HomeMy WebLinkAboutOP-10-2022-182270.TIF y,A CATAWBA COUNTY Case# OP-10-2022-182270;;:
iPublic Health Department Subdivision
Q , 4 Environmental Health Division PIN# 375011752567
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
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Site Address: 2721 E NC 10 HWY, CONOVER NC 28613
Name on Permit: GRALYN BLALOCK
Property Size: Acres 0.99 L I4 D_ -c O
Directions: NC 10,turn right onto Morehead, home on the left
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
System Type: IIIG-OTHER NON-CONV TRENCH SYSTEMS
Description: Wick, chambers
System Code: IQ4EQ36 System Code Description: Infiltrator Quick4 Equalizer 36
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: *Installed new 1000 gal septic tank(Date: 7/20/22. GST 1000, STB 160).
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
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This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
Leatherman's Septic(Gary Leatherman)#1111 09/14/2022
System Installer Installation Date
°II/A/Wt. 11°IrN
10/13/2022
Authorized State Agent Permit Issuance Date
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clipemiit 10/13/2022 14:34
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Parcel: 375011752567, 2721 E NC 10 HWY lin=40ft
CONOVER, 28613 i
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06121/2022