HomeMy WebLinkAboutOP-11-2023-209036.tif • CATAWBA COI INTY Case# OP-11-2023-209036
PublicHealthDepartmentSubdivision
flitt I nvironmenlal Ileallh Division PIN# 375116826852
PO Box 389.25 Government Drive.Newton.NC' 28658 I
Site Address: 2832 KEISLER DAIRY RD, CONOVER NC 28613
Name on Permit: *FOUR CORNERS OF CHARLOTTE LLC
Property Size: Acres 0.89
Directions: 2832 Keisler Dairy Rd, Conover
Operation Permit
Permit Category: New Septic Wastewater Flow: 360 g.p.d.
Type of Facility: Primary Residence-
Basement? No Basement Plumbing? Bedrooms: 3
Water Supply: Public Water 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: ..._
PERMIT CONDITIONS:
1.All maintenance, monitoring, &performance requirements shall be in accordance with 15 A 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.
Dewey Grant 2607 I1/14/2023
System Installer Installation Date
----- ------- __
Bcya1 Fo,see 11/28/2023
Authorized State Agent Permit Issuance Dale
Form I'
.I5 C.wu I I/28:2023 I5:06
Catawba County Environmental Health
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Parcel: 375116826852, 2832 KEISLER DAIRY 1 in=40ft
RD CONOVER, 28613
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Copyright 2023 Catawba County NC
11/21/2023