Loading...
HomeMy WebLinkAboutAUTH-11-09-2473.TIF AUTHORIZATION CDP File Number 3 . 5 g 3 3 de g ; ~ et Catawba C©Unty Public Health Department County ID'Number EHIDR-70-09-2321 Environmental Health Division Evaluated For REPAIR P.0 Box 389, 100-A Southwest Blvd a - T, oV nlship -0 q- 7,3 Newton NC 28658 PE R1.111 VALID UNT ; Phone: (828)-465-8270 Fax. (828) 465-8276 1 1/ 0 6/ a 0 1 4 Applicant: Roger Lail Property Owner: Roger Lail Address: 2560 31St ST DR NE Address: 2560 31st ST DR NE P City: Hickory City: Hickory State/Zip: NC State/Zip: NC Phone # Phone N: Property Location & Site Information Address/Road 9: Subdivision: Randon Woods Phase: Lot: 3 2560 31St ST DR NE Hickory NC Directions Structure: SINGLE FAMILY # of Bedrooms: 3 9 of People: 6 `Water Supply: NIA s em ecl ica Ions Minimum Trench Depth: a 4 Inches 'Site Classification; PS Minimum Soil Cover. Inches Design Flow: 3 6 0 Maximum Trench Depth: 3 0 Inches Soil Application Rate: 0 3 Maximum Soil Cover: Inches `System Classification/Description: Distribution Type: PUMP TO GRAVITY TYPE III B. SYSTEM WISINGLE EFFLUENT PUMP Septic Tank: Gallons 'Proposed System'. 25% REDUCTION 1-Piece: O Yes O No Nitrification Field 9 Pump Required: OYes ONo OMay Be Required 0 0 Sq ft No. Drain Lines 6 Pump Tank: 1 0 0 0 Gallons 1-Piece:OYes ONo Total Trench Length- 3 0 0 ft a 7 GPtvi-vs-- 1 7 ft. TDH Trench Spacing: 7 Olnches O.C. Feet O.C. Dosing Volume: _ 1 6 0 Gallons Trench Width: ()Inches 3 , Feet Aggregate Depth: Grease Trap: Gallons inches Pre-Treatment: O N S F OTS-1 O TS-11 Septic Tank Installer Grade Level Required: OI @I1 0111 ON Page 1 of 3 NOV-89-2889 11:59 CATRWBA COUNTY GOUT 1 828 465 8276 P.82 Open Pump System Sheet Repair System Required:OYes ONo ONo, but has Available Space epetr Syste111 Trench Spacing: Q Inches 0. 'Site Classification: _ 8Feet 0_C_ Trench Vvdth: Q Inches Design Flow: Q Feet Soil Application Rate: Aggregate ep : inches 'System Classification/Description; Minimum Trench Depth; 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; ft Pump Required: Oyes ()No ()May Be Required Pre-Treatment: O N SF 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 Authmizatlon for Wastewat*r system construction shall bevalid fora pa en equal to the period of volldity of the Improvwnent Per K not to exceed five years, and maybe Issued at the same time the Improvement Permit Issued (NCCS 190A-336(b)) If the lnstallaeon has net been cam plated during the period of wlidlty of the Constructlon Permit, the Information subrrrhted to the application for a permit or Construction Authorization Is found to have been incerreC% falstfted or Changed, or" site is amww,'Me permit or construction Authorization shall become Inwod, and may be suspended or revoked (.1937(g)). The person owning or eontrolling the system shall be responsible for assuring oomplianes with the laws, rules, and permit conditions regarding system location, Installatlon, operation, maintenanca monitoring, reporting and repair (1938(b)). ApplicanuLegat Reps. Signature Required? Oyes No g Applicant/Legal Reps- Signature' ~ pate: 'Issued 9y: 19$2 - Phelps. Robert Date of issue= 1 1/ 0 6/.2 6 0 9 Authorized State Agent: ~j Malfunction Log Oyes C Hand Drawing *Import Drawing Total Time,(HH*MAA) **Site Plan/Drawing attached.