HomeMy WebLinkAboutOP-04-2023-192920.tif y,' CATAWBA COUNTI' Case k OP-04-2023-192920
Public Health Department Subdivision NORTHVIEW HARBOUR PH E
d e Environmental health Division PINM 462801190328
PO Box 389,25 Government Drive,Newton,NC 28658 LU'rk 163
18 2 w
Site Address: 2353 CROFTE DR, SHERRILLS FORD NC 28673
Name on Permit: JOHN &JENNIFER KEIGHTLEY
Property Size: Acres 0.86
Directions: 150W, R Sherrills Ford, R Island Point, L on Northview Harbour, R Garrison,L Crofte, Propety on Left
Operation Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-New House
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
System Type: IVA-ANYSYSTEM WITH LPP DISTRIBUTION
Description: 50%REDUCTION PPBPS VERTICAL
System Code: PPBPS System Code Description: PPBPS
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:
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_X_ No
This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
Russell Williams 3137 03/17/2023
System Installer Installation Date
. - Z-- Z52:y,____
04/03/2023
Authorized State Agent Permit Issuance Date
Form I'
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Parcel:462801190328,2353 CROFTE DR 1 in=50ft
SHERRILLS FORD, 28673
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Copyright 2023 Catawba County NC
03/07/2023
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