HomeMy WebLinkAboutOP-03-2023-190653.tif / �- CATAWBA COUNTY Case# OP-03-2023-190653
/C' t I , , Public Health Department Subdivision S C HOLLAR ESTATE
'1 Environmental Health Division PIN# 375501158413
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# PT 9C&9D
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Site Address: 8099 RIVER BEND RD, CLAREMONT NC 28610
Name on Permit: FORE COMPANY LLC Li-im- - c)i - c,)3- L131(---_-)3
Property Size: Acres 0.53
Directions: NC 16, right onto River Bend Rd,property on the right
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
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.
Owner must contact Environmental Health 6 months prior to expiration for permit renewal.
System Installation Comments: *NEW 1000GAL SEPTIC TANK
GST-1000 STB-160
11/15/23
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
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*KEEP SEPTIC FIELD VEGETATION MAINTAINED
Subsurface system operator required? Yes No_X_ -i
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This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
GARY LEATHERMAN#1111 03/07/2023
System Installer Installation Date
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03/07/2023
Authorized State Agent Permit Issuance Date
Form F
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Parcel: 375501158413, 8099 RIVER BEND RD 1 in=60ft
CLAREMONT, 28610
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Copyright 2023 Catawba County NC
03/07/2023