HomeMy WebLinkAboutOP-06-2016-073316.TIF 0' . CATAWBA COUNTY 0 :- •D rte: 0 Case# OP-06-2016-073316
(.....r,?� _ Public Health Department ;� .. ..I Subdivision 2 : o4 Environmental Health Division P-_ a. -• PIN# 367803405064
m PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 G U oriel LOT# 2
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NAME ON PERMIT: WILLIAM JONES, 4449 S NC 16 HWY, MAIDEN NC 28650
Site Address: 4449 S NC 16 HWY, MAIDEN NC 28650
Property Size: Square Feet: 140,263.20 Acres:3.22
Directions: 16S on right just before Pine Leaf Dr
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY 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.
Larry Henkle#1092 06/08/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 06/10/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
eliperniit 06/16/2016 08:36 Page 1 of3
�v'A Permit# RBPR-4-16-23557
CATAWBA COUNTY
G Name William Jones
f.� ;x .KA 2 Public Health Department
d ; H Address 4449 Hwy 16 S Maiden NC
�oill Environmental Health Division
`���lt4,-/7 ' PO Box 389, IOOA Southwest Blvd,Newton NC 28658 PIN# 367803405064
/842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Operation Permit
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