HomeMy WebLinkAboutOP-09-2022-181231.TIF •
4. CATAWBA COUNTY Case-It OP-09-2022-181231
..., Public Health Department Subdivision
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Environmental health Division P1N8 278103306276
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PO Box 389,25 Government Drive.Newton,NC 28658 1.0T8
Site Address: 2972,2974 OLD SHELBY RD, HICKORY NC 28602
Name on Permit: CHARLES RADCLIFFE REVOCABLE TRUST
Property Size: Acres 2.28
Directions: 1-40 exit 121.Take Old Shelby Rd South, Building 2nd from the corner of Old Shelby and Mountain Lake Rd
Operation Permit
Permit Category: Repairs Wastewater Flow: 480 g.p.d.
Type of Facility: Multi-Family-one half of an eight bedroom 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-964,6/6/22.
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
09/27/2022
Authorized State Agent Permit Issuance Date
Form F
nrinn. 10 25:2022 I0:56
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Parcel: 278103306276, 2964 OLD SHELBY RD lin=60ft
HICKORY, 28602
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08/16/2022