HomeMy WebLinkAboutOP-06-2022-174078.TIF CATAWBA COUNTY Case# OP-06-2022-174078
Public I Iealth Department Subdivision
Environmental Health Division PIN# 372406387167
PO Box 389,25 Government Drive,Newton,NC 28658 LOP/
/842 5w
Site Address: 4011 25TH ST NE, HICKORY NC 28601
Name on Permit: MELISSA BRADSHAW
Property Size: Acres 0.87
Directions: 16th St, NE, right Snow Creek Rd, right 25th St NE,on right
Operation Permit
Permit Category: Repairs Wastewater Flow: 240 g,p,d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Description: LOW PROFILE CHAMBER
System Code: IQ4PLP System Code Description: Infiltrator Quick 4 Plus Low Profile
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: *NEW 1000GAL SEPTIC TANK GST-1000
STB-160
4-11-22
PERMIT CONDITIONS:
1.All maintenance,monitoring, &performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961
2. Operation&Maintenance Specifics: *PUMP SEPTIC TANK AND CLEAN FILTER EVERY 5
YEARS
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.
KEVIN BOWLES#1697 06/20/2022
System Installer Installation Date
i4NS
06/20/2022
Authorized State Agent Permit Issuance Date
Form F
ehixnnii 07/26/2(122 09:19
Catawba County Environmental Health
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Parcel: 372406387167, 4011 25TH ST NE 1in=40ft
HICKORY, 28601
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06/20/2022
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