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Home My WebLink AboutOP-2-10-4908.TIF OPERATION PERMIT or ice use nv Catawba County Public Health Department *CDP File Number a 5 6 5 6 Environmental Health Division WLS2008-01150 C. o County P.O Box 389. 100-A Southwest BlvdID Number: I Newton NC 28658 Evaluated For: NEW Phone: (828)-465-8270 Fax: (828) 465-8276 Township: 010 0 Applicant: JOHN & LEAH DUNKEL Property Owner: FRANK CORRIHER 7 Address: 5153 GLENWOOD DR Address: 750 CANNON FARM RD City: SHERRILLS FORD City: CHINA GROVE State/Zip: NC State/Zip: NC 28023-653 Phone 9: Phone Property & Site Information Address/Road Subdivision: MOUNTAIN CREEK Phase: Lot 2Q 8259 PENINSULA LN SHERRILLS NC Directions Structure: SINGLE FAMILY HWY 150 WEST TO SLANTING BRIDGE RD SOUTH ON SLANTING BRIDGE RD LEFT ONTO #of Bedrooms: 3 KEISTLER STORE LEFT ON MOUNTAIN SHORE # of People: LEFT ON PENINSULA 'Water Supply: COMMUNITY *IP Issued by- 'System Classification/Description: TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION 'CA issued by: 2246 - Megan McBride Design Flow: 3 6 0 LOW PRESSURE PIPE Distribution Type: Soil Application Rate: 0 . 3 'Pre-Treatment: Drain field Nitrification Field 6 0 0 Sq_ ft. 'System Type: PPBPS No. Drain Lines 5 Installer: Steven Jordan Total Trench Length: a 0 0 ft. Certification 1853 Trench Spacing: _ 8 8 Inches O.C. Feet O.C. *EH S: 1952 -Phelps, Robert Trench Width: Inches _ a Feet Date: 1 a/ 3 0/ a 0 0 9 Aggregate Depth: inches Minimum Trench Depth: 3 0 Inches Minimum Soil Cover. Inches Approval Status 4 Maximum Trench Depth: 3 6 fl Approved D Disapproved inches tvtaximum Soil Cover: Inches Pagel of 4 CDP File Number 25656 Septic Tank County ID Number: WLS2008-01150 Manufacturer. Dellinger Lat, - STB: 524 Long: 1000 Installer: Steven Jordan Gallons: Certification # 1853 Date: l a/ 0 8/ a 0 0 7 'EH S: 2246 - Megen McBride 'Filter Brand: POLYtOK PL-68 ST Marker: Cl Yes ❑ No Date: a / 0 4 / a 0 0 9 Reinforced Tank: ❑ Yes ❑ No Approval Status 1 Piece Tank: El Yes ❑ No LM Approved ❑ Disapproved Pump Tank Manufacturer. Dellinger Installer: Steven Jordan PT: 283 Certification 1853 Gallons: 1000 `EH S: 2246 - Megen McBride Date: 0 5/ a 5/ a 0 0 9 Date: 1 a/ 0 4 1 a 0 0 9 Riser Sealed 0 Yes ❑ No Riser Height. El Yes ❑ No (Min. 6 in.) Approval Status Reinforced Tank: ❑ Yes CO No E Approved ❑ Disapproved 1 Piece Tank: E] Yes ❑ No ~f Supply Line Pipe Size: a inch diameter Installer: Steven Jordan Pipe Length: feet Certification,4: 1853 `EH S: 1952 - Phelps, Robert 'Schedule: 40 Pressure Rated ED Yes ❑ No Date: 1 a/ 3 0/ a 0 0 9 Approved fittings 0 Yes ❑ No Approval Status L S Approved ❑ Disapproved Pump Requirement 7raVoluownme:: : Goulds 1t2hp, WE0512HHU Installer: Steven Jordan DoGal Certification g: 1853 w Inches "EHS: 1952 -Phelps, Robert 'Chain: ROPE Date: 1 a/ 3 0/ a 0 0 9 Valves Accessible El Yes ❑ No Flow Adjustment Valve El Yes ❑ No Check-valve ❑ Yes ❑ No Approval Status PVC Unions ❑ Yes ❑ No ❑ Approved ❑ Disapproved Vent Hole ❑ Yes ❑ No ~~Anli-siphon