HomeMy WebLinkAboutOP-10-2022-181745.TIF CATAWBA COUNTY Case OP-10-2022-181745
�`� Public Health Department Subdivision
d , '-I Environmental Health Division PIN# 461604545490
PO Box 389.25 Government Drive.Newton,NC 28658 LOT#
Site Address: 4835 KISER ISLAND RD,TERRELL NC 28682
Name on Permit: JEFFREY LANCASTER
Property Size: Acres 0.79
Directions: Hwy 150, Rt on Kiser Island, on causeway
Operation Permit
Permit Category: Expansion/RdocciAion Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type: IIIE-PPBPS GRAVITY DOSED SYSTEM
Description: 50% REDUCTION PPBPS VERTICAL
System Code: PPBPS System Code Description: PPBPS
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: House grinder pumps to 2 septic tanks in a series. Both septic tanks are Shoaf-1000
gallon,STB-760, 7/2/22.
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 NoX_
This system has been installed in compliance with applicable NC General Statutes, Rules for Sewage Treatment and Disposal.
GROUND BREAKERS#1091 10/05/2022
System Installer Installation Date
10/05/2022
Authorized State Agent Permit Issuance Date
Form F
ncnni 10/24.'2022 11:I6
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