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HomeMy WebLinkAboutAUTH-11-09-2966.TIF CONSTRUCTION For office use only, }1 -`.'r*. AUTHORIZATION 'CDP File Number 3 6 5 1 5 ti Catawba County Public Health Department County ID Number. EHPR-11-09=2733 Environmental Health Division Evaluated Far REPAIR P.O Box 389, 100-A Southwest Blvd Township: All M - b~.A406-111 041 Newton NC 28658 PERMIT VALID UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 1 1/ 0 4/ x 0 1 4 Applicant: James Pennell Property Owner: James Pennell ~ ow Address: 2947 Bethany Church Rd. Address: 2947 Bethany Church Rd. City: Claremont City: Claremont State/Zip: NC 28610 State/Zip: NC 28610 ` Phone rJ Phone Property Location & Site Information Address/Road m~ Subdivision: Witherspoon Estate Phase: Lot: 2947 Bethany Church Rd. Claremont NC 28610 Directions Structure: SINGLE FAMILY of Bedrooms: 3 4 of People: 2 Water Supply: EXISTING WELL System ect ica tons Minimum Trench Depth: 1 8 Inches "Site Classification: PS Minimum Soil Cover. 0 6 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 Ciessification/Description: 'Distribution Type: GRAVITY TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Septic Tank: Gallons 'Proposed System: 25% REDUCTION 1-Piece: (D Yes 0,N o Nitrification Field Pump Required: (DYes ONo 0May Be Required 7 7 0 Sq. ft. No. Drain Lines 3 Pump Tank: Gallons 1-Piece: (-)Yes (DNo Total Trench Length: a 6 0 ft. GPM-vs-- it. TDH Trench Spacing: OInches O.C. (:}Feet O.C. Dosing Volume: _ Gallons Trench Width. 3 )Inches Feet Aggregate Depth' Grease Trap: Gallons inches Pre-Treatment: C) N SF GTS-1 0 TS-11 Septic Tank Installer Grade Level Required: (S) II 0111 (IV Pagel of 3 CDP File Number 36515 County ID Number: EHPR- 11-09-2731 ❑ Open Pump System Sheet Repair System Required:OYes 0No C;No, but has Available Space Repair System Trench Spacing: Inches O.C. *Site Classification: Feet O.C. Trench Width: 8Inches Design Flows _ Feet Sail 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: 0 Yes C)No 0May Be Required ft . /J Pre-Treatment: ONSF OTS-1 )TS-11 Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. 'Permit Conditions The issuance ofthis permit bythe Health Department in no wayguarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. It is OK to use the existing septic tank as long as it is found to be in tact and struclually sound. If it is found to be compromised, a new 1000 gal. tank must be installed. It a new tank is installed the old tank must be pumped out and properly abandoned. Sleeve supply line (from lank to drainfietds) where is runs under the driveway. Septic system must be at least 100 ft, from any well, 10 ft. from property lines. 5 ft. from structures. 15 ft from basement cuts, and 15 ft. from ditches. Install on contour. Do not drive, grade. cut, or fill over 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 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 besuspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance with the laves, rules, and permit conditions regarding system location, installation, operation, maintenance monitoring, reporting and repair (193ti(b)). Applicant/Legal Reps. Signature Required? Q e Np Applicant/Legal Reps. 14,r~ Date: ~l l 5 / *Issued By: 22+16 - Megen McBride Date of lssue:. 1 1 / a 4 / a 0 0 9 i Authorized State Agent: Malfunction Log 'JYes Hand Drawing Olmport Drawing Total Time:(111-11P.9) **Site Plan/Drawing attached.** 0 Hours Minutes Page 2 of 3 CDP File Number: 36515 County ID Number: EHPR-11-09-2734 Drawing Type: Construction Authorization Date: 1 1 x 4 0 0 9 (D Inch Scale: (Block ft. Dr-atA t , 6 { 1!21 ~V~e S k aAV ' A doh+ IoYej viamtwl rid s~bac~5 0~ F I . Iv 1 him can 2 t i d I , I o. - 1J E Paige 3 of 3 NCDENR Division of Environmental Health On-Site Wastewater Section `pate: 1/ a o a e t 9 Soil/Site Evaluation File T: 3 6 s 1 s For On-Site Wastewater System PIN FHPR-11-09-2734 'Owner James Pennell Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 o Location of Site 2947 Bethany Church Rd. Property Size 1.83 Water Supply EXISTING WELL Evaluation Method Auger 1940 Horizon SOIL MORPHOLOGY Profiled Landscape Depth 1941 Other Profile POS Mineralogy Matrix Mottle Factors Slope °ro (IN) Texture Structure Consistence Color Color 1 0-42 CL 2-Molt sbk fr ss sp 1942 :vet, % 1943 Depth 4 2 PS CPS Saprolite: (in) 1944 Rest. Horizon EHS .1947 Class Ps Megen McBri( Profile L7riR 0 3 5 . 119.2 Wet. % 1943 Depth CPS saprotite:(in) .1944 Rest, Horizon .1947 Class ENS Copyrc .le Prorle 19.12 1v et. `'1& .1943 Depth CP` Saprolite.(in) 194. Rest, HoriZon EHS .19.7 Class Cop} Prc le Profile LTAR 19:2 Wet, 00 1943 Depth GPS Saprolite:0n) 1944 Rest, Horizon ENS .1947 Class Cot; Profile Profile LTAR 19.2 IN et, 19.3 Depth CPS Saprolite:(in) 1944 Rest. Horizon t, 19,17 Class EHS Copy roftte Profile LTAR Available Space (.1945) PS Other Factors(.1945) PS Site Classification (.1948)PS initial LTAR: Repair LTAR: o . 3 5 Others Present: Boyd, Jason Comments: Evaluated By: MegenMcBride NCDENR Division of Environmental Health On-Site Wastewater Section Date: 1 1 / a o / a o o 9 Soil/Site Evaluation File 9: 3 6 5 1 5 For On-Site Wastewater System PIN .1940 Horizon SOIL MORPHOLOGY ProfileRu Landscape Depth .1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color .1942 Net. % .1943 Depth CPS Saprolite:(in) 1944 Rest Horizon EHS .19-17 Class Copy Orofil Profile VAR _1942 Wet. % 19•x3 Depth CPS Saprolite:(in) I 194» Rest. Horizon t .1947 Class ril EHS Copy-p-rotii Profile Li LTAR .19-12 Wet, % 1943 Depth CPS Saprolite:(in) 194-1 Rest. Horizon g 7 1947 Class r ENS Copy rofile Profile PAR .1942 'A, et. oho • .1943 Depth CPS Saprolite:(in) .194» Rest. Horizon a ENS 1947 Class Copy PProfil Profile LTAR 1942 Wet. % 1943 Depth CPS Saprolite:(in) _1944 Rest. Horizon EHS .1947 Class Ek:r/ I Profile CopyE)rotil LTAR 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 Nil Ao SoAf_ ~J Navsc. Profile. 1 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 Profile: Q X Y Z