HomeMy WebLinkAboutOP-04-2023-194599.tif ee CATAWBA COUNTY Case# OP-04-2023-194599
i. 1. Public Health Department Subdivision
Q . 4 Environmental Health Division PIN# 376118306841
g wPO Box 389,25 Government Drive,Newton,NC 28658 I OT#
2
Site Address: 3546 BETHANY CHURCH RD, CLAREMONT NC 28610
Name on Permit: LAYMON MITCHELL
Property Size: Acres 1.21
Directions: N Oxford St, road changes to S Oxford St, left onto Frazier Dr, right onto Bethany Ch Rd,property on the left
Operation Permit
Permit Category: Repairs Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Public Water Maximum Occupants: 4
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 TP-STB 1012-1000(1/20/23)
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 CLENA FILTER EVERY 3-5
YEARS
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.
KELLY ISENHOUR#1099 04/19/2023
System Installer Installation Date
,i 5,4MS
!!! 04/28/2023
Authorized State Agent Permit Issuance Date Form F
05/02/2023 09.19
Catawba County Environmental Health
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Parcel; 376118306841, 3546 BETHANY 1in=50ft
CHURCH RD CLAREMONT, 28610
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Copyright 2023 Catawba County NC
04/28/2023