HomeMy WebLinkAboutOP-06-2016-074013.TIF XqA CATAWBA COUNTY 0• r.'—0 j .5 0 Case# OP-06-2016-074013
111":4;2, Public Health Department g Subdivision
'--'^■e) Environmental Health Division ti � y r PINTS 375010464600
� ,PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 f•O O O LOTH
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NAME ON PERMIT: GEORGE & MARY SIMMONS, PO BOX 1295, CONOVER NC 28613
Site Address: 1377 NORMANDY ST, CONOVER NC 28613
Property Size: Square Feet: 834,609.60 Acres:19.16
Directions: Hwy 10 E / left on Normandy St/end of road on the left
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: Tank Date: 4-13-16
STB#- 160
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.
Gary Leatherman - 1111 06/20/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 06/28/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
elipermit 06/29/2016 08.34 Page I or3
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Catawba County Environmental Health 6P- 6-Zo16 - 07tfOj3
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Parcel: 375010464600, 1377 NORMANDY ST 1 in=60ft
CONOVER, 28613
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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
09/11/2015
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