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HomeMy WebLinkAboutOP-06-2016-073799.TIF 4A • CATAPBA COUNTY tE°_u.�yi'� r'-: Case# OP-06-2016-073799 ^ ©G Public Health Department 4'4:....` � M' Subdivision 4 l r Environmental Health Division r-�P' 3 ir PIN# 367603320869 �\.7��� +} �� 1 PO Box 359, 100-A Southwest Blvd,Newton, NC 28658 ��,� � r LEM 1x42 a �i4i}?- ! NAME ON PERMIT: RICHARD HARRIS, 5066 ANDERSON MOUNTAIN RD, MAIDEN NC 28650 Site Address: 5066 ANDERSON MOUNTAIN RD, MAIDEN NC 28650 Property Size: Square Feet: 113,691.60 Acres:2.610 Directions: Hwy 16 S, right on Anderson Mountain Rd, cross East Maiden Rd, approx 1 miles on left Catawba County Health Department Operation Permit System Type: RIG - 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. Kenny Dellinger#1063 06/21/2016 SYSTEM INSTALLER INSTALLATION DATE Jason Boyd 0612212016 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form ehpennit 06/22/2016 09:35 Page 1 of3 13A Permit # EHPR 5-16-23796 • CATAWI3A COUNTY Q G Z Name Richard Harris Public Health Department Address 5066 Anderson Mtn Rd NC -- —re-", H Environmental Health Division J ,it 'C PIN# 367603320869 1 �_ PO Box 389, I00A Southwest Blvd, Newton NC 28658 18 42 m (828)465-8270 Fax (828)465-8276 TDD(828)-165-8200 Site Plan Operation Permit s -2l 0 W h, ;k q (4, A- a- Ili1 `S4- - 1I 16 2 cis c . ,,A_t.-. .) c_Kis T°-r< 0 (,J46LCi o I, be— O 5 5 , ---------------------.. wtw I�, \ " ' Ssei 56 (' ` _ ii i- — (jL0 (r — — — --Cri — r— / l' 6, q ‘.,) i ,t Scale -� a