HomeMy WebLinkAboutOP-05-2022-171034.TIF .11% e CATAWBA COUNTY Case# OP-05-2022-171034
F. .t.Ili ,� Public Health Department Subdivision
d IR ,•• '�1 Environmental Health Division PIN# 362812955059
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
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Site Address: 5130 STARTOWN RD, NEWTON NC 28658
Name on Permit: JANE STAFFORD
Property Size: Acres 0.95
Directions: Startown Rd, left Kings Grant Dr, 1st on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Repair
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
System Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
Description: REPLACEMENT OF SEPTIC TANK ONLY
System Code: GTR System Code Description: Gravel Trench
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: -Installed new 1000 gal septic tank
-Date: 3/1/22. GST 160,STB 1000.
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.
Bumgarner Septic(Mike Bumgarner)#2688 05/09/2022
System Installer Installation Date
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05/09/2022
Authorized State Agent Permit Issuance Date
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chperodi 05/10/2022 09:45
Catawba County Environmental Health
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