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HomeMy WebLinkAboutOP-2-10-4402.TIF OPERATION PERMIT or ice se n y Catawba County Public Health Department 'CDP File Number 3 0 9 5 5 t f Environmental Health Division WLS2009-00205 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 Applicant: TIM MARLOWE Property Owner: TIM MARLOWE Address: 1684 THORN RIDGE DR Address: 1027 CONNER RD City: NEWTON City: LAKE LURE State/Zip: NC 28658 State2ip: NC 28746-918 Phone Phone Property & Site Information Address/Road Subdivision: Phase: Lot: 4586 CHARLOTTE ST CONOVER NC Directions Structure: SINGLE FAMILY FROM SPRINGS RD/ TURN ON CHARLOTTE ST ON RT BEFORE REACHING COUNTY HOME RD/ # of Bedrooms: 2 GO TO FORK/ BEAR STRAIGHT/ SINGLE LANE # of People: 2 RD/ PROPERTY IS LAST DRIVE ON LIFT "Water Supply: NEW WELL `IP Issued by: 1952 - Phelps, Robert 'System Classification/Description: TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS 'CA issued by: 1952 - Phelps. Robert Design Flow: 3 6 0 'Distribution Type: GRAVITY - SERIAL Soil Application Rate: 0 3 5 'Pre-Treatment: Drain field N itrification Field 7 8 6 Sq. ft. 'System Type: INFILTRATOR QUICK 4 STANDARD No. Drain Lines 3 Installer: Bryan Miller Total Trench Length: a 6 a ft- Certification 1127 Trench Spacing: - 9 Inches O.C. Feet O.C. 'EH S: 2246 - Megen McBride Trench Width: 3 Inches Feet Date: 0 1/ 1 a/ a 0 1 0 Aggregate Depth: inches Minimum Trench Depth: Inches Minimum Soil Cover. Inches Approval Status Maximum Trench Depth: 3 0 Inches lk Approved 0 Disapproved maximum Soil Cover: 1 8 Inches Pagel of 4 CDP File Number 30955 Septic Tank County ID Number: WLS2009-00205 Manufacturer. WP Lat. STB: 1007 Long: 1000 Installer: Bryan Miller Gallons; Certification 1127 Date: 1 0/ 0 1/ a 0 0 9 `EH S: 2246 - Megen McBride 'Filter Brand: POLYLOK PL-68 Date: 0 1/ l a/ a 0 1 0 ST Marker: 1. Yes ❑ NO Reinforced Tank: ❑ Yes ❑ No Approval Status Approved ❑ Disapproved 1 Piece Tank: ❑ Yes El No L_! Pump Tank Manufacturer. Installer: PT: Certification Gallons: *EH S: Date: J l Date: J J Riser Sealed ❑ Yes ❑ No Riser Height: ❑ Yes ❑ NO (Min. 6 in.) Approvat Status ; Reinforced Tank: ❑ Yes ❑ No ❑ Approved) D Disa~pproved 1 Piece Tank: ❑ YeS ❑ NO Supply Line Pipe Size: inch diameter Installer: Pipe Length: feet Certification 'Schedule: `EH S: Pressure Rated ❑ Yes ❑ No Date: / J Approved fittings ❑ Yes ❑ No ApprovaJ,Slat u.s 0 Approved D,Disapproved Pump Requirement Pump Type: Installer: (Dosing Volume: - Gal Certification Draw Down: Inches "EHS: `Chain: / J Date: Valves Accessible ❑ Yes ❑ No Flow Adjustment Valve ❑ Yes ❑ No Check-valve ❑ Yes ❑ No Approval Status PVC, Unions ❑ Yes ❑ No ❑ Approved 0 b'sapproved Vent Hole ❑ Yes ❑ No J Anti-siphon Hole ❑YeS ❑ NO Page 2 of 4 CDPFileNumber 30955 County ID Number: WLS2009-00205 Electric Equipment NEMA 4X Box or Equivalent ❑ Yes ❑ No Installer: Box 12 inches Above Grade ❑ Yes El No Certification Box Adj_ To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ❑ No 'EH S: Pump ManuallyOperable ❑ Yes ❑ No 'Activation Method: Date. Alarm Audible El Yes El No ApprovalsStatus ❑ A'pproved D Disapproved Alarm Visible ❑ Yes ❑ No 2246 - Megen McBride 'Operation Permit completed by: Authorized State Agent: Nwe-,~:" 4 Date of Issue: 0 a/ 0 1 a 0 1 0 0 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 III G. sewage septic system. Rule .1961 requires that a Type TYPE iii G. septic system meet the following criteria: Minimum System Review ByThe Local Health Department: N/A Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator: NIA Reporting Frequency By Certified Operator: N/A 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 operatoror a private certified operator forthe life of the septic system, Rule .1961 requires that Type VI septic systems designed fora home/business owner must maintain a valid contract with a public management entity with a certified operator for the life of the septic system. Rule. 1961 (2) (e) requires a contract shall be executed between the system owner and a management entity priorto the issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the system owner and 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 Permit that subsequent owners of the systems execute such a contract. *Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Total Time:(HH:MM) 0 0 Hours 0 0 M mutes Page 3 of 4 CDP File Number: 30955 County File Number: wL$2009-00205 Drawing Type: Operational Permit Date: 0 a / 0 1 /.2 0 1 0 Q Inch Scale: Q Block = ft. Drawing e~N/A G a~ ~ 'tank v Z%( -*Af '741 X66' %6' sef}ic Repair Area 157e ReA. Llav~vlol a ~kt~ hj &4;Ile141 lwt~, 5e~4-i c i rs~rA lloch'o~ . Page 4 of 4