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AUTH-04-2023-194553.TIF
\+,\ ( I.Al Us1i%1 O1 \11 i ` et. t j Public health Ikpartmeni SohJrvi.um Emu.ximcnul Ilcalth I)isnnn , _�C;,� t'tNr a6i70473a,77 I`OIlos ix.) 2s(iuscrnnw•nr Iknc,Ne.skm,tie :It6SS I I)tii 4 ;x.l2 Site Address 3974 CEDAR WOOD TR.TERRELL NC 28682 Name on Permit: 'ELITE BUILDERS OF SURRY INC Property Sue: Acres 0 49 Directions: 16 South left on 150 east Right on Kiser island left on cedar wood trail last wooded lot on lee Owner/Authorized Representative Acknowledgement of I'crmit Receipt g1 certify that I am the.»sncr or authoriicd agent((Miler's authuri/atlurt required representInl.. III,:us%nor nl 1\9— the pmpert) dcxrihcd abuse. X .ktl)' As the property owner or aulhoriied representative. I have received the above referenced permits)as requested in the application fur service RBPR-02-2022-3999I.by the following method(s): Received in Person Facsimile Transmittal(Return form with signature required) 41 Electronic Image Transmittal'E-mail (Return receipt required) :11 '� " As the property owner or authorised representative I have reviewed and understand the specific conditions of the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(ISA NCAC I8A.1900), and/or Well Construction Standards(ISA NCA('2C.0100), shall apply to the issuance of this permit and the construction(tithe wastewater system and or water supply well permitted. Permit Issue Date:04/27/2023 OssneriAuthuri/cd Representative Signature //ei/Dateatc Z) Documentation of I'erniil(s) transmittal (hermit transmitted by electronic or other means) Pet tilt tranvnittril hs fnume of 7rrrsrin semhng 7terMlii 4 .,signature Date Iime 5�1 ll� 'Method: Fax .1 Email t S Mail Oilier Owner's request In send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoiPlease ttake a few momentts no complette our custtomer service survey all http://www.surveymonkey.com/s/ENCusttomerScrvice (aUld(c�itYkSrCa5Liiry, )lei ('A'IAWBA MINTY Case g Al ITI 1-04-2023-194553 i7 . 1 Puhlic Ilealth Department Subdivision Q log Environmental Health Division I'INi 461704734177 PO Box 389.25 Government Drive.Newton.NC 28658 LOT# 4 I: Z w Site Address: 3974 CEDAR WOOD TR, TERRELL NC 28682 Name on Permit: *ELITE BUILDERS OF SURRY INC Property Size: Acres 0.49 Directions: 16 South left on 150 east Right on Kiser island left on cedar wood trail last wooded lot on left Authorization to Construct Permit Permit Category: New Septic Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence- Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 Soil LIAR: 0.3 g.p.d.fft2 WASTEWATER SYSTEM REQUIREMENTS Proposed Wastewater System: 50% REDUCTION HORIZONTAL Alternating Dual Field Nitrification System System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Septic Tank: New Tank: 1.000 gal Second Septic Tank: 1,000 gal Pump Tank 1.000 gal Grease Trap gal Dosing Volume 126 gal Pump Specs: 25.1 GPM © 9.292 TDH Pressure Head 2 5 ft Draw Down 5.45 in Drainfield: Total Area: 900 sq ft Total Trench Length: 300 ft