HomeMy WebLinkAboutOP-11-2022-185316.TIF • CATAWBA COUNTY Case I pp_]]_2022-185316
, -_ Public Health Department Subdivision
d , Environmental Health Division PIN# 266801499486
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# TRACT B
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Site Address: 8750 JACOB FORK RIVER RD, VALE NC 28168
Name on Permit: *BRIAN&ELIZABETH HEFNER
Property Size: Acres 1.205
Directions: Take right off of Old Shelby Rd onto Jacob Fork River Rd. Property on right a couple lots beore Bayleigh Dr.
Operation Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-House
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
System Type: IIIG-OTHER NON-CONV 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: *Installed new 1000 gal septic tank. (Date: 9/8/22. GST 1000, STB 160).
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.
Shane Jarrett Grading(Shane Jarrett)#1851 11/04/2022
System Installer Installation Date
al6n‘t 111'(° ‘
11/30/2022
Authorized State Agent Permit Issuance Date Form F
chpermh 02/02/2023 10:05