HomeMy WebLinkAboutOP-04-2016-071649.TIF 1A CATAWBA COUNTY 0 ., '� Q Case# OP-04-2016-071649
T� Public Health Department T , ste . Subdivision Kiser Sunset Keys 1
< _H Environmental Health Division 't PIN# 461604726546
PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 0 4 , '� LOT# 30 & PT 31
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NAME ON PERMIT: WALTER TROTT, 715 N GRAHAM ST, CHARLOTTE NC 28202
Site Address: 5032 KISER ISLAND RD, TERRELL NC 28682
Property Size: Square Feet:47,044.80 Acres:1.08
Directions: Hwy 150, right Kiser Island Rd, near end of left
Catawba County Health Department Operation Permit
System Type: IIIB -SYSTEM W/SINGLE EFFLUENT PUMP
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: IQ4W System Code Description: Infiltrator Quick 4 Standard W
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: System is utilizing existing bed, existing 25% reduction trenches which required partial
relocation due to property line change and additional lines to expand to 600 gpd. See
proposal from LSS for details. New tanks and lines checked on 3/8/16. Supply line and
d box checked on 3/9/16. Set pressure head and checked alarm on 4/26/16.
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.
John Watts#1879 04/26/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 04/27/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermil 04/27/2016 08:42 Page I of3
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