HomeMy WebLinkAboutOP-08-2022-178303.TIF •
CATAN'BACOLIN'l'Y Cased OP-08-2022-178303
Public Health Department Subdivision
7 Environmental Health Division PIN# 367601099305
-/ PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
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Site Address: 4059 JOE CROUSE RD, MAIDEN NC 28650
Name on Permit: VICTORIA MORRIS
Property Size: Acres 10.28
Directions: Hwy 16,turn on Buffalo Shoals Rd,turn on S Olivers Cross Rd,turn on Joe Crouse Rd,property on left
Operation Permit
Permit Category: New Septic Wastewater Flow: 600 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 5
Water Supply: Private Well Maximum Occupants: 10
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: septic tank;tp1500, stb528,6/10/22. supply line 5 feet long with 2 inches of fall.
installed 5 lines of IQ4PS at 110 ft each on contour(550 ft total). typical trench depth of
28 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.
wendell caldwell#1044 08/17/2022
System Installer Installation Date
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08/22/2022
Authorized State Agent Permit Issuance Date
Form F
08/23/2022 15:06
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Parcel: 367601099305, 4059 JOE CROUSE RD 1 in=100ft
MAIDEN, 28650
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Copyright 2021 Catawba County NC
08/22/2022