HomeMy WebLinkAboutOP-05-2023-194970.tif • CATAVIBA COUNT' Case/ OP-05-2023-I94970
3: .r 'L Public Health Department Subdivision PEBBLE BAY PH 5
.5,.9 ED 4 Environmental Health Division PIN# 460601259212
PO Box 389,25 Government Drive,Newton;NC 28658 LOT// 209
Site Address: 7275 JAMES CT, DENVER NC 28037
Name on Permit: *ADRIAN TANASE
Property Size: Acres 1.75
Directions: Business 16 S Left Campground RD Left Burris RD Right Bankhead Right Bayview DRenter gate Call for code
Left James CT on Right
Operation Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? Yes Bedrooms: 4
Water Supply: Community Well Maximum Occupants: 8
System Type: IVA-ANY SYSTEM 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.
GARY LEATHERMAN 1111 05/04/2023
System Installer Installation Date
L
05/04/2023
Authorized State Agent Permit Issuance Date
Form P
05/05/2023 16:36