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Home My WebLink AboutAUTH-3-10-5102.TIF CONSTRUCTION For Office Use Only AUTHORIZATION 'CDP File Number 3 9 6 9 6 ` ;'f Catawba County Public Health Department County ID Number: EHPR-2-10-3958 #.,t Environmental Health Division Evaluated For. REPAIR P,O Box 389, 100-A Southwest Blvd Newton NC 28658 PERMIT VALID UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 3/ 3/ 0 0 1 5 Applicant: Rick Crowder Property Owner: Hurshell Keener Address: 4243 Hwy 127 S Address: PO Box 3349 City: Hickory City: Hickory State/Zip: NC 28602 State/Zip: NC 28603 Phone 4: (828) 294-2081 Phone Property Location & Site Information Address/Road 4: Subdivision: Phase: Lot: 4191 S NC HWY 127 Hickory NC 28602 Directions Structure: SINGLE FAMILY HWY 127 across from Huffman Farm Rd 4 of Bedrooms: 2 # of People: "Water Supply: PuBUc System Specifications Minimum Trench Depth:. 1 8 Slte Classification: PS Inches Minimum Soil Cover. Saprolite System? QYes *No 6 Inches Design Flow: a 4 0 Maximum Trench Depth: a 4 Inches Soil Application Rate: 3 Maximum Soil Cover: 1 a Inches "System Classification/Description: "Distribution Type: GRAVITY- SERIAL TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Septic Tank: Gallons "Proposed System: 25% REDUCTION 1-Piece: O Yes Q N o Pump Required: QYes (~)No QMay Be Required Nitrification Field 6 0 0 Sq. ft. Pump Tank: Gallons No. Drain Lines a 1-Piece: QYes QNo Total Trench Length: a 0 0 ft. GPM-vs-- ft. TDH Trench Spacing: 9 Inches O.C. Dosing Volume: _ Gallons Feet O.C. Trench Width: 3 Inches Feet Grease Trap: Gallons Aggregate Depth: inches Pre-Treatment: Q N SF OTS-I Q TS-II Septic Tank Installer Grade Level Required: (~)I QII QIII QIV Pagel of 3 t CDP File Number 39696 County ID Number: EHPR-2-10-3958 ❑ Open Pump System Sheet Repair System Required:OYes ONo ON o, but has Available Space Repair System Trench Spacing: 8Feet Inches OC. 'Site Classification: O.C. Trench Width: 8Inches Design Flow: _ Feet Soil Application Rate: Aggregate Depth: inches Minimum Trench Depth: 'System Classification/Description: Inches Minimum Soil Cover. Inches Maximum Trench Depth: "Proposed System: Inches Maximum Soil Cover: Nitrification Field Inches Sq. ft. No. Drain Lines 'Distribution Type: TotalTrench Length: fi Pump Required: Oyes ONo ( 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. Stay 50' min from well and10'min from property lines. 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 atthe sametime the Improvement Permit issued (NCGS 130A-336(b)). If the installation has nat 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? @Yes ONO 1 ApplicanULegal Reps. Signature:-~~Vl~t TkLV1lQJ1 Date: / -1 `Issued By: 1919 - Susan Miller Date of Issue: 3 / 3 / a 0 1 0 Authorized State Agent: Malfunction Log SYes R. O Hand Drawing @ Import Drawing Total Time:(HH1AM) **Site Plan/Drawing attached.** Hours trtinutes Page 2 of 3 CONSTRUCTION AUTHORIZATION Catawba County Public Health Department Environmental Health Division CDP File Number: 39696 P.U Box 389, 100-A Southwest Blvd EHPR-2-10-3958 Newton NC 28658 County File Number: Date: Click below to import an image from an external location: Drawing Type: Improvement PArmit /'77, ov' •8 8 x~ C 1 C I 41 Q 1 _r {Jt 13 4"k 0+<11 Ofd ivv IY0 ,vs, Page 3 of 3 P1 P2 NCDENR Division of Environmental Health On-Site Wastewater Section `Date: 0 3/ e 3/ a e a Soil/Site Evaluation '"File f#: 3 9 6 9 6 For On-Site Wastewater System PIN EHPR-2-10-3958 "Owner Hurshell Keener Proposed Facility SINGLE FAMILY Proposed Design Flow (.1949) a 4 0 Location of Site 4191 S NC HWY 127 Property Size Water Supply PUBLIC Evaluation Method Auger 1940 Horizon SOIL MORPHOLOGY Lari scape .1941 Other Profile Profile# POS Depth Slope % (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1 L 0-42 C 2-Mode sbk Ir 19.1 2 Wet 7 % 1943 Depth 4 a s CPS Saprotite: (in) A944 Rest. n/a Horizon s EHS .1947 Class ps Susan Miller Profile 3 LTAR _ .1942 Wet. % .1943 Depth GPS Saprolite (in) 1944 Rest. Horizon EHS .1947 Class Copy rotile PLTArofitRs .1942 Wet. % 1943 Depth CPS Saprolite (in) .1944 Rest. Horizon EHS .1947 Class Copy Profile Profile iLTAR _ .1942 Wet. % .1943 Depth GPS Saprolite:(In) 1944 Rest. ,f Horizon EHS .1947 Class Copy Profile Profile LTAR 1942 Wet. % .1943 Depth GPS Saprotite:(in) .1944 Rest. Horizon EHS 1947 Class copy rotile Profile .1-1 1 iT.AR Available Space (.1945) s Other Factors(. 1946) PS Site Classification (.1948)Ps Initial LTAR: Repair LTAR: . 3 Others Present: Megen McBride Comments: Evaluated By: Susan Miller NCDENR Division of Environmental Health On-Site Wastewater Section Date: 0 3 0 3/ a 0 1 0 Soil/Site Evaluation File 9: 3 9 6 9 6 For On-Site Wastewater System PIN E H P R - 1 0 - 1940 Horizon SOIL MORPHOLOGY Profle# Landscape Depth .1941 Other Profile POS Slope °lo (IN) Mineralogy Matrix Mottle Factors Texture Structure Consistence Color Color 1942 wet. % .1943 Depth GPS Saprolite-(in) 1944 Rest Horizon 1947 Class EHS Copy Profit Profile u LTAR .1942 wet. oio .1943 Depth GPS Saprolite.0n) .1944 Rest. Horizon EHS .1947 Class Copy-F.rofil Profile iLTAR .1942 wet. % .1943 Depth GPS Saprolite (in) .1944 Rest Horizon EHS .1947 Class Copy roll Profile LTAR .1942 wet. % .1943 Depth GPS Saprolite.(in) .1944 Rest. f,Ft Hon zon vi EHS I .1947 Class Copy PPraf I Profile LTAR .1942 Wet. % .1943 Depth CPS Saprolite.pri) .1944. Rest. Horizon EHS 1947 Class Copy~rofil Profile PAR Comments: Attach Image The "Open Drawing Form" button, opens the the drawing form. 1 The "Import" button, attaches the drawing, or other image into the space below. r Open Drawing Form 9 Rt L~ Profile: 1 X Y Z Profile: 0 X Y Z Profile: j 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