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Home My WebLink AboutAUTH-3-10-4997.TIF CONSTRUCTION Forotficeuse only AUTHORIZATION `CDP File Number 3 9 5 3 , 4. Catawba County Public Health Department Couriry ID Number. EHPR-2-10 sass ~i Environmental Health Division Evaluated,For. REPAIR 0~ P.O Box 389, 100-A Southwest Blvd Township: Newton NC 28658 PERMIT VALID UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 a l a 5 a 0 1 5 Applicant: Berta Ortega Property Owner: Berta Ortega Address: 4736 Randleman Rd Address: 4736 Randleman Rd City: Conover City: Conover State/Zip: NC 28613 State/Zip: NC 28613 Phone T: (828) 441-0196 Phone: Property Location & Site Information Address/Road Subdivision: Brookwood Phase: Lot: 17 4736 Randleman Rd Conover NC 28613 Directions Structure: SINGLE FAMILY County Home Rd, L Noah Path, L Randleman, turn L, 3rd on left of Bedrooms: 2 of People: "Water Supply: PUBLIC stem ect ica tons K__ tvtinimu►n Trench Depth: 1 $ Inches Classification: PS Minimum Soil Cover. 6 Inches Design Flow: a 4 0 Maximum Trench Depth: a 4 Inches Soil Application Rate: 4 Maximum Soil Cover: 1 a Inches 'System Classification/Description: 'Distribution Type: GRAVITY - SERIAL TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Septic Tank: 1 0 0 0 Gallons Proposed System: 25% REDUCTION 1-Piece: OYes @No Nitrification Field Pump Required: OYes ONo May Be Required 4 5 0 Sq. ft, Pump Tank: 1 0 0 0 Gallons No. Drain Lines a 1-Piece:OYes @No Total Trench Length: 1 5 0 ft. GPM-vs-- ft. TDH Trench Spacing: Inches O.C. 9 Feet O.C. Dosing Volume: _ Gallons Trench Width: C7lnches 3 @Feet Aggregate Depth: Grease Trap: Gallons inches Pre-Treatment: ONSF OTS-1 OTS-II Septic Tank Installer Grade Level Required: OI Oil 0111 ON Pagel of 3 1" COP File Number 39534 County ID Number: EHPR-2-10-3898 ❑ Open Pump System Sheet Repair System Required:OYes ONo ON o, but has Available Space Trench Spacing: ~ Inches O.C. (Desig~ pair System Classification: - Feet O.C. Trench Width: Inches n Floti^i- Feet Soil Application Rate: Aggregate Depth: inches Minimum Trench Depth: 'System Classification/Description: Inches Minimum Soil Cover. Inches ' Maximum Trench Depth: Inches "Proposed System: Maximum Soil Cover: Nitrification Field Sq ft Inches . . No. Drain Lines 'Distribution Type: Total Trench Length: ft Pump Required: (-)Yes (DNo (DMay Be Required Pre-Treatment: ONSF OTS-1 OTS-11 `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 pen- nit 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. Can set a new tank and reroute plumbing to keep from pumping. If decide to pump, a preconstruction meeting is required to determine pump size and dosing Volume. Must instal a pressure manifold for distribution. I 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 corn pleted 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 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? @Yes ONO Applicant/Legal Reps. Signatur A12 'Issued By: 1919 - Susan Miller Date of Issue:. a / a 5 / a 0 1 0 Authorized State Agent: __`-f~'~-✓"I Malfunction Log }Yes OHand Drawing Olmport Drawing Total Tirne-.(HH:MM) **Site Plan/Drawing attached.** Hours rlinutes Page 2 of 3 CDP File Number: 39534 County File Number: EHPR-2-10-3sss Drawing Type: Construction Authorization Date: Click below to import an image from an external location: L~ . .o ~ko '1e!~~ n,cw m - Sufi k P .Xtb ,o~w " d MAXV c mid S 3*" Q dPS ~S M.in r, from Propvi'tf 1i,v3 5'rn:h ~r~ I~Ksc, Page 3 of 3 NCDENR Division of Environmental Health 'Date: 0;2 /;?5 l a e i e On-Site Wastewater Section Soil/Site Evaluation 'File R.- 3 9 5 3 4 For On-Site Wastewater System PIN EHPR-2-10-3898 'Owner Berta Ortega Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) a 4 0 Location of Site 4736 Randleman Rd Property Size Water Supply PUBLIC Evaluation Method Auger 1940 Horizon SOIL MORPHOLOGY Profiles Landscape Depth 1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors p Texture Structure Consistence. Color Color 1 L 0-16 SL 1-Weal abk fr 1942 Wet 6 % 16-40 SCL 2-Mod( abk fr .1943 Depth 4 0 ps GPS saprolife: (in) .1944 Rest. n/a Horizon .1947 Class PS EHS Susan Miller Profile 4 LTAR _ .1942 Wet. % .1943 Depth GPs Saprolite:(in) .1944 Rest. Horizon HS .1947 Class E Copy rofile IProfile LTA R .1942 WeL % .1943 Depth CPS Saprolite:(in) 1944 Rest. Horizon COD .1947 Class EHS copy. Profile IProfile LTAR _ .1942 Wet. % .1943 Depth CPS Saprolite:(in) 194» Rest. Horizon i .1947 Class EHS Copy profile Profile LTAR .1942 Wet. % .1943 Depth GPS Saproliie:(in) .1944 Rest. j~{l? Horizon EHS 1947 Class Copy rofile Profile LTAR Available Space (.1945) PS Other Factors(. 1946) PS Site Classification (.1948) Ps Initial LTAR: Repair LTAR: . 4 Others Present: Megen McBride Comments: Evaluated By., Susan Miller NCDENR Division of Environmental Health On-Site Wastewater Section Date: 0 a/ a 5 / a 0 1 0 Soil/Site Evaluation File 3 9 5 3 4 For On-Site Wastewater System PIN E H P R - a - 1 0 - 1940 Horizon SOIL MORPHOLOGY Profile= Landscape Depth .1941 Other Profile POS Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 Wet. 010 1943 Depth GPS Saprolite:(in) 1944 Rest. Horizon ~►f!1 1947 Class EHS Copf.Profil Profile LTA R .1942 Wet. % .1913 Depth GPS Saprolife:(n) 1944, Rest. r Hozon r 1947 Class L, EHS Copy3rofil_ Profile tJ LTAR .1942 'Net. % .1943 Depth CPS Saprolite:(in) .1944 Rest. Horizon .1947 Class tw EHS Copy, Profit Profile U LTAR 1942 Wet. % 1943 Depth GPS Saprofite:(in) .1944 Rest. Horizon EH S 1947 C13SS Copy Profil_ IProfile LTAR .1942 Wet. % .1943 Depth CPS Saprolite:(in) .1944 Rest. Horizon i ' EHS 1947 Class Copy Qrotil Profile u 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 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: X Y Z