HomeMy WebLinkAboutOP-11-2023-208891.tif 4t, a CATAWBA COUNTY Case# OP-11-2023-208891
f. j..ii ,� Public Health Department Subdivision
/IR ,5, Environmental Health Division PIN# 367802671181
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
Site Address: 4637 BANDYS SPRINGS RD, CATAWBA NC 28609
Name on Permit: DALLAS HENNEBORN
Property Size: Acres 1.01
Directions: Left on Government DR, 250 ft Right SW Blvd, 0.1 mi Left W C ST, 2.7 mi continue on NC 16, 2.7 mi Left
Balls Creek, Right Little MT RD, Left Caldwell RD, Continue to Bandys Spring RD
Operation Permit
Permit Category: New Septic Wastewater Flow: 480 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Private Well Maximum Occupants: 8
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: septic tank;tp1012,stb1000, 9/18/23. intstalled 4 lines of IQ4PS at 110 ft each(440 ft
total).
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.
jw construction#5250 11/20/2023
System Installer Installation Date
,,z5'' -,, ,,...-..f
11/22/2023
Authorized State Agent Permit Issuance Date Form F
ciiimmit 11/27/2023 08:01
R$vk o3- 20aj- �t3g7i
Catawba County Environmental Health of :I_ 2.23_ 2.of g9/
1
•
sd'
•4637
qarr��
c--
0)
t1�p �6.
(1942)
Parcel: 367802671181,4637 BANDYS SPRINGS O a7' ' 1in=60ft
RD CATAWBA, 28609 /i9. /z9'
® 131' 31'
3°' f3
This map/report Product was prepared from the Catawba Cody NC Gimp maIion Services. Catawta County has made substantial efforts
to ensure the accuracy d loaticn and labeling infon ion a nio i ned y k*on this nap or data on this report Catawba County promotes and recommends
the Independent verfacetion of any data contained on this map/report product by the user.The County of Catawba,its employees,agents.and
perscnnel,
this map/report.5ndshal not
tt be the held therble eof any and l el tea'loss or Nabilty,whether direct,indirect or consequential whldi arises or may
wise from orby any person or entity.
Copyright 2023 Catawba County NC
11/22/2023