** Page 2 of 3 Haurs Minutes CDP File Number: 35933 County File Number: EHPR-10-09-2321 Drawing Type: Construction Authorization Date: 1 1 0 6 a 0 0 9 Click below to import an image from an external location: ,U i C' I I i r ` ih PV A ~ah I I x a~ d. cJ 1~ t nr /V 5. Page 3 of 3 NCDENR ' Division of Environmental Health On-Site Wastewater Section 'Date: 1 1 4 6 0 9 Soil/Site Evaluation "File rc: 3 5 9 3 3 For On-Site Wastewater System PIN EHPR-10-09-2321 -Owner-Roger Lail Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 0 Location of Site 2560 31St ST DR NE Property Size 0.38 Water Supply PUBLIC Evaluation Method pit 14940 Horizon SOIL MORPHOLOGY Profile" Landscape Depth •1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 0-36 CL sbk fir ss sp .1942 Wet. (o 36-42 5CL sbk fr ss sp .1943 Depth 4 :2 GPS Saprolite: (in) 19.4 Rest. Horizon .1947 Class EHS Profile LTAR 6 . 3 0-31 CL sbk fr ss sp 1942 Wet. % 31-48 SC sbk fr ss sp 1943 Depth 4 3 CPS Saprolitejin) 19.4 Rest. Horizon r' 1947 Class EHS Copy raffle IProfile p 3 LTAR _ .19:2 Wet. .1943 Depth CPS Saprolite:(in) .194. Rest. Horizon 1947 Class 'w" EHS Copy. Profile P'rofil@ LTAR _ ,19.2 Wet. ado .1943 Depth GPS Saprotite:(in) 11944 Rest. Horizon .1947 class EHS Copy rofile Profile LTAR .1942 Wet. % .1943 Depth GPs Saprolite:(in) .1444 Rest. Horizon _1907 Class EHS Copy rofile Profile LTAR Available Space (.1945) Other Factors(.1946) Site Classification (.1948) Initial LTAR: Repair LTAR: Others Present: Comments: pit 91 only dug to a depth of 42 incites; pit h2 had purdged water at 43 inches Evaluated By: Phelps, Robert NCDEN,R Division of Environmental Health On-Site Wastewater Section Date: i i J 0 6 J a e 9 Soil/Site Evaluation File 9: 3 5 9 3 3 For On-Site Wastewater System PIN 9: E H P R- 1 0- 0 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 Saprofite:(in) 1944 Rest. Horizon EHS 1947 Class i Copy Protil Prarile LTAR 1942 Wet. % 19,13 Depth GPS Saprolite:(in) 1944 Rest. Horizon .1947 Class EHS CoGJ ~ rotii Profile LTA 1942 Wet. 1943 Depth GPS Saprolite:(in) 11943 Rest. Horizon 19:7 Class EHS Copy_rofile IProfits LTAR .1942 Wet. % .1943 Depth GPS Saprolite:(in) 1944 Rest. Horizon EWS 1947 Class Copy.Profit e Profife LTAR .1942 Wet, 1943 Depth CPS Saprolite.(in) .1943 Rest. Horizon 1947 Class EHS Copy~rofil Profits 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 Drawling Form `l l4 0 a 4 ~o Profile: 1 X Y Z Profile: 2 X Y Z Profile: 4 X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z Profiler X Y Z Profile: X Y Z Profile: X Y Z Profile: X Y Z EHPR-10-09-2321 TRACKING INFORMATION Date Calls 10--09 Is' Contact - Discussion Only 10-29-09 Site Ready to be Flagged 10-29-09 Site Flagged 11-2-09 Site Ready to be Evaluated 11-2-09,11-3- Site Evaluated 09,11-4-09 11-5-09 Approved for Issuance Other Date Comments/Field Notes