HomeMy WebLinkAboutOP-02-2023-189418.TIF .4.1w• CATAWBA COUNTY Case ti OP-02-2023-189418
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Public Ilealth Department Subdivision
Environmental I Icalth Division PIN11 279109169936
PO Box 389.25 Government Drive.Newton.NC 28658 I.OT/' 1
Site Address: 2389 MOSS FARM RD, HICKORY NC 28602
Name on Permit: TERRY GOOCH
Property Size: Acres 17.35
Directions: Hwy 127 S past 321 Hwy Right on Moss Farm RD near end of RD, Driveway w/2383 Moss Farm RD going
into property 2389 Moss Farm RD
Operation Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Accessory Structure -Barn with Kitchen and full bathroom
Basement? No Basement Plumbing? No Bedrooms:
Water Supply: Public Water Maximum Occupants:
System Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
Description: CONVENTIONAL
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: *NEW 1000GAL SEPTIC TANK
GST-1000 STB-160
10-2-23
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.
OWNER-TERRY GOOCH 02/09/2023
System Installer Installation I)ate
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02/17/2023
Authorized State Agent Permit Issuance Date
Form F
t13'1 0/2023 12:113