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HomeMy WebLinkAboutOP-11-09-2791.TIFOPERATION PERMIT Catawba County Public Health Department Environmental Health Division P.O Box 389, 100 -A Southwest Blvd Newton NC 28658 Phone: (828)- 465 -8270 Fax: (828) 465 -8276 Applicant-. LINDA FISHE Address: 8704 SHERRILLS FORD RD City: SHERRILLS FORD State/Zip: NC 28673 Phone #: 'CDP File Number 2 4 0 3 4 WLS2008 -00401 County ID Number Evaluated For: HDR (� Property Owner: SANDRA FISHE MASSEY Address: 8704 SHERRRILLS FORD RD city. SHERRILLS FORD State/Z ip: NC Phi_ Property Location & Site Information Address /Road #: Subdivision: SANDRA FISHE MASSEY Phase: Lot: 2 8704 SHERRILLS FORD RD SHERRILLS NC Structure: SINGLE FAMILY # of Bedrooms: 2 # of People: 3 *Water Supply: EXISTING WELL *IP Issued by: *CA issued by: Design Flow: a 4 0 Soil Application Rate: 3 a 5 Nitrification Field No. Drain Lines Total Trench Length: Trench Spacing: Trench Width: Aggregate Depth: Directions HWY 10/ RT ON MURRY MILLS/ LT ON SHERRILLS FORD/ GO PAST ELEM SCHOOL/ PAST POST OFFICE 'System Classification /Description: TYPE III G. OTHER NON -CONY. TRENCH SYSTEMS *Distribution Type: GRAVITY -SERIAL 'Pre- Treatment: Drain field 5 5 0 sq. ft. 3 1 8 0 ft- 9 riches O.C. y. Feet O.C. Inches 3 . *Feet inches Minimum Trench Depth: Inches Minimum Soil Cover. 1 a Inches Maximum Trench Depth: a 4 Inches Maximum Soil Cover: Inches Pagel of 4 'System Type: BIDIFLISER STANDARD Installer: Kenny Dellinger Certification #: 1063 'EH S: 1810- Boyd, Jason Date: 1 1/ 0 3/) 0 0 9 CDP.File Number 24034 Manufacturer. Dellinger County ID Number: WLS2008 -00401 Septic Tank Lat. STB: 794 Gallons: Gallons: 1000 / Date: Yes Riser Height: ❑ 'Filter Brand: POLYLOK PL-68 Yes ST Marker: Yes ❑ No einforced Tank: VA Yes ❑ No 1 Piece Tank: ❑ Yes ,C No Long: Installer: Dellinger Certification #: 1063 *EH S: 1810 - Boyd, Jason Date: / / Pump Tank Manufacturer. Installer: PT: No Gallons: No (Min.6 in.) Date: / Riser Sealed ❑ Yes Riser Height: ❑ Yes einforced Tank: ❑ Yes 1 Piece Tank: ❑ Yes ❑ N No ❑ N No (Min.6 in.) ❑ N No ❑ N No Pipe Size: 3 inch diameter Pipe Length: 8 feet =Schedule: 40 Pressure Rated ❑ Yes YJ No Approved fittings OYes ❑ No Certification #: *EH S: Date: / upply Line Installer: Dellinger Certification #: 1063 *EH S: 1810 - Boyd. Jason Date: / Pump Type: Installer: Dosing Volume: - Gal Certification #: Draw Down: Inches *EHS: *Chain: Date: Valves Accessible ❑ Yes ❑ No Flow Adjustment Valve ❑ Yes ❑ No / Check -valve ❑ Yes ❑ No - PVC Unions ❑ Yes ❑ No �pou�� �paec Vent Hole ❑ Yes ❑ No 1 Anti - siphon Hole ❑ Yes ❑ No Page 2 of Page 2 of 24034 WLS2008 -0040 t CDP•File Number County ID Number: Electric Equipment NEMA 4X Box or Equivalent ❑ Yes ❑ No Installer: Box 12 inches Above Grade ❑ Yes ❑ NO Certification #: Box Adj. To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ❑ No *EH S: Pump Manually Operable ❑ Yes ❑ No Date. *Activation Method: r Si Alarm Audible ❑ Yes ❑ No d fig Asa ©ec Alarm Visible ❑ Yes ❑ NO'`'D *•` `" 1810 - Boyd, Jason *Operation Permit completed by: Authorized State Agent: Date of Issue: 1 1/ 0 3/ a 0 0 9 U I ( This system has been installed in compliance with applicable NC General Statutes: Article 11, Chapter 130A, Rules for Sewage Treatment and Disposal, 15A NCAC 18A.1900 et. Seq., and all conditions of the Improvement Permit and Construction Authorization. This property is served by a TYPE m G. sewage septic system. Rule .1961 requires that a Type TYPE llr G. septic system meet the following criteria: Minimum System Review ByThe Local Health Department: N/A Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A Reporting Frequency By Certified Operator: N/A Rule .1961 requires that a Type IV and V septic systems designed fora homelbusiness owner must maintain a valid contract with a public management entitywith a certified operatoror a private certified operator forthe life of the septic system. Rule .1961 requires thatType VI septic systems designed fora home /business owner must maintain a valid contract with a public management entity with a certified operator for the life of the septic system. Rule. 1961 (2) (e) requires a contract shall be executed between the system owner and a management entity prior to the issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the system ownerand certified operator are the same. The contract shall require specific requirements for maintenance and operation, responsibilities of the owner and systems operator, provisions that the contract shall be in effect For as long as the system is in use, and other requirements for the continued proper performance of the system. It shall also be a condition of the Operation Permit that subsequent owners of the systems execute such a contract. Hand Drawing 0Import Drawing ** ite Plan /Drawing attached. ** Total Time:(HH:MM) Hours Minutes Page 3 of 4 CDP File Number: 24034 Drawing Type: Operational Permit Drawing, 1 p ti„%­f ( t nIt- ILlI County File Number: W1S2008 -00401 Date: 1 1 / 0 3 / x 0 0 9 O inch Scale: OBiock ON/A �k 50 r_x,•,t . t �J Q ; Page 4 of 4