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HomeMy WebLinkAboutOP-03-2016-070485.TIF - •r•-b Case N .P CATAWBA COUNTY 0 ; A 0 OP-03-2016-070485• .0 �.n z. Public Health Department r.*j•' Subdivision �(-`�N Y Environmental Health Division ." -4 r �3 .lt PIN4 460702699719 i- �• PO BON 389. 100-A Southwest Blvd, Newton,NC 28658 i• � � LO'I'N /842 su ••�••Ir r :_ii. .6,4.._...L0: D 1 •'dJ NAME ON PERMIT: GOODWIN BUILDERS INC, 2001 LYNMORE DR, SHERRILLS FORD NC 28673-9136 Site Address: 3364 BEATTY RD, SHERRILLS FORD NC 28673 Property Size: Square Feet: 171,190.80 Acres:3.93 Directions: SHERRILLS FORD RD, TO BEATTY RD, APPROX 1 MI 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: 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. Adan Garcia#3774 03/23/2016 SYSTEM INSTALLER INSTALLATION DATE Jason Boyd 03/28/2016 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F ehpermit 03/28/2016 09:10 Page I of3 11.-\3A Permit# RBPR-I-16-23032 e CATAWBA COUNTY n Ea G Name Goodwin Builders Inc Public Health Department `' Environmental Health Division Address 3364 Beatty Rd Shen ills Ford NC v PO Boa 389, IOOA Southwest Blvd,Newton NC 28658 PIN# 460702699719 42 su (828)465-5270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Operation Permit ait1 ' � ,.. 4.( < ,) LI 3 6. ipi...k..r 1 I 5k I It putokL U <-4--r � Q o p_, ..... (.3 l) oo 5 I ( 66 ' t 33' a 1 b IJ ■ 5ta1�b5t , _ C./ . _ . - - 2 ) / - ' ' So IO 1 D 0 6 (\j .0 W`- 1 ak- �. s �. 11a ) � L� 60) _ U -rt 'y ( Z,3 / ( 6 N ( I , , b0 , Scale