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CATAWBA COUNTY Case# Op_09-2023-204914
Public Health Department(...,
Subdivision GABRIEL ACRES
Environmental Health Division PIN# 461602573467
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3&4
Site Address: 4551 KISER ISLAND RD,TERRELL NC 28682
Name on Permit: *ROBY, INC.,ANDREW
Property Size: Acres 0.78
Directions: Highway 150E right on Kiser Island Rd lot on right
Operation Permit
Permit Category: Expansion Wastewater Flow: 720 g.p.d.
Type of Facility: Prim Res/Acc Dwelling-4-bedroom house,2-bedroom accessory dwelling
Basement? No Basement Plumbing? No Bedrooms: 6
Water Supply: Private Well Maximum Occupants: 12
System Type: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP
Description: 50%REDUCTION PPBPS HORIZONTAL
System Code: PPBPS System Code Description: PPBPS
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: 1500 gallon septic tank and pump tank
Existing circle drive must be removed off of drainfield.
Existing boat house is NOT permitted to have bedrooms or be a dwelling unit.
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.
BW CHRISTENBURY 1834 09/18/2023
System Installer Installation Date
,4,. .--
09/18/2023
Authorized State Agent Permit Issuance Date
Form F
ehpenni i 10/04/2023 12:24
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