Aggregate Depth: in Maximum Trench Depth on Downhill Sidewall: 20 in Minimum Soil Cover: 6 in Minimum Trench Separation: 8 ft on center Number of Drain Lines: 6 Trench Width: 3 ft Distribution: LPP Pre Treatment: NONE Pump Required ***** Operator Required Additional Specifications: "This permit requires an Alternating Dual Field Nitrification system. Two separate nitrification fields are to be installed with a diversion valve to allow alternation between the two fields. *The diversion valve shall be constructed to resist 500 pounds crushing strength, structurally sound, and shall be resistant to corrosion. Valves placed below ground level shall be provided with a valve box and suitable valve stem so that they may be operated from the ground surface. *USE 35 PANELS PER DRAINFIELD. *USE 3/16 ORIFICES ONE PER PANEL ALTERNAING BETWEEN THE 10 AND 2 O'CLOCK POSITIONS. *EACH DRAINFIELD MUST HAVE ITS OWN VALVE BOX. *2.5 FEET OF HEAD PRESSURE IS REQUIRED(30 INCHES). *GRINDER PUMP TO TWO 1000 GALLON SEPTIC TANKS IN SERIES. *THE GRINDER PUMP SUPPLY LINE MUST BEAT LEAST 25 FEET FROM ANY WELL, *USE 1 AND 1/4 INCH SCH 40 PVC THORUGH THE PANEL BLOCK AND 2 INCH SUPPLY LINE. 0510 2023 12 17 CATAWBA COUNTS' Case# AUTH-04-2023-194553 Public Health Department Subdivision i. .�C� Environmental Health Division PIN# 461704734177 r. PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 4 su Site Address: 3974 CEDAR WOOD TR, TERRELL NC 28682 Name on Permit: *ELITE BUILDERS OF SURRY INC Property Size: Acres 0.49 Directions: 16 South left on 150 east Right on Kiser island left on cedar wood trail last wooded lot on left See also attached site plan. Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved,and may result in failure to approve the initial system installation,or the suspension/revocation of existing permits. >>>>> Do not install system under wet conditions ««< PROPOSED REPAIR Repair System Required? Install with Initial System Soil LTAR: 0.3 9.p.d.lft2 Proposed System: 50%REDUCTION HORIZONTAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION Pump Required ***** Operator Required The issuance of this permit by the Health Department does not guarantee the issuance of other permits It is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Authorization to Construct Permit is subject to revocation if the site plan.plat or the intended use changes.or if site conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and Rules for Sewa_ee Treatment and Disposal Systems' (15A NCAC I 8A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation 04/27/2023 Authorized State Agent Permit Issuance Date 4/27/2028 Pernik Espirauon Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpernn 05/16/2023 I2.17 .. * Qf 45,1111 ':".'' ..:ty:I. 4srf l'.‘li .4..r *"'41ti ..t II '44, -'* i �4 �i t� -- .-1:-"ti/e" i 3 rt44' 'Y +rill ' u ri • !/ jl al O 11;1. 4 if ..,,c.. ist 0 0 ALI,/e . 