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CATAWBA COUNTY Case# OP-10-2023-206222
.j.1112): Public Health Department Subdivision ANNIE TRACE PH 2
, , Environmental Health Division PINK 377108985423
PO Box 389,25 Government Drive,Newton.NC 28658 LOTi 12
Site Address: 2607 1ST AVE NW, CATAWBA NC 28609
Name on Permit: CLAYTON HOMES CONOVER
Property Size: Acres 0.37
Directions: Hwy 16 S Left Hwy 10 Hwy Econt. NC 10 Hwy E, Left onto 5th ST SW, Left Old Catawba RD, Right onto 5th
ST SW, Left 1st Ave NW
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
Basement? No Basement Plumbing? No Bedrooms: 3
Water Supply: Public Water Maximum Occupants: 6
System Type: IIIE-PPBPS GRAVITY DOSED SYSTEM
Description: 50% REDUCTION PPBPS VERTICAL
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: *NEW 1000GAL SEPTIC TANK
(TP-STB 1012-1000 8/14/23)
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15 A 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.
SHANE JARRETT#1851 10/09/2023
System Installer Installation Date
/ /Y..............„... .-' I „ 5+4M5
10/09/2023
Authorized State Agent Permit Issuance Date
Form F
ehprrmit 1°24/2(12 3 14:16