HomeMy WebLinkAboutOP-03-2016-069881.TIF . CATAWBA COUNTY C . 0 Case# OP-03-2016-069881
C' 1' G Public Health Department W: Subdivision
4 y Environmental Health Division . G n PIN# 370519513679
-4 PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 ! LOTH B & B1
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NAME ON PERMIT: DAVID EVERETT, 1920 2ND ST NW, HICKORY NC 28601
Site Address: 4023 8TH ST CT NW, HICKORY NC 28601
Property Size: Square Feet:50,965.20 Acres:1.17
Directions: Hwy 127N/left on 29th Ave Dr NW @ Walgreens/left on 36th Ave NW/bear right on 8th St Ct NW/will become
sigle lane
Catawba County Health Department Operation Permit
System Type: IIIB -SYSTEM W/SINGLE EFFLUENT PUMP
(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: See OP site plan
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 03/08/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 03/08/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermit 03/09/2016 08:13 Page I of3
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