HomeMy WebLinkAboutOP-07-2016-074140.TIF nA CATAWBA COUNTY 0 ti; ±` r 0 Case# OP-07-2016-074140
a �� Public Health Department Sr • �� :t Subdivision
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4 t ,�1 Environmental Health Division �� PIN# 361903115375
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PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 •� •y�y �{{r LOTYt
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NAME ON PERMIT: DAVID QUEEN, 3846 W NC 10 HWY, NEWTON NC 28658
Site Address: 3846 W NC 10 HWY, NEWTON NC 28658
Property Size: Square Feet: 127,630.80 Acres:2.930
Directions: 70 toward Startown Rd / left Startown Rd /right 10 W/ pass under 321/about 1 mile down / lot on left
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY 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
Shawn Abee #1764 06/30/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 07/01/2016
AUTHORIZED STATE AGENT DATE OP OPERATION PERMIT
ISSUANCE Form F
cbpennit 07/01/2016 13:01
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