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Home My WebLink AboutOP-12-09-3385.TIF OPERATION PERMIT or ice se ny Catawba County Public Health Department *CDP File Number 1 9 5 5 6 Environmental Health Division ` WLS2007-04963 } f J P.0 Box 389, 100-A Southwest Blvd County ID Number. Newton NC 28658 Evaluated For: NEW Phone: (828)-465-8270 Fax: (828) 465-8276 Towns -09_ Applicant: Teiln r Property Owner. TELLO Address: Address: 8291 CLIPPER CT City: City: CATAWBA State/zip: State/Zip: NC 28609 Phone Phone 9- h Property & Site Information Address/Road 9: Subdivision: LONG ISLAND AIRPORT Phase: Lot: 14 8291 CLIPPER CT C~J CATAWBA NC Directions "Revised 9/22/08 from 4 bedrm to 3 bedrm with = Structure SINGLE FAMILY bsmt/ smaller house/ airplane hanger to be added at # of Bedrooms: 3 a later date'*MONBO RD EAST PAST MOLLYS of People: 4 BACKBONE/ RT ON SAUNDERS/ RT ON 'Water Supply. EXISTING WELL AEROMARINE/ LT ON CLIPPER/ LOT ON RT 'IP Issued by: 2246 - Megen McBride *System Classification/Description: TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION 'CA issued by.- 2246 - Megen McBride Design Flow: 3 6 0 LOW PRESSURE PIPE Distribution Type: Soil Application Rate: 0 3 5 'Pre-Treatment: Drain field Nitrification Field Sq. ft, 'Systern Type: PPBPS No. Drain Lines 3 Installer: Dennis Willis Septic Service Total Trench Length: 1 8 0 ft. Certification 9: } 189 Trench Spacing: 9 Inches O.C. Feet O.C- 'EH S: 2246 - Megen McBride Trench Width: _ 3 Inches )Feet Date: 0 7/ 0 1/ x 0 0 9 Aggregate Depth inches Minimum Trench Depth: Inches _ Minimum Soil Cover: 0 6 Inches Approval Status Maximum Trench Depth: 3 0 Inches Approved',---] Disapproved Maximum Soil Cover. Inches Pagel of 4 CDP File Number 19556 Septic Tank County ID Number: WLS2007-00963 MULL Lat. Manufacturer STB. 821 Long: 10pp Installer: Dennis Willis Septic Service Gallons: Date: 0 5 5 / a 0 0 9 Certification 1189 / a 'EH S: 2246 - Megen McBride 'Filter Brand: POLYLOK PL-68 ST Marker: N Yes El No Date: 0 7/ 0 1/ 0 0 9 Reinforced Tank: ❑ Yes ❑ No Approval Status Approved[:] Disapproved 1 Piece Tank: ❑ Yes ❑ NO Pump Tank Manufacturer. MULL Installer: Dennis Willis Septic Service PT: 40 Certification 1189 Gallons: 1000 "EH S: 2246 - Megen McBride Date: 0 1/ 0 6/.1 0 0 9 Date: 0 7/ 0 1/ 0 0 0 9 Riser Sealed N Yes ❑ No RiserHeight: N Yes ❑ No (Min.6 in.) Approval Stains einforced Tank: ❑ Yes ❑ No Approved ❑ Disapproved 1 Piece Tank: ❑ Yes ❑ No e~ Supply Line Pipe Size: a inch diameter Installer: Dennis Willis Septic Service Pipe Length: a 4 5 feet Certification n: 1189 `EH S: 2246 - Megen McBride 'Schedule: 40 Pressure Rated 1~i Yes ❑ No Date: 0 7/ 0 1/ 0 0 0 9 Approved fittings S4 Yes ❑ NO Approval Status 17R-- Approved D Disapproved ~ - Pump Requirement Pump Type: Goulds; WE0511H; 112 HP Installer: Dennis Willis Septic Service Dosing Volume: - Gal Certification 1189 Draw Down; 7 Inches "EH S: 2246-MegenMcBride `Chain: ROPE Date: 0 7/ 0 1/.1 0 0 9 Valves Accessible N1 Yes ❑ No Flow Adjustment Valve Q Yes ❑ NO Check-valve [ Yes ❑ NO Approval Status PVC Unions Yes ❑ No Approved El Disapproved Vent Hole Yes ❑ No - Anti-siphon Hole ❑ Yes ❑ No Page 2 of 4 CDP File Number 19556 County ID Number: 'NLS2oo7-oas63 Electric Equipment NEMA 4X Box or Equivalent [XI Yes ❑ NO Installer: Box 12 inches Above Grade [N Yes ❑ No Certification Box Adj. To Pump Tank Q Yes ❑ No Conduit Sealed Q Yes ❑ No 'EHS: 2246 MegenMcBdde Pump Manually Operable N Yes ❑ Na *Activation Method: Date: 1 / 0 4/ 0 0 9 Approval Status Alarm Audible Yes El No Approved El Disapproved Alarm Visible CE Yes ❑ No 2246 - Megen McBride `Operation Permit completed by: Authorized State Agent: Date of Issue: 1 0/ 0 4/ 2 0 0 9 This system has been installed in compliance with applicable NC General Statutes: Article 11, Chapter 130A, Rules for Sewage Treatment and Disposal, 15A NCAC 18A .1900 et. Seq., and all conditions of the Improvement Permit and Construction Authorization. This property is served by a TYPE Iv A. sewage septic system. Rule .1961 requires that a Type TYPE IVA. septic system meet. the following criteria: Minimum System Review By The Local Health Department. 