HomeMy WebLinkAboutOP-05-2023-196918.tif yy$ • CATAWBA COUNTY Case it OP-05-2023-196918
Eg' .r. .y Public I lealtb Department Subdivision
d --- Environmental Ilealtb Division PIN!! 267803310683
PO Box 389,25 Government Drive,Newton,NC 28658 LOIY? 2
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Site Address: 3219 LYNN MOUNTAIN RD, VALE NC 28168
Name on Permit: JESSE WELCH
Property Size: Acres 5.94
Directions: Right off of W NC 10 Hwy onto Rhoney Farm Rd. Right off of Rhoney Farm Rd onto Lynn Mountain Rd. 5th lot
on left.
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: LOW PROFILE CHAMBER
System Code: IQ4PLP System Code Description: Infiltrator Quick 4 Plus Low Profile
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 1000 gal septic tank(Date:2/20/23. Mull 1000, STB 821)and 1000 gal pump
tank(Date: 2/28/23. Mull 1000, PT 401).
'`Installed 480 feet of Low Profile chambers.
PERMIT CONDITIONS:
1.All maintenance, monitoring, & performance requirements shall be in accordance with 15 A 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.
Dennis Willis Septic(Bryson Willis)#1189 04/20/2023
System Installer Installation Date
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05/30/2023
Authorized State Agent Permit Issuance Date
Form F
..., ,•. 06 2112021 10:51
Catawba County Environmental Health
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