HomeMy WebLinkAboutOP-09-2023-204516.TIF cC_ CATAWBA COUNTY
ase# OP-09-2023-20451 b
3t Public Health Department Subdivision FOREST RIDGE
1i , Environmental Health Division PIN# 370005196407
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 2
Site Address: 1603 ROLLING LN, HICKORY NC 28602
Name on Permit: DARRELL HOLLOWAY
Property Size: Acres 0.38
Directions: Wallace Dairy Rd,left onto Forest Ridge Dr, right onto Magnum Rd, lefto onto Rolling Ln,property on the left
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g,p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Community 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: Six lines of 25%reduction chambers were installed(30',22',66',66',66', and 50')for a
total of 300 linear feet.The existing septic tank was used,new filter installed.
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.
Brandon Martin#4716 09/11/2023
System Installer Installation Date
441
inre A, k1'44
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I 09/12/2023
Authorized State Agent Permit Issuance Date
Form F
10/04/2023 14:38
Catawba County Environmental Health
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Parcel: 370005196407, 1603 ROLLING LN 1in=40ft
HICKORY, 28602
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Copyright 2023 Catawba County NC
06/20/2023