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CATAWBA COUNTY Case# OP-09-2023-205694
Public health Department Subdivision WESTOVER WOODS
t Environmental ftealth Division PIN# 279115648145
PO Box 389.25 Government Drive.Newton,NC 28658 LOTri 8
Site Address: 5344 LISA LN, HICKORY NC 28602
Name on Permit: JOSHUA AND HOLLY PAGE
Property Size: Acres 0.6
Directions: 127, right onto Westview Rd, right onto Lisa Ln, property on the left
Operation Permit
Permit Category: Repairs Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-Existing house
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Maximum Occupants: 8
System Type: IIIG -OTHER NON-CONV 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: A new septic tank(GST 1000,STB 160, dated 7/17)was installed and the existing tank
was crushed and abandoned. Eight lines of 25%reduction chambers were installed(30',
30',30',68',82',82',74',and 46')for a total of 442 linear feet.
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.
Brandon Martin#4716 09/28/2023
System Installer Installation Date
irate ee;k AS)
1 09/29/20
23
Authorized State Agent Permit Issuance Date
Form F
10/24121123 14:41
Catawba County Environmental Health
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Parcel: 279115648145, 5344 LISA LN HICKORY, 1 in=40ft
28602
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