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HomeMy WebLinkAboutOP-2-10-4406.TIF OPERATION PERMIT or ice se Only , A f Catawba County Public Health Department *CDP File Number a 7 4 4 3 i•~ Environmental Health Division WLS2009-00080 Coun ID Number: P.O Box 389, 100-A Southwest Blvd H Newton NC 28658 Evaluated For: NEW Phone: (828)-465-8270 Fax: (828) 465-8276 Township: r~ Applicant: Property Owner: BOYD Aa A h Lo Address: Address: 1461 MILL WHEEL CT City: City: CONOVER State/Zip: State/Zip: NC 28613-711 Phone Phone Property & Site Information Address/Road Subdivision: Phase: Lot: 4 3562 MELINDA LN CLAREMONT NC Directions Structure: SINGLE FAMILY FROM CLAREMONT/ SOUTH ON S MAIN (BETHANY)/ CROSS BRIDGE/ 1 ST LFT (MELINDA # of Bedrooms: 3 LN) PROPERTY STAR # of People: "Water Supply: EXISTING WELL =IP Issued by: 9999 -Unknown 'System Classification/Description: TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS 'CA issued by: 1952 - Phelps, Robert Design Flow: 3 6 0 'Distribution Type: GRAVITY Soil Application Rate: 3 =Pre-Treatment: Drain field rNOficat,i,on Field 9 0 0 Sq_ ft. 'System Type: INFILTRATOR QUICK 4 STANDARD Lines 3 Installer: Gary Leatherman Total Trench Length: 3 0 0 ft. Certification 1111 Trench Spacing: - 9 *Feet s O O.C..C. 'EH S: 1919-Susan Miller Feet Trench Width: 3 Inches - iFeet Date: 1/ 1 5/ x 0 1 0 Aggregate Depth: inches Minimum Trench Depth: a 0 Inches Minimum Soil Cover. $ Inches Approval Status Maximum Trench Depth: 4 ® Approved O Disapproved Inches Maximum Soil Cover: 1 a Inches uuv me Ivumoer Septic Tank county Iu NumlJer: Manufacturer. Gamewell Septic Tank Lat. STB: 160 Long: Installer: Leatherman Gallons: 1000 Date: 9 9 / x 0 0 9 Certification .1111 / "EH S: 1919 - Susan Miller "Filter Brand: POLYLOK PL-68 ST Marker: El Yes ❑ No Date: 1/ 1 5/ 2 0 1 0 Reinforced Tank: ❑ Yes R NO Approval Status 1 Piece Tank: ❑ Yes O No L® Approved El Disapproved Pump Tank Manufacturer. Installer: PT: Certification Gallons: "EH S: Date: Date: Riser Sealed ❑ Yes ❑ No Riser Height: ❑ Yes ❑ NO (Min. 6 in.) Approval Status Reinforced Tank: ❑ Yes ❑ No ❑ Approved❑ Disapproved 1 Piece Tank: ❑ Yes ❑ No Supply Line Pipe Size: 3 inch diameter Installer: Leatherman Pipe Length: 5 7 feet Certification 1111 1919 -Susan Miller "EH S: *Schedule: 40 Pressure Rated ❑ Yes No Date: 1 / 1 5 / a 0 1 0 Approved fittings in, Yes ❑ No Approval Status D Approved ❑ Disapproved Pum Re uirement Pump Type: Installer: Dosing Volume: - Gal Certification Draw Down: Inches 'EH S: "Chain: Date: Valves Accessible ❑ Yes ❑ NO Flow Adjustment Valve ❑ Yes ❑ NO Check-valve ❑ Yes ❑ No Approval Status PVC Unions ❑ Yes ❑ No ❑ Approved ❑ Disapproved Vent Hole ❑ Yes ❑ No Anti-siphon Hole ❑ Yes ❑ No CDP File Number ~r`►`+~ County ID Number: """"""J Electric Equipment NEMA 4X Box or Equivalent ❑ Yes ❑ NO Installer: Box 12 inches Above Grade ❑ Yes ❑ NO Certification Box Adj. To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ❑ No *EH S: Pump Manually Operable ❑ Yes ❑ No "Activation Method: Date: Alarm Audible ❑ YeS ❑ NO Approval Status ❑ Approved ❑ Disapproved Alarm Visible ❑ YeS ❑ NO 1919 - Susan Miller *Operation Permit completed by: Authorized State Agent: 611A Date of Issue: 1 / a 9 a 0 1 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 bya TYPE III G. Sewage septic system. Rule .1961 requires that a Type TYPE III G. _ septic system meet the following criteria: Minimum System Review By The Local Health Department: N/A Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A 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 operator or 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 bya 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. OHand Drawing ©Import Drawing **Site Plan/Drawing attached.** Total Time:(HH:MM) 0 0 Hours 0 0 Minutes CDP File Number: 27443 County File Number: WLS2009-00080 Drawing Type: Operational Permit Date: 0 1/ 1 9 / 0 1 0 Click below to import an image from an external location: 1 n 40us , y6p c alp a71 0. f~Yp DG~ ~zW