HomeMy WebLinkAboutOP-02-2016-069380.TIF �B CATAWBACOUNTY CI V:....7. itiy � Case# OP-02-2016-069380
."i T.r.4i j Public Health Department 174 .:1-t Subdivision
Q �� Environmental Health Division ` PINK 268804814555
° - PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 r LOl'it G
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NAME ON PERMIT: JEFFREY TODD COOK, 6210 HEAVNER RD, VALE NC 28168
Site Address: 6210 HEAVNER RD, VALE NC 28168
Property Size: Square Feet: 364,597.20 Acres:8.37
Directions: Hwy 10 West, Left Heavner Road, At Bottom of Hill take 2nd paved drive on Left. Stay Right through 2 Forks &
Brick house at the end of the paved drive.
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:
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.
Loose Ends - Brandon Martin #4716 02/19/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 02/22/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
el-permit 02122/2016 08:31 Page I of 3
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