HomeMy WebLinkAboutOP-06-2016-073677.TIF CATAWBA COUNTY 0 'x" 5 D Case# OP-06-2016-073677
e ppig Public Health Department �'?'ri . • �_ Subdivision NORTHVIEW HARBOUR P
et 4A' PIN# 461802881903
4 °-°-�w "� Environmental Health Division � ti� � .r
wet� ° PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 '� °'O • �•Gq LOT# 263
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NAME ON PERMIT: LANCE MUSE, 3893 MT BEULAH RD, SHERRILLS FORD NC 28673
Site Address: 2252 CAPES COVE DR, SHERRILLS FORD NC 28673
Property Size: Square Feet: 32,670.00 Acres:0.75
Directions: Hwy 16S/left on Hwy 150 East/left on Sherrills Ford Rd/Right on Island Point Rd/left on Capes Cove Dr
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONV 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: 1500 gallon septic tank installed
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.
Wendell Caldwell #1044 06/09/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 06/17/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpermn 06/20/2016 09:11 Page I of3
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