HomeMy WebLinkAboutOP-11-2022-183849.TIF CATANVBA COUNTY Case# OP-I1-2022-183849
• i.ii Public Health Department Subdivision
,, Environmental Health Division PINtt 279215546549
PO Box 389,25 Government Drive,Newton.NC 28658 LOT/? TR 1
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Site Address: 1811 12TH AVE SW, HICKORY NC 28602
Name on Permit: CHOUA THAO
Property Size: Acres 0.6
Directions: US 70, left onto 19th St SW, left onto 19th St SW, last home on the dirt road
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well 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: *NEW 1000GAL SEPTIC TANK
*CM-1060 STB-1071 INFILTRATOR
*NEW SUPPLY LINE
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.
CAMERON FOUST#6071 I I/04/2072
System Installer Installation Late
eq,.7 G✓4H S
II 11/09/2022
Authorized State.Agent Permit Issuance Date
Form 1=
IIi14/2022 12:58
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=-. Catawba County Environmental Health
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12TH AVE SW
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Parcel: 279215546549, 1811 12TH AVE SW 1in=40ft
HICKORY, 28602
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County of Catawba,Its rt Catawba County
ployees agents,and romotes end recommends
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notbe
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arise from this map/report productCopyright 2021 Catawba County NC
10/04/2022