HomeMy WebLinkAboutOP-07-2022-175047.TIF .403 i. . CATAWBA COUNTY Case ti OP-07-2022-175047
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t. 7- Public I Icalth Department Subdivision
d � Environmental Health Division PIN// 372312853113
PO Box 389,25 Government Drive,Newton,NC 28658 LO t/i 2
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Site Address: 2435 HORSESHOE BEND RD, HICKORY NC 28601
Name on Permit: *TORI BROWN
Property Size: Acres 12.42
Directions: Go down Section House RD Turn on Horshoebend RD,go to stop sign turn Left to continue on Horseshoe
Bend go to end of road 2nd to last drive way on lot
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: Private Well Maximum Occupants: 6
System Type: IIIG-OTHER NON-CONV 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-GST-1000, STB-160,4/4/22.
Supply line 250.
Installed 366 ft of Infiltrator chambers in (3)122 ft lines on 9 ft centers, at a trench depth
of 20 inches.
PERMIT CONDITIONS:
1.All maintenance, monitoring, & performance requirements shall be in accordance with 15 A 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.
Gary Leatherman#1111 12/01/2021
System Installer Installation Date
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07/05/2022
Authorized Slate Agent Permit Issuance Date
Form F
rhh�i ins 12/19/2(122 1 O:1(1
03- -3047
County Health DP- 07.1
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zz- 175.017
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