HomeMy WebLinkAboutOP-02-2023-190213.TIF „43A • CATAWBACOUNI'Y Case# OP-02-2023-I90213
F.;(.....i..IL Gi Public Health Department Subdivision
d t`� , Environmental Health Division PIN# 377003018895
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
Ig.2 5M
Site Address: 4071 TROUT POND RD, CLAREMONT NC 28610
Name on Permit: ERIC CHILDERS L f h D 09 0 im+ Li ICI` IR
Property Size: Acres 2.36
Directions: NC 10 W,turn right onto Balls Creek Rd, right onto Trout Pond Road, grey 2 story house on the right hand
side of drive
Operation Permit
Permit Category: Repairs/Exfah5ion Wastewater Flow: 600 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 5
Water Supply:l Private Well Maximum Occupants: 10
System Type: IIIG-OTHER NON-CONY TRENCH SYSTEMS
Description: 25%REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
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 1500 GAL SEPTIC TANK
SHOAF-1500 STB-964 1/17/23
*AT GRADE SYSTEM WITH FILL FOR COVER
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
*MAINTAIN A GOOD STAND OF VEGETATION OVER
DRAIN FIELD TO PREVENT EROSION
Subsurface system operator required? Yes No_X_ 0
g.--)
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This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
ADAM MORRISON#7112 02/27/2023
System Installer Installation Date
if fl.„........„..-- - '. eq4 5,4N1
02/28/2023
Authorized State Agent Permit Issuance Date
Form F
elipcnnit 02/28/2023 08:03