HomeMy WebLinkAboutOP-07-2022-175030.TIF rI ) ('ATAWBAl COUNTY Case# OP-07-2022-175030
111 Public Health Department Subdivision
Environmental Health Division PINY, 370011752997
PO Box 389,25 Government Drive,Newton,NC 28658 Lol;l
Site Address: 2048 ZION CHURCH RD, HICKORY NC 28602
Name on Permit: MACKENZIE AVERY
Property Size: Acres 11.32
Directions: Hwy 127,turn on Zion Church Rd, Property left,just past Pittstown Rd
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-House
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
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-5/17/22 SHOAF-1000 STB-760.
Installed 302 ft of Infiltrator chambers in 3 lines: (2) 102 ft,and (1)98 ft, on 9 ft centers,
at a trench depth of 24 inches.
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.
Linford Hochstetler#5575 06/28/2022
System Installer Installation Date
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07/04/2022
Authorized State Agent Permit Issuance Date
Form F
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Copydptd 2021 Catalan County NC
11/301202t