HomeMy WebLinkAboutOP-09-2022-181235.TIF .4yA • CATAWBA COUNTY Case# OP-09-2022-181235
.f. 1, Public Health Department Subdivision
1Environmental Health Division PINIt 278103306276
PO Box 389,25 Government Drive,Newton,NC 28658 LOT/i 3
Site Address: 2978,2976 OLD SHELBY RD, HICKORY NC 28602
Name on Permit: STUART RADCLIFFE
Property Size: Acres 1.5
Directions: Corner of Old Shelby Rd and Mountain Grove Rd
Operation Permit
Permit Category: Repairs Wastewater Flow: 480 g.p.d.
Type of Facility: Multi-Family-one side of a Quadplex
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
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: New septic tank:Shoaf-1500,STB-964.
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.
RUSSELL WILLIAMS 3137 09/27/2022
System Installer Installation Date
#44.-c—e--,.--- /-- /esz:e..-____
09/27/2022
Authorized State Agent Permit Issuance Date Form F
nrncr. 10/25/2022 10:31
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Parcel: 278103306276, 2964 OLD SHELBY RD 1 in=60ft
HICKORY, 28602
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