HomeMy WebLinkAboutOP-02-2016-069505.TIF e, CATAWBA COUNTY n j CI Case# OP-02-2016-069505
. ; ii L Public Health Department �y�v r Subdivision
< iijii '' Environ mental Health Division r �: 'to:} PIN# 374307586307
,,� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 D V LOT# 2
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NAME ON PERMIT: *CODY MITCHELL, 4705 ELMHURST DR NE, HICKORY NC 28601
Site Address: 4538 LEE CLINE RD, CONOVER NC 28613
Property Size: Square Feet:37,897.20 Acres:0.87
Directions: 16N/ left C B Farm Rd/ left Lee Cline/approx 100 yards on left
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: 1500 gal tank
stb-190
date 10-6-15
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.
Cliff Baker- 1767 02/19/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 02/24/2016
AUTHORIZED STATE AGENT DAIS OF OPERATION PERMIT
•
ISSUANCE Form F
ehpermit 02/24/2016 15:56 Page 1 of3
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Parcel: 374307586307, 4538 LEE CLINE RD 1in=50ft
CONOVER, 28613
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Copyright 2014 Catawba County NC
02124/2016
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