HomeMy WebLinkAboutOP-11-2022-183766.TIF .11V,:\• CATAWBACOUNI'Y Case OP-I1-20 22-1 83 766
h t K 2 Public Ilcalth Department Subdivision
"I Lnvironmental Health Division PINII 374413243956
PO Box 389,25 Government Drive,Newton,NC 28658 1.0T1! 2
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Site Address: 1215 HOUSTON DR, CONOVER NC 28613
Name on Permit: REGINA BRENDLE
Property Size: Acres 1.46
Directions: Houston Rd 2 story white house
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: Private Well Maximum Occupants: 6
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Description: 25% REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
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:8/9/22. GST 1000, STB 160.)
*Installed 403 feet of 25%reduction(chambers).
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.
Loose Ends Repair(Brandon Martin)#4716 10/21/2022
System Installer Installation Date
°V)/411V4L 1417,
11/08/2022
Authorized State Agent Permit Issuance Date
Form F
rr.mn'. 11!102022 10:46