HomeMy WebLinkAboutOP-03-2016-070067.TIF 4gA CATAWBA COUNTY 0 t: r-g 0� Case# OP-03-2016-070067
R' r_M Public Health Department T5• -fin-} Subdivision•
4 ^ Environmental Health Division } - �r r PIN# 279111762970
® D.\� LOT#
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 �� '�
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NAME ON PERMIT: FRANK MAULDIN, 178 40TH AVE DR NW, HICKORY NC 28601
Site Address: 5319 HARRIS FARM RD, HICKORY NC 28602
Property Size: Square Feet:664,290.00 Acres:15,25
Directions: Hwy 127 S / right on Harris Farm Rd into Mountain View/go .7 miles / property on left
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY 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.
Tim Hice#1093 03/14/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 03/15/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermit 03/15/2016 08:22 Page I of 3
i'�A CATAWBA COUNTY Permit# RBPR-5-15-21595
Name Franklin Mauldin
E� : Public Health Department Address 5319 Harris Farm Rd Hickory NC
`t �jn n Environmental Health Division PIN#
✓ vY PO Box 389, I00A Southwest Blvd, Newton NC 28658
j8, 2 9, (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Operation Permit
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