HomeMy WebLinkAboutOP-03-2023-192523.TIF % . CATAWBA COUNTY Case# OP-03-2023-192523
f. .'.I ,x. Public Health Department Subdivision MOUNTAIN SITES
.� •
' Environmental health Division PIN# 279010379314
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 5
v.
Site Address: 5617 MTN TERRACE DR, HICKORY NC 28602
Name on Permit: *SERGIO SAUCEDO SANTACRUZ
Property Size: Acres.47
Directions: NC 127, left onto Old Farm Dr, left onto Mountain Terrace Dr
Operation Permit
Permit Category: Relocation Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water 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: *Installed new 1000 gal septic tank(Date: 11/22/22. GST 1000,STB 160).
*Existing septic tank abandoned.
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.
Loose Ends Repair(Brandon Martin)#4716 03/08/2023
System Installer Installation Date
°IV1/11 6117e
03/29/2023
Authorized State Agent Permit Issuance Date
Form F
dwcinut 08/09/2023 11:23