HomeMy WebLinkAboutOP-06-2016-073954.TIF yqA • CATAWBA COUNTY 0 V, ". .r. 1; 0 Case# OP-06-2016-073954
:Thi.9 ; �) Public Health Department T*;( Subdivision
Environmental Health Division - r 7±: PIN# 376108989149
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Ig1.2 ,„ PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ,. LO"t# TR 2
NAME ON PERMIT: NICHOLAS `BUMGARNER, 2555 JB RD, CLAREMONT NC 28610
Site Address: 2562 JB RD, CLAREMONT NC 28610
Property Size: Square Feet: 115,869.60 Acres:2.66
Directions: Take Hwy 10 E towards Catawba, turn Left on Bethany Church RD, Turn Right on Old Catawba RD go about a
mile and turn right on JB RD, Go around sharp cyrve and the property will be on the left across from blue
house.
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:
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
Taylor Rocks#4717 06/17/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 06/28/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
chpennit 06/28/2016 08:42 Page I of3
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