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CATAWBA COUNTY Case# OP-06-2019-I 17236
Public Health Department Subdivision AUTUMNWOODS PH 2
CEnvironmental l Iealth Division PIN: 369902988287
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
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Site Address: 1486 CONESTOGA CROSSING,CATAWBA NC 28609
Name on Permit: *DALE TURNER
Property Size: Acres 0,55
Directions: 16 S, right W Bandys Cross Rd, left Buffalo Shoals, right E Bandys Cross Rd, right Sherrills Ford, left Long
Island, Right Eulalia, left Marshbrooke, right Conestoga Crossing
Operation Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
System Type: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Description: 25%REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
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: Checked septic tank, pump tank,and diversion drain on 3/9/19
1,000 gallon Gamewell Septic Tank and Pump Tank
Checked drain field on 3/20/19
Set pressure head and alarm on 6/5/19
SJ Rhombus Control Panel
PERMIT CONDITIONS:
1.All maintenance,monitoring,&performance requirements shall be in accordance with 15 A 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.
Dewy Grant#2607 03/20/2019
System Installer Installation Date
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06/07/2019
Authorized State Agent Permit Issuance Date
Form t=
clyxnnu 07/11/2023 15:40
Catawba County Environmental Health
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Parcel: 369902988287, 1486 CONESTOGA 1in=40ft
CROSSING CATAWBA, 28609
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