HomeMy WebLinkAboutOP-06-2022-173467.TIF �t3 4 CATAWBA COUNTY Case# OP-06-2022-173467
IT I.1111 -L Public Health Department Subdivision
Q r-, ''1 Environmental Health Division PIN# 371209262893
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
8. w
Site Address: 1310 8TH AVE SE, HICKORY NC 28602
Name on Permit: JACK SIPE CONSTRUCTION
Property Size: Acres .27
Directions: 1-40 west to Lenoir Rhyne Blvd, right onto Lenoir Rhyne Blvd, continue on LR Blvd, right onto 8 th Ave SE,
secound house on the right
Operation Permit
Permit Category: Repairs Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-House
Basement? NO Basement Plumbing? No Bedrooms: 2
Water Supply: Public Water Maximum Occupants: 4
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-3/29/22 GST-1000 STB-160.
Connected to existing distribution.
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.
Bryan Miller#1127 06/01/2022
System Installer Installation Date
iL
06/13/2022
Authorized State Agent Permit Issuance Date
Form F
hpri nih 06/15/2022 14:05