HomeMy WebLinkAboutOP-2-10-4422.TIF
OPERATION PERMIT or ice use only
Catawba County Public Health Department *CDP File Number a 3 4 4 a
Environmental Health Division WLS2009-00079
P.O Box 389, 100-A Southwest Blvd County ID Number:
Newton NC 28658 Evaluated For: NEW
Phone: (828)-465-8270 Fax: (828) 465-8276 Township
Applicant: Property Owner: GRAHAM! Yu I ~iG'~
Address: Address: 1600 FLOYD RD
City: CRY: COLUMBUS
State/Zip: State2ip: GA 31907-420
Phone Phone
Property & Site Information
Address/Road Subdivision: Phase: Lot: 3 _
3534 MELINDA LN p
CLAREMONT NC Directions
Structure: SINGLE FAMILY FROM CLAREMONT/ SOUTH ON S MAIN
(BETHANY) CROSS BRIDGE/ 1ST LFT (MELINDA
# of Bedrooms: 2 LN)/ PROPERTY STARTS PAST TRAILER ON LIFT
# of People: 2 AT 1 ST IRON STAKE
Water Supply: EXISTING WELL
*IP Issued by: 9999-Unknown 'System Class ification/Description:
TYPE 111 G. OTHER NON-CONV. TRENCH SYSTEMS
'CA issued by: 1952 - Phelps, Robert
Design Flow:
a 4 0 "Distribution Type: GRAVITY
Soil Application Rate: 3 'Pre-Treatment:
Drain field
N itrifit:ation Field 6 0 0 Sq. ft. 'System Type: INFILTRATOR QUICK 4 STANDARD
No. Drain Lines a Installer: Gary Leatherman
Total Trench Length: a 0 0 ft. Certification 1111
Trench Spacing: - 9 Inches O.C.
Feet O.C. "EH S: 1919 -Susan Miller
Trench Width: 3 Inches
Feet Date: 1/ 1 5/ 2 0 1 0
Aggregate Depth: inches
Minimum Trench Depth: 0
Inches
Minimum Soil Cover. 8 Inches Approval Status
Maximum Trench Depth: 4 Inch ® Approved O Disapproved
Inches
Maximum Soil Cover. 1 a
Inches
Pagel of 4
CDP File Number 27442 County ID Number: WLS2009-00079
Septic Tank
Manufacturer Gamewell Septic Tank Lat.
STB: 160 Long:
1000 Installer: Leatherman
Gallons:
Date: 9 8 / x 0 0 9 Certification 1111
/
`EH S: 1919 - Susan Miller
"Filter Brand: POLYLOK PL-68
Date: 1/ 1 5/.1 0 1 0
ST Marker: ®Y@S ❑ NO
Approval Status
Reinforced Tank: El Yes @E No
® Approved ❑ :D-isapproved
1 Piece Tank: ❑ YeS ~ NO
Pump Tank
Manufacturer. Installer:
PT: Certification
Gallons: `EH S:
Date: Date:
Riser Sealed ❑ Yes ❑ No
RiserHeight: ❑ 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: 4 a feet Certification 1111
'EH S: 1919 - Susan Miller
*Schedule: 40
Pressure Rated ❑ Yes W No Date: 1/ 1 5/.2 0 0 9
Approved fittings ® Yes ❑ NO Approval Status
® Approved ❑ Disapproved
Pump Requirement
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
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CDP File Number 27442 County ID Number: wLS2009-00079
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 Seated ❑ Yes ❑ No 'EH S:
Pump Manually Operable ❑ Yes ❑ No
'Activation Method: Date:
Alarm Audible ❑ Yes ❑ No Approval' Status
❑ Approved El Disapproved
Alarm Visible ❑ Yes ❑ No
1919 - Susan Miller
'Operation Permit completed by: n
Authorized State Agent: &"A Date of Issue: 1 / .2 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 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 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 hometbusiness owner must maintain a valid contract
with a public management entity with 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 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.
OHand Drawing *Import Drawing
**Site Plan/Drawing attached.**
Total Time:(HH:MM)
0 0 Hours 0 0 Minutes
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