HomeMy WebLinkAboutOP-03-2016-070066.TIF a, CATAWBA COUNTY D 02• a�� 0 Case# OP-03-2016-070066
Public Health Department ' • Subdivision
, Environmental Health Division 1 �• ' PIN# 368902894898
is:-0 N PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 +�f�' 11, LOTH
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NAME ON PERMIT: *CS BARNETTE CONSTRUCTION INC, 985 RUSSELL RIDGE, CATAWBA NC
28609
Site Address: 5765 SHERRILLS FORD RD, CATAWBA NC 28609
Property Size: Square Feet:254,826.00 Acres:5.85
Directions: Between Sherrills Ford Rd headed to Bandys Crossroad
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.
FJ Ervin #2968 03/11/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 03/15/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpermit 03/15/2016 08:12 Page I of3
ySYA Permit# RBPR-7-15-21960
CATAWBA COUNTY
F-, alit 2 Public Health Department Name CS Barnette Constrnction(Chris
d { } Environmental Health Division Barnette)
e „cr.', PO Box 389, 100A Southwest Blvd,Newton NC 28658 Address 5765 Sherrills Ford Rd Catawba
f 2 x" (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 NC
PIN# 368902894898
Site Plan Operation Permit
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