HomeMy WebLinkAboutOP-03-2016-070479.TIF r 'fti
Case#,g • CATAwBACOUNTV 0; •,� , Q OP-03-2016-070479
�' Y•?r ` Ott Subdivision LANDSDOWNE
.C' y Public Health Department r._,�. r. t
E. °* Environmental Health Division I `� ��• } PIN# 373320717078
PO Box 389, 100-A Southwest Blvd,Nekton,NC 28658 � p., { LO1# 3
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NAME ON PERMIT: GERALD & DARLENE KNIGHT, 3802 SEDGEFIELD DR, CONOVER NC 28613
Site Address: 3802 SEDGEFIELD DR, CONOVER NC 28613
Property Size: Square Feet: 15,246.00 Acres:0.35
Directions: Herman Sipes Rd, Right on Landsdowne, 3rd road on the Right Sedgedield Drive, 3rd house 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: 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:
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.
Loose Ends - Brandon Martin #4716 03/22/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 03/28/2016
AUTHORIZED S'.ATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpermit 03/28/2016 08:24 Page t o13
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