HomeMy WebLinkAboutOP-02-2021-145695.tif ��\• CATAWBA COUNTY Case tl OP-02-2021-145695
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,Z Public Health Department Subdivision
'� Environmental Health Division PIN# 365614447896
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PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 4820 RAINEY LN, MAIDEN NC 28650
Name on Permit: *JEFFERY EDMONDSON
Property Size: Acres 12.65
Directions: 321 to Maiden, Turn left on Main St,then turn onto E Maiden Rd, 1.9 mi,turn right on Rainey.
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:
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.
MAIDEN SEPTIC 2607 12/03/2020
System Installer Installation Date
02/18/2021
Authorized State Agent Permit Issuance Date
Form F
chperuiit 06/08/2022 09:48
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Catawba County Environmental Health
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