Hole Q Yes ❑ No Page 2 of 4 CDP File Number 25656 County ID Number: WLS2008.01150 Electric Equipment rNEMA 4X Box or Equivalent ❑ Yes ❑ No Installer: Steven Jordan Box 12 inches Above Grade El Yes El No 1853 Certification Box Adi, To Pump Tank Q Yes ❑ No Conduit Sealed Q Yes ❑ No 'EHS: 1952-Phelps, Robert Pump Manually Operable CD Yes ❑ NO bate: 1 a/ 3 0/ a 0 0 9 `Activation Method: CONTROL Alarm Audible ❑ Yes ❑ No Approval Status Alarm Visible El Yes ❑ No L D Approved n Disapproved 1952 - Phelps, Robert *Operation Permit completed by: ~J Authorized State Agent: I Date of Issue: 0 a/ 1 9/ a 0 1 0 / ' *Va-- IfIkA r L v kiL S.a-Arr gszisty'~ ,r.tt, sr,c;f; v, 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 IV A. 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 InspectionlMalntenance Frequency Sy Certified Operator. 2JYR 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 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 Olmport Drawing **Site Plan/Drawing attached.** Total Time:(HHJ-Ahi) 0 Hours Minutes Page 3 of 4 CDP File Number: 25656 County File Number: WLS2008-01150 Drawing Type: Operational Permit Date: 0 a 1 9 a 0 1 0 Click below to import an image from an external location: A p a~ ~ t ~ ~g Qg ~ t a- i PC) 14 NI, r s ~ z ~ fie;? ?r $ ~~m 0 v A w N O XTQ z 2" mg8~ Page 4 of 4 Feb 16 10 06:09p DAVID CLARK 7045287535 p.2 3 >Pq GATAWBA IREDELL LINCOLN NORTH CAROIJ r[A COUNTY OF. SEPTIC SYSTEM CERTIFIED OPERATOR #986739 ANNUAL AGREEMENT FOR MAINTENANCE BY DAVID CLARK THIS AGREEMENT IS MADE AND ENTERED INTO THIS THE-IJU LlAY OF° 20 BY AND BETWEEN ~tdi r~ ~ 1 -(THE PROPER-r(CiWNER), AND DAVID CLARK (THE CONTRACTOR). WITNESSETH WHEREAS, THE OWNER OWNS OR CONTROLS THE PROPERTY UI'i >1J WHICH A GROUND ABSORPTION SEWAGE TREATMENT SYSTEM (HEREIN AFTER STEM') IS INSTALLED. SUCH SYSTEM BEING DESIGNATED A TYPE IV A SYSTEM UNDER RULES ''OR SANITARY SEWAGE COLLECTION, TREATMENT AND DISPOSAL, FOUND AT 15A. N.C. i,DMIN. CODE. 18A. 1900 et seq.; AND WHEREAS, 15A N.C. ADMIN. CODE ISA 1961 REQUIRES A CONTRA CT TO BE EXECUTED BETWEEN SYSTEM OWNER AND A MANAGEMENT ENITY PRli l: , TO THE ISSUANCE OF AN OPERATION PERMIT FOR SAID SYSTEM ; AND WHEREAS, THE SAME CODE REQUIRES THAT A CONDITION OF T1E T: OPERATION PERMIT FOR SAID SYSTEM BE THAT A PROPERLY EXECUTED CONTRAC':E DETWEEN THE SYSTEM OWNER AND A MANAGEMENT ENITY SHALL BE IN EFFECT FOR 4. S LONG AS T.ELI3 SYSTEM IS IN USE; AND WHEREAS, THE CONTRACTOR IS A MANAGEMENT ENITY OF A T)TE AUTHORIZED BY 15A N.C. ADMIN. CODE I SA 1961 TO MANAGE A TYPE IV A SYSTEM. THE CONTRACTOR SHALL PERFORM SERVICES ON THE SYSTEM LOCATE D AT : LOT 4 J SUBDIVISION ; I -y),a V T C: f 1C MAILING ADDRESS IF DIFFERENT: THE CONTRACTOR SHALL PERFORM THE DUTIES AT LEAST AT THE FRE(:ItIENCY REQUIRED IN TABLE V(b) OF 15A N.C. ADMIN. CODE SA 1961(b) FOR A TYJ- E IV A SYSTEM. OWNER SIGN: 'k:LL 1.: LDATE:. I~ I all-~ CONTRACTOR: ATE: C' o T Feb 16 10 06:09p DAVID CLAR4< 7045297535 p,3 ADDITIONAL AGREEMEN'{(' BY PROPERTY OWNER DAVID CLARK d/b/a D. C. CONSTRUCTION