HomeMy WebLinkAboutOP-12-2015-067785.TIF ,p • CATAWBA COUNTY 0Th • i`5 0 Case# OP-12-2015-067785
FI' p"y Public Health Department '� � Subdivision
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< Environmental Health Division I,' 461603011610
Y PO Box 389, 100-A Southwest Blvd.Newton. NC 28658 t �- LOT# 1
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NAME ON PERMIT: BETTY NIXON, 8054 MOUNTAIN SHORE DR, SHERRILLS FORD NC 28673
Site Address: 8000 MOUNTAIN SHORE DR, SHERRILLS FORD NC 28673
Property Size: Square Feet:30,056.40 Acres:0.69
Directions: From mNewton South on 16 turn left atr
Catawba County I-Iealth Department Operation Permit
System Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
(In accordance with Table Va)
Description: 50% REDUCTION PPBPS
System Code: PPBPS System Code Description: PPBPS
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 12/21/2015
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 12/23/2015
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpermit 02/24/2016 13:00 Page 1 of3
Catawba County Environmenta•
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Parcel: 461603011610, 8000 MOUNTAIN 1in=50ft
SHORE DR SHERRILLS FORD, 28673
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Copyright 2014 Catawba County NC
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