HomeMy WebLinkAboutOP-04-2023-194641.tif �I�� CATAWBA COUNTY Case# OP-04-2023-194641
Public Health Department Subdivision CRESCENT LAND AND TIMBI
„r,f, Environmental Health Division PIN# 461901483563
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 153
/8. �.
Site Address: 1425 LANGDON RD, SHERRILLS FORD NC 28673
Name on Permit: SHAWN KIRKLEY
Property Size: Acres 0.91
Directions: Hwy 150 to Sherrills Ford Rd, R on Mollys Backbone, R on Azalea Rd, I on Dog Leg, L on Roundstone,
property on left
Operation Permit
Permit Category: Expansion Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
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:
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.
SPECIALITY SEPTIC 1139 04/28/2023
System Installer Installation Date
04/28/2023
Authorized State Agent Permit Issuance Date Form F
.•6prnwl 05/02/2023 08:30