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CATAWBA COUNTY Case OP-02-2023-189065
Public Ilealth Department Subdivision E W DRUM ESTATE
rEnvironmental Health Division PINS 366702580736
ihtrit PO Box 389,25 Government Drive,Newton,NC 28658 I O'I'I'
Site Address: 3449 N OLIVERS CROSS RD, NEWTON NC 28658
Name on Permit: JARRELL DRUM
Property Size: Acres 1.25
Directions: NC 16, right onto Providence Mill Rd, left onto N Olivers Crossroad
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Description: HIGH CAPACITY CHAMBER
System Code: IQ4HC System Code Description: Infiltrator Quick4 High Capacity
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: High Capacity Chambers utilized for deep installation. Trench depth 48"to 60"
Used existing tank.
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.
Gary Leatherman#1111 (12/10/2023
System Installer Installation late
02/13/2023
Authorized State Agent Permit Issuance Date
Form F
rimcin❑ (12/21/21)23 I5:22