4 ior , , r r , ........... ..cwricv t . Q y :4re 0 it te4)- /2-., es- -.. ill s, „ r iv i `i - �� '' It �b trl rf cv +f 3uawaseq "++ �,., kir/ At, (6:0—) (1:):) U : , ‘.., \..6eie:Q . \ I :i A l'Y' / ii PI , 1 ts k i - ‘vl *i L t • ** 1 -:::' 'i .4 ::: ',....... i s'i iiiit.::,..,-,: ' sa pr \.8.111M1.1,7 I AP 1Z-old-- X -1 — . ..., - ---, K,v .2601. i . , a0 ��-O — P-3 —CO" . ......"_ , 023 .-- \` i/ '4,71447 ek - .4;74 1'III))1 t r 7) Y tiA.rf �.` 7 bk.. I illf1141,1 e 4t. 40 ..a• ilithii? %or tti ‘ , If iffil'ftee' 1. dr-w lie ? ii •i ti4el. . 1 ' 1 l; r ....- ^w l 0 -N - vQ s/ ,' .c, .., (4' 7� paw `� S;v4 .. �` . '4 ID 4—\�r. 9 •••••••-.-..'il ' L..�i E ` .. .� ;f : e 13 1 h ce?,, 411 C Ai V..0 a wilaisi m q , .f, k -Hp.E 1 -:- iz,t th., :, f +�` , S! ,.,. ciy :: ,, .:if-i ........,.../ Q IQ \ \‘„ :: 1 14 7. P' t.IQ r4, .6e�e K-6/45. C,..:1",'...• :7'.',- -0• ,cir tn ear, Tr.,...,:"„......,ev,•••:., . i 4 4 , • 41 10 • Pki 1. , k I - S. :I-• �Y -'I ,. ;, d-63-- ___ • 5� 5 1 I et1 cpm . 601 ,/ v4 00° . Li_ d 69,3- lq-15-5- coils' _ . .... A ...... . . Ll 1-i--c) .• 1 1 iod t`1 (90 i4 ! (90 1H "TO /6 1 30 7 9-G S 35 3,c 35 x 3� G = �3G °6�� lil= 6 �ri 6„.--- % , , P.1, , p-o----- i:: 3( 5 x , (06, - --- P-3 , / . /'71/ ,2 .5 -reel /2# 1 ,:,,: 5 , 11 5 ti,,,f iiL � { aN (., . :'''',' P 4 � S F4 75 -----• T'0/-/ et ?-5/ 1044 9, )--g )- - ‘ - ' (cL) c ,OnC K 63= R6P1Q- O)_- )-6,72 -3qqq 1 y iolv- 6 7- 202, ) - 5 7_51 tY(4 -c�7- -.2&a? - 1 75 75 � ,: ki,,e7,_.„1 Tii/o/=-6,L(v6d. - /c/l--/527/ 4tr/I / C3 )1 '1553 OUT - -OL1- 03' - r LI — ' D i�' MAINTENANCE REPORT FORM Date of Inspection COUNTY/STATE COMPLIANT , 'ES /.()NO i RiC.. SC41 <UL1-1 sAi. - PROPERTY ADDRESS: - STREETwild /Ca i/ PHASE- CITY-_Te ttpil.e.l( g ZIP ,-,fc li%C SEPTIC TANK— 1000 ` ` PUMP—HP Model Volie — PUMP TANK- f ot) _ Pump present and operating f Risers accessible r/1 _ Design GPM _Actual GPM — —%Efficiency Signs of Infiltration/00 — Structurally Sound i'// High water alarm operating properly- Landscape Position V Pipework in good condition / Filter Cleaned /// Control panel in good conditio;- SN—SEE NOTES BELOW Control floats operating proper'yi Straps and float tree Effluent free and clear of solid!:IV SYSTEM TYPE ( ) 4A ( ) 25% RED. ( ) CONV. A,, ( ) GRAV. ( ) PM vaikfe h04 LIN. FT. ( y) LINES @ FT. LONG. U-1,1-t ` C� t ( ) POLY ( ) CHAMBER o N EFFLUENT SURFACING TR FIC PROTECTED o URFACE WATER DIVERTED ISTRIBUTION SE" LINE COVER MAINTAINED REPAIR AREA RESE+:VED _LOW PRESURE SYSTEM o T RN—UPS,CLEAN—OUTS,VALVES LOCATED/PROTECTED o ATERALS FREE OF EXCESS SOLIDS / n irk a tf t_ dt LATERALS FLUSHED t o PRESSURE HEADS FOR EACH LINE ON BACK OF PAGE NOTES FOR CORRECTIVE ACTION (LOT# _) 1. i LtC�9 e- L e u e l 5 i A .1-6 Selyfic u n c .r cuv-tre p1 l').J 67 - - _ The 4--av idhe pLuf .p•edi_ Luh A IL Se rho ,ei recite-h.eS( ( ) <CCuin Iarev- a;ne! sit;le.ervv e Nov " ' -I Wastewater Solutions &Design 5. NO CORRECTIVE ACTION NEEDED Russell B Williams f " Wastewater Specialist" 1 7 &r tici; e et 0 pivot r 91 G q yLi 4,6[1,3 E. AU,d•c,l got. r a Maiden,NC 28650 l 1 I. `1. j Ph.980-429-1580 i Fax.828-428-3028 22 years experience I is "Certified Septic Installer.Inspector&Operator"