HomeMy WebLinkAboutOP-03-2023-191742.TIF A%�4, CATAWBA COUNTY Case 11 OP-03-2023-191742
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Public Health Department Subdivision
Environmental Health Division PIN 379104840862
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# PT 6-7
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Site Address: 6804 HUDSON CHAPEL RD, CATAWBA NC 28609 ��(��
Name on Permit: JANET MENETRIER eJ-It7) �� • )�Property Size: Acres 0.69
Directions: NC 10, right onto HUdson Chapel Rd, home is on the left
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: 25% REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
Types V and VI systems expire in 5 years. r ,
Owner must contact Environmental Health 6 months prior to expiration for permit renewal. �JU
System Installation Comments: old septic tank pumped out and filled with soil. new septic tank; shoaf1000, stb760, no c7
date. supply line sleeved with DOT culvert pipe under driveway. cut off portions(approxi J
mately 16 ft)of top 3 existing lines(permit#2008-00262)that were impacted by barn !s).,
and fence. added new line of IQ4PS 50 ft long. all lines connected via serial distribution
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.
sipe grading#5771 03/15/2023
System Installer Installation Date
,
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03/20/2023
Authorized State Agent Permit Issuance Date
Form F
b.., ,, 03/20/2023 11:58
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Catawba County Environmental Health eta 0,3. 21a23,_ )?i7/Z
50.00
32.37
119.58
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HUDSON CHAPEL RD
Parcel: 379104840862, 6804 HUDSON CHAPEL 1 in=40ft
RD CATAWBA, 28609
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03/20/2023