HomeMy WebLinkAboutOP-04-2016-071648.TIF ss5 CATAWBA COUNTY 0 g;le 0 Case# OP-04-2016-071648
_7'is� Public Health Department Fi-' .1 Subdivision FOX CHASE
''® ; Environmental Health Division PINK
372013044052
•y PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 . G � LOTH 70
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NAME ON PERMIT: GEORGE BISCOS, 1057 FOX CHASE DR, NEWTON NC 28658
Site Address: 1057 FOX CHASE DR, NEWTON NC 28658
Property Size: Square Feet:20,037.60 Acres:0.46
Directions: Sandy Ford Rd, 4th house on the Left
Catawba County Health Department Operation Permit
System Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
(In accordance with Table Va)
Description: 50% REDUCTION PPBPS
System Code: PPBPS System Code Description: PPBPS
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.
Gary Leatherman #1111 04/14/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 04/27/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
elmennit 04/27/2016 08:51 Page I o13
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