HomeMy WebLinkAboutOP-02-2016-069455.TIF fig• • CATAWBA COUNTY 0 • ip'r. : u Case# OP-02-2016-069455
2 Public Health Department Subdivision FOREST SHORES
, Environmental Health Division r PIN# 369804804322
-- PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ti o LOT# 1
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NAME ON PERMIT: GREG ORNDORFF, PO BOX 1624, DENVER NC 28037
Site Address: 3267 BASS DR, SHERRILLS FORD NC 28673
Property Size: Square Feet:42,253.20 Acres:0.97
Directions: Hwy 150 E/Little Mountain Rd/Ingleside Dr/turn left on Bass Dr/on left Forest Shores Subdivision Ph 1 Lot 1
on left
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
(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: stb-794
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.
Kenneth Dellinger- 1063 02/11/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 02/23/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehperinit 03/16/2016 15:18 Page 1 of3
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BASS DRIVE SR # 1925
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