HomeMy WebLinkAboutOP-01-2021-143385.tif �gA . CA'fAWRACOUN"t'Y Case OP-01-2021-143385
Public Health Department Subdivision Ralph M Sigmon
d .1.11.11Environmental Health Division PIN# 461601187696
PO Box 389,25 Government Drive,Newton,NC 28658 I OI# 14
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Site Address: 8251 LYMNOS LN, SHERRILLS FORD NC 28673
Name on Permit: FREDERICK EVANS
Property Size: Acres .540
Directions: E NC 150 Hwy, Right Slanting Bridge Rd, left Drena, right Lymnos Ln, 3rd on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 240 g,p.d,
Type of Facility: Primary Residence- House
Basement? No Basement Plumbing? Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
System Type: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Description: 50%REDUCTION PPBPS VERTICAL
System Code: PPBPS System Code Description: PPBPS
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:
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.
Stanley environmental solutions(Scott) 04/27/2016
System installer Installation Date
/41(1 /4— f tij/((
01/05/2021
Authorized State Agent Permit Issuance Date
Form F
O8/0&2022 10:32
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Parcel: 461601187696, 8251 LYMNOS LN 1 in=40ft
SHERRILLS FORD, 28673
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Copyright 2014 Catawba County NC
03/07/2016