HomeMy WebLinkAboutOP-02-2016-069321.TIF `ag N CATAWBA COUNTY 0 if'- ;o r - 0 Case# OP-02-2016-069321
e L� Public Health Department Subdivision ROCKING HORSE RIDGE
4 — H Environmental Health Division ' .2 . • t7g. PIN# 367602699217
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 0 t. i LOT# 11
a.1�'L s. :..r•
f
NAME ON PERMIT: CMH HOMES INC, PO BOX 4007, MARYVILLE TN 37802
Site Address: 4675 ROCKING HORSE DR, MAIDEN NC 28650
Property Size: Square Feet:26,571.60 Acres:0.61
Directions: Hwy 16 South, Right onto Anderson Mtn Rd, Left on Rocking Horse Dr, Lot on the right Handside
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
(In accordance with Table Va)
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 health department 6 months prior to expiration for permit renewal.
System Installation Comments: Stb-760
9-8-15 tank date
PERMIT CONDITIONS:
1. All maintenance, monitoring, and performance requirements shall be in accordance with
15A NCAC 18.1900, Rule .1961
2. Operation & Maintenance Specifics:
Subsurface system operator required? Yes No_X_
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.
Shannon Henderson - 1091 02/08/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 02/18/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpermit 02/18/2016 08:53 Page 1 of3