification: Ps - Feet O.C. Trench Width: Q Inches Design Flow: 3 6 0 - , Feet Soil Application Rate: 0 ;2 7 5 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: *Proposed System: 25% REDUCTION Inches Maximum Soil Cover: Nitrification Field 5q ft. Inches . . No. Drain Lines *Distribution Type: GRAVITY Total Trench Length: ft Pump Required: OYes}No 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. Septic system must be at least 100 ft, from any well, 10 ft. from property lines, 5 ft. from structures, 15 ft. from ditches and cuts >2 ft. Install on contour. Do not drive, grade, cut, or fill over septic area or repair area. Keep system out of all utility easements and right of ways. Installer is responsible for making sure all these are marked prior to system installation. Final grade must shed surface water away from drainfields. Divert all gutter drains away from 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 same time the Improvement Permit issued (NCGS 13oA-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 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 Required? Oyes ONO Applicant/Legal Reps, Signature: Date: / 'Issued By 2246-MegenMcBride Date of Issue: 1 a/ 1 4/ a 0 0 9 Authorized State Agent: Malfunction Log Oyes Hand Drawing Olmport Drawing Total Tinte-(HH:f IA) **Site Plan/Drawing attached.** Hours Minutes Page 2 of 3 CDP File Number: 36706 County ID Number: EwpR-12-09-3024 Drawing Type: Construction Authorization Date: 1 a/ 1 4/ a 0 0 9 Q Inch Dra~vina Scale: Qelock = ft. QSQ N rA Greed x$5.57' so , C'b O~ '~rc9 c ~ Ise row w 3ti qovst, 50 ° w ire Page 3 of 3