HomeMy WebLinkAboutOP-10-2023-207138.TIF 4i,,v,. . CATAWBA COUNTY Case it OP-10-2023-207138
..iii Public Health Department Subdivision
d "IPR '3 Environmental Health Division PIN, 279116932591
PO Box 389,25 Government Drive,Newton,NC 28658 LOT, 2
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Site Address: 2046 QUIET LN, HICKORY NC 28602
Name on Permit: MAI XIONG
Property Size: Acres 1.16
Directions: Hwy 127 S Immediately After Passing Carolina Orthopedic, turn left at Quiet Ln, home with car path
Operation Permit
Permit Category: Repairs Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? Yes Basement Plumbing? No 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: A new septic tank (GST 1000, STB 160,dated 8/23)was installed and the existing tank
was crushed and abandoned. Five lines of 25%reduction chambers were installed(74',
86', 82', 50',and 22')for a total of 314 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 No_X_
This system has been installed in compliance with applicable NC General Statutes, Rules for Sewage Treatment and Disposal.
Tyler Woody#6490 I0/24/2023
System Installer Installation Date
4g, fate Perk' \
/�`W� t as/ 10/25/2023
Authorized State Agent Permit Issuance Date
Form F
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Catawba County Environmental Health
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Parcel: 279116932591, 2046 QUIET LN 1in=40ft
HICKORY, 28602
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07/25/2023