HomeMy WebLinkAboutOP-07-2016-074355.TIF �A CATAWBA COUNTY 0 p+. _ f 0 Case# OP-07-2016-074355
.T rr-ia Public Health Departments � � Subdivision DEERFIELD 4
4 ,..v `'- Environmental Health Division �. .1. 73 . PIN# 268902873749
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NAME ON PERMIT: ELENA PRITCHARD, 2102 MOSTELLER ESTATE AV SE, HICKORY NC 28602
Site Address: 6373 WILLOWBOTTOM RD, HICKORY NC 28602
Property Size: Square Feet:42,688.80 Acres:0.98
Directions: 127 South/right into Deerfield Subdivision/at stop sign turn right/1st stop on the left Willowbottom Rd/lot is on
the right
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.
joey cothern #1838 07/05/2016
SYSTEM INSTALLER INSTALLATION DATE
Steven Price 07/11/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
chpembi 07/11/2016 09:31
AUTI-I 12-2015-67313
OP 07-2016-74355
6373 Willowbottom Rd, Hickory
• System installed 7/5/16 by Joey Cothem #1838
• Septic tank: 4/21/16 gst 1000 stb 160.
• Installed 4 lines of IQ4PS chambers(94 ft, 94 ft, 58 ft, 54 ft) 300 ft total, 9 ft on center.
Distance to : A B
1 15' 45'
2 100' 115'
3 18' 18'
4 60' 65'
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