HomeMy WebLinkAboutOP-08-2022-178787.TIF ,r1w. CATAWBA COUNTY Case/` OP-08-2022-I 78787
H .I.II ,� Public I Iealth Department Subdivision
d y Environmental Health Division bd 372218226226
PO Box 389,25 Government Drive,Newton,NC 28658 S I.OTI
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Site Address: 1050 27TH ST DR SE, HICKORY NC 28602
Name on Permit: LETICIA MENDOZA
Property Size: Acres 0.83
Directions: Hwy 70 take Lowe's exit and continue turn left at secound light and it will be the firs hous on the right
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: Public Water Maximum Occupants: 6
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: *NEW 1000GAL SEPTIC TANK
GST-1000 STB-160
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.
MIKE BUMGARNER#2688 08/22/2022
System Installer Installation Date
efl.„........... ..... ,t E.a•+s
08/29/2022
Authorized State Agent Permit Issuance Date
Dorm F
,i,imnw I0/17/2022 09:43
Catawba County Environmental Health
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Parcel:372218226226, 1050 27TH ST DR SE 1 in=40ft
HICKORY, 28602
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08/29/2022