HomeMy WebLinkAboutOP-06-2023-197788.TIF w•
CA'FAWBA COUNTY Case fi OP-06-2023-197788
ti(.....,t` Public Health Department Subdivision WILDERNESS TRACE PH 2
� "1 Environmental Health Division PIN# 375504835460
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PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 53
:It 91
Site Address: 2931 WILDERNESS TRACE,CLAREMONT NC 28610
Name on Permit: *CLAYTON HOMES OF CONOVER
Property Size: Acres 0.46
Directions: Conover Blvd E, Straight onto Rock Barn, NC16 N to Oxford School,Take Rest Home Rd to Wilderness Trace
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
System Type: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
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: *NEW 1000GAL SEPTIC TANK
GST-1000 STB-160(8/14/22)
*NEW 1000GAL PUMP TANK
GST1000 PT-149(8/14/2022)
PERMIT CONDITIONS:
1.All maintenance, monitoring, & performance requirements shall be in accordance with 15A NCAC 18.1900, Rule.1961
2.Operation&Maintenance Specifics: *PUMP SEPTIC TANK AND CLEAN FILTER EVERY 3-5
YEARS
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.
SHANE JARRETT#1851 10/14/2022
System Installer Installation Date
por„t Everes
06/12/2023
Authorized State Agent Permit Issuance Date
Form F
ehperi it 09/0I/2023 I3:07
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Parcel:375504835460,2931 WILDERNESS 1 in=40ft
TRACE CLAREMONT,28610
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Copyright 2023 embarks County NC
0611212023