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Home My WebLink AboutAUTH-3-10-5101.TIF CONSTRUCTION For Office Use Only AUTHORIZATION *CDP File Number 3 9 6 9 4 .t. Catawba County Public Health Department County ID Number: EHPR-2-10-3892 Environmental Health Division Evaluated For: REPAIR Q P.O Box 389, 100-A Southwest Blvd Township: 4 il-f 3-Id-5i~ Newton NC 28658 PERMIT VALID UNTIL Phone: (828)-465-8270 Fax: (828) 465-8276 0 3/ 0 3/ x 0 1 5 Applicant: Ronald Fulbright Property Owner: Ronald Fulbright Address: 6092 Smith Rd. Address: 6092 Smith Rd. City: Vale CRY. Vale State/Z 0: NC State/Zip: NC Phone Phone Property/ Location & Site Information Address/Road Subdivision: Phase: Lot: 6092 Smith Rd. Vale NC Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People. 2 `Water Supply. EXISTING WELL System Specifications Minimum Trench Depth: 1 $ Site Classification: PS Inches Minimum Soil Cover 0 6 Saprolite System? OYes *No Inches Design Flow: 3 6 0 Maximum Trench Depth: 3 0 Inches Soil Application Rate 0 3 Maximum Soil Cover 1 8 Inches *System Classification/Descrrption. *Distribution Type: GRAVITY TYPE III G. OTHER NON-CONV, TRENCH SYSTEMS Septic Tank: 1 0 0 0 Gallons *Proposed System: 25% REDUCTION 1-Piece: OYes ()No Pump Required: OYes #No OMay Be Required Nitrification Field 9 0 0 Sq. ft. Pump Tank: Gallons No. Drain Lines 3 1-Piece: OYes ONo Total Trench Length: 3 0 0 ft GPM-vs-- ft. TDH Trench Spacing: - OInches O.C. - Feet O.C. Dosing Volume: Gallons Trench Width: Inches 3 . Feet Grease Trap: Gallons Aggregate Depth: inches Pre-Treatment: ONSF OTS-1 OTS-II Septic Tank Installer Grade Level Required: 01 Oil 0111 ON Page 1 of 3 CDP File Number 39694 County ID Number: EHPR-2-10-3892 ❑ Open Pump System Sheet Repair System Required:OYes ONO ONO, but has Available Space Repair System Trench Spacing: Q Inches 0.,C * Site Classification: - o Feet O.C. Trench Width: Inches Design Flow: - _8F Aggregate Depth: Soil Application Rate: inches Minimum Trench Depth: 'System Classification/Description: Inches Minimum Soil Cover. Inches Maximum Trench Depth: *Proposed System: Inches Maximum Soil Cover: Nitrification Field ft. Inches Sq. No. Drain Lines 'Distribution Type: Total Trench Length; ft Pump Required: QYes QNo OMay 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. In order to get a gravity system, plumbing must be re-routed so that it exits on the opposite side of the house. It must plumb out somewhere on the left side of the house (left as you face the house, with your back to the road). If problems are encountered with re-routing the plumbing, installer must call this office prior to installation. Pump out and crush the existing septic tank. New tank and drainrield must be at least 50 ft, from well, 10 ft. from property line, 5 ft. from structures. Do not drive, grade, cut or fill over septic area. Install on contour. 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)y 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 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 ONO ApplicanVLegal Reps_ Signature &4m Date: ~f Id 'Issued By: 2246 - Megen McBride Date of Issue: 0 3 0 3 x 0 1 0 Authorized State Agent: Malfunction Log QYes (9)Hand Drawing Olmport Drawing TotalTime:(HH:MM) **Site Plan/Drawing attached.