HomeMy WebLinkAboutOP-03-2016-069835.TIF ay,• CATAWBA COUNTY o ' '� 0 Case# OP-03-2016-069835
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Public Health Department 3 • � Subdivision OAK VALLEY
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4 "� , Environmental Health Division , PIN#
/ ® `< PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ti
842/. _ LOT# 8
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NAME ON PERMIT: KIM TURNER, 711 E BOYD ST B, MAIDEN NC 28650
Site Address: 2454 OAK VALLEY LN, MAIDEN NC 28650
Property Size: Square Feet:24,829.20 Acres:0.57
Directions: From 100 SW Blvd in Newton, Right 321 Business to Maiden. Left Main Street, Left Providence Mill R D, Left
Bud Arndt Rd, Right Oak Valley Ln, Lot#8 is on the 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.
Shane Jarrett#1851 03/04/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 03/08/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Fonn F
ehpermit 03/08/2016 08:55 Page 1 of3
/$`4 Permit# RBPR-7-1 5-2 186 1
Ea! • CATAWBA COUNTY
G Name Kim Turner
Public Health Department
d " `"( Environmental Health Division Address 2454 Oak Valley Lane Maiden
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PO Box 389, 100A Southwest Blvd, Newton NC 28658
842 NC sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 365806488654
Site Plan Operation Permit
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