HomeMy WebLinkAboutOP-06-2018-101303.TIF CATAWBA COUNTY Case# OP-06-2018-101303
Public Health Department Subdivision NELLIE S HAYNES PROPERT
'4 Environmental Health Division PIN 1 363708883470
PO Box 389,25 Government Drive,Newton,NC 28658 LOT! 18-19
1 2 w
Site Address: 1210 ZEB HAYNES RD, MAIDEN NC 28650
Name on Permit: RACHEL PARLIER
Property Size: Acres 8.71
Directions: 321 S,right Zeb Haynes lot on right 1/2 mile
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-House
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well 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: Used existing tank
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.
Gary Leatherman 1111 06/14/2018
System Installer Installation Date
06/19/2018
Authorized State Agent Permit Issuance Date
Form I'
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Parcel: 363708883470, 1210 ZEB HAYNES RD WR I I 1 in=60ft
MAIDEN, 28650
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Copyright 2014 Catawba County NC
06/12/2018