HomeMy WebLinkAboutOP-04-2016-071064.TIF �p CATAWBA COUNTY 0 I. .'D' ,f 0 Case f OP-04-2016-071064
Y:4\ Public Health Department 4�'', ? :Cr Subdivision DUAN ACRES REVISED
�� # . ' . PIN# 364916828585
4 Y Environmental Health Division �r
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�I842 su PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 - LOT# 85 te
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NAME ON PERMIT: LARRY CLANTON, 7560 POINT ST, DENVER NC 28037
Site Address: 1872 ASHLEY ST, NEWTON NC 28658
Property Size: Square Feet: 16,988.40 Acres:0.39
Directions: St. James Church Rd from Hwy 16 - Go past chruch and turn left at 1st entrance to Duan Acres (Ashley St.),
next to last house on left. Remax for sale sign in the yard.
Catawba County Health Department Operation Permit
System Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
(In accordance with Table Va)
Description: REPLACEMENT OF SEPTIC TANK ONLY
System Code: System Code Description:
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.
Kevin Bowles#1697 04/06/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 04/12/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
ehpermit 04/12/2016 10:13 Page t of3
itt\Ct � Permit # EHPR-l1-1 5-22744
CATAWBA COUNTY
Win Name Larry Clanton
2 Public Health Department
`i r- Environmental Health Division Address 1872 Ashley St Newton NC
“\ PO Box 389, IOOA Southwest Blvd. Newton NC 28658 PIN# 364916828585
J84,2, sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
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