HomeMy WebLinkAboutOP-09-2022-180163.tif 13' • ('NI'AWVBA('OI'NTY Case# OP-09-2022-18(1163
(~ .1. ,t Public I lealth Department Subdivision
d „�(_. Frtvironmcntal I lealth Division PIN# 269701151398
PO Box 389.25 Government Drive,Newton.NC 28658 LOT# 1
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Site Address: 5874 SMITH RD,VALE NC 28168
Name on Permit: FRANKLIN HARRISON
Property Size: Acres 3.01
Directions: Take left off of W NC 10 Hwy onto Smith Rd. Lot is approximately 1 mile on left
Operation Permit
Permit Category: New Septic Wastewater Flow: 480 g,p,d,
Type of Facility: Primary Residence- New House
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
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: -Installed new 1000 gal septic tank(Date: 6/28/22. LLM 1000, STB 872).
-Installed 440 feet of 25%reduction product(chambers).
-House location infringing on repair area, new IP issued for relocation of repair area.
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.
Leonard Mcswain Septic#1122 0805/2022
System Installer Installation Date
3?IliVt. 1117(
09/14/2022
Authorized State Agent Permit Issuance Date
Form F
Ipcinio (12.I4.?2022 16:43
Catawba County Environmental Health
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Parcel: 269701151398, 5874 SMITH RD VALE, 1 in=100ft
28168
This map/report product wits propnrod from Iho Catnwba Courtly,NC Ononp)nllnl Information Servlcos. Cntnwhn County hos modes substnnllul efforts
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CupyjiUht 2021 Cntnwba County NC 09J14/2022