HomeMy WebLinkAboutOP-06-2016-073631.TIF CATAWBA COUNTY D A o Case# OP-06-2016-073631
Public Health Department - ` ' Subdivision NORTHVIEW HARBOUR
Environmental Health Division PIN# 462903203237
4.4eY PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 •t r LOT# 70
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NAME ON PERMIT: LEO BATEMAN, 15910 KNIGHTBRIDGE CT, FT MYERS FL 33908
Site Address: 9227 SHERBOURNE LN, SHERRILLS FORD NC 28673
Property Size: Square Feet:42,253.20 Acres:0.97
Directions: Sherrills Ford rd/ Island Pt Rd/left Northview Harbour Dr/ right Sherbourne Ln / lot on right before cul-de-sac
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.
Kevin Kirkpatrick#2627 06/16/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 06/17/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpennit 06/17/2016 08:46 Page 1 of3
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