HomeMy WebLinkAboutOP-06-2016-073230.TIF qsA • CATAWBA COUNTY C ifiwi ')fl Case# OP-06-2016-073230
i 'C ' Public Health Department • } , ,2t Subdivision CHERRY RIDGE
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4 •y-; Environmental Health Division 3 • 'r • PIN# 368904737925
'-° PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 ' G G G LOT# 6
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NAME ON PERMIT: *BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC
28673-
Site Address: 5816 SUNSET VIEW LN, CATAWBA NC 28609
Property Size: Square Feet: 188,179.20 Acres:4.32
Directions: 16S/left Balls Creek Rd/ right Bandys Cross Rd/right Mathis Church Rd/left Sunset Rd
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONY TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: 104W 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.
Rusty Orbison #1141 06/07/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 06/08/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
elipermit 06/08/2016 11:46 Page 1 of3
P Permit 14 RBPR-2-I6-23245
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CATAWBA COUNTY
:Tan Z Public Health Department Name Beason General Contractors(John
Environmental Health Division Beane III)
CJ Address 5816 Sunset View Ln Catawba
/ PO Box 389, 100A e Southwest Blvd,Newton NC 28658 NC
sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 368904737925
1 7v Site Plan Authorization to Construct
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