HomeMy WebLinkAboutOP-06-2016-073020.TIF (‘'6 -,;\ CATAWBACOUNTY 0 . yo'rt CI Case4 OP-06-2016-073020
IT -4 Public Health Department �'' Subdivision
,tis, Environmental Health Division _ - PIN# 376004823814
®� PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 G _ , '% L014
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NAME ON PERMIT: JEFFREY GILLIAM, 3799 LOVE RD, CLAREMONT NC 28610
Site Address: 3783 LOVE RD, CLAREMONT NC 28610
Property Size: Square Feet: 2,185,405.20 Acres:50.17
Directions: Hwy 10 S, Right on Balls Creek RD at caution light, Right on Love RD, property is approx. 1 1/2 miles on left.
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: IQ4W System Code Description: Infiltrator Quick 4 Standard W
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.
Bryan Miller#1127 06/01/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 06/02/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
cancan'it 06/02/2016 10:49 Page 1 of 3
„,A Permit# RBPR-2-16-23216
giG CATAWBA COUNTY Name Jeffrey Gilliam
r; la Z Public Health Depart ment y
Address 3783 Love Rd Claremont NC
y ip-h ,,c, Environmental Health Division PIN# 376004823814
/84b• / PG Box 8270 I Fax (828)Southwest MI)Blvd,(82 Newton NC 28658
/842 ,M (828)465-8270 I'ax (828)d65-8276 MI)(828)465-8200
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