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HomeMy WebLinkAboutOP-05-2023-196627.tif �, CATAWBA COUNTY Case# OP-05-2023-196627 n Public Health Department Subdivision MOUNTAIN CREEK RIDGE Environmental Health Division PIN# 369803206692 PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 25 w Site Address: 3229 CREEK BEND CT,SHERRILLS FORD NC 28673 Name on Permit: *CORNERSTONE III PROPERTIES INC Property Size: Acres 0.79 Directions: Little Mountain Rd, right on Mountan Creek left on Creek Bend, Operation Permit Permit Category: New Septic Wastewater Flow: 360 g.p.d. Type of Facility: Primary Residence-New House Basement? NO Basement Plumbing? No Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 System Type: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP 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 No_X_ This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal. Jarrid Lentz-3360 02/07/2023 System Installer Installation Date 05/24/2023 Authorized State Agent Permit Issuance Date Form F ehpermit 05/25/2023 12:04 ir-- ASSOCIATES P A ? n r} C✓rttiti k 6,244 Ct "The LSS Evaluation is being submitted pursuant to and meets the requirements of SL 2018-114 Section 11.(c)." 0 - o S -1oa3 - i 6 7 Soil Descriptions • ' Cony 1 � L —» House Box Initial Sy Initial Foc Color Trench I — t3lva- p;�k 2f' S. e — white T' P Repair „\� PhiCc Distrib Color ‘"1 1 ''S 4- O — blue 0k \� 71/ Tap - pink - Y — white �, �,,l` Repair S� Driveway <'9 � I _ P 0 Tank �� °� Nib a , -=u Supply Line �, e/e v Trench I • Well o 1 i li 50' Well Buffer ss,,v ;® j ,' Property Line ',/ �`°I�®�'® L Sq. Fo �� 21,�`r %- i Dist. to I i Dist. to Prc 3g/Z ` a,N Jf - 12(422 ✓J,. . ` N^- . .4- 74 0 Dist. to h Woo c?a Ilor • s- ft - i/'l /2 �13 Dc loeo q6 Ion I v, G VI, I \: m - s2- 1 1 inch = 40 feet 0 25 50 100 Feet 5D PIN or Tax Map # 369803206692 Lot # Lot 25 l