HomeMy WebLinkAboutOP-06-2022-172999.TIF �$' • CATAWBA COUNTY Case ii OP-06-2022-172999
'T .t ,- Public Health Department Subdivision
. '' Environmental Health Division PIMtt 460718216969
PO Box 389,25 Ciovernment Drive,Newton,NC 28658 1.0Til lA
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Site Address: 7378 LITTLE MOUNTAIN RD,SHERRILLS FORD NC 28673
Name on Permit: CHRISTIN ANNIANNIS
Property Size: Acres 1.02
Directions: West on 150,turn right onto Little Mountain Rd, home is on the right hand side approximately 0.3 miles,
home is on the right
Operation Permit
Permit Category: Repairs 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:
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: *NEW 1000GAL SEPTIC TANK; IM-1060. STB-2078
*OLD SEPTIC TANK ABANDONED
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961
2.Operation&Maintenance Specifics: *PUMP SEPTIC TANK ONCE EVERY 2 YEARS
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.
RUSSELL WILLIAMS#3137 06/07/2(172
System Installer Installation I)at c
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06/07/2022
Authorized State Agent Permit Issuance Date
Form F
(IS 1612022 I't:SI
Catawba County Environmental Health
4.303.
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Parcel: 460718216969, 7378 LITTLE MOUNTAIN lin=40ft
RD SHERRILLS FORD, 28673
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06/07//2022
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