HomeMy WebLinkAboutOP-09-2022-179749.TIF $' _ CATAWBA COUNTY Case ff OP-09-2022-179749
Public Health Department Subdivision PLEASANT LANES
Environmental Health Division PINK, 364908895476
PO Box 389,25 Government Drive,Newton,NC 28658 LOD= 1
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Site Address: 1368 CALEB SETZER RD, NEWTON NC 28658
Name on Permit: MAI LOR
Property Size: Acres 0.46
Directions: Hwy 16 S, left Eastway Dr, right Caleb Setzer house on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type:
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: -Installed new 1000 gal septic tank(Date: 7/11/22.GST 160, STB 1000).
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.
K&M Grading (Kevin Bowles)#1697 09/07/2022
System Installer Installation I)ate
3/Pifif"‘L 1)117(
09/08/2022
Authorized State Agent Permit Issuance Date
Form F
r,q,inu, 10/I Ii2022 10:41
Catawba County Environmental Health
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Parcel; 364908895476, 1368 CALEB SETZER lin=40ft
RD NEWTON, 28658
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