HomeMy WebLinkAboutOP-12-2022-185713.tif .4,153' \ CATAWBA COUNTY Case# OP-12-2022-185713
E. .�. Public Health Department
Subdivision
Q . (;,I 4Environmental Health Division PIN 365803427373
PO Box 389,25 Government Drive,Newton,NC 28658
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Site Address: 2367 HENDRIX RD, MAIDEN NC 28650
Name on Permit: JESSE FREEMAN
Property Size: Acres 29.73
Directions: NC 16, Right onto Providence Mill RD, Left onto Hendrix RD
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence- New House
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well 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: 'Installed new 1000 gal septic tank(Date:9/19/22. 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.
Maiden Grading(Dewey Grant)#2607 11/23/2022
System Installer Installation Date
°114,4"It (41r
12/06/2022
Authorized State Agent Permit Issuance Date
Form F
rlgr.,:.; 02/08/2023 16:46
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