HomeMy WebLinkAboutOP-06-2019-117071.tif • CAI:ABA COUNTY Casey OP-06-2019-117071
Public Ilealth Department Subdivision MT VIEW DEV
Environmental health Division PINM/ 279112954039
PO Box 389.25 Government Drive.Newton,NC 28658 LOT/+ 10 11 PT 12
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Site Address: 5063 FLEETWOOD DR, HICKORY NC 28602
Name on Permit: *LIZETH MORA
Property Size: Acres 0.49
Directions: Exit 42 off 321,turn towards 127 South, right on Fleetwood Dr, 3rd house on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 0 g.p.d.
Type of Facility: Primary Residence-House
Basement? No Basement Plumbing? No Bedrooms:
Water Supply: Public Water Maximum Occupants:
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: Installed new 1000 gal septic tank GST-1000, STB-160, 4/2/19
At the time the new septic tank was installed, existing drainfield was found to have been
previously dug up and partially destroyed.There was no good way to reconnect the
portion of drainfield that remained. Tank outlet was capped. House is currently vacant.
Property owner was advised to apply with Environmental Health for septic repair permit.
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.
Brandon Martin#4716 05/28/2019
System Installer Installation Date
06/05/2019
Authorized State.Agent Permit Issuance Date
Form F
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Capplold 20 14 Casaba County PC
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