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OP-05-2016-072117.TIF
M1\vA CATA\YBA COUNTY o • . ,o- • o 4 CaSe OP-05-2016-072117 .7 r.1.%f', z, Public Health Department t'� Subdivision• 4 lAi Environmental Health Division PINit 375010358310 ci b PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ` G LOTS is,2 ,M !t E or o NAME ON PERMIT: JEDADIAH CHATMAN, 1340 NORMANDY ST, CONOVER NC 28613 Site Address: 1340 NORMANDY ST, CONOVER NC 28613 Property Size: Square Feet:47,480.40 Acres:1.09 ' Directions: Hwy 10 E, left on Normandy St, sharp turn back to right, 4th on right 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. pope concrete and backhoe 3349 04/11/2016 SYSTEM INSTALLER INSTALLATION DATE Steven Price 05/09/2016 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F ISSUANCE ehpermil 05/10/2016 11:16 Page I of3 < 63 - 2o(L 733/6 of o1= z,viL - 072//7 r3k, svL f ,k re d Y7t,7,4 b7 Pok G„C„k et G- ,2 '433't g 1(/ Nu., Sty At t000 sr6 7YC /°4z/ ,c-feL7 i.,5L(64, z e loo' et„, CZS Ma E Y F) © 39 ` V /ne ` tsr/ © si` Ss / 7`/ 314` l .5\5 6 lV