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HomeMy WebLinkAboutOP-06-2016-073431.TIF q• CATAWBA COUNTY 0 . Yp-' • 0 Case# OP-06-2016-073431 ©Qy Public Health Department ' a t'. Subdivision Q wig `< Environmental Health Division PIN# 363914443420 jPO Box 389, 100-A Southwest Blvd,Newton,NC 28658 S _ 0 LOT# A n.tri;k". 0 0 le SN, NAME ON PERMIT: EDWARD & MELISSA PACE, 1864 GRANDVIEW DR, NEWTON NC 28658 Site Address: 1864 GRANDVIEW DR, NEWTON NC 28658 Property Size: Square Feet: 122,403.60 Acres:2.81 Directions: W NC Hwy 10, Right Jarret Farm Rd, Right Grandview Dr, 2nd house on the Lot. Catawba County Health Department Operation Permit System Type: IIA-CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) (In accordance with Table Va) Description: REPLACEMENT OF SEPTIC TANK ONLY System Code: System Code Description: 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. Kevin Bowles# 1697 06/13/2016 SYSTEM INSTALLER INSTALLATION DATE Jason Boyd 06/14/2016 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F ehpermit 06/14/2016 08:38 Page 1 of3 �y�A Permit# EHPR 5-16-23919 r aG CATAWBA COUNTY Name Edward and Melissa Pace 'Z Public Health Department Address 1864 Grandview Dr Newton NC d ����i"�� `� Environmental Health Division PIN# 363914443420 4'' .Y� �4e' ' PO Box 389, 100A Southwest Blvd,Newton NC 28658 8 42 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Site Plan Operation Permit I01 . 3vi' eiK NQ- ,,J \vo0cf.l1 ,\ kcA11 5 “ 1 O R ini1-c o1\ (0 i13fib , r 63 Nc,--) 1' , 0k . / n 0 1 S-1 i n 1/ � s I's+. (A.,,,,_ ___E/(/ T-n L Y ft eer°v t, ' t_D '\/ 1r6 c_.. 1-,0,., / l L t ( I , €? I 1Z . 5 I24 IC G ,- v-..) V i c ci 0 ` = 6o ` I ' Scale