HomeMy WebLinkAboutOP-12-2022-186604.TIF CATAWBA COUNTY Case ft OP-I2-2022-186604
Li '�' Public Health Department Subdivision DEERFIELD 4
Environmental Health Division PTNIt 268902875653
PO Box 389,25 Government Drive,Newton,NC 28658 T.OT# 73
Site Address: 6389 WILLOWBOTTOM RD, HICKORY NC 28602
Name on Permit: MICHAEL POE
Property Size: Acres 0.96
Directions: S NC 127, right Deerfield,left Fawn Tr, right Shireborn, right Willowbottom Rd, .8 mile on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
System Type: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
Description: REPLACEMENT OF SEPTIC TANK ONLY
System Code: GTR System Code Description: Gravel Trench
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: *Installed new 1000 gal plastic septic tank (Infiltrator).Connected into existing
distribution and drainfield_
*Old septic tank was crushed and backfilled.
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.
K&M Grading(Kevin Bowles)#1697 12/20/2022
System Installer Installation Date
°harr't 11171 \
12/27/2022
Authorized State Agent Permit Issuance Date
Form I
chpoimi o1/27/2023 ns:so