HomeMy WebLinkAboutOP-06-2016-073575.TIF /yt�A • CATAWBA COUNTY 0 ti. y �0•' 0 Case# OP-06-2016-073575
/F' r " Public Health Department fL• Subdivision
Environmental Health Division S' • �r PIN# 460704808169
\ l^ / PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 1
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NAME ON PERMIT: DOUGLAS BURNETT, 7887 MOUNTAIN SHORE DR, SHERRILLS FORD NC
28673
Site Address: 4303 SLANTING BRIDGE RD, SHERRILLS FORD NC 28673
Property Size: Square Feet: 30,056.40 Acres:0.69
Directions: Hwy 16 South, Left onto Hwy 150, Right onto Slanting Bridge, Lot on the Left
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY 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:
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.
Larry Henkle#1092 06/15/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 06/16/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
ehpermit 06/16/2016 08:42 Page 1 of
9w• Permit# RBPR-2-1 6-23 1 1 8
CATAWBA COUNTY Name Douglas Burnett int Public Health Department Address 4303 Slanting Bridge Rd Sherrills
°°°"1;1061 Environmental Health Division
,,giu PO Box 389, 100A Southwest Blvd,Newton NC 28658 Ford NC
/842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 460704808169
Site Plan Operation Permit
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