HomeMy WebLinkAboutOP-07-2022-176221.TIF ,v CATAWBA COUNTY Case# OP-07-2022-176221
A .� Public Health Department Subdivision SHANGRI-LA
., y Environmental Health Division Pilo 375116939517
PO Box 389.25 Government Drive.Newton,NC 28b58 LOT# 8
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Site Address: 2964 WONDERLAND LN, CONOVER NC 28613
Name on Permit: STEPHEN KUE
Property Size: Acres 0.34
Directions: Keisler Dairy Rd, left Shangri La Dr, right Shangri La Ln right Wonderland Ln 2nd on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Community Well Maximum Occupants: 6
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: *NEW 1000GAL SEPTIC TANK
*GST-1000
*STB-760
5-25-22
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 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.
BRANDON JANYSSEK#5288 07/22/2022
System Installer Installation Date
07/22/2022
Authorized State Agent Permit Issuance Date
Form F
;1 ron n OK/01/2022 12:07
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