HomeMy WebLinkAboutOP-04-2016-071820.TIF CATAVV'BA COUNTY 0 : o' 1:g 0 Case N OP-04-2016-071820
Ian; Public Health Department rr Subdivision GEORGIA PARK 17 4 P y �^ Environmental Health Division ' • r • PIN# 366703233105
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PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 8
34,13 18.2 ,MS �•�
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NAME ON PERMIT: CLAYTON HOMES, PO BOX 132, TAYLORSVILLE NC 28681
Site Address: 3453 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet 20,037.60 Acres:0.46
Directions: Hwy 16 / left Buffalo Shoals Rd / right Meldonna Dr/ lot 8 on left
Catawba County Health Department Operation Permit
System Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
(In accordance with Table Va)
Description: 50% REDUCTION PPBPS
System Code: PPBPS System Code Description: PPBPS
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
Dennis Galliher- 1071 04/28/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 04/29/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermit 0511612016 11:03 Page I of 3
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Parcel: 366703233105, 3453 MELDONNA DR 1in=40ft
MAIDEN, 28650
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Copyright 2014 Catawba County NC
04/29/2016