HomeMy WebLinkAboutOP-11-10-12950.TIF : y gA CATAWBA COUNTY Case # OP -11 -10 -12950
d� G Public Health Department
Environmental Health Division Subdivision
v • PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot #
1842 sM PIN# 462903116638
Applicant/Owner HAL W ARMISTEAD
Site Address: 2087 NORTHVIEW HARBOUR DR CT, SHERRILLS FORD, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
IVA - ANY SYSTEM WITH LPP DISTRIBUTION
System Type:
(In accordance with Table Va)
Description: 50% REDUCTION PPBPS
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration for permit renewal.
System Installation Comments:
PERMIT CONDITIONS:
1. All maintenance, monitoring, and performance requirements shall be in accordance with
15A NCAC 18.1900, Rule .1961
2. Operation & Maintenance Specifics:
Subsurface system operator required? Yes No
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage
Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization.
Brad Russell #2755 12/09/2010
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps - #1952 12/14/2010
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE
Form F
02/24/11 17:13
� � y l o�z .;� �C,� �
�y�s�
MAI11TTENANCE REPURT FORM QQ �' Project # �v� .�.�s -��8�
DAVID W. CLARK d/b/a Date of Insvection / Note #
D.C. CONSTRUCTION : l2 ,/ p /D /
CERTIFIED OPERATOR # 986739 .
P.O. BOX 626. TROIJ'l!�ViAN NC 28166 _
ORCBIIORC SIGN- �-
�� �
OWNER/ BLDG CONTRACTOR- C�lC�J4• RR%�t/Q��T' ��C�/IJ O/,Ji✓� f�� �/ •/��f
PROPERTY ADDRESS:
STREET - o�Zd S !V Y/� UR LOT #-�_
CITY - ` SBDVSN ,�N✓ , NC ZIP
SEPTTC TANK - /��� GALS PUMP_ HP MODEL .Z D VOLTAGE ✓ EE OP
PUMP TANK -��_GALS _ Pump present and operating
-�Risers accessible _ Design GPM Actuai GPM % Efficiency
✓No Signs of Infiltration _ High water alarm operaxing properIy
./S Sound _ Pipework in good condition
✓I�andscape Pos' ' n _ Control panel in good condition
✓Filter Cleane (Both) _ Control floats operating properly Pressure Bell
SN = SEE NOTES OW _ Straps and float tree
Effluent free and cleaz of solids
SYSTEM TYPE
( �A ( ) 25% RED. ( ) CONV.
( ) GRAV. ( ) PM � Z 1 �` (LJpper) @ Valves
�S LIlV. FT. (�) LINES @� FT. LONG �s-
( ) POLY ( ) CHAMBER � 3 �a
� NO EFFLUENT SURFACING ��TRAFFIC PROTECTED _ 4�' (Lower)
��SURFACE WATER DIVERTED ✓ DISTRIBUTION SET 5`�
�C�/I,'INE COVER MAINTAINED ,/� PAIR AREA RESERVED _ 6th
LOW PRESSURE SYSTEM
r�T[JRN-UPS, CLEAN-OUTS, �VALVES LOCATED / PROTECTED
, e�I.ATERAI,S FREE 4F EXCESS SOLIDS
�/LATERALS FLUSHED �
�PRESSURE HEADS FOR EACH LINE o<- / PH each
NOTES FOR CORRECTIVE ACTION (LOT #.5� 1
l. rQ0!/F/� ll/2 �� � F C � i✓� i✓ f�T!`�•�/ n/
2. �- ' A- '� LF % 5 fi� d�t �w>vf av
3. a ? - CO 0 f S� T �i✓£�.� Df�f l� �'/'Gff�� l,�/RdN Y�? T fT
4.
5. 1+�6� CORRECTIVE ACTION NEEDED �� A ,11��`� �� � d v/ �„fd ��5
�� �/
� �� z o� �
, .
� Number: 243�7 County File Number. w�szoas-oosss
�rawing Type: Construction Authorization Date: 0 a� a 5/ a 0 1 0
� �
r�� !�S � Na7�s
Citck below to imp��t an image frsm an �xtema{ tocation:
� R�� S�� �luti; w,3 ?oos-oo
��-9 -iv • sef f�•kr/PIv�. y�. l� ��r ��. .- � 1: N D
o - , �E1� 3 e ��7 � �� 4,�a� if R�V4 bb� w ��eP �� �
,, -�_,o � ��` �
�;�rf��l;w w � f� syp��y � B�� ���: �•�^ ��
L a 7i�a,v O ,/ /
l�"��'/D - cc� Robbr @ /�:u� �'vR �^'�£� � ,..st'�? ,��Q�S'
.�---. f ;.�,�� —�`, f � ^(�-:���� NF ���iz� G,� _ �,
�i�✓A S ,,P . � f
� � N ,�„�i t�,�
��� T
_'1wsDN
��-z=o - wRo�� bax t �� , . ./
� � o!G£ /YlFhl�"��-�2-Ib
,�,� 6� w�Q�• , ��� y �,z� .1,"v �
O � � ��'2'�9✓ vi/�ZI V y� �' k �''G � d c!` p�/M� .�. J��1�°��i
/ �
r ,i��� �,�s,�� �� ��r �► .�- -< <
(���� t1�8�� �
r
� � ` o µo�s�- �
2 ; w R � ' v+��''� �� �` 4
/ I . � 2 � . �� P �b� � o
,,,�pIEA ��� �� Ro � �� ,� ,�
� �
a� P� ' �moJ4,° �o� N � � N
' �(�� � �ps R � ' "' P � _ -
J r �
�R�' L �/°�° s ^ c��^ � ��- ,�_-.�
,� lj �� s`, � ���. , �
�' S r � � � ' "�s �
. � � �
s / �
i � �f� �
A r
\ � C
' e
�° 70'� ;o
P .
�
°- �n.
R
N�,+-{� y�,.w £�£�, ��
�vY �Ovr �r, ` � .
L
�A��
��k� �T�p
Page 3 ot 3