HomeMy WebLinkAboutOP-11-2023-207890.tif Ie CATAWBA COUNTY Case# OP-11-2023-207890
.t.111 Public Health Department Subdivision
• ., .,I Environmental Health Division PIN# 367703417267
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 3
:IV Sil
Site Address: 4145 FISHERMANS LN, MAIDEN NC 28650
Name on Permit: *JAMIE&AMY LAITY
Property Size: Acres 3.36
Directions: 16 S, R on Buffalo Shoals, L Olivers Cross Rd, L on Burton, R on Fishermans property on Right
Operation Permit
Permit Category: New Septic Wastewater Flow: 240 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 2
Water Supply: Private Well Maximum Occupants: 4
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: Gamewell Septic Tank STB 160 1000 gallon tank
2 x 110'trenches IQ4PS
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.
Gary Leatherman#1111 11/03/2023
System Installer Installation Date
dTh 11
11/06/2023
Authorized State Agent Permit Issuance Date
Form F
chprrmil 11/10/2023 11:58
Catawba County Environmental Health
•4145 J
la
0 3 /
/
ast
/
°� /
0 /
(�6• /
AC3 "' /
�� /
/
i' d E /
.z o1"J /
• r /
p u /
• o. /
v U
I 21.85 2
V 4
-.1.I 42.29 %
•4159 tf , _ �-
i H
an
v in
. o•
`aF
i ' .9v ` p
i r`
i /
i
i
427.58
i
q 11. L. I�o0 ��it,
' 3Tg 1(°
Z t'rl,-ti�.> TQ`IPS fool it, '
0
Parcel: 367703417267, 4145 FISHERMANS LN 1in=80ff
MAIDEN, 28650
[j ( -- II- 2o13 - 20 - g0
P4'- 03 -9,e?•X - 9I5s-&C1
This map/report product was prepared from Ina Catawba County,NC Geospattol Information Servlcas, Catawba County has made substantial efforts
to ensure the accuracy of location and labeling Inlormallon contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any dale contained on this mop/report product by the user.The County of Catawba,Its employees,agents,and
personnel,disclaim,and shall not bo hold Ilablo for any and all demagog,loss or liability,whothor direct,Indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2023 Catawba County NC
11/06/2023
Scanned with CamScanner