HomeMy WebLinkAboutOP-06-2023-197440.TIF A, CA7AWBA COUNTY Case!' OP-06-2023-197440
L. .i. 1. Public I Icalth Department Subdivision
Q Environmental health Division PINS 363905083120
PO Box 389,25 Government Drive.Newton,NC 28658 1 0TO
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Site Address: 2108 W NC 10 HWY, NEWTON NC 28658
Name on Permit: SAMUEL BRITTAIN
Property Size: Acres 3.99
Directions: Hwy 10,will need to turn right onto Simmons St(this is where driveway is located for the property)
Operation Permit
Permit category: Repair/Expansion Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
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: A new septic tank (GST 1000, STB 160,dated 4/8)was installed and the old,existing
tank was crushed and abandoned. Nine lines of 25%reduction chambers were installed
(54',42',42', 38', 38', 78',46', 34', and 30')for a total of 402 linear feet.
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.
Gary Leatherman#1111 06/06/2023
System Installer Installation Date
41i.
4101nee Pe;k,os
J 06/07/2023
Authorized State Agent Permit Issuance Date
Form 1'
ir,crnu, 06121.21123 1 1:12