HomeMy WebLinkAboutOP-11-2022-184333.tif 44$: • CATAWBACOUr'Pv Caset' OP-1 1-2022-1 84333
ti .t. ., Public health Department Subdivision SEDGEFIELD PHASE 1
'-1 Environmental Ileallh Division PIN/1 374408975742
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PO Box 389,25 Government Drive.Newton,NC 28658 LOTit 12
s.
Site Address: 1965 BREANA CT, CONOVER NC 28613
Name on Permit: YOLANDA BARAJAS-RUIZ
Property Size: Acres 0.55
Directions: N NC 16 Hwy, left Swinging Bridge Rd, right Stratford Dr, right Breana Ct on left in cul-de-sac
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? NO Basement Plumbing? No Bedrooms: 3
Water Supply: Community 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: *USED EXISTING SEPTIC TANK
*DRAINFIELD WAS INSTALLED BY AN UNLICENSED INSTALLER WHO WOULD NOT
RETURN TO THE SITE TO BACKFILL/COVER THE SYSTEM.
*SYSTEM WAS INSTALLED AND LEFT OPEN DURING A RAIN EVENT. EH
ALLOWED DRAINFIELD TO REMAIN UNCOVERED FOR 6 DAYS TO HELP
TRENCHES DRY OUT.
*HOMEOWNER CONTACTED LICENSED INSTALLER, KELLY ISENHOUR,TO COVER
THE SYSTEM. KELLY ALSO AGREED FOR HIS NAME TO BE LISTED ON THE OP
SO THAT SYSTEM INSTALLATION AND INSPECTION COULD BE FINALIZED.
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.
KELLY ISENHOUR#1099 11/10/2022
System Installer Installation Date
,0,./Fi...........„..- i ,t E+o.+s
11/14/2022
Authorized State Agent Permit Issuance Date
Form F
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Catawba County Environmental Health
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Parcel: 374408975742, 1965 BREANA CT 1 in=40ft
CONOVER, 28613
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11114/2022