HomeMy WebLinkAboutOP-05-2023-196372.TIF 4r, • CATAWBA COUNTY Case# OP-05-2023-196372
• .t.it ,y Public Health Department Subdivision
"I Environmental Health Division PIN/I 461902553712
PO Box 389,25 Government Drive,Newton,NC 28658 LOTtt
,./.._- 2
Site Address: 8511 DOG LEG RD,SHERRILLS FORD NC 28673
Name on Permit: `TODD GALLOWAY CONSTRUCTION INC.
Property Size: Acres 2.705
Directions: Molly Back Bone, Right on Azalea Left on Dog Leg
Operation Permit
Permit Category: New Septic Wastewater Flow: il(i(1 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: (
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: H. �.� —
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.
WENDELL CALDWELL#1044 04/05/2023
System Installer Installation Date
- /- 4y-
05/22/2023
Authorized State Agent Permit Issuance Date
Form F
rhpermit 07/07/2023 11:02
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