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OP-02-2016-069453.TIF
sy,' CATAWBA COUNTY Q 0ti :z.:g Q Case# OP-02-2016-069453 � `'z Public Health Department � .1 Subdivision MOLLY WOODS Q 6)1 Environmental Health Division I . PIN# 460904919438 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 + G LOT# 19 1842 s. ti. •O' rr Di 6 .Y : NAME ON PERMIT: TINA OSBORNE, PO BOX 262, SHERRILLS FORD NC 28673 Site Address: 7883 RIDGEVIEW DR, SHERRILLS FORD NC 28673 Property Size: Square Feet:45,738.00 Acres:1.05 Directions: SHERRILLS FORD RD TO MOLLYS BACKBONE RIGHT ON RIDGEVIEW. LOT ON RIGHT Catawba County Health Department Operation Pein►it 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. steven bryant#1433 02/22/2016 SYSTEM INSTALLER INSTALLATION DATE Steven Price 02/23/2016 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F ISSUANCE ehpermit 02/23/2016 13:53 Page I of 3 A.4i' °I — 20 t4-O6frS3g Catawba County Environmental Health oP o2- zolb- o69 4S-3 19 1F 115.31 r 18.19 40- Oil 1Psi , 100 18.75 Wpa\ 20 1, 34.9511k v 6• br ,.- tP.2 17M� X613, st 0 P © \1<tes N e).‘ q `. 0 / I I / � 6.9 NN I 1b I 4 L �n., 1-�P1 4, Sr 30'0 N 84 u ° eiPI fi /©� I'tl @ 3 s`l°4.1 1p3• COI to CD 3.1t S LS'") Set,(;c-RE 5L (aod CrPz l° Q 32' Q Syt 'LJ 5r6 - 766 Gtvz to CO si' \ r : ?/L//,r EIf 3 ft. CV /o' 72- \\ 5.1114 (,t 2-7' (7"i..n4.._bk F. L.<> N. Stsat. itrriktr 4.dc 4 pt., Parcel: 460904919438, 7883 RIDGEVIEW DR 1in=60ft SHERRILLS FORD, 28673 l.p lrC 23 cii..,5r.0 rY' 'tei, de rFr. -t7P:r.(I1 I8-1Y'r d-, tA( 21 ^ e 8•ff+, (;1, 30 IT /42f /454-Cl/sr : 541,, Sr)cnf '#/y33 This map/report product was prepared from the Catawba County,NC Geospatiai Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and 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 arse from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba Canty NC 02/23/2016