HomeMy WebLinkAboutOP-08-2023-202039.TIF •
CATAWBA COUNTY Case# OP-08-2023-202039
t Public Health Department Subdivision STORYBROOK PH 2
R .1 Environmental Health Division PINK 369701185506
14,
PO Box 389,25 Government Drive,Newton,NC 28658 LOTH 111 9
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Site Address: 3491 STORYBROOK LN, SHERRILLS FORD NC 28673
Name on Permit: *KEITH ESTES
Property Size: Acres 1.44
Directions: Hwy 16 S,Left Hwy 16 business Left mt.Beulah Right Little MtnREight Little Mtn 1st right Storybrook
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No 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: STB 160 Gamewell 1000 gallon tank
8-45ft trenches; 11 chambers in each line
First trench connected in center,lower trenches connected at end
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 08/02/2023
System Installer Installation Date
di— 1°
08/07/2023
Authorized State Agent Permit Issuance Date
Form F
ape'mil 09/05/2023 I I:59
Catawba County Environmental Health
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Parcel: 369701185506, 3491 STORYBROOK LN 1 in=50ft
SHERRILLS ORD 28673
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