HomeMy WebLinkAboutOP-5-10-6912OPERATION PERMIT
Catawba County Public Health Department
Environmental Health Division
P.O Box 389, 100 -A Southwest Blvd C
Newton NC 28658 J
*CDP File Number a 6 a 4 3
WLS2009 -00039
County ID Number:
va luated For: NEW
Phone: (828)- 465 -8270 Fax: (828) 465 -8276 1I25ri
Applicant: SAME AS OWNER
Address:
City:
State /Zip:
Phone #:
Property Owner: TIMOTHY D SMITH
Address: 1433 RING TAIL RD
City: CLAREMONT
State /Zip: NC
Phone #:
28610 -831
Property Location & Site Information
Address /Road #: Subdivision: C A WILSON ESTATE Phase:
1473 RING TAIL RD
CLAREMONT NC
Structure: SINGLE FAMILY
# of Bedrooms: 2
# of People: 1
`Water Supply: EXISTING WELL
*IP Issued by: 2246 - Megen McBride
*CA issued by: 2246 - Megen McBride
Design Flow: a 4 0
Soil Application Rate: 0 3
Nitrification Field
No. Drain Lines
Total Trench Length
Trench Spacing:
Trench Width:
Aggregate Depth:
Lot: 2A
Directions
RT ON HWY 10 FROM MT OLIVE CH RD/ RT ON
RING TAIL RD/ LOT ON RT "Existing well / * *Old
Septic system was supposed to have been removed
*System Classification /Description:
TYPE III G. OTHER NON -CONY. TRENCH SYSTEMS
*Distribution Type: GRAVITY
*Pre- Treatment:
Drain field
6 0 0 Sq. ft.
a -
a 0 0 ft.
9 Q Inches O.C.
— (&Feet O.C.
3 Qlnches
Q.Feet
inches
Minimum Trench Depth:
Minimum Soil Cover:
Maximum Trench Depth:
Maximum Soil Cover:
Inches
Inches
Inches
Inches
* System Type: INFILTRATOR QUICK 4 STANDARD
Installer: Jeremy Pope
Certification #: 3349
* EHS: 2246 - Megen McBride
Approval Status
N Approved ❑ Disapproved
Page 1 of 4
CDP File Number 26243
Manufacturer: STROUP
STB: 786
Gallons: 1000
Date: 04/ 0 a/ a 0 0 9
County ID Number: WLS2009 -00039
c Tank
Lat.
Long:
Installer: Jeremy Pope
Certification #: 3349
`Filter Brand:
POLYLOK PL -68
*EHS: 2246- Megen McBride
ST Marker:
N Yes
❑ NO
Approval Status
inforced Tank:
❑ Yes
❑ No
0 Approved ❑ Disapproved
I
1 Piece Tank:
❑ Yes
❑ NO
_J
1 Piece Tank: ❑
Yes
❑
Pump Tank
Manufacturer:
PT:
Gallons:
Date:
/
/
Riser Sealed ❑
Yes
❑
No
Riser Height: ❑
Yes
❑
NO (Min. 6 in.)
Reinforced Tank: ❑
Yes
❑
NO
1 Piece Tank: ❑
Yes
❑
NO
Installer:
Certification #:
*EHS:
Approval Status
El Approved ❑ Disapproved
/ Pipe Size: inch diameter
Pipe Length: feet
*Schedule:
Pressure Rated ❑ Yes ❑ NO
Approved fittings ❑ Yes ❑ NO
Pump Type:
Dosing Volume:
Draw Down:
Inches
*Chain:
Valves Accessible
❑
Yes
❑
No
Flow Adjustment Valve
❑
Yes
❑
NO
Check -valve
❑
Yes
❑
No
PVC Unions
❑
Yes
❑
NO
Vent Hole
❑
Yes
❑
NO
Anti - siphon Hole
❑
Yes
❑
NO
Supply Line
Installer:
Certification #:
*EHS:
Approval Status
❑ Approved ❑ Disapproved
Installer:
Gal Certification #:
*EHS:
Approval Status
❑ Approved ❑ Disapproved
Page 2 of 4
CDP File Number 26243 County ID Number: W LS2009 -00039
Electric Equipment
NEMA 4X Box or Equivalent
❑
Yes
❑
N0 Installer:
Box 12 inches Above Grade
❑
Yes
❑
NO
Certification #:
Box Adj. To Pump Tank
❑
Yes
❑
N0
Conduit Sealed
❑
Yes
❑
No *EHS:
Pump Manually Operable
❑
Yes
❑
N0
Approval Status
*Activation Method:
❑ Approved ❑ Disapproved
Alarm Audible
❑
Yes
❑
No
� Alarm Visible
❑
YeS
❑
NO
2246 - Megen McBride
*Operation Permit completed by
[
7S
T (�
Authorized State Agent: RM* � �& Date of Issue: 0 9 / a 5 / a 0 0 9
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: O WNER
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 for a home /business 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 for a 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 prior to 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.
O Hand Drawing O Import Drawing
* *Site Plan /Drawing attached. **
Total Time:(HH:MM)
0 0 Hours 0 0 Minutes
Page 3 of 4
CDP File Number: 26243 County File Number: W LS2009 -00039
Drawing Type: Operational Permit Date: 0 9 / D 5 / D 0 0 9
0 Inch
Scale: O Block
N/A
Drawing I
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Weil
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Page 4 of 4