HomeMy WebLinkAboutOP-05-2016-072235.TIF st}A • CATAWBA COUNTY CI iii, 0 Case# OP-05-2016-072235
.\''i G Public Health Department T.rI Subdivision
< 4 I 'c''' Environmental Health Division , titi • 'r PINT!
360903133904
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\�e PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 L . • •• LOT# A
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NAME ON PERMIT: MELISSA LOR, 1863 YODER FARM RD, HICKORY NC 28602
Site Address: 1855 YODER FARM RD, HICKORY NC 28602
Property Size: Square Feet: 143,748.00 Acres:3.3
Directions: 127S to 10E/ left on Whitener Rd / rt at stop sign / 1/4 mile on left
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY 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.
Kevin Bowles#1697 05/09/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 05/11/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermil 05/11/2016 08:35 Page 1 of3
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