HomeMy WebLinkAboutOP-06-2022-173027.TIF 4.1g• • CATAWBA COUNTY Case it OP-06-2022-173027
1". 2 Public Health Department Subdivision
1.Q , -4 Environmental Health Division PINH 369702887071
PO Ilox 389,25 Government Drive,Newton.NC 28658 LOT// 2
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Site Address: 3515 JEFFERSON ST, SHERRILLS FORD NC 28673
Name on Permit: ALAN CARPENTER
Property Size: Acres 0.71
Directions: Hwy 16 S; Left on Buffalo Shoals; Right on Little Mtn RD; 3 to 4 miles Left on Jefferson ST; last lot on end
next to 3515 Jefferson
Operation Permit
Permit Category: Relocation 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: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
Description: 50% REDUCTION PPBPS VERTICAL
System Code: PPBPS System Code Description: PPBPS
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: Infiltrator Plastic Pump Tank installed.
50% Reduction System. LPP distribution with a central valve box.
Number of panel blocks in each line, starting at the lowest line: 13, 12, 10, 9,8, 7.
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? YesX No
This system has been installed in compliance with applicable NC General Statutes, Rules for Sewage Treatment and Disposal.
Charles Beatty#1026 05 iV0/2022
System Installer Installation Date
dTh 11
06/07/2022
Authorized State Agent Permit Issuance Date
Form F
. ,_- no 27i2022 10:45
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