HomeMy WebLinkAboutOP-06-2023-197275.TIF %rim CATAWBA COUNTY Case h OP-06-2023-197275
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t Public Health Department Subdivision GOLD MINE MAP 1
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"3 Environmentall[ealthDivision PINtt 369901098240
PO Box 389,25 Government Drive,Newton,NC 28658 LOTP PTS 1-2-3-5
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Site Address: 5978 SHERRILLS FORD RD,CATAWBA NC 28609
Name on Permit: *TIMOTHY AULTMAN
Property Size: Acres 13.06
Directions: 16S left Buffalo shoals right bandy cross rd, right sherrills ford rd, immediately on left
Operation Permit
Permit Category: New Septic Wastewater Flow: 100 g.p.d.
Type of Facility: Accessory Structure-Garage/Shop
Basement? No Basement Plumbing? No Bedrooms:
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: 2x 46'trenches
1000 Gallon Tank STB 1012
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.
Charles Beatty#1026 05/25/2023
System Installer Installation Date
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06/05/2023
Authorized State Agent Permit Issuance Date
Form F
dip,,nu; 06./21/2021 12:45