HomeMy WebLinkAboutOP-06-2022-173774.TIF 41$: • CAI'A\VBA COUNTY ('ase n OP-06-2022-173774
F~ t 111 ., Public Health Department Subdivision
d - ' Environmental I Icalth Division PIN/1 370016831468
PO Box 389,25 Government Drive,Newton,NC 28658 I.OTt:
Site Address: 4144 CARRIAGE LN, HICKORY NC 28602
Name on Permit: GREG HARDY
Property Size: Acres 0.850
Directions: Zion Church Rd, Brookstone Dr, Carriage Ln, property on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-House
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
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 1,000 gallon Infiltrator tank.
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.
Sidney Gaskins#1077 01/0i/202I
System Installer Installation Date
&i..4.__ p .
06/15/2022
Authorized State Agent Permit Issuance Date
Form F
07:Yv?012 09:19
Catawba County Environmental Health eNPR- o4-zozo- 355 I
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Parcel: 370016831468, 4144 CARRIAGE LN 1 in=40ft
HICKORY, 28602
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12/01/2020