HomeMy WebLinkAboutOP-05-2016-072424.TIF Case#
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Vn- PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 {�- LOT/,' 5 & PT 6
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NAME ON PERMIT: MAPLE GLEN LLC, 1067 RIVER HILLS CT, TAYLORSVILLE NC 28681
Site Address: 959 TRACY LN, CONOVER NC 28613
Property Size: Square Feet: 38,332.80 Acres:.88
Directions: McDonald Parkway N, turn right on 12th Ave Drive, go approx 1 1/2 miles, 12th Ave DR turns to Spencer RD,
Male Glen subdivision is on the right, turn off onto Maple Glen DR, Turn Right on Tracy LN, Lot# 5 striaight
ahead
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 pool was not built at the time of the septic installation inspection on 5/12/16.
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.
Derrick Barnes - 1017 05/12/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 05/16/2016
AUTHORIZED STATE AGENT DAVE OF OPERATION PERMIT Form F
ISSUANCE
dim rmit 05/16/2016 11:30 Page 1 of3
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LOT 5 'MAPLE GLEN, LLC' IN HICKORY TOWNSHIP OF CATAWBA COUNTY, N.C.