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CATAWBACOUNTY Case# OP-04-2023-194596
Public Health Department Subdivision
,� Environmental health Division PIN# 268801453259
Ilkiptai PO Box 389.25 Government Drive.Newton,NC 28658 LOT# 2
Site Address: 6680 MALCOLM RD,VALE NC 28168
Name on Permit: *WENDY LYNN MARTIN
Property Size: Acres 11.85
Directions: Hwy 10 To malcolm Rd on right follow to end new access easment created to property
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-SFD
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: 104PS 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: NEW 1500 GALLON SEPTIC TANK
GST-1550 STB-190(2-21-23)
300 FEET OF 25%REDUCTION
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.
BRANDON MARTIN#4716 04/18/2023
System Installer Installation Date
la0474 E,Q•Is
04/28/2023
Authorized State Agent Permit Issuance Date
Foim F
chpcnr.a 10/27/2023 12:00