HomeMy WebLinkAboutOP-06-2016-073571.TIF --r CATAWBACOUNTY 0 k ,o Q Case# OP-06-2016-073571
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t1n•-L Public Health Department Subdivision PEBBLE BAY PH 3 REVISI(
4 ' Environmental Health Division , + hT PIN# 460601273347
K`"'-i1 PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 p J O ': LOT# 103
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NAME ON PERMIT: BRADLEY & TRACY HILLIER, 708 N MAIN ST, LOWELL NC 28098
Site Address: 7250 BAY RIDGE DR, DENVER NC 28037
Property Size: Square Feet:66,646.80 Acres:1.53
Directions: 16 South, Left on campground RD, Left on Catawba Burris, Right on Bankhead left on Goldfinch (Gate#7913)
Right on Bay Ridge
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: 104W 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: System installed at 30-36" due to outlet plumbing 30" beneath basement slab. 2' risers
installed on tanks
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 Hallman #2025 06/15/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 06/16/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
ehpennil 06/16/2016 08:21 Page 1 of3
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