HomeMy WebLinkAboutOP-2-10-4823.TIF
OPERATION PERMIT or ice se n v
r~ Catawba County Public Health Department 'COP File Number 1 8 a 5 6
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Environmental Health Division wLS2008-00830
~ .•r P.O Box 389, 100-A Southwest Blvd County ID Number:
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J S
Newton NC 28658 Evaluated For: NEW
_
Phone: (828)-465-8270 Fax: (828) 465-8276 Township: op _a ~I a3
Applicant: SAME AS OWNER Property Owner: SAME AS OWNER BELOS
Address: 1513 WHITE EAGLE RANCH
Address:
7
city: City: HICKORY
State/Zip: State/Zip: NC 28602-949
Phone Phone
Property & Site Information
Address/Road Subdivision: OLDE SCHOOL Phase: Lot: 2
5166 BETHEL CHURCH RD
HICKORY NC Directions
Structure: SINGLE FAMILY HWY 127 S / LT ON BETHEL CH RD/ APPROX
ONE MILE ON LT
# of Bedrooms: 3
# of People:
"Water Supply: PUBLIC
'IP Issued by: 1810 - Boyd, Jason `System Classif"tion/Description:
TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS
'CA issued by: 1896 - Lucas Sears
Design Flow: 3 6 0 `Distribution Type: GRAvITY
Soil Application Rate: 0 3
`Pre-Treatment:
Drain field
Nitrification Field 9 0 0 Sq. ft. `System Type: INFILTRATOR QUICK 4 STANDARD
No. ("~n Lines 5 Installer: Leatherman
Total Trench Length: 3 0 a ft- Certification 11 i 1
Trench Spacing: - 9 Oinches O.C.
Feet O.C. 'EH S: 2246 - Megan McBride
Trench Width: 3 Inches
Feet Date: 0 a/ 1 8/ a 0 1 0
Aggregate Depth: inches
Minimum Trench Depth:
Inches
Minimum Soil Cover. Inches Approval Status
Maximum Trench Depth: 1 4 EN roved O Disapproved
Inches
Maximum Soil Cover: 1 a
Inches
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CDP File Number 18256 Septic Tank County ID Number: wl_s2008-00830
Manufacturer. GST Lat.
STB: 160 Long:
1000 Installer: Leatherman
Gallons:
Date: ® 7 / 1 4 / x 0 0 9 Certification 1111
*EH S: 2246 - Megan McBride
*Filter Brand: POLYLOK PL-68
Date: 0 a/ 1 8/ a 0 1 0
ST Marker: ❑ Yes ❑ NO
Reinforced Tank: ❑ Yes ❑ No Approval Status
1 Piece Tank: ❑ Yes ❑ No N, Approved ❑ 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: El Yes El No ❑ Approved 0 Disapproved
1 Piece Tank: E] Yes 13 No
Supply Line
Pipe Size: inch diameter Installer:
Pipe Length: feet Certification
*Schedule: *EH S:
Pressure Rated ❑ Yes ❑ No Date:
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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CDPFileNumber 18256 County ID Number: WLS2008-00830
Electric Equipment
NEMA 4X Box or Equivalent E] Yes El NO Installer:
Box 12 inches Above Grade ❑ Yes ❑ No
Certification
Box Adj. To Pump Tank ❑ Yes ❑ No
Conduit Sealed ❑ Yes ❑ No 'EHS:
Pump M an ually 0 perable ❑ Yes ❑ NO
'Activation Method: Date:
Alarm Audible ❑ Yes ❑ No Approval Status
Alarm Visible El Yes ❑ NO L ❑ Approved O Disapproved
2246 - Megen McBride
'Operation Permit completed by:
t~~k
Authorized State Agent: t Date of Issue: 0 a/ 1 8/ 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:
NIA
Reporting Frequency By Certified Operator: N/A -Y
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:(HHNf4)
0 0 Hours 0 0 Minutes
Page 3 of 4
CDP File Number: 8256 County File Number: WLS2008.00830
Drawing Type: Operational Permit Date: 0 a/ 1 8/ a 0 1 0
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Scale: OBlock = ft.
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Page 4 of 4