HomeMy WebLinkAboutOP-04-2016-071778.TIF s
,A CATAWBA COUNTY 0 it 'o• a.• 0 Case# OP-04-2016-071778
Q' 2 Public Health Department 'r'�� „� • Subdivision GABRIEL PARK-PH 1
��.rr,
4 4 Environmental Health Division 11 PIN# 460903408388
o o • o
W4 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 i{{ LOT# 1
2842 sw 3 ` yr -ck
dSYL Y
o� •.O
CI • ;: .
NAME ON PERMIT: EVERETTE BRIDGES, 7464 SHERRILLS FORD RD, SHERRILLS FORD NC
28673
Site Address: 7498 SHERRILLS FORD RD, SHERRILLS FORD NC 28673
Property Size: Square Feet: 130,680.00 Acres:3
Directions: 150 to Sherrills Ford. 1 mi pass Mollys Backbone, in Front of new Hospice House
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: EZ1003T System Code Description: EZflow EZ 1003T
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.
Richard Abernathy#1013 04/28/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 04/29/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpermit 04/29/2016 09:49 Page I of 3
4A Permit# RBPR-II-14-2457
CATAWBA COUNTY
�� 'rn 2 Public Health Department Name Everette Bridges
d I.1 .' Environmental Health Division Address 7498 Sherrills Ford Rd
J\k i � ���� C PO Box 389, IOOA Southwest Blvd,Newton NC 28658 PIN# 460903408388
/80 su (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Operation Permit
r`
n1`,,'-'
typo t rr ,'11 5 SS L S L
1, o
7 ) (
ICY Io •
' ` " p 0 (L"
I 32 / '15t
t- Cab:-, 1 c. S\
j�n Sr
l_�} kt
IC) -) po
11� R
255aQ` i J Lu v
J
IN
(0'
- r J /
IID / `;A s 0 r`-'4 J .�.1-y i N k- 1 1 1- r.
Ov (" 1"
it, / JI'uP 10°XLJ
XLn-3Esk IQ to AI,._ rv.„ _ }1. y 411) 1,
1I J bvr 4 i2Q Ut (` terIc On t� /L1; / /Z
Scale