HomeMy WebLinkAboutOP-2-10-4985.TIF
OPERATION PERMIT or Ice se ny
Catawba County Public Health Department *CDP File Number 3 3 4 i 9
t- yf / Environmental Health Division WLS2009-00436
' ~r•r' P.O Box 389, 100-A Southwest Blvd County ID Number
S
Newton NC 28658 Evaluated For: NEW
Phone: (828)-465-8270 Fax: (828) 465-8276 Township:
Applicant: JASON WEAVER Property Owner: JOE WEAVER
Address: 1081 TWILLINGATE 7 Address: 1485 SAIN RD
CRY: HICKORY city-. HICKORY
State/Zip: NC 28602 State/Zip: NC 28602-811
~_Pone# Q
Phone
Property $ Site Information
Address/Road Subdivision: JOE D WEAVER & WF. Phase: Lot: 1
1657 SAIN RD r"HICKORY NC Directions
Structure: SINGLE FAMILY 127S/ LEFT BETHEL CHURCH RD/ RT SAIN RD/
PASS ABERNATHY PARK/ PAST 2ND HOUE ON
# of Bedrooms: 3 RIGHT TO WOODEN FENCE ON RIGHT / GATE
# of People: WILL BE OPEN / DRIECTLY ACROSS ROAD
*WaterSupply: NEW WELL FROM WHIT HOUSE
`IP Issued by: 1896 - Lucas Sears System Classation/Description:
TYPE III G. THER NON-CONN. TRENCH SYSTEMS
*CA issued by: 1896 - Lucas Sears
Design Flow: 3 6 0 *Distribution Ty e: GRAVITY -SERIAL
Soil Application Rate: 0 3 'Pre-Treatmen
Drain field
N Rrification Field 9 0 0 SQ' ft. System Type: INFILTRATOR QUICK 4 STANDARD
No. Drain Lines 3 Installer: Leatherman
Total Trench Length: 3 0 0 ft Certification 111 t
Trench Spacing: - 9 Inches O.C. Feet O.C `EH S: 2246 Megen McBride
-
Trench Width: 3 Inches
gFeet Date: 0 a/ 1 9/ a 0 1 0
Aggregate Depth: inches
Minimum Trench Depth:
Inches
Minimum Soil Cover Inches Approval Status
Maximum Trench Depth: a 4 Inches ® Approved D Disapproved
Maximum Soil Cover: 1 a
Inches
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' CDP~ile Number 33419,
Septic Tank County ID Number: WLS2009-00436
rer. GsT Lat.
160 Long:
TB:
taller: Leatherman
(~~t
Ins
ns: 1000
Date: 0 9 / 1 4 / x 0 0 9 Certification 1111
'EH S: 2246 - Megen McBride
`Filter Brand: POLYLOK PL-68
Date: 0 a/ 1 9/ a 13 1 0
ST Marker: 0 Yes ❑ No
Reinforced Tank: ❑ Yes ❑ No Approval Status
1 Piece Tank: ❑ Yes ❑ No 1~I 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: ❑ Yes ❑ No ❑ Approved O Disapproved
1 Piece Tank: ❑ Yes ❑ 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
Pum Re uirement
Pump Type: Instatler:
Dosing Volume: - Gal Certification
Draw Down: Inches 'EHS:
'Chain: j j
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 33419, County ID Number: WLS2009-00436
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
Alarm Visible ❑ Yes ❑ No 0 Approved D Disapproved
2246 - Megen McBride
*Operation Permit completed by:
Authorized State Agent: Date of Issue: 0 a/ a 4/ 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 ni 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: NIA
Management Entity: OWNER
Minimum System Inspection/Maintenance Frequency By Certified Operator:
NIA
Reporting Frequency By Certified Operator: NIA
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 for the life of the septic system.
Rule .1961 requires that Type VI septic systems designed fora hometbusiness 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.
6Hand Drawing OlmportDrawing
**Site Plan/Drawing attached.**
Total Time 1 LI M )
0 0 Hours 0 0 ntnutes
Page 3 of 4
CDP File Number: 33419 County File Number: WLS2009-00436
Drawing Type: Operational Permit Date: 0 a/ a 4/ a 0 1 0
Q Inch
Scale: QBlock = ft.
Drawing O N/A
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Page 4 of 4