HomeMy WebLinkAboutOP-04-2016-071585.TIF ,6A CATAWBA COUNTY Q 0� Q Case# OP-04-2016-071585
.Tim G+.?�1, Public Health Department ti • . SP Subdivision
Fill Environmental Health Division r . : % syr PINK 279118405738
-� PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 Rio G _ li'% LOT#
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NAME ON PERMIT: MIHAIL MLADIN, 5567 BETHEL CHURCH RD, HICKORY NC 28602
Site Address: 5567 BETHEL CHURCH RD, HICKORY NC 28602
Property Size: Square Feet: 123,274.80 Acres:2.83
Directions: Hwy 10/rt 321 bypass/ left Hwy 127/ left Bethel church Rd house on right
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:
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.
Wendell Caldwell#1044 04/20/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 04/26/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
chpermit 04/26/2016 09:20 Page 1 o13
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