HomeMy WebLinkAboutOP-05-2016-072421.TIF yp,A CATAWBA COUNTY 0 ;. S o CaSe it OP-05-2016-072421
Q Hi. Public Health Department .t Subdivision Sigfield Acres
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4 Vi=i ; Environmental Health Division • 375212961499
PO Box 389. 100-A Southwest Blvd,Newton, NC 28658 ' r0 r•° � '�
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NAME ON PERMIT: KEITH MITCHELL, 4505 BUFFALO SHOALS RD, MAIDEN NC 28650
Site Address: 3344 HILLCREST DR, CLAREMONT NC 28610
Property Size: Square Feet:24,829.20 Acres:.570
Directions: 140 East 135, Left on Oxford St, Left on Sigfield Dr, Left on Hillcrest Dr.
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
Mike Bumgarner-2688 05/11/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 05/16/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
elipemiit 05/16/2016 11:12 Page 1 of 3
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Parcel: 375212961499, 3344 HILLCREST DR 1in=40ft
CLAREMONT, 28610
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Copyright 2014 Catawba County NC
04/07/2016