HomeMy WebLinkAboutOP-03-2016-069630.TIF 0 • CATAWBA COUNTY El t 0 Case 1/ OP-03-2016-069630
`i" Public Health Department V Subdivision G S HILDEBRAN FARM
Q H Environmental Health Division t• PIN# 370015740738
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�°a. PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 LODI 33 & PT 34
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NAME ON PERMIT: TERRELL & MAXINE HUFFMAN, 2079 ZION CHURCH RD, HICKORY NC 28601
Site Address: 2079 ZION CHURCH RD, HICKORY NC 28602
Property Size: Square Feet:48,787.20 Acres:1.12
Directions: From 140 exit 123 (Mtn View), Left onto Zion Ch Rd, 2.5 miles & the house is on the Right.
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: Used existing tank, installed new T, filter, and risers
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.
Gary Leatherman #1111 02/29/2016
SYSTEM INSTALLER INSTALLATION DATE
Steven Price 03/01/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermit 03/01/2016 10:31 Page I of 3
44714 D2- z>/L -ix? 273
Catawba County Environmental Health °e °-3- 2a L 0691 3o
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Parcel: 370015740738, 2079 ZION CHURCH RD 1in=60ft
HICKORY, 28602 /As-i.f•ce: G ■7 4tckon•-n-.
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