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HomeMy WebLinkAboutOP-06-2016-074012.TIF ,;6 ip CATAWBA COUNTY 0 0 Case# OP-06-2016-074012 `C1' Public Health Department i�. -t� Subdivision 4 'c Environmental Health Division I�t 7 �5 PENN 367904821727 ^k PO Box 389. 100-A Southwest Blvd, Newton,NC 28658 • {{• LOT# is,'2, , �!j NAME ON PERMIT: TRACIE FORREST, 1804 BUFFALO SHOALS RD, CATAWBA NC 28609 Site Address: 1804 BUFFALO SHOALS RD, CATAWBA NC 28609 Property Size: Square Feet:82,328.40 Acres:1.89 Directions: Hwy 16 South, Left on Buffalo Shoals Rd, Go about 2 miles & house is on the Right just after Feed Lot Rd. 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: STB- 794 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. Kenneth Dellinger- 1063 06/20/2016 SYSTEM INSTALLER INSTALLATION DATE Robbie Phelps 06/28/2016 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form ehpennil 06/29/2016 08.18 Page I ot'3 Catawba County Environmental Health ©p 6- Zo(6—o7F.e1 a 49 f ° 7 • .� \t- ,E 11.Y N •s 9 -C. 6 CCH Weft 3> Ocr ab • • Parcel: 367904821727, 1804 BUFFALO SHOALS 1in=60ft RD CATAWBA, 28609 This map/report product was prepared from the Catawba County.NC Ceospetial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 06/07/2016