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CATAWBA COUNTY Case f.IL Public Health Department Subdivision
,IiL„� • Environmental Health Division PIN# 375117122475
PO Box 389.25 Government Drive,Newton,NC 28658 LOTHA
Site Address: 2163 TRAVIS RD SE, CONOVER NC 28613
Name on Permit: JEANNIE JOHNSON
Property Size: Acres 0.49
Directions: NC 16, Righton Burris Rd, Left on Travis Rd, Lot on Left
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water 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:
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.
A to Z Operations 7275 11/29/2022
System Installer Installation Date
.-/41A fililicl
12/06/2022
Authorized State Agent Permit Issuance Date harm P
ehpernut I741621122 17:17
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Parcel: 375117122475, 2163 TRAVIS RD SE 1in=40ft
CONOVER, 28613
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Copyright 2021 Catawba County NC
11/29/2022