HomeMy WebLinkAboutOP-06-2022-173754.TIF /��p" � CA'I'AWBA COUNTY Case# OP-06-2022-173754
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Public Health Department Subdivision
6 . Q Environmental Health Division PIN# 373310461986
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
Site Address: 4479 COUNTY HOME RD, CONOVER NC 28613
Name on Permit: SIPES ORCHARD HOME INCN
Property Size: Acres 2.874
Directions: N 16 Bus 1st Ave N turn left onto County home rd home is on the left
Operation Permit •
Permit Category: Expansion Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence 7SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
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: Installed new 1000 gal septic tank- 1/14/2022 TP-STB 1012-1000.
Supply line 145 ft.
Installed 102 ft of Infiltrator chambers.
Connected to existing gravel trenches.
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.
Kelly Isenhour#1099 04/04/2022
System Installer Installation Date
06/15/2022
Authorized State Agent Permit Issuance Date
Form F
chpermit 07/08/2022 12:54