HomeMy WebLinkAboutOP-09-2022-179229.TIF Case OP-09-2022-179229
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CATAWBA COUNTY
(.....f, Public Health Department Subdivision SOUTHWOOD DEVELOPMEhwit Environmental Health Division PINK 279010451109
PO Box 389.25 Government Drive.Newton,NC 28658 LOT!: 15
IN
Site Address: 1208 COURTNEY DR, HICKORY NC 28602
Name on Permit: TYLER SCRONCE
Property Size: Acres 0.34
Directions: S NC 127 Hwy left on Valley field Rd, right Courtney Dr on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g,p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
System Type: IIIB -SYSTEM W/SINGLE EFFLUENT PUMP
Description: CONVENTIONAL
System Code: GBD System Code Description: Gravel Bed
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
TP-STB-1012
11-17-21
*NEW 1000GAL PUMP TANK
TP-PT-17
10=1=21
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.
KELLY ISENHOUR#1099 09/02/2022
System Installer Installation Date
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09/02/2022
Authorized State Aeent Permit Issuance Date
Form F
rhrrnar 09•I4%20222 12.10