HomeMy WebLinkAboutOP-03-2016-069748.TIF �y,A CATAWBA COUNTY 0 •} ti d'v-- 0 Case# OP-03-2016-069748
f`' ; Public Health Department . Subdivision THE SUMMIT AT LAKE NO
'<t�to. Environmental Health Division • ' • PIN# 471001055880•
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 i D • G '4 LOT# 31
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NAME ON PERMIT: DEAN LEWIS, 124 PERLMAN'S PL, TAYLORSVILLE NC 28681
Site Address: 8017 SUMMIT RIDGE DR, CATAWBA NC 28609
Property Size: Square Feet:22,215.60 Acres:0.51
Directions: Sherrills Ford Rd/right on Long Island Rd/right on Monbo Rd/ left Hopewell Church Rd/ left 1st Entrance into
Summit Ridge/ lot on right
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: IQ4W System Code Description: Infiltrator Quick 4 Standard W
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.
Gary Leatherman#1111 03/03/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 03/04/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermit 03/04/2016 09:11 Page I of 3
e0 w A P en iit # RBPR-8-15-22068
G CATAWBA COUNTY
Public Health Department Name Dean Lewis
Address 2340 Mathis Ch Rd Catawba NC
d "'7 X , Environmental Health Division
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I PO Box 389, 100A Southwest Blvd,Newton NC 28658 c 1
PIN# 471001055880
842 sw (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Operation Permit
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