HomeMy WebLinkAboutOP-05-2016-072118.TIF CATAWBA COUNTY a j • f 0 Case# OP-05-2016-072118
Public Health Department itAlati. Subdivision 3 OAKS DEVELOPMENT
mw 41 Environmental Health Division 1r •, • PIN# 373005172854
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 A El • r' LOT# 1-9 &ADJ
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NAME ON PERMIT: KIATHAO, 1484 WHITE OAK DR, NEWTON NC 28658
Site Address: 1484 WHITE OAK DR, NEWTON NC 28658
Property Size: Square Feet: 39,204.00 Acres:0.9
Directions: Old Conover Startown Rd, Left onto Settlemyre Bridge Rd, Left onto White Oak Dr, Brick house on the corner
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONV 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
leatherman septic 1111 03/23/2016
SYSTEM INSTALLER INSTALLATION DATE
Steven Price 05/09/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
ehpemiit 05/10/2016 11:01 Page 1 of3
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