HomeMy WebLinkAboutOP-04-2016-071505.TIF CATAWBA COUNTY 0 ;D..; 0 Case# OP-04-2016-071505
y Public Health Department rta .J3. Subdivision CHARLOTTES CROSSING
C Environmental Health Division r ' :1 PIN# 376107780528
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SA2 V PO Box 389, 100-A Southwest Blvd.Newton.NC 28658 '. LO"I'# 15
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NAME ON PERMIT: SEAN LINEBERGER, 2679 BETHLEHEM DR, CLAREMONT NC
Site Address: 2564 GENELIA DR, CLAREMONT NC 28610
Property Size: Square Feet: 60,548.40 Acres:1.39
Directions: S Lookout St, right Catawba St, right Genelia, property 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: 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: stb: 160
tank date: 2-19-16
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.
Gary Leatherman -#1111 04/20/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 04/22/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
chpennit 04/22/2016 11:07 Page I of3
Catawba County Environmental Health
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Parcel: 376107780528, 2564 GENELIA DR 1in=60ft
CLAREMONT, 28610
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Copyright 2014 Catawba County NC
09/29/2015