HomeMy WebLinkAboutOP-02-2016-069348.TIF • CATAWBA COUNTY D - o-. 0 Case# OP-02-2016-069348
i_T L Public Health Department 4 J0. - + ' Subdivision
s`i 6 —^r Environmental Health Division PINT? 366703313708
"ci PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 'LP LOP/
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NAME ON PERMIT: BOBBY SCHRUM, 4126 BUFFALO SHOALS RD, MAIDEN NC 28650
Site Address: 4126 BUFFALO SHOALS RD, MAIDEN NC 28650
Property Size: Square Feet: 345,866.40 Acres:7.94
Directions: Hwy 16 South, Right onto Buffalo Shoals Rd, go past Bandys Fire Dept. Station 2, 9/10ths of a mile and the
house will be on the left.
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONV 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 -794
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.
Kenneth Dellinger- 1063 02/05/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 02/18/2016
AUTHORIZED STATE AGEN'I' DATE OF OPERATION PERMIT
Form F
ISSUANCE
ehpermit 02/19/2016 09:15 Page I of3
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Catawba County Environmental Health 0P 2 -Zoe`- 069348
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Parcel: 366703313708, 4126 BUFFALO SHOALS iin=60ft
RD MAIDEN, 28650
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personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
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Copyright 2014 Catawba County NC
0112012016
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