P.O. BOX 626 TROUTMAN N.C. 28166 FEBUARY 16, 2010 THRU DECEMBER 31, 2010 SEPTIC SYSTEMS DESIGNED AND APPROVED BY THE LOCAL HEALTH DEPT ivrMENT SHOULD NOT BE ALTERED, OR CHANGED WICTyHOUTTHE DESIGN BYA PROFESSIONAL ENGINEE'F:, SUCH ASTHE SYSTEM DESIGN FOR S 1 1~' e M-'-V54LIr7 L,~j AND I'll E PROPERTY OWNER BEING m L 1'1 Thu THIS SYSTEM HAS SPECIFIC INSTALLATION GUIDELINES AND SPECIFIC OPI; RATION GUIDELINES WHICH THE HOMEOWNER IS RESPONSIBLE TO ADHERE TO, AND ACCEPTS THE RESPONSIBILITY FOR FAILURE. THE OPERATOR IN RESPONSIBLE CHARGE WILL MAINTAIN AND REPORT 10 THE ENITIES REQUIRED. UNFORSEEN FAILURES OF COMPONENTS AND/OR RESULTING DAM)),:31:S ARE THE RESPONSIBILITY OF THE ABOVE LISTED PROPERTY OWNER. THE INSTALLER IS THE MOST FAMILIAR WITH THE LOCATION OF BURIED COMPONENTS AND SHOULD ALSO BE CONSIDERED TD 3E NOTIFIED IF SEPTIC FIELD AREA LOCATION CHANGES ARE NOTICED OR CONSIDERED, WHICH INCLUDES TRAFFV-= AND/ OR DRAINAGE PROBLEMS BUT NOT LIMITED TO. AS THE DESIGN PROFESSIONAL FOR THE SEPTIC SYSTEM HAS SPECIFIED, 4. ( FOUR) INSPECTIONS ARE REQUIRED FOR THE FIRST YEAR. ON THE FIRST,THIRD,SIXTH, AND NINTH MU, TrHS AFTER OCCUPATION OF HOME INTITIAL INSPECTION. MY NORMAL FEE FORTHE STATE REQUIRED TWO INSPECTIONS IS $ , YOUR FIRST Y:AR WILL COST$ - AND RESUME NORMAL APPLICABLE FEE AFTER. EMERGENCY SERVICE CALL- $ 77 ;first hr. and trip charge) ADDITIONAL LABOR PER HR. REPAIR PARTS PER COST 0 OWNERSIGN: L- DATE: ORC SIGN:- DATE: PAGE 2 OF 2 DAVID CLARK d/b/a D.C. CONSTRUCTION SS OPERATOR # 986739 CL � �-�P `� 1V�AINTENANCE REPORT FORM ,��U� Project # O/ �,5�° DAVID W. CLARK dl6/a �� Date of Ins ection / Note # D.C. CONSTRUCTION . CERTIFIED OPERATOR # 986739 ; / /� � b P.O. BOX 626. TROUTMAN NC 28166 ORCBUORC SIGN- �- C OWNER/ BLDG. CONTRACTOR- Y" �� PROPERTY ADDRESS: STREET - D � �f +�a : �-� LOT # - � CITY -�,r.n,zls �� SBDVSN N�/t,�L NC ZIP 2 �W 73 SEP'TIC TANK - k�QP GALS PUMP vHP �i�''� MODEL 1,�0 VOLTAGE • SEE OP PUMp TANK – � OQ � GALS _ Pump present and opeiating �l��. ti► �':� ^� `�Risers accessible � Design GPM .� Actuat GPM % Efficiency ✓No Signs of Infiltration High water alarm operating properly �tructurally Sound ��pework in good condition �scape Po '' n ✓(: ol panel in good condition _�' Filter Clean d oth �ol floats operating pro ly Pressure Bell SN = SEE NO OW � s and float tree �hr e�r/� Effluent free and clear of solids — ! � SYSTEM TYPE (N) 4A ( ) 25% RED. ( ) CONV. �� / , � �'s �j<%°� �S � ( ) GRAV. ( ) PM � " � � �� P �� @ �� --�—__ � 1 �` ([Tpper) @ Valves LIN. FT. LINES /• FT. LONG — 2 ad ( ) POLY ( ) CHAMBER — 3 �, c�� EFFLUENT SURFACING FIC PROTECTED _ 4 (Lower) tf SURFACE WATER DIVERTED ISTRIBUTION SET 5�" �LINE COVER MAINTAINED � . R�FPAIR AREA RESERVED _ 6th LOW PRESS� SYSTEM �TURN-UPS, CLEAN-OUTS, VALVES LOCATED / PROTECTED n/�ATERALS FREE OF EXCESS S�LIDS �� - S FLUSHED RESSURE HEADS FOR EACH LIIJE 3� PH each NOTES FOR CORRECTIVE ACTION (LOT # �-� ) 1. � ��/ i cYs (�f1��! �il�� (O�i'/ � 2. 3. �.�►" i� �a�1 �0/0 4. � C. �S � ��✓ 5. NO CORRECTIVE ACTION NEEDED I