HomeMy WebLinkAboutOP-04-2016-071218.TIF `Al";• CATAWBA COUNTY 0 . .G 0 Case# OP-04-20I6-071218
.7 �.�'9 Public Health Department Subdivision
' 371007693114
Environmental Health Division �+ PINY
x- PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 LOT#
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NAME ON PERMIT: KRISTIN PEZZIMENTI, 2793 ROBINSON RD, NEWTON NC 28658
Site Address: 2793 ROBINSON RD, NEWTON NC 28658
Property Size: Square Feet:43,995.60 Acres:1.01
Directions: Startown Rd/left on Sandy Ford Rd/right on Robinson Rd
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY 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 department 6 months prior to expiration for permit renewal.
System Installation Comments: 9-11-15
stb- 786
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.
Tim Hice -#1093 04/11/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 04/14/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
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04/14/2016 10:46 Page I o13
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Catawba County Envi'I-nnmenta! Health
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Parcel: 371007693114, 2793 ROBINSON RD i 1in=50ft
NEWTON, 28658
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Copyright 2014 Catawba County NC
0111312016
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