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CONSTRUCTION For Office Use Only
AUTHORIZATION ~CDP File Number 3 8 4 8 3
Catawba County Public Health Department County ID Number: EHPR-1-10-3404
Environmental Health Division
Evaluated For: NEW
P.O Box 389, 100-A Southwest Blvd Township: -a .a-/Q b
Newton NC 28658 PERMIT VALID UNTIL:
Phone: (828)-465-8270 Fax: (828) 465-8276 Cl ~q / ~;2OIS
Applicant: Constantin Boureanu Property Owner: Constantin Boureanu 1si
1'" C
Address: 5155 Orchard Park Dr Address: 5155 Orchard Park Dr
City: Hickory City: Hickory
State/Z ip: NC 28602 State/Zip: NC 28602
~__Phone ~(828) 320-4225 Phone
Property Location 8 Site Information
Address/Road Subdivision: Abernethy Park Phase: 7 Lot: 59
5155 Orchard Park Dr
Hickory NC 28602 Directions
Structure: SINGLE FAMILY Hwy 127, L Bethel Ch Rd, R Orchard Park Dr, lot in
cul-de-sac
# of Bedrooms: 3
# of People:
"Water Supply: PUBLIC
s em Specifications
Minimum Trench Depth: 1 8
Inches
'Site Classification: PS Minimum Soil Cover. 6
Inches
Design Flow: 3 6 0 Maximum Trench Depth:
~ 4 Inches
Soil Application Rate'. 3 Maximum Soil Cover: 1 a
Inches
'System Classification/Description: =Distribution Type: PRESSURE MANIFOLD
TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP
Septic Tank: 1 0 0 0 Gallons
"Proposed System: 25% REDUCTION 1-Piece: OYes #No
Nitrification cation Field 9 0 0 Pump Required: (#Yes ONo OMay Be Required
_ Sq. R.
Pump Tank: 1 0 6 0 Gallons
No. Grain Lines 3
1-Piece:OYes #No
Total Trench Length: 3 0 0
ft_ GPM-vs-- ft. TDH
Trench Spacing: 9 Inches O.C.
Feet O.C. Dosing Volume: _ Gallons
Trench Width: 3 Inches
_ i Feet
,Aggregate Depth: Grease Trap: Gallons
inches Pre-Treatment: ONSF OTS-1 OTS-II
Septic Tank Installer Grade Level Required: OI #II OIII OIV
Pagel of 3
CDP File Number 38483 County ID Number: EHPR-1.10-3404
❑ Open Pump System Sheet
Repair System Required:®Yes ONo ONo, but has Available Space
epair System
Trench Spacing: Inches O.C.
*Site Classification: PS - 9 Feet O.C.
Trench Width: 3 Q Inches
Design Flow: 3 6 0 - ® Feet
Aggregate Depth:
Soil Application Rate: 3 inches
Minimum Trench Depth: 1 8
System Classification/Description: Inches
TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Minimum Soil Cover 6
Inches
Maximum Trench Depth: ~ 4
"Proposed System: 25%REDUCTION Inches
Maximum Soil Cover: 1 a
Nitrification Field Inches
9 0 0 Sq. ft.
No. Drain Lines 3 "Distribution Type: PRESSURE MANIFOLD
Total Trench Length: 3 ~ 0 ft Purnp Required: ®Yes ~No t~May Be Required
Pre-Treatment: ONSF OTS-I 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.
Call before beginning installation for a pre-comstruction conference to determine pump size.
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 be suspended or revoked (.1937(g)). The person owning 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)).
ApplicanULegal Reps. Signatureequired? ~Ye ONO
l J
Applicant/Legal Reps. Signature ? t ~l Date: 2"
1919 - Susan Miller Date of Issue: 1 / a 9 / a 0 1 0
Issued By:
,nn
Authorized State Agent: OV1i ✓V, UU, Malfunction Log Oyes
OHand Drawing Vmport Drawing Total Tirne:(HH:MM)
**Site Plan/Drawing attached.**
0 0 Hours 0 0 Minutes
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CDP File Number: 38483 County File Number: EHPR-1-10-3404
Drawing Type: Construction Authorization Date:
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