HomeMy WebLinkAboutOP-06-2022-173270.TIF �$: �� CATAWBACOUNTY Caseti OP-06-2022-173270
p. .f. 4Public health Department Subdivision
,� „c, Environmental Ilealth Division PIN1! 370011657166
PO Box 389,25 Government Drive.Newton,NC 28658 LOTS 38-41 &ADJ
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Site Address: 2045 ZION CHURCH RD, HICKORY NC 28602
Name on Permit: MARY LANDIS HILTON
Property Size: Acres 2.69
Directions: NC 10 W Right on Zion Church Rd
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-House
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
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- 10/6/21 GST-1000 STB-160.
Connected to existing drainfield.
Abandoned old septic tank.
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? Yes No_X_
This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
Gary Leatherman#1111 12/14/2021
System Installer Installation Date
PALL,
06/09/2022
Authorized State Agent Permit Issuance Date
Form F
ONE 5/2022 13:05
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Catawba County Environmental Health ,pp -ob-Zo22_ (73z70
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Parcel: 37001 1 6571 66, 2045 ZION CHURCH RD 1 in=40ft
HICKORY, 28602
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12/10/2021