HomeMy WebLinkAboutOP-03-2023-191743.TIF CATAWBA COUNTY Case it OP-03-2023-191743
G Public Health Department Subdivision
d „ rye Environmental Health Division PIN,'f 365915637391
�J PO Box 389.25 Government Drive,Newton,NC 28658 1.017' 2 3 7
/842 SM
Site Address: 2713 S NC 16 HWY, NEWTON NC 28658
Name on Permit: SHIRLEY SHERRILL
Property Size: Acres 10.36
Directions: Hwy 16 S,on right past Smyre Farm Rd
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g,p,d,
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
Description: HIGH CAPACITY CHAMBER
System Code: IQ4HC System Code Description: Infiltrator Quick4 High Capacity
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: 11/16/22.GST 160,STB 1000).
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.
Bumgarner Septic(Mike Bumgarner)#2688 03/01/2023
System Installer Installation I)atc
37/Wt. °° 77
03/20/2023
Authorized State Acent Permit Issuance Date
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032812023 10:09
Catawba County Environmental Health
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Parcel: 365915637391, 2713 S NC 16 HWY fin=50ft
NEWTON, 28658
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08/30/2021