HomeMy WebLinkAboutOP-05-2023-195937.TIF -1. CATAWBA COUNTY' Case# OP-05-2023-195937
Public Health Department Subdivision
s' Environmental Health Division PIN# 365803414521
ilkotidif PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
Site Address: 2383 HENDRIX RD. MAIDEN NC 28650
Name on Permit: *TRAVIS OSBORNE
Property Size: Acres 42 01
Directions: Right off of Providence Mill Rd onto Hendrix Rd. Use right of way to enter lot.
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence- New house
Basement? Yes Basement Plumbing? Yes 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: Installed new septic tank(GST1000, STB 160,dated 3/23)with three lines of chambers,
120'per line,for a total of 360'linear foot.
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.
Dewey Grant#2607 05/09/2023
System Installer Installation Date
ke& gentle Pe.k;43)
J 05/17/2023
Authorized State Agent Permit Issuance Date Form F
Amain 06/09/2023 16:10