HomeMy WebLinkAboutAUTH-2-10-4981.TIF
CONSTRUCTION For Office Use Only,
AUTHORIZATION *CDP File Number 3 9 5 3,. 6.
Catav,ba County Public Health Department County ID Number. Et1PR-2-10 3897
II , Environmental Health Division Evaluated For: FLOW
~-1 P.O Box 389, 100-A South,.vest Blvd Tmvnshi
Ne%vton NC 28658 PERh41T VALID UNTIL.
Phone: (828)-465-3270 Fax: (828) 465-8276
Applicant: Kenneth Rosenbalr Property Owner., Kenneth Rosenbalm
Address.- 5=118 Vally5eld Rd Address: 5418 Vallyfield Rd
City: 1-tickory 7 City: Hickory
State/Zip: NC 23602 State/Zip: NC 28602
Phone (828) 330-0131 Phone 9:
Property Location & Site Information
Address/Road SUb61ision: Vally Field Acres Phase: Lot: 2
5413 Vallyfield Rd
Hickory N'C 28602 Directions
Stnlcture: SINGLE FAMILY Hwy 127x, L Vallyfield Rd, on L
9 of Bedrooms: ,I
of People:
"Water Supply: EXISTING V:rELL
S stem EMecifi ions
1.4inimum Trench Depth: 1 $
Inches
htinirnum Soil Cover-. 6
(Delsi(~:,n Class'Ificaiut7: PS
Inches
Flo,:!:
4 $ 0 h;iaximurn Trench Depth: a 4
Inches
Soil Application Rate: L';.:ximum Soil Cover;
Inches
`System Classification/Description: 'Distribution Type: GRAVITY - SERIAL
TYPE I J G. OTHER 1d0rd-CONV. TRENCH SYSTEIvIS
Septic Tank:
Gallons
`Proposed System: 25% REDUCTION 1-Piece: OYes &No
Nitrification Field PUMP Required: OYes ONo OMay Be Required
3 0
No. Drain Lines Pump Tank: Gallons
1
1-Piece:OYes ONo
Tola! Trench Lenglh: 1 0 0
GPM-vs-- ft. TDH
Tr'erx h Spacing: 9 (C. C
- (_)Feet Dosing VOIUme: Gallons
Trench VViieth: 3 Inches
'Aggregate Depth: Grease Trap: Gallons
inches
Pre-Treatment: ONSF OTS-I OTS-II
Septic Tank installer G rade Level Required: ()I 011 0111
ON
Page 1 of 3
EHPR-2-10-3897
CDP File Number 39513G County ID Number:
❑ Open Pump System Sheet
Requi,eci:,:,_)Yes Quo ONo, but has Available Space
Repair System
Trench Spacing: 9 Inches O.C.
`Site Classification: Ps - Feet O.C.
Trench Vdidth: Inches
Design Flo::: 3, - 3 g Feet
Aggregate Depth: ,
Soil Application Rate: inches
J
e~finimum Trench Depth: 1 8
`System Clr,ssification/Descriplion: Inches
TYPE III G. OTHER PION-CONV. TRENCH SYST&..IS ['.iininlUill Soil Cover. 6
Inches
L-iaximum Trench De;1th:
'Proposed System: 25% REDUCTION a 4 Inches
[:inximurn Soil Cover: 1 a
Nitrification f=ield Inches
No. Drain !_;lies 'Distribution Type: GRAVITY - SERIAL
Total Tionci"I Length: 1 0 0 Pump Required: Oyes (DNo ONtay Be Required
(i.
Pre-Tiealrnent: ONSF OTS-1 OTS-II
'Site Niodifications
No grading or construction act'!!ily is -illov,ed in areas designated Or Sy i sr;l a-id re <air without approval of Health Department.
'Permit Conditions
The iss!t. Ace of ihis pen;iit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is rrspo,sl:,I,: for Checking v-rdh approprlr.ie governing bodies in meeting Ii1Cir requirements.
Stay 10'min from property lines, 50-100' min front :.ell. Install system level and ca c-mvcu,.
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 30A-336(b)). If the installation has not been
complet• Cunng the period c, «li iN of :he Construction Permit the information submitted in the application for a permit or Construction
Authorization is found to have beeii incorrect falsified or changed. or the site is altered, the pen-nit or Construction Authorization shall become
invalid, and may be suspend_d or revoked (.193;(g)). The person owning or contrcliing the system shall be responsible for assuring compliance
with the la:vs, ruls, and pc. n•.it conc.'nions r_garc,ing s; st t location, installation, o _ aeon, maintenance, monitoring, reporting and repair
(1938(b)).
i
t?BpS.IIIa(Ure f3GgUlr@C'' C-) ~he5 N0
i~zps, -I I1~;1C:tII /0
`Issues t3v 1919 - Susa:I i..,ii or Date of Issue: a l a 5 / a 0 1 0
:
Authorized Stale Agent: j,1•-) j,-" ~ ~ Q~--- fvlalf inction Log Oyes
OHand Drawing Ulmport Drat:ving TotalTime:(HH:MM)
*'Site Plan/Drawing attached.**
0 Hours Minutes
P a ss e 2
CDP File Number: 39536 County File Number: EHPR-2-10-3897
Dra%/ving Type: Construction Authorization Date:
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