128 Drayton CtCONSTRUCTION For ofllce use omv
AUTHORIZATION C
DP File Number 202022-1
Davie County Health Department unty ID Number: H520OA0021
210 Hospital Street For: NEW
P.O. Box 848 ownship:
Mocksville NC 27628 PERMIT VALID UNTIL:
Phone 336-753-6780 Fax 333-]53-1686 0 3 / a 3/ a 0 a 1
Applicant: Wlshon and Caner Builders, INC rddtp
Owner: Wlshon and Caner Builders, INC
Address : PO Box 1719 PO Box 1]19
City: Yatlklnville Yatlklnville
State/Zip: NC 2]655 NC 2]655
Phone#: (336)469-2296 (336)469-2296
Atltlress/Road#: Subdivision: The Oaks at McAllister Park Phase: Lot 21
Draxton Court
Mocksville NC 27628 Direction
Structure: SINGLE FAMILY Hwy 158, right on Said Rdright on Hanford, Left on
Chandler Right on Madera
# of Bedrooms: 2
# of People:
`Water Supply: PUBLIC
Site
Minimum Trench Depth:
a
4
N
Olassitication: P ..... nity Solmme
9
O InchFeel O.C.O.
Dosing volume:
Inches
Trench Width
Aggregate Depth:
Minimum Soil Cover:
1
a
Gallons
OTS -I OFFS11
Saprollte System? OYes ®No
Septic
Tank Installer Grade Level Required 01 OI I
0111 ON
Inches
Design FIRM:
Maximum Trench Depth:
3
6
a 4 0
Inches
Soil Application Rate:
Maximum Sou Cover:
a
4
Inches
0 2 7 5
`System Classification/Description:
`Distribution Type:
GRAVITY
SERIAL
TYPEIIA CCNV SYSTEM (SINGLE FAMILY OR 488 GPD
OR LESS) S T k'
`Proposed System: 25°6 REDUCTION
N'Itrmcatmc Field8 7 3
Sq. fl.
No. Drain Lines 3
Total Trench Length: a 1 8
epic a . Gallons
1 -Piece: OYes ®No
Pump Req uired OYes ®No OMay Be Required
Pump Tank: Gallons
1-Plece:OYes ONo
GPM—vim fl. TDH
fl.
Trench Spacing:
9
O InchFeel O.C.O.
Dosing volume:
Gallons
Trench Width
Aggregate Depth:
3
inches
Omches
®Feet
Grease Trap:
Pre -Treatment ONSF
Gallons
OTS -I OFFS11
Septic
Tank Installer Grade Level Required 01 OI I
0111 ON
CDPFile Number 202022-1
'Site Classlpoatlon: `r,,,,relty Endo,
Design Flow: a 4 0
Soil Application Rate: 0 a 7 5
`System Classlpoatlon/Description:
TYPE IIA CONV SYSTEM (SINGLE FAMILY OR 488 GPD OR
LESS)
`Proposed System: 25% REDUCTION
Nitrifmation Field 8 J 3 Sq. fl.
No. Drain Lines 3
Total Trench Length: a 1 8 fl.
County ID Number: H5288A8821
Fl Open Pump System Sheet
Trench Spacing:
9 U
®O
Trench Worm:
3
Aggregate Depth:
Inches
Minimum Trench Depth:
a
4
Inches
Minimum Soil Cover:
1
a
Inches
Maximum Trench Depth:
3
6
Inches
Maximum Soil Cover:
a
4
Inches
Distribution Type: GRAVIry-SERIAL
Pump Required Oyes ORR OMay Be Requiretl
Pre -Treatment ONSF OTS -I OTS11
'Site Modifications
No grading or construction activity is allowed In areas designated for system and repair without approval of Health Department. ;
7504
'Permit Conditions
The Issuance of this permit by the Health Department In noway guarantees the Issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies In meeting their requirements.
2000
invalid and may w suspandedor revoked (.1957(m). The parsonuwnim
wtlb iM lows. rules. and parmitcontlifum regardinorp tem Im,tiop in
(1938(6)).
Appllcant/Legal Reps. Signature Required? OYES ONG
Applicant/Legal Reps. Signature
'Issued By
Authorized
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not
reassemble for assuring compliance
monitoring engenders! repair
Date: / /
Date of ssue: 0 3 / a 3 / a 0 1 6
Mall ITS Oyes
CONSTRUCTION AUTHORIZATION
Gavle Coi Health Department
210 Hospital street
P O. Bax 808
Nbakrvllle Ac M28
Dry Drawing Type. Construction Authorization
CDP File Number. 202022 - 1
County File Number. H520OA0021
Date. 03 l a3 /a016
OInch
Scale. . 013lock-R.
ON/A
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CONSTRUCTION AUTHORIZATION
Davie Caunry Health Department
210 Hospital street
P O. sm 808
Nbaksvllle NC M28
CDP File Number. 202022 - 1
County File Number. H520OA0021
Date. 03/a3/a016
Click below to import an image from an external location: Drawing Type. Construction Authorization
Page 3 of 3
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