HomeMy WebLinkAboutOP-03-2023-190651.TIF �8: • CATAWBA COUNTY Case it OP-03-2023-190651
f IR•
,y Public Health Departmentimi( Subdivision
r: Environmental Health Division PINII 277002863583
PO Box 389,25 Government Drive,Newton.NC 225658 LOTt+
7:4 yA
Site Address: 7186 GEORGE HILDEBRAN RD, HICKORY NC 28602
Name on Permit: ROYAL CHAPEL CHURCH OF GOD
Property Size: Acres 2.6
Directions: 1-40 W to Exit 121,turn right, go 5 miles and the property is on the right
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
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 1000GAL SEPTIC TANK
GST-1000 STB-160
11-10-22
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.
BRANDON MARTIN#4716 03/07/2023
System Installer Installation Date
/ „ E,yNs
03/07/2023
Authorized State Agent Permit Issuance Date
Form F
ehperinit 03/23/2023 10:06