HomeMy WebLinkAboutOP-03-2023-190775.TIF . CATAWBA COUNTY Case# OP-03-2023-190775
t~ .t.,ii, ,�, Public Health Department Subdivision FOREST RIDGE
"3 Environmental Health Division PIN# 370117005524
PO Box 389,25 Government Drive,Newton,NC 28658 LOT 20
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Site Address: 1733 MAGNUM RD, HICKORY NC 28602
Name on Permit: BLUE COLLAR PROPERTIES LLC
Property Size: Acres 0.37
Directions: Left on Old Conover Rd,right on Startown Rd, left on Sandy Ford Rd, right on Zion Church Rd. straight on
Bethel Church Rd, continue on Wallace Dairy Rd to Magnum Rd.
Operation Permit
Permit Category: Repair' Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence •
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Community Well Maximum Occupants: 6
System Type:
Description: REPLACEMENT OF SEPTIC TANK ONLY
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: New 1000 gallon plastic Norwesco tank installed (LP STD 2CPT W/G&T NC/SC).Old
tank crushed and abandoned.
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15A 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.
Kevin Powell #1864 03/08/2023
System Installer Installation Date
kqi11"Zakee pe, k'1 AS 03/08/2023
Authorized State Agent Permit Issuance Date Formr F
chpermit (13/22/2023 11:05
ENPR- o, - 2-023 -(1311
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Parcel: 370117005524, 1733 MAGNUM RD 1in=40ft
HICKORY, 28602
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01/10/2023