HomeMy WebLinkAboutOP-11-09-2662OPERATION PERMIT
Catawba County Public Health Department
Environmental Health Division
P.O Box 389, 100 -A Southwest Blvd
Newton NC 28658
Phone: 18281-465-8270 Fax: 1828) 465 -8276
Applicant.
Address:
Co y:
State/Zip:
Phone #:
'CDP File Number 3 5 3 1 0
WLS2009 -00711
County ID Number:
Evaluated For: HDR- Wcca{d 2 4v
Township:op � ,, q 4 � oA�
%
/ Property Owner: KAREN PROBST
Address: 4228 BARBRICK ST
city. SHERRILLS FORD
State/Zip: NC
one #:
28673 -970
Property Location & Site Information
Address /Road #: Subdivision: EDGEWATER
4228 BARBRICK ST
SHEERRILLS NC
Structure: SINGLE FAMILY
# of Bedrooms: 4
# of People:
*Water Supply: PUBLIC
'IP Issued by:
'CA issued by: 2246 - Megen McBride
Design Flow: 4 8 0
Soil Application Rate: 0 3
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
Phase: Lot. 17
Directions
16S/ 150 E/ LEFT LITTLE MOUNTAIN RD/ LEFT ON
STATIC WAY / EDGEWATER / LOT 17
'System Classification /Description:
TYPE III B. SYSTEM W /SINGLE EFFLUENT PUMP
'Distribution Type: PRESSURE MANIFOLD
'Pre- Treatment:
Drain field - %mL. %mnS rp.1a /rl
Sq. ft.
a
;2 0 0 ft-
9 ()Inches O.C.
Feet O.C.
3 Inches
()Feet
inches
Minimum Trench Depth:
Minimum Soil Cover.
Maximum Trench Depth: 3 6
Maximum Soil Cover: 4
Inches
Inches
Inches
Inches
Page 1 of 4
'System Type: INFILTRATOR QUICK 4 STANDARD
Installer: Gary Johnson
Certification #: 3604
'EH S: 2246 - Megan McBride
Date: 1 0/� 3/ a 0 0 9
Approvol.St6t s
Approved '3,sa'AocfecE'
CDP File'Number 35310,
County ID Number: W LS2009 -00711
Pump Tank
/Manufacturer.
❑
PT:
septic i anK
Gallons:
Manufacturer.
Date:
/
Lat.
Yes
Riser Height: ❑
Yes
Tank: ❑
Long:
7 inforced
1 Piece Tank: ❑
STB:
Anti - siphon Hole ❑ Yes
❑
No
Gallons:
Installer:
Certification #:
Date:
/
/
*EH S:
'Filter Brand:
ST Marker:
❑ Yes
❑ No
Date:
Reinforced Tank:
❑ Yes
❑ NO
Appro!�pl,St,
�
��'a1Fe�' � E}iS����o`I°8�
1 Piece Tank:
❑ Yes
❑ Nv
Pump Tank
/Manufacturer.
❑
PT:
Gallons:
PVC Unions El Yes
Date:
/
Riser Sealed ❑
Yes
Riser Height: ❑
Yes
Tank: ❑
Yes
7 inforced
1 Piece Tank: ❑
Yes
Installer:
Certification #:
'EH S:
/ Date:
❑ No
❑ NO (Min. 6 in.) Apisto'rea1G< etas ,
❑ No ❑ Appf oVed Ojlsa ec
❑ No
Sunniv Line
Pipe Size: inch diameter
Pipe Length: feet
'Schedule:
Pressure Rated ❑ Yes ❑ No
Approved fittings ❑ Yes ❑ No
Installer:
❑
Certification #:
'EH S:
PVC Unions El Yes
❑
No
Date:
❑', �oVe Asa pieC
�? ypP.,
Vent Hole ❑ Yes
Appndybt
No
j Pump Type: Installer:
f/ Dosing Volume: - Gal Certification #:
Draw Down: Inches 'EH S:
'Chain:
Date:
Valves Accessible ❑ Yes ❑ No
Flow Adjustment Valve ❑ Yes ❑ No
Check -valve ❑ Yes
❑
No
Ata�tl
PVC Unions El Yes
❑
No
❑', �oVe Asa pieC
�? ypP.,
Vent Hole ❑ Yes
❑
No
.
Anti - siphon Hole ❑ Yes
❑
No
Page 2 of 4
CDP File'Number 35310
County ID Number: WLS2009 -00711
-i L4 iy -3P 011 U 1IV-1111
NEMA4X Box or Equivalent
Q
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
Alarm Visible [I Yes
_p
E No r
❑ N 0
*Operation Permit completed by_
Authorized State Agent:
Date of Issue: 1 0 a 8 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 B. sewage septic system.
Rule .1961 requires that a Type TYPE 1118. septic system meet the following criteria:
Minimum System Review By The Local Health Department: SYRS.
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 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 priorto the
issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the
system ownerand 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:(HH :MM)
0 0 Hours 0 0 Minutes
2246 - Megen McBride
Page 3 of 4
CDP File Number: 35310
Drawing Type: Operational Permit
Dra wi ng
Clue cW I V\ew
4vQVc ) Sep a - A -
1\eJ fv ecsvve I C'VeM
4 ow .
�rvehcl�
(c ev w�S2o0s ~ 009'37)
Pr
Po o I
ola Ayf-K&ej
A%s co w -ec cA
County File Number: WLS2009 -007"
Date: 1 0 / a 8 / .2 0 0 9
Q Inch
Scale: QBiock
4Z N /A
a
MIA
4(this
(e)40i.
Page 4 of 4