HomeMy WebLinkAboutOP-03-2022-167249.TIF _A.amill a CATAWBA COUNTY Case# OP-03-2022-167249
1. (...IR ,y Public Health Department Subdivision
d `"3 Environmental Health Division PIN# 460715627763
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PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 7
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Site Address: 4075 CHEVLOT HILLS RD, SHERRILLS FORD NC 28673
Name on Permit: JOSEPH&HILARY PATRICK
Property Size: Acres 3.16
Directions: Hwy 150 E/left Cheviot Hills Rd(just before Slanting Bridge intersection)/lot is first on left
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? NO Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
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: STB 1012 Alexander Precast 1000 gallon tank
5 trenches
30'
54'
74'
82'
62'
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.
Wendall Caldwell#1044 03/07/2022
System Installer Installation Date
dTh 11
03/10/2022
Authorized State Agent Permit Issuance Date Form F
:I.prrnm 05/17/2022 10:11
Catawba County Environmental Health
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Parcel: 460715627763, 4075 CHEVLOT HILLS 1 in=60ft
RD SHERRILLS FORD, 28673
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ight 2021e Catawba. County NC
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