HomeMy WebLinkAboutOP-05-2017-086219.TIF ! ` • CATAWBACOUNTY Case# OP 05 2017 086219
/� .t. ,Z Public Health Department Subdivision HIDDEN CREEK ESTATES PE
d 'I Environmental Health Division PIN# 371009059289
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 46
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Site Address: 3772 MATTINGLY DR, HICKORY NC 28602 f 4 op, i f„ -) IQ„ 9'1`S 7
Name on Permit: CORINNE DOOLEY j CY
Property Size: Acres 0.38
Directions: Sandy Ford Rd, Right onto River Rd, Left at Hidden Creek Dr,Take the 1st Left, House on the Right.
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Community Well Maximum Occupants: 6
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:
PERMIT CONDITIONS: ,
1. All maintenance,monitoring, &performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961 /
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2. Operation&Maintenance Specifics:
Subsurface system operator required? Yes No_X_
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This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
Gary Leatherman#1111 07/11/2016
System Installer Installation Date
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05/31/2017
Authorized State Agent Permit Issuance Date Form F
chlh-,n,,1 02/02/2023 10:56