HomeMy WebLinkAboutOP-06-2023-197410.TIF g
/$!_\ CATAWBACOUNTY Case# OP-06-2023-197410
7if.t IL I, Public Health Department Subdivision
1-1 Environmental Health Division PIN 366904831528
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
Site Address: 4038 MT OLIVE CHURCH RD, NEWTON NC 28658
Name on Permit: KENNETH EVANS FOR
I)- ()-0a`)- 4-130CH
Property size: Acres 1.35
Directions: S NC 16, left Balls Creek Rd, left Mt Olive Church Rd, on right
Operation Permit
Permit Category: Repair/Expansion Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water 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 1000 gal septic tank(Date: 2/2/23. TP 1012, STB 1000).
*Installed 258 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_
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This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
Cool Park Pumping(Kelly Isenhour)#1099 05/18/2023
System Installer Installation Date
6#14, ‘
06/06/2023
Authorized State Agent Permit Issuance Date
Form F
ehpennit 06/07/2023 07.00
Catawba County Environmental Health
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