HomeMy WebLinkAboutOP-06-2016-073499.TIF CATAWBA COUNTY aVetiesi 0 CL1SC# OP-06-2016-073499
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Public Health Department � Subdivision
< ;Ar. . s ^ Environmental Health Division � • • PIN# 279009169058
�` i•- / PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 o • l • G .. LOT# 59-63&PT 64
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NAME ON PERMIT: VINO *PAUL, 5594 VALLEY FIELD RD, HICKORY NC 28602
Site Address: 1292 RECREATION CLUB RD, HICKORY NC 28602
Property Size: Square Feet:32,670.00 Acres:0.75
Directions: Son 127 toward Hwy 10/turn right on Gordon Rd/turn right on Recreation Club Rd/2nd lot on right
Catawba County Health Department Operation Permit
System Type: IVA-ANY SYSTEM WITH LPP DISTRIBUTION
(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_X_ No
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.
Joey Cothren #1838 03/15/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 06/15/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
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