HomeMy WebLinkAboutOP-03-2018-096302.TIF �Y,: a CATAWBA COUNTY Case# OP•03-2018-096302
H t ,y III Public Health Department(......,
Subdivision
Environmental Health Division PIN# 363909166785
PO Box 389,25 Government Drive,Newton,NC 28658 LO'f'#
Site Address: 1853 W NC 10 HWY, NEWTON NC 28658
Name on Permit: MARGARET HOYLE
Property Size: Acres 0.72
Directions: Hwy 10 W, corner of Sigmon Dairy Rd
Operation Permit
Permit Category: Repairs Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-House
Basement? Yes Basement Plumbing? Bedrooms: 2
Water Supply: Public Water Maximum Occupants:
System Type: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
Description: REPLACEMENT OF SEPTIC TANK ONLY
System Code: System Code Description:
Types V and VI systems expire in 5 years.
Owner must contact Environmental Health 6 months prior to expiration for permit renewal.
System Installation Comments: STB 160 10/18/17
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961
2. Operation&Maintenance Specifics:
Subsurface system operator required? Yes No X_
This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
Gary Leatherman#1111 03/08/2018
System Installer Installation Date
di-
03/12/2018
Authorized State Agent Permit Issuance Date
Form F
:I,;,_,n:t 06/232022 12:I9
\ Catawba County Environmental Health
, WNC10HWY
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