HomeMy WebLinkAboutOP-05-2016-072187.TIF •/•••:..... Case#
`��A \ CATAWBA COUNTY 0 At 0 OP-05-2016-072187
7t -�\ Public Health Department T;16.4940. Subdivision LOWELL DEAL-SUGAR FA
:�r�• Y, Environmental Health Division i ry PIN/ 368902566013
aL� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 dO LOT# 1
/842 s. • �� i .} .
• ' yF' CI CI tiQ
or:. - . •
NAME ON PERMIT: LOUIS RAY SIGMON, 5556 E BANDY CROSS RD, CATAWBA NC 28609-8978
Site Address: 5556 E BANDYS CROSS RD, CATAWBA NC 28609
Property Size: Square Feet:57,063.60 Acres:1.31
Directions: Hwy 16 South, Buffalo Shoals, Left at Traffic Light, Right onto East Bandys Cross Roads, 1 mile on Left.
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: *The old tank was abandoned and a new 1000 gallon tank installed. STB 794, 3/30/16.
All gutter drains were piped away from the septic system.
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.
Wendell Caldwell - 1044 05/04/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 05/10)2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
clip rutit 05/10/2016 11:36 Page 1 of 3
0 w- 6.-- 2016 — o72f17\ ,
�/
r‘,
tic
•1 E.y5
\ .. ..1r;t
•
•
I'rr' � _ +'.1 _
•
lrir /
• cr,Cr` t \.•
C. ,✓o l i
r / , IP
\ t
m .„..,
.....___
..,....,
„if a :xa_
I tic,
,...
c
i..
• oc.k.\_________
: ”..,
xA. y,,,„LLj. /
YF
1� In
rX
Fs."-fr
fl
Parcel: 368902566013, 5556 E BANDYS CROSS 1in=60ft
RD CATAWBA, 28609
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
04129/2016