HomeMy WebLinkAboutOP-06-2016-073378.TIF 4‘,,A • CATAvBA COUNTY • r °• f � Case#
OP-06-2016-073378
Public Health Department tat Subdivision
< H Environmental Health Division r+ • PINtt 278001495715
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ° ° t r L01'#"Ks
01T.5 ° •
NAME ON PERMIT: LONNIE FERREN JR, 761 HICKORY AIRPORT RD, HICKORY NC 28601
Site Address: 6586 MOUNTAIN GROVE RD, HICKORY NC 28602
Property Size: Square Feet:365,032.80 Acres:8.38
Directions: 127S right Mtn Grove Rd/approx. 1 mile on right
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
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
Loose Ends - Brandon Martin #4716 06/07/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 06/13/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
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