HomeMy WebLinkAboutOP-06-2016-073955.TIF A CATAWBA COUNTY 0 5'0 Case# OP-06-2016-073955
C' th �� Public Health Department T� sir r'�:r Subdivision DEER CREEK
E1 s v r RP,� Environmental Health Division } PIN# 376206388927
PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 • LOT# 21
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NAME ON PERMIT: MARK KILLIAN, 2539 GEMSTONE ST, CLAREMONT NC 28610
Site Address: 3258 MULL CREEK LN, CLAREMONT NC 28610
Property Size: Square Feet:219,542.40 Acres:5.04
Directions: 1-40 E /exit 135 / right N Oxford St/ left Centennial Blvd/ left North Lookout St/ left Mull Creek/ property at
end in cul-de-sac
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.
Derrick Barnes#1017 06/21/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 06/28/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpe mit 06/28/2016 08:46 Page I of 3
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