HomeMy WebLinkAboutOP-04-2023-194615 4$' # CATAWBA COUNTY Case# OP-04-2023-194615
F.:, 1..iiiPublic Health Department Subdivision
QU719 0 Environmental Health Division PIN# 376119713343
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3
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Site Address: 3725 BRIARROSE CIR, CLAREMONT NC 28610
Name on Permit: SCOTT&JANICE HENDERSHOT
Property Size: Acres 0.47
Directions: R SW Blvd, L W C Street, L NC10, L Bethany Ch Rd. R Boggs Rd, L Hagan Dr. R Briarrose Cir End of Rd
3725 Briarrose
Operation Permit
Permit Category: New Septic Wastewater Flow: 4R1) g.p.d.
Type of Facility: Primary Residence- SFD
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
System Type: IIIG-OTHER NON-CONV 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: 1/17/23. GST 1000, STB 160).
*Installed 400 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.
#Abee Landscaping(Shawn Abee)#1764 04/13/2023
System Installer Installation Date
344/4" - II) ,
04/28/2023
Authorized State Agent Permit Issuance Date
Form F
dipermii 06/12/2023 13:36
Catawba County Environmental Health
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Parcel:376119713343, 3725 BRIARROSE CIR 1in=40ft
CLAREMONT,28610
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the Independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and
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re City. County NC
06/12/2023