HomeMy WebLinkAboutOP-06-2023-197319.TIF 84 C.A'1'AWBACOUNTY Case 0 OP-06-2023-197319
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F.; .j..IA 4 Public I lealth Department Subdivision
'� Environmental health Division PIN/ 278114246363
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PO Box 389,25 Government Drive.Newton,NC 28658 LOT/
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Site Address: 6722 JACOB DR, HICKORY NC 28602
Name on Permit: ALBERT YODER
Property Size: Acres 46.66
Directions: S Center St toward Henry River Rd to left jacob drive
Operation Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
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 1000 gal septic tank(Date: 3/6/23. GST 1000, STB 160).
`Installed 202 feet of 25% reduction (chambers).
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.
Barnes Backhoe/Grading(Derrick Barnes 1017) 05/11/2023
System Installer Installation Date
4/4ft IfVv46
06/05/2023
Authorized Slate Agent Permit Issuance Date
Form I-
:iiperc ii i 06/2I 2023 11:44
Catawba County Environmental Health
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Parcel: 278114246363, 6722 JACOB DR 1 in=60ft
HICKORY, 28602
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06/05/2023