HomeMy WebLinkAboutOP-04-2016-071490.TIF .�A CATAWBA COUNTY 0 ' ,•, •�� L. 0 C1S0# OP-04-2016-071.490
C.t.`i�j_ Public Health Department �; rte Subdivision
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.0,—.9 Environmental Health [Division F' = ' - PIN# 368703142855
II�. PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 4+ •� LOT#•/842 s.
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NAME ON PERMIT: DWAYNE CALDWELL, 5110 S NC 16 HWY, MAIDEN NC 28650
Site Address: 5110 S NC 16 HWY, MAIDEN NC 28650
Property Size: Square Feet:764,913.60 Acres:17.56
Directions: 8 miles/ NC 16 south from Newton / close to Jones Fish Camp
Catawba County Health Department Operation Permit
System Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
(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: *Pump: Goulds 1/2hp, model#WE0511 H
`See attached letter for tank leak test approval.
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 11/12/2015
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 04/21/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpei to it 04/22/2016 08:47 Page 1 of 3
Catawba County Environmental Health OP Lf-2-014-D7N70
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Parcel: 368703142855, 5110 S NC 16 HWY 1 in=6Oft
MAIDEN, 28650
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This map/report product was prepared from the Catawba County,NC Geospalial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
10/12/2015
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DATE: October 30, 2015 .
JOB: 5110 S'NC'HWY 16 MAIDEN NC 28650
This is,to certify that the 10D0 Gallon Septic Tank w/No Riser& 1000 Gallon Pump Tank that we are
providing for the address listed above has passed an infiltration test (water test). Please feel free to
contact us With any additional questions you may have.
Sincerely, , ..,
. . . '1, l'',,:' '',-- '4tr. „7 it,'
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Gabe Dellinger ';r:'!
DellingerPrecast Inc '
704-483-2868
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4531 North Hwy,16 '• 'Denver, NC 28037 • ;800-948-1666 • 704-483-2868 •;'Fax 704-704-'483-2363
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