HomeMy WebLinkAboutOP-09-2023-205311.TIF w• CATAWBA COUNTY Case tt OP-09-2023-205 3 1 1
+.kg, Public Health Department Subdivision HIGHLAND GLEN
lik,.wit Environmental Health Division PlN i 368702959342
• PO Box 389,25 Government Drive,Newton,NC 28658 LOTD/ 29-30
Site Address: 3717 CARIBOU DR, SHERRILLS FORD NC 28673
Name on Permit: ELLIOT ROTHMAN
Property Size: Acres 1.5
Directions: Mt Beulah Rd/Lineberger Rd/Caribou Dr/lot on right
Operation Permit
Permit Category: Expansion Wastewater Flow: 600 g.p.d.
Type of Facility: Prim ReslAcc Dwelling-Existing 3-bedroom Home+New 2-bedroom Accessory Dwelling
Basement? No Basement Plumbing? No Bedrooms: 5
Water Supply: Private Well Maximum Occupants: 10
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: 1500 gallon Shoaf Tank STB 547 6-23-23
3 trenches 222 linear feet total IQ 4 PS
New d box
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 NoX_
This system has been installed in compliance with applicable NC General Statutes,Rules for Sewage Treatment and Disposal.
Steve Jordan#1853 09/21/2023
System Installer Installation Date
diTh
09/25/2023
Authorized State Agent Permit Issuance Date
Form F
ape'mil 10n n 1/2023 13:01