HomeMy WebLinkAboutOP-02-2023-189461.TIF CATAWBA COUNTY Case tt OP-02-2023-189461
.. Public health Department Subdivision
Environmental Health Division PINK 371007676919
PO Box 389,25 Government Drive.Newton,NC 28658 1 OTf
Site Address: 2895 ROBINSON RD, NEWTON NC 28658
Name on Permit: MARK SHOOK
Property Size: Acres 0.49
Directions: Startown Rd, left onto Sandy Ford Rd, right onto Robinson Rd, property on the left
Operation Permit
Permit Category: Repairs Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
System Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
Description: REPLACEMENT OF SEPTIC TANK ONLY
System Code: GBD System Code Description: Gravel Bed
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(GST 1000, STB 160, Date: 12/16/22).
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15 A 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.
Leatherman Septic(Gary Leatherman)#1111 02/06/2023
System Installer Installation Date
art 1)°1"
02/17/2023
Authorized State Agent Permit Issuance Date
Form F
chpernm ntiIa 2023 II:OS