HomeMy WebLinkAboutOP-10-2022-182037 �yB• \ CA'I'AWBA COUNTY Case# OP-I0-2022-182037
iQ' -flil ,. Public Health Department Subdivision LAKEPOINTE NORTH
'4 Environmental Health Division PIN# 462801374825
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 9
4 s.
Site Address: 2534 PENNGATE DR,SHERRILLS FORD NC 28673
Name on Permit: RENEE BAKER
Property Size: Acres 0.83
Directions: 150 E left Sherrills ford rd right on island piont dr left on penngate drive
Operation Permit
Permit Category: Relocation Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Description: REPLACEMENT OF PUMP 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: replacement of pump tank only. new pump tank 1,000 gallon plastic infiltrator tank set
on 9/21/22. pump set up and plumbed to existing pressure manifold and existing
drainfield(permit#8241, issued 7/27/2000)on 9/27/22. original pump tank collapsed.
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.
benfield outdoor services#5440 09/27/2022
System Installer Installation Date
,
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10/11/2022
Authorized State Agent Permit Issuance Date
Form F
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Parcel:462801374825, 2534 PENNGATE DR 1 in=60ft
SHERRILLS FORD, 28673
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10/11/2022