HomeMy WebLinkAboutOP-02-2023-190194.TIF Vi \2 CATAWBA COUNTY Case# OP-02-2023-190194
.�.,a . Public Health Department Subdivision
4 Environmental Health Division PIN# 377303406699
3 1105 L `C
PO Box 389,25 Government Drive,Newton,NC 28658 LOT/!
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Site Address: 4099 OXFORD SCHOOL RD, CATAWBA NC 28609
Name on Permit: STEVEN&MARIA*HULL
Property Size: Acres 0.75
Directions: from Catawba take Oxford School Rd/cross 1-40/approx 2 miles on left
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
System Type: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
Description: CONVENTIONAL
System Code: System Code Description:
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: no new septic system installed,original septic installation was 6/23/99(septic permit
#5880, issued on 4/14/99). permit AUTH-03-2022-168625 was for specific repairs to
existing system.
used existing septic tank. put on new concrete riser on septic tank. replaced drop box
at first line;original drop box had been dug up and removed.
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.
cooper wray#9355 02/24/2023
System Installer Installation Date
02/27/2023
Authorized State Agent Permit Issuance Date Form F
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Parcel: 377303406699,.4099 OXFORD SCHOOL 9 it .50ft
RD CATAWBA, 28609
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02/27/2023