HomeMy WebLinkAboutOP-03-2016-070673.TIF �i• CATAWBA COUNTY 0 g.:5.11%-1p j 0 Case a OP-03-2016-070673
z. Public Health Department •—' �' . Subdivision H L FOX PROPERTY
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2 ,,, PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 '�a`, .- •` *i LOTH 1
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NAME ON PERMIT: CHRIS & ANN STAMEY, 4108 16TH ST NE, HICKORY NC 28601
Site Address: 4108 16TH ST NE, HICKORY NC 28601
Property Size: Square Feet:23,086.80 Acres:0.53
Directions: Hwy 127 North from Downtown towards Bethleham, Right onto Cloninger Mill Rd, At intersection turn Left onto
16th St NE, House is 8th on the Right w/ Blue front door.
Catawba County Health Department Operation Permit
System Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
(In accordance with Table Va)
Description: 50% REDUCTION PPBPS
System Code: PPBPS System Code Description: PPBPS
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: Top 3 lines were installed with more than 18 inches of cover and per instructions from
Tim Johnson air vents were added to beginning middle and end of each line.
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.
kevin bowies#1697 03/30/2016
SYSTEM INSTALLER INSTALLATION DATE
Steven Price 03/31/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpermit 04/04/2016 08:24 Page I of
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