HomeMy WebLinkAboutOP-10-2023-206678.TIF •
CATAWBA COUNTY Case# Op_}O_z023_200078
• 1,It(....... Public Health Department Subdivision
I Environmental Health Division PINij 470002681256
PO Box 389,25 Government Drive,Newton,NC 28658 LOTH
Site Address: 7836 LONG ISLAND RD,CATAWBA NC 28609
Name on Permit: STANLEY DALE JOSEY
Property Size: Acres 18.16
Directions: Browns Chapel Rd, Long Island Rd, Stay on Long Island Rd past Monbo Rd on left approx .25 mile private
drive house number on mailbox
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-Existing Home
Basement? Yes Basement Plumbing? Yes Bedrooms: 3
Water Supply: Private Well Maximum Occupants: 6
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: Installed Infiltrator plastic septic tank and 328 feet of 25% reduction.
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.
Charles Beatty#1026 10/09/2023
System Installer Installation Date
i3cyc.n Pewee 10/17/2023
Authorized State Agent Permit Issuance Date
Form F
thperniit 1(I/24/2(123 15;42
Catawba County Environmental Health
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Parcel:470002681256, 7836 LONG ISLAND RD 1in=60ft
CATAWBA, 28609
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Copyright 2023 Catawba County NC
10/11/2023