HomeMy WebLinkAboutOP-12-2022-185548.TIF V,. CA'1'AWBACOUNTY Caseh OP-I2-2022-185548
i~ .t. Public Health Department Subdivision
Environmental Health Division PIN)? 376304712945
PO I3ox 389,25 Government Drive,Newton,NC 28658 LOT)? TR 2
1:
Site Address: 3920 DEAL RD,CLAREMONT NC 28610
Name on Permit: YENG HER
Property Size: Acres 4.04
Directions: 1 40 exit 135, make right turn, left on Centennial Blvd, left on N Lookout, left on Deal Rd, home on the right
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: 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: New septic tank installed: 1000 gallons, Shoaf-1000, STB-760,dated 10/13/22.
Three lines installed (78', 178',50')for a total of 306'.
Old septic tank was not abandoned at the time of final septic inspection.As a safety
precaution, Environmental Health recommends abandoning(pump out,crush, and
backfill)old septic tanks not in use.
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.
Sipe Grading#5771 12/02/2022
System Installer Installation Date
ig #4J1Inee Pe;k;01:\
J 12/05/2022
Authorized State Ae.ent Permit Issuance Date
Form F
chpermi: 12/19/2022 14:08