128 Drayton Ct (2)OPERATION PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksvllle NO 27028
Phone: 336-]536]80 Fax 336-7531680
Applicant:
Wishon and Carter Builders, INC
Address:
PO Box 1719
City:
Yadkinville
State/Zip:
NC
City:
27055
Phone#:
(336)469-2290
Phone#:
(336)469-2290
`CDP FIIx Ngu� umeee
ber 20nff2022-1
H52ooAoo21
County ID Number:
Evaluatetl For: NEW
Township:
Owner: Wishon and Carter Builders, INC
Address:
PO Box 1719
City:
Vadkinville
State/Zip:
NC 27055
Phone#:
(336)469-2290
Page f of
Property
Location & Site Information
Atltlress/Road#:
Subdivision:
The Oaks at McAllister Phase: Lot: 21
128 Drayton Court
Mocksville NC
27028
Directions
Hwy 158, right on Sam Rdright on Hanford, Left on
Structure: SINGLE
FAMILY
Chandler Right on Madera
# of Bedrooms: 2
# of People:
`Water Supply: PUBLIC
`IP Issuetl by:
`System Dlasslhcation/Description:
TYPE II A CCNV SYSTEM (SINGLE FAMILY OR 488 GPT OR LESS)
`OA issued by: 2140-ILI
Roben
Seprollte System? OVes ®No
Design Flow:
a
4 0
`Distribution Type: GRAVITYSERIALPumpned?
No
Soil Application Rate: 0
a 7
5
'Pre -Treatment:
Drain field
Nitrification Field
8
9 a
Sg.fl. 'System Type: INFILTRATOR Gu1CR4BTnNTART
No. Drain Lines
a
Installer: Farrell salmons
Total Trench Length:
a a
3
ft
Cerllfloation #: 2552
Trench Spacing:
_
9 Omcb
®F
O.C.
eet O. o. `EHS: W9 Ell Tiffany
O
Trench Width;
_
3 Omcbes
Feet
Date: 1 a/ a 9/ a 0 1 6
Aggregate Depth:
Inches
Minimum Trench Depth:
a
4
Inches
Minimum Soil Cover:
1
a
Inches
Approval Status
Maximum Trench Depth:
3
6
® Approved El Disapproved
Inches
Maximum Soil Cover:
a
4
Inches
Page f of
CDP File Number 202022
-1
County ID Number. Hs 99A99 21
Septic Tank
Manufacturer: Sheaf
Lat.
'
Long:
STB:
1999
Installer
Darrell salmons
Gallons:
Date: 1 0/
a
7/
a
0 1
6 CBItflOatlon#.
2552
`EHS:
2399 rural TlNeny
`Pillar Brand : pOLYLON
noel PL
122 With PI{re
Adapter
Date:
1a / 1 9 / 2 0 1 6
ST Marker: ❑ Yes
®
No
ReinforcedTank: 0 Yes
®
No
Approval Status
®
Approved❑ Disapproved
f Place Tank: ❑Yes
0
No
Pump Tank
Manufacturer:
Installer:
PT:
Certification #:
Gallons:
`EHS:
Date: /
/
Date:
Riser Sealed ❑ Yes
❑
No
Riser Height: ❑ Yes
❑
No
(Min.6
in.)
Reinforced Tank: ❑ Yes
❑
No
IPiece Tank: ❑ Yes
❑
No
Supply Line
Pipe Size:
inch
diameter
Installer:
Pipe Length:
feet
Cenricatlon#:
`EHS:
`Schedule:
Pressure Rated ❑ Yes
0
No
Date:
Approved things 0 Yes
0
No
Approval Status
❑
Approved Disapproved
Pump Requirement
Pump Type:
Installer:
Dosing Volume:
Gal Certification #:
Draw Down:
Inches
`EHS:
`Chain:
Date:
_
Valves Accessible ❑Yes
❑
No
Flow Adjustment Valve 0
Yes
0
No
Check-valve [I
Yes
0
No
Approval Status
PVC Unions L]Yes
0
No
0 Approved El Disappmv
Vent Hole 0
Yes
0
No
Anti-siphon Hole 0
Yes
0
No
Page 2 of 4
CDP File Number 202022 - 1 County ID Number. H520OA0021
NEMA4X Box or Equivalent
0
Yes
❑
No
Installer:
Box 12 Inches Above Grade
❑
Yes
❑
No
Certifmarion #:
Box Adj. To Pump Tank
❑
Yes
[INo
Conduit Sealed
❑
Yes
❑
No
`EHS:
Pump Manually Operable
❑
Yes
❑
No
`Activation Method
Date:
Alarm Audble
❑
Yes
❑
No
Alarm Visible
❑
Yes
❑
No
1999-ENtltlge,
Tiffany
`Operation Permit completed by
Authorized State Agent:
Date of Issue:
1 a a 9 2 0 1 6
61
This system has been installed In compliance with applicable NG General Statutes: Article 11, Chapter 130A, Rules for
Sewage Treatment and Disposal, 15A NGAG 18A.1900 et Seq., and all conditions of the Improvement Permit and
Construction Authorization. This property is served by a TYPE u w sewage septic system.
Rule.1861 requires that a Type TYPEUA septic system meet the following criteria:
Minimum System Review By The Local Health Department: WA
--------- 1-4n . OWNER
Minimum System Inspection/Maintenance Frequency By Certified Operator:
N/A
Reporting Frequency By Ce lllfaetl Operator: WA
Rule.1861 requires that a Type IV and V septic systems designed fora home/business owner must maintain a valid contract
Rath a public management entity with a certifaetl operator ora private canted operator for the life of the septic system.
Rule.1861 requires that Type VI septic systems designed for a home/business owner must maintain a valid contract with a
public management entity with a gain led operator for the life of the septic system.
Rule. 1881 (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 chilies of the owner
and same.system operator,
prshall visionequrespecific contract requirements i for maintenance and
operation, reeponandolthofrheownerantlsystemsoperator,per performance
thecontract
system.
be In effect for ae long eerhe
system Is Inuse,antl otherrequirementso for the thecontinued
systems
rute such
aceofrhe system. Ir shell also beacondition of
the Operation Permit that subsequent owners of the systems execute such a contract.
®Hand Drawing OlmportDrawing
"Site Plan/Drawing attached."
Page 3 of 4
OPERATION PERMIT
Davie County Health Department
210 Hospital street
P O. Bax 808
Mackrvllle NC 21028
Dry Drawing Type. Operation Permit
CDP File Number. 202022 - 1
County File Number. H520OA0021
Date.4
OInch
Scale. OBlock,bdR.
Orl
Page 4 of P1 P2 P3
OPERATION PERMIT
Davie Cauray Health Department
210 Hospital street
P O. Box 808
Nboksvdle NC M28
CDP File Number.
County File Number. H520OA0021
Date.
Click below to import an image from an external location: Drawing Type'. Operation Permit
PaEe4 of4 P1 P2 P3
Drain Field. System Final Inspection Loa: -
4000
Septic Tank.
4000
Pump Tank.
4000
Supply Line.
4000
Pump Requirements.
4000
Electrical Equipment. - =
4000
P1 P2 P3