HomeMy WebLinkAboutOP-04-2016-071068.TIF ,gA CATAWBA COUNTY 0 ; •,
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Case# OP-04-2016-071068
{r 111 tPublic Health Department } o J} Subdivision PEBBLE BAY PH 5
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4 Environmental He alth Division t
PIN# 460603332891
PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 try LO"F# 243
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NAME ON PERMIT: WALLACE HILL, 4142 LAKE SHORE RD S, DENVER NC 28037
Site Address: 7373 BAY COVE CT, DENVER NC 28037
Property Size: Square Feet:44,431.20 Acres:1.02
Directions: Catawba Burris Rd/ Rt Bankhead/ Rt Sally Brook/ Rt Bay Cove CU lot 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.
Kevin Kirkpatrick#2627 04/08/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 04/12/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpennit 04/12/2016 10:17 Page 1 of 3
CATAWBA COUNTY Permit # RBPR-7-15-2 1 88 1
���� Public Health Department Name Wallace Hill
a rj Address 7373 Bay Cove Court Denver NC
J, _ :( i Environmental Health Division PIN# 460603332891
Y PO Box 389, 100A Southwest Blvd, Newton NC 28658
�84�, sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Operation Permit
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