HomeMy WebLinkAboutOP-04-2016-070965.TIF CATAWBA COUNTY 0 t:..G1 �Q Case# OP-04-2016-070965
(7 Mill Public Health Department • ' Subdivision
�^ "' Environmental Health Division ~ PIN# 374419520150
PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 � r LO"F#
842 mi +`
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NAME ON PERMIT: LARRY BAKER, 4924 LEE CLINE RD, CONOVER NC 28613
Site Address: 4918 LEE CLINE RD, CONOVER NC 28613
Property Size: Square Feet:51,836.40 Acres:1.190
Directions: Hwy 16 North/Left on CB Farm Rd/Right on Lee Cline Rd/Lot on right
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 de•ailment 6 months •nor to ex•iration for •ermit 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.
Dennis Galliher#1071 04/05/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 04/08/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpennit 04/082016 10:29 Page 1 of
OP p a-o(- )-14-23115
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