HomeMy WebLinkAboutOP-09-2021-158287.TIF $: • CATAWBACOUNTY Case# OP-09-2021-158287
S .t,II Public Health Department Subdivision
Jin 0 "C
Environmental Health Division PIN# 373515537741
r� PO Box 389,25 Government Drive,Newton,NC 28658 LOTH
/84L SM
Site Address: 6193 SULPHUR SPRINGS RD, HICKORY NC 28601
Name on Permit: ANDREW&JULI HAINES
Property Size: Acres 9.03
Directions: Springs Rd,take Sulpher Springs approx 3-4 miles, property on the right, Directly across from Emery Ln
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
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: NEW 1000GAL SEPTIC TANK
GST-1000
STB-160
6-28-21
NEW 1000GAL PUMP TANK
PT-149
7-21-21
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.
DEWEY GRANT#2607 09/10/2021
System Installer Installation Date
1 „ ELaMs
09/28/2021
Authorized State Agent Permit Issuance Date
Form F
elver-nit 11/14/2022 08:49
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Parcel:373515537741,6193 SULPHUR 11n=50ft
SPRINGS RD HICKORY,28691
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Copyrlpht 2021 C,elawbo County NO OdXZ8F3Q2 t
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