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HomeMy WebLinkAboutAUTH-3-10-5163.TIF CONSTRUCTION For Office Use Only AUTHORIZATION `CQP File Number 3 9 8 1 4 ty EHPR 2-10-3957 Catawba County Public Health Department County ID Number: Environmental Health Division Evaluated For: NEW P.0 Box 389, 100-A Southwest Blvd Townshi ri • pAP3 _1/ At (`Ia -_3 Newton NC 28658 PERMIT VALID UNTIL: Phone: (828)-465-8270 Fax: (828) 465-8276 0 3/ 0 5/ a 0 1 5 Applicant: Sally Morton Property Owner.- Bradley Morton Address: 2287 Lynn Mountain Rd. Address: 2287 Lynn Mountain Rd. City: Vale City: Vale State2 ip: NC 28168 State2 ip: NC 28168 Phone Phone Property Location 8~ Site Information Address/Road Subdivision: Phase: Lot: 1 2287 Lynn Mountain Rd. Vale NC 28168 Directions Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: 2 'Water Supply: NEw wEu System Specifications Minimum Trench Depth: 1 8 Site Classification: PS Inches Minimum Soil Cover. 0 6 Inches Saprolite System? OYes ©No Design Flow: 3 6 0 Maximum Trench Depth: 3 0 Inches Soil Application Rate: 0 3 Maximum Soil Cover: 1 8 Inches `System Classification/Description: "Distribution Type: GRAVITY - SERIAL TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Septic Tank: 1 0 @ 0 Gallons 'Proposed System : 25% REDUCTION 1-Piece: O Yes O No Pump Required: OYes &No OMay Be Required Nitrification Field 9 0 0 Sq. ft. Pump Tank: Gallons No. Drain Lines 4 1-Piece: OYes ONo Total Trench Length: 3 0 0 ft GPM-vs ft. TDH Trench Spacing: _ 9 Rinches O.C Dosing Volume: _ Gallons Feet O.C. Trench Width: R Inches _ 3 Feet Grease Trap: Gallons Aggregate Depth: inches Pre-Treatment: ONSF OTS-1 OTS-II Septic Tank Installer Grade Level Required: 01 OI I 0111 O IV Pagel of 3 CDP File Number 39814 County ID Number: EHPR-2-10-3957 ❑ Open Pump System Sheet Repair System Required:~9Yes ONo ONo, but has Available Space Repair System Trench Spacing: Inches O.C. *Site Classification: ps - Feet O.C. Trench Width: Q Inches Design Flow: 3 6 - Feet Aggregate Depth: Soil Application Rate: 0 3 inches Minimum Trench Depth: *System Classification/Description: Inches TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Minimum Soil Cover. Inches Maximum Trench Depth: *Proposed System: 25% REDUCTION Inches Maximum Soil Cover: Nitrification Field Inches Sq. ft. No. Drain Lines 'Distribution Type: Total Trench Length: ft Pump Required: QYes ONo QMay 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. Septic system must be at least 100 ft. from any well, 50 ft. from creeks/streams, 10 ft. from property lines. 5 ft. from structures. Do not drive, grade. cut, or fill over septic area or repair area. Install on contour. Remove trees as needed for septic installation. 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 changed, or the site is altered, the permit or Construction Authorization shall become invalid, and may be suspended or revoked (.1937(8)). The person awning 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 Applicant/Legal Reps. Signature;J~~ C_ Date. 3 'Issued By: 2246 - Megan McBride Date of Issue:. 0 3 0 5 .1 0 1 0 Authorized State Agent. KM04Yt4 Malfunction Log QYes ®Hand Drawing Olmport Drawing Total Time:(HH:Mt.1) **Site Plan/Drawing attached.** Hours @ t1 inures Page 2 of 3 CONSTRUCTION AUTHORIZATION 39814 Catawba County Public Health Department CDP File Number: Environmental Health Division EHPR-2-10-3957 P.o Box 389, 100-A Southwest Blvd County File Number: Newton NC 28658 Date: 0 3/ 0 5/ a 0 1 0 Q Inch ft. Drawing Drawing Type: Construction Authorization Scale: eN/A Block CJ ~pyr ArM 5 t { ~73 3 b~dro~ rr Q r~ ~ ~e tee i l'JA)5 ~0 L 5O x (00 page V adOU~'I~ ~165 , 4 ' 75- - 300-~, 4J 0~ V P-ed. Tb h~ ~ovn~cuIo, Vd. Page 3 of 3 P1 P2