HomeMy WebLinkAboutOP-09-2022-179917.TIF �g' CATAWBA COUNTY Case It OP-09-2022-1 799 1 7
•
7-7 .�. ii Public Health Department Subdivision DEERFIELD SUBD
Q ,fif�) ,,'�`I Environmental health Division Pull 269905089900
PO Box 389,25 Government Drive,Newton,NC 28658 LOTi? 80
/84 5M
Site Address: 5950 WOODHALL, HICKORY NC 28602
Name on Permit: GARY BLAIR
Property Size: Acres 1.04
Directions: Hwy 127 S, right Deerfield Ln, right Fawn Trail, left Shirebourn, right Brandywine, left Woodhall on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Repair
Basement? Yes 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: 7/14/22.GST 1000, STB 160).
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.
Loose Ends Repair(Brandon Martin)#4716 09/08/2022
System Installer Installation Date
31611Yt ItV176.
09/12/2022
Authorized State A,ent Permit Issuance Date
Form F.
mn 10l11;2022 10:14