HomeMy WebLinkAboutOP-04-2016-071779.TIF ,S5 CATA\\'BA COUNTY 0 '. ..Dr.�f Case# OP-04-2016-071779
X i'.u'I� Public Health Department 1s.: JY Subdivision
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°h"�� PO Box 389, 100-A Southwest I3Ivd, Newton, NC 28658 O f" }O O •f LOT#
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NAME ON PERMIT: PAUL THOMPSON, 3714 AIRPORT RD, MAIDEN NC 28650
Site Address: 3714 AIRPORT RD, MAIDEN NC 28650
Property Size: Square Feet: 123,274.80 Acres:2.83
Directions: hwy 16 S, on right corner of 16 and Airport Rd
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.
Leonard Butler#2368 04/28/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 04/29/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
elipennh 04/29/2016 09:29 Page I of 3
�$A h CATAWBA COUNTY Permit EHPR-3-15-21172
GPublic Health Department Name Paul Thompson
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,:-.Th' m' Address 3714 Airport Rd Maiden NC
tact' Environmental Health Division
CJ ,111 PO Box 389, IOOA Southwest Blvd, Newton NC 28658 PIN# 367702954602
/842 sm (828)465-8270 fax (828)465-8276 TDD(828)465-8200
Site Plan Operation Permit
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