HomeMy WebLinkAboutOP-10-2022-182282.TIF i r
CATAWBA COUNTY Case I. OP-10-2022-182282
• .i. Public I[ealth Department Subdivision MEADOWBROOK VILLAGE P
Environmental I[calth Division PINII 279011561425
PO Box 389,25 Government Drive,Newton,NC 28658 LOTi1 33
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Site Address: 5505 VALLEY FIELD RD, HICKORY NC 28602
Name on Permit: `LAIL, JOSHUA D
Property Size: Acres 0.37
Directions: NC-127, right onto Valley Field Rd, property is on the right
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
System Type:
Description: REPLACEMENT OF SEPTIC 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: -Installed new 1000 gal septic tank(Date:8/23/22.GST 1000, STB 160).
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15 A 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.
K&M Gradng (Kevin Bowles)#1697 10/I1/2022
System Installer Installation Date
37914L 1)117(
10/13l2022
Authorized State Agent Permit Issuance Date
Form F
n ni 10252022 11:55
Catawba County Environmental Health
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Parcel: 279011561425, 5505 VALLEY FIELD RD 1 in=40ft
HICKORY, 28602
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Copyright 2021 Catawba County NC
09102/2022
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