HomeMy WebLinkAboutOP-02-2023-190026.TIF �yq: ,� CATAWBA COUNTY Case# OP-02-2023-l90026
z.7 .i.ii . , Public Health Department Subdivision FAIRWAY ACRES
d Environmental Health Division PIN# 372017121243
PO Box 389,25 Government Drive.Newton,NC 28658 LOT# 3
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Site Address: 2898 ROSEWOOD LN, NEWTON NC 28658
Name on Permit: KELLEY KOCH
Property Size: Acres 0.9
Directions: NC 10,right onto Startown Rd, left onto Sandy Ford Rd,left onto Chestnut Dr, right onto Rosewood Ln
Operation Permit
Permit Category: Repairs Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence
Basement? NO Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
System Type: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
Description: REPLACEMENT OF SEPTIC TANK ONLY
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: -Installed new 1000 gal septic tank(Date: 10/26/22. GST 1000, STB 160).
-Existing septic tank was abandoned.
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.
K&M Grading(Kevin Bowles)#1697 02/22/2023
System Installer Installation Date
3/1ffeet it)117
02/24/2023
Authorized State Agent Permit Issuance Date
Form F
elvermii 03/10/2023 12:51