HomeMy WebLinkAboutOP-04-2016-071512.TIF v,A , CATAWBA COUNTY D • ,,W 0 Case N Op-04-2016-071512
!Tit q Public Health Department 8 �' Subdivision DUAN ACRES
4 � / Environmental Health Division it —t - �': PIN/1 364920708843
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PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 � •�..�� LOP/ 5
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NAME ON PERMIT: ANA MARIE RODRIGUEZ, 2241 BELMAR ST, NEWTON NC 28658
Site Address: 2241 BELMAR ST, NEWTON NC 28658
Property Size: Square Feet: 13,503.60 Acres:0.31
Directions: 321, Left on Prison Camp Rd, Left St James Church Rd, Right onto Jenkins Printing Dr, left onto Belmar St,
2nd house on the Left.
Catawba County Health Department Operation Permit
System Type: 1110 - 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:
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 04/21/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 04/22/2016 i
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpennil 04/22/2016 12:04 Page 1 of 3
Catawba County Environmental Health .b 19- L - to I E - 071 S( 2
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Parcel: 364920708843, 2241 BELMAR ST 1in=40ft
NEWTON, 28658
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Copyright 2014 Catawba County NC
04/18/2016