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HomeMy WebLinkAboutAUTH-3-10-5036.TIF CONSTRUCTION For Office Use Only *CDP File Number AUTHORIZATION 3 9 6 6 9 Catawba County Public Health Department County 1D Number. EHPR-2-10-3944 Environmental Health Division Evaluated For: NEW }IOC/ P.0 Box 389, 100-A Southwest Blvd Township: A an ,3 • ° Atr ~ Newton NC 28658 PERMIT VALID UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 0 3/ 0 1/ a 0 1 5 Applicant: Mildred Moore Property Owner: Mildred Moore Address: PO Box 672 Address: PO Box 672 City: Hildebran City: Hildebran State/Zip: NC 28637 State/Zip: NC 28637 Phone Phone Property vocation 8 Site Information Address/Road Subdivision: Charlottes Crossing Phase: Lot: 5 2485 Genelia Dr. Claremont NC Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: 2 `Water Supply: PUBLIC s em ecr Ica to s Minimum Trench Depth: a a Inches (Design Classification: PS Minimum Soil Cover. 1 a Inches Flow: 3 6 0 Maximum Trench Depth: 3 0 Inches Application Rate: 0 3 Maximum Soil Cover: 1 $ Inches *System Classification/Description: *Distribution Type: GRAVITY TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Septic Tank: 1 0 0 0 Gallons *Proposed System: 25% REDUCTION 1-Piece: Yes ONo Nitrification Field g 0 0 Pump Required: Oyes QNo ()May Be Required Sq' ft. Pump Tank: Gallons No. Drain Lines 3 1-Piece: ()Yes ONo 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: RInches 3 Feet Aggregate Depth: Grease Trap: Gallons inches Pre-Treatment: ONSF OTS-1 OTS-11 Septic Tank Installer Grade Level Required: @I Oil ()III OIV Pagel of 3 CDP File Number 39669 County ID Number: EHPR-2-10-3944 ❑ Open Pump System Sheet Repair System Required:DYes ONo ONo, but has Available Space epalr System Trench Spacing: Inches 0..C ' Site Classification: PS - Feet O.C. Inches Trench Width: 8Feet Design Flow: 3 6 0 Aggregate Depth: Soil Application Rate: 0 a 7 5 inches Minimum Trench Depth: 'System Classification/Description: Inches TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Minimum Soil Cover. Inches Maximum Trench Depth: `Proposed System: 25%REDUCTION Inches Maximum Soil Cover: Nitrification Field Sq. ft Inches . No. Drain Lines 'Distribution Type: GRAVITY Total Trench Length: ft Pump Required: ()Yes @No OMay 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 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. Septic system must be at least 100 ft. from any well, 50 ft. from creeks. 10 ft. from property lines, 5 ft. from structures. 15 ft. from ditches and cuts >2 ft. Install on contour. Do not drive, grade, cut, or rill over septic area or repair area. Keep system out of all utility easements and right of ways. Installer is responsible for making sure all these are marked prior to system installation. Final grade must shed surface water away from drainfields. Divert all gutter drains away from system. 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 sametime 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 clanged, 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?_ OYes O Date: / 02 / CU ApplicanULegal Reps. Signaturg/~ 'Issued By: 2246- Megen McBride Date of Issue: _ 0 3 0 1 a 0 1 0 Authorized State Agent: NWAA-64A Malfunction Log OYes Q,Hand Drawing Olmport Drawing Total Time:(HH:MM) **Site Plan/Drawing attached.** Hours Minutes Page 2 of 3 CDP File Number: 39669 County ID Number: EHPR_2-10•3944 Drawing Type: Construction Authorization Date: 0 3 / 0 1/ x 0 1 0 0Inch Drawing Scale: © OBI A k = fit. CreeK Se sP~~ M, 3 e 4 Hoof- M470 .Q y ~O, Page 3 of 3