HomeMy WebLinkAboutOP-11-2022-184195.tif sy, 4.®• CATAWBA COUNTY Case# OP-11-2022-184195
g, tit ,.y,U Public Health Department Subdivision
` Environmental Health Division PIN# 470003040364
PO Box 389,25 Government Drive,Newton,NC 28658 LOT#
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Site Address: 7202 LONG ISLAND RD,CATAWBA NC 28609
Name on Permit: MICHAEL&PATRICIA DIXSON
Property Size: Acres 17.9
Directions: Sherrills Ford Rd/Long Island Rd/across from Maple Glen Dr
Operation Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Description: 25%REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Pius 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: Shoaf STB 760 1000 gallon tank
3x 134'trenches IQ4PS installed
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.-- -
Shannon Henderson#1091 11/08/2022
System Installer Installation Date
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11/11/2022
Authorized State Agent Permit Issuance Date
Form F
ehpenuit 11/11/2022 10:18
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