HomeMy WebLinkAboutOP-05-2016-072465.TIF CA'TA��BA COUNTY 0 et, of 0 Case# OP-05-2016-072465
7-G�.'1a Public Health Department 177 ' Subdivision RAMBLE WOODS-01 iFig K Environmental Health Division r IP 1 '5 PIN# 375402859529
PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 ti LOT# 25-28
1842 ,r . .`y
NAME ON PERMIT: QUICK CLAIM HOLDINGS, LLC, 1137 E MARION ST #251, SHELBY NC 28150
Site Address: 5252 RAMBLE WOODS AV, CLAREMONT NC 28610
Property Size: Square Feet:21,780.00 Acres:0.5
Directions: Hwy 16 N/right on Oxford School Rd/Ramblewoods Ave is on left/property on right
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 forpermit 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.
Bumgarner Septic#2688 05/12/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 05/17/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
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