HomeMy WebLinkAboutOP-07-2022-175362.TIF �� a CATAWBA COUNTY Case# Op-07-2022-175362
• .1. Z Public Health Department Subdivision R H MCCOMB
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.< —3 Environmental Health Division PIN# 370414339629
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 20
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Site Address: 700 25TH AVE NW, HICKORY NC 28601
Name on Permit: JAMES BUSH, SR.
Property Size: Acres 0.79
Directions: Lenoir Rhyne Blvd SE, left onto 1st Ave SE, right onto NC-127, left onto 25th AVe NW, home is on the right
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:
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: *NEW 1000GAL SPETIC TANK
NORWESCO
STB-254
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 ONCE EVERY
2 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.
MIKE BUMGARNER#2688 07/11/2022
System Installer Installation Date
/ °eq.., 5,4 el,S
07/11/2022
Authorized State Agent Permit Issuance Date
Form F
chpcnnil 07/13/2022 08:56
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Parcel: 370414335991, 700 25TH AVE NW 1 in=40ft
HICKORY, 28601
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07/11/2022
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