HomeMy WebLinkAboutOP-10-2022-182189.tif 44 • CATAWBA COUNTY Case# OP-10-2022-182189
Public Health Department Subdivision MT BEULAH EST
Environmental Health Division PIN# 369701393060
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 9
8.2 vA
Site Address: 3411 KINGS AVE, SHERRILLS FORD NC 28673
Name on Permit: EILEEN CONLEY
Property Size: Acres 0.47
Directions: 16 Business to Mt. Beulah R to Little Mountain Rd R kings ave
Operation Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? NO Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
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: *NEW 1000GAL SEPTIC TANK
MULL STB-821 7-28-22
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961
2. Operation&Maintenance Specifics: 'PUMP SEPTIC TNAK AND CLEAN FILTER EVERY 2
YEARS
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.
BRYSON WILLIS#1189 10/12/2022
System Installer Installation Date
/ n E✓4r�s
10/12/2022
Authorized State Agent Permit Issuance Date
Form F
i,, 10/13/2022 08:25
Catawba County Environmental Health1. D-ci.a
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Parcel: 369701393060, 3411 KINGS AVE 1 in=40ft
SHERRILLS FORD, 28673
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10/12/2022