HomeMy WebLinkAboutOP-05-2016-072179.TIF a, , • CATAWBA COUNTY 0 e in-• C.j 0 Case# OP-05-2016-072179
.0 'a Public Health Department -E• . Subdivision
d , i �; Environmental Health Division fit • • PIN# 461701097362
18�A4 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 le ••P _ LOT#
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NAME ON PERMIT: DAVID WOODRUFF, 4707 DICK WILSON RD, DENVER NC 28037
Site Address: 8883 SHERRILLS FORD RD, SHERRILLS FORD NC 28673
Property Size: Square Feet:40,075.20 Acres:0.92
Directions: Hwy 16, to Hwy 150, Sherrills Ford Rd, at the corner of Sherrills Ford & Gregory Rd
Catawba County Health Department Operation Permit
System Type: IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: System Code Description:
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: *This installation was for a pump change out only. No additional drain field was added.
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.
Dewey Grant-2607 05/03/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 05/10/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
chpcmiit 05/10/2016 10:37 Page 1 of 3
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Parcel: 461701097362, 8883 SHERRILLS FORD 1 in=50ft
RD SHERRILLS FORD, 28673
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Copyright 2014 Catawba County NC
04/01/2016