HomeMy WebLinkAboutOP-02-2023-188572.TIF 1110 CATAWBA COUNTY Case k OP-02-2023-188572
4110
ti .i.11 .y Public Health Department Subdivision MAPLE GLEN LLC
.1 `� Environmental Health Division PIN(t 372320709226
PO Box 389,25 Government Drive,Newton,NC 28658 LO'l ll 3
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Site Address: 975 TRACY LN, CONOVER NC 28613
Name on Permit: VYACHESLAV PERJAR
Property Size: Acres 0.64
Directions: McDonald Pkwy, right on Spencer Rd, Maple Glen Subdivision on right,3rd lot on right
Operation Permit
Permit Category: New Septic Wastewater Flow: 480 g.p,d,
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Description: 25% REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Pius 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 1000GAL SEPTIC TANK
GST-1000 STB-160, 9/30/22
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961
2. Operation&Maintenance Specifics: *PUMP SEPTIC TANK AND CLEAN FILTER EVERY 3
YEARS
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.
DEWEY GRANT#2607 02/03/2023
System installer Installation Date
/ //7‘...........„.„... . ,, Gv4N.s
02/03/2023
Authorized State Agent Permit Issuance Date
Form F
ci,permit 02/07/2023 11:03