3YRS. Management Entity: PUBLIC MANAGEMENT ENTITY WITH A CERTIFIED OPERATOR OR PRIVATE CERTIFIED OPERATOR Minimum System Inspect ion/Mainten an ce Frequency By Certified Operator: 21YR Reporting Frequency By Certified Operator: 12 MOS. Rule .1961 requires that a Type IV and V septic systems designed fora home/business owner must maintain a valid contract with a public management entitywith a certified operator or a private certified operator for the life of the septic system. Rule .1961 requires that Type VI septic systems designed for a home/business owner must maintain a valid contract with a public management entity with a certified operator for the Ile of the septic system. Rule. 1961 (2) (e) requires a contract shall be executed between the system owner and a management entity prior to the issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the system ownerand certified operator are the same. The contract shall require specific requirements for maintenance and operation, responsibilities of the owner and systems operator, provisions that the contract shall be in effect for as long as the system is in use, and other requirements for the continued proper performance of the system. It shall also be a condition of the Operation Penn it that subsequent owners of the systems execute such a contract. S,Hand Drawing 0Import Drawing **Site Plan/Drawing attached.** Total Time:(HH:MfA) 0 0 Hours 0 0 rd mutes Page 3 of 4 GDP File Number: 19556 County File Number: WLS2007-00963 Drawing Type: Operational Permit Date: l a/ 0 4/ a 0 0 9 O I nch Scale: OBlock ft. Di-awing * N A A roX q o ~4. oT h 15 SleeVta U1jtV -~Ae dVI VEWO- 1 V\ Sc~ . (9C) „~c ll Go serIz,ePa,; r A no,- box 36 4 o- w 7501 ~ ake~ Page 4 of 4 Contract on Sewer System Inspection Charles Beatty Grading, LLC - 3530 Dockside Lane Sherrills Ford, NC 28673 828-320-0744 Contract Submitted To Work To Be Performed By Name: p Ms/rS5,4 T6116 Charles Beatty. Grading, LLC Address: Charles Beatty License # 25729 City: N.C. Certified Subsurface System Operator Phone: 221,:2y -A Sl y~3 C Permit No: VJLS`DQL)1- Caq&-3 I hereby propose inspection of on-site sewer system as listed below: Specified Frequency 1. Grease trap Grease Level / San. Tee 2. V Septic Tank V/ Sludge V, Effluent - San. Tee Scum 3. Pump Tank ✓ Pump Alarm / Solids 4. y/ Supply Line J Nitrification Field 5. Nitrification Field Vegetation - Erosion Blowout J Press Head 6. LPP System ✓ Manifold - Pressure Taps 7' Throttle Valve J Head Pressure The above inspection to be performed in accordance with the N.C. State. Environmental Health Specifications rule 1961 of the laws and rules for Sanitary Sewer collection: The contractor shall inspect the system at least at the frequency required in Table V(b) of 15A N.C. Admin. Code 18A.1961(b) for a Type system. Inspection to be completed for one year.at a cost of $ This sum is for inspection only and does not include the cost if system must be brought up to specifications or repaired. Any alteration or deviation from :above specifications involving extra costs will be executed only upon request, and it will become an extra charge over and above this proposal. Any upgrade or repair.to system can be done by owner, or.qualified .company; however it must meet State Environmental Requirements and deadline for completion. Respectfully submitted by Charles Beatty Grading, LLC. This contract may be withdrawn if payment not received. Signature of Subsurface System Operator: Date: Z The above price, specifications and conditions are satisfactory ar16hereby accepted. You are authorized to do the work as outlined above. Payment will be made as outlined above. ' Signature: Date: 0