HomeMy WebLinkAboutOP-05-2016-071847.TIF CATAWBA COUNTY 0 r r•� 0 Case# OP-05-2016-071847
X as G Public Health Department .1 Subdivision
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I Environmental Health Division 1i } PIN# 371212872292
'll®� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 : r' ,• r LOT# 2
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NAME ON PERMIT: BLAKE HUFFMAN, 1692 ADAM ST, CONOVER NC 28613
Site Address: 331 21ST ST SE, HICKORY NC 28602
Property Size: Square Feet: 16,552.80 Acres:0.38
Directions: McDonald Parkway toward Tate Blvd, Sweetwater Rd (21st St SE), Last 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.
Kelly Isenhour#1099 04/21/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 05/02/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
eh perm dt 05/02/2016 12:50 Page 1 of3
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