HomeMy WebLinkAboutOP-10-2022-182216.TIF �%+• CATAWBAcouvry Case OP-10-2022-182216
d ,.. Public Health Department Subdivision
Environmental
Health Division PIN/I 268804613555
PO Box 389,25 Government Drive.Newton.NC 28658
.f.ULOT/= A
Site Address: 6979 W NC 10 HWY,VALE NC 28168
Name on Permit: RICHARD STOIAN
Property Size: Acres 4.87
Directions: Hwy 10 approx 3 miles; property is on the left. House site is approx.400 feet deep into property on right.
Operation Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-House
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Description: LOW PROFILE CHAMBER
System Code: IQ4PLP System Code Description: Infiltrator Quick 4 Plus Low Profile
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
GST-1000 STB-160 8-1-22
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 TANK 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.
GARY LEATHERMAN#1111 09/05/2022
System Installer Installation Date
eff„.......... egep E✓4H$
10/13/2022
Authorized State Agent Permit Issuance Date
Form F
.hhrnui 1 l0!1 7/20222 1 5:32