HomeMy WebLinkAboutOP-09-2023-204649.TIF �ygi=4, CATAWBA COUNTY Case# OP-09-2023-204649
G Public Health Department Subdivision
d f Environmental
389,25 HealthGovern Dimventision PIN# 371212961122
Drive,Newton,NC: 28658 LOTi#
!8 2 w
Site Address: 623 21ST ST SE, HICKORY NC 28602
Name on Permit: ELIJAH LONDON
Property Size: Acres 0.82
Directions: US 321, left onto 2nd Ave NW, right onto 23rd St NW, right onto 6th Ave NW, left onto 21st St NW
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
System Type: IIA-CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
Description: REPLACEMENT OF SEPTIC TANK ONLY
System Code: System Code Description:
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
INFILTRATOR CM-1060(STB-2071)
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.
MICHAEL POWELL#9267 09/13/2023
System Installer Installation Date
/ Dc4n 5,4.NS
09/13/2023
Authorized State Agent Permit Issuance Date
Form F
ape!m it 10/05/202 3 14:01