HomeMy WebLinkAboutOP-08-2022-177705.TIF QV,' CATAWBACOUNTY Casc# OP-08-2022-177705
ztz Public Health Department
USubdivision S C HOLLAR ESTATE
d '-j Environmental Health Division PIN# 375406285853
PO Box 389,25 Government Drive,Newton,NC 28658 I.OT# PT 11
Site Address: 5707 N NC 16 HWY, CLAREMONT NC 28610
Name on Permit: XA*YANG E--7R _DL,390.),) . Li 4,1:__
Property Size: Acres 30.13J
Directions: N NC 16 Hwy on left across from Shell Hollar Rd
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: Private Well 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
GST1000 STB-760
5-31-22
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 00
Subsurface system operator required? Yes No_X_
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This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
WILLIAM GARRISON#5267 08/02/2022
System Installer Installation Date
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08/15/2022
Authorized State Agent Permit Issuance Date
Form 1'
ehpcnnit 08/16/2022 09:55
Catawba County Environmental Health
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y Copyright 2021 Cnson or atawba County NC
08/15/2022