HomeMy WebLinkAboutOP-08-2012-030738.TIFgA CATAWBA COUNTY Case #
NQ �y Public Health Department Subdivision
Environmental Health Division PIN#
PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 LOT#
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OP -08- 2012- 030738
365805098325
NAME ON PERMIT: CHARLES BLALOCK, 2065 MARTINS FARM RD, NEWTON NC
28658 -
NAME ON PERMIT: CHARLES BLALOCK, 2065 MARTINS FARM RD, NEWTON NC
28658- P�n
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Site Address: 2358 LARUE DR, NEWTON NC 28658 -� `
Property Size: Square Feet 0.00 Acres
Directions: hwy 10 E, rt st james ch. rd, It jenkins printing dr, to end at larue dr
Catawba County Health Department Operation Permit
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System Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
(In accordance with Table Va)
Description: 50% REDUCTION PPBPS
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Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration for permit renewal.
System Installation Comments
PERMIT CONDITIONS:
1. All maintenance, monitoring, and performance requirements shall be in accordance with
15A NCAC 18.1900, Rule .1961
2. Operation & Maintenance Specifics:
Yes No_X_
Subsurface system operator required?
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage
Treatment and Disposal, and All conditions of the Improvement Permit and Construction Authorization.
Larry Henkle #1092
SYSTEM INSTALLER
Jason Boyd
AUTHORIZED STATE AGENT
08/23/2012
INSTALLATION DATE
08/24/2012
DATE OF OPERATION PERMIT Form F
ISSUANCE
E9 - ehpermit 08/24/2012 1 1:02 Page I of 4
G CATAWBA COUNTY
Public Health Department
�v Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658
184 L sM (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465 -8200
Permit #
EHPR -2 -12 -14616
Name
Charles Blalock
Address
2358 Larue Dr. Newton NC
PIN#
365805098325
Site Plan Operations Permit
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