** Hours f.1 motes Page 2 of 3 CONSTRUCTION AUTHORIZATION 39694 Catawba County Public Health Department CDP File Number: Environmental Health Division EHPR•2-10-3892 P.o Box 389, 100-A Southwest Blvd County File Number: Newton NC 28658 Date: 0 3/ 0 3/ a 0 1 0 Olnch DravvinQ Scale: • , , OBlock = ft. O N /A AA44 iftal co'di4iows ov% fveo~m p&)c, jvsbAQ V rnvSA 44c (v4v c ovk 4zvo,4i a, ~Y'o 054 SA-\ V60TA W\j\tjk IV54a(li YJ -ftle V\t W S~ two . * e_ rose l~wl~ir Su ov\ 4L-..x 2 p ~ Puri o~ ~ e r~5~ ald ~u~k P d -lli~. ~ 9ri~V Y~~~~ 1:~,) ~t~1'iL~$ V~ •'r ^'(t~%'l Ts 1 -AsL ~~~s~~t•4i~~ft~0~~~ dwor" old C-~~~U'~c~ Ta 0+1 ~ b~ bti k t;ctiitvv _ ti ~Q ~V f1 QI' CIA 059 ~~vv2 1 Page 3 of 3 p PZ NCD,ENR Division of Environmental Health 'Date: e /26 l a o 10 On-Site Wastewater Section Soil/Site Evaluation =File 3 9 6 9 4 For On-Site Wastewater System PIN EHPR-2-10-3892 'Owner Ronald Fulbright Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) 3 6 e Location of Site 6092 Smith Rd. Property Size 2,17 Water Supply EXISTING WELL Evaluation Method Auger 1940 Horizon SOIL MORPHOLOGY Lahascape .1941 Other Profile Profile# POS Depth Factors Slope :6 (IN) Mineralogy Matrix Mottle Texture Structure Consistence Color Color 1 0-10 SL 2-Mode sbk fr ss sp .1942 vet. o,0 10.42 CL 2-Mode sbk fr ss sp ,1943 Depth 4 ] Ps GPS Saprolite: (in) .1944 Rest. Horizon r1l .1947 Class Ps EHS Profile Megen MCBrit ILTAR 0 3 1 - SS 1942'."J el. % .1943 Depth GPS Saproite:(rn) .1944 Rest. Horizon .1947 class EHS _ Copy rohle ProLTAr.R .1942 t"Jet. % .1943 Depth GPS Saprolile:(in) .1944 Rest. HonZon .1947 Class EHS Copy of le Profile LTAR _ .1942 Wet. ob .1943 Depth GPS Saprolde:(rn) .1944 Rest. T Horizon .1947 class EHS copy rofde Profile LTAR .1942 .v et. % .1943 Depth GPS Saprolite:(in) .1944 Rest Horizon j~ 1947 Class EHS Copy of le Profile PAR Available Space (.1945) PS Other Factors(. 1946) PS Site Classification (.1948)PS Initial LTAR: Repair LTAR: 0 . 3 Others Present: Susan Miller Comments: Evaluated By: Megen McBride NCDENR Division of Environmental Health On-Site Wastewater Section Date: e 2 1 26 /.701 e Soil/Site Evaluation File 3 9 6 9 4 For On-Site Wastewater System PIN 1940 Horizon SOIL MORPHOLOGY Landscape .1941 Other Profile Profile# POS Depth Factors o~ IN Mineralogy Matrix Mottle Slope .o ) Texture Structure Consistence Color Color 1942 wet. % .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon Y/1 .1947 Class bw EHS Copy Profit Profile LTAR ,J .1942 wet. ova .1943 Depth Saprohte:(rn) .1944 Rest. GPS Horizon IrTs .1947 Class EHS Cop ON Profile LTAR .1942 Wet. % .1943 Depth CPS Saprohte:(in) .1940 Rest. Horizon 1947 Class EHS Copy rofd Profile LTAR .1942 t"1 et. % .1943 Depth GPS Saprohte:00 .1944. Rest. Horizon rIA& EHS 194 7 Class TAR - CopyRroGf LProfile LTAR .1942 Wet. oo .1943 Depth GPS Saprolite:(in) .1944 Rest. Horizon 1947 Class EHS Copy frold Profile 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 Cv T W~ (joO A#\ lJ v Rik. 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: Q X Y Z Profile: X Y Z Profile: X Y Z Profile:] X Y Z