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`A4 CATAWBA COUNTY 0 . ,.;,q. Xb 0 Case# OP-03-2016-070488
,f' Public Health Department Subdivision
2 ®_ Y Environmental Health Division � dJIIG. - P 1; PIN# 460712868599
PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 '��- ' C LOTTO 2
1842 ,U L .4i
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NAME ON PERMIT: WALTER ESTES JR, 4266 E US 70 HWY, CLAREMONT NC 28610
Site Address: 3701 SLANTING BRIDGE RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:26,571.60 Acres:0.61
Directions: Hwy 16S/left on Hwy 150/left on Slanting Bridge Rd/2nd street on left- gravel driveway
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 de artment 6 months nor to ex iration 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.
Bryson Willis#1189 03/23/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 03/28/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermit 03/28/2016 09:23 Page I of
�$A Permit# RBPR-3-13-17016
4 CATAWBA COUNTY
�' Name Walter Estes Jr.
i. 'Z, Public Health Department Address 3701 Slanting Bridge Rd Sheri-ills
d .. Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658 Ford NC
/842 w (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
PIN# 460712868599
Site Plan Operation Permit
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