HomeMy WebLinkAboutOP-06-2016-073429.TIF CATAWBA COUNTY a ' r. ' Q Case# OP-06-2016-073429
¢OPublic Health Department • Subdivision MRS EMMA L KILLIAN EST
_ Environmental Health Division r .ti • PINE/ 363914236941
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 413,ire, LOT# 37-40
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NAME ON PERMIT: *CLAYTON HOMES OF STATESVILLE, 2026 NORTHSIDE DR, STATESVILLE NC
28625
Site Address: 1853 DISNEY LN, NEWTON NC 28658
Property Size: Square Feet: 14,810.40 Acres:0.34
Directions: 321 Business South, Right on Hwy 10 West, Left onto Lutz DR, Left on Disney RD lot on left
Catawba County Health Department Operation Permit
System Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
(In accordance with Table Va)
Description: 50% REDUCTION PPBPS
System Code: PPBPS System Code Description: PPBPS
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.
Steven Bryant#1433 06/13/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 06/14/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpemdt 06/14/2016 09:45 Page 1 of 3
"7, A Permit# RBPR 3-16-23525
� El° CATAWBA COUNTY
F, r ' 'Z Public Health Department Name Clayton Homes of Statesville
°°"�"� Environmental Health Division Address 1853 Disney Lane Newton NC
V PO Box 389, 100A Southwest Blvd,Newton NC 28658 PIN# 363914236941
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Site Plan Operation Permit
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