HomeMy WebLinkAboutOP-05-2016-072154.TIF ea CATAWBA COUNTY o . yo'r� l 0 Case# OP-05-2016-072154
Public Health Department `Tr' .g Subdivision
4 ` Environmental Health Division i' •e - PIN# 374407793311
� `' PO Box 389, 100-A Southwest Blvd. Newton.NC 28658 t .o ,T{{ LOTii 2
. d O .
e.
NAME ON PERMIT: DUSTIN SIGMON, 1794 LINDSEY LN, CONOVER NC 28613
Site Address: 1794 LINDSEY LN, CONOVER NC 28613
Property Size: Square Feet: 126,324.00 Acres:2.9
Directions: Hwy 16 North, Left on Springs Rd, Left on Rector St., Left on Lindsey Lane & lot is down the road 1 mile on
the left. # is on mailbox
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.
groundbreakers 1091 04/14/2016
SYSTEM INSTALLER INSTALLATION DATE
Steven Price 05/09/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
elipemut 05/10/2016 11:27 Pave I o13