HomeMy WebLinkAboutOP-07-2016-074463.TIF t .'� �
CATAWBA COUNTY 0 •. •113•113 0'1 Case#
OP-07-2016-074463
1 4 Public Health Department Wee —I i. Subdivision
C '� • •it PIN# 373319711131
ro "' Environmental Health Division
74� O SOX
� PO Box 389. 100-A Southwest Blvd. Newton.NC 28658 _ } � � LOT#
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NAME ON PERMIT: CHERYL EMERSON, 1293 LANDSDOWNE DR, CONOVER NC 28613
Site Address: 1293 LANDSDOWNE DR, CONOVER NC 28613
Property Size: Square Feet: 94,089.60 Acres:2.16
Directions: Take Old Hwy 70 , First Right after Jack in the Box, follow to Landsdowne Dr, Go 3-4 Blocks, House will be
on the Right 2 story house w/# on mailbox.
Catawba County Health Department Operation Permit
System Type: **** no system class assigned **** ()
(In accordance with Table Va)
Description: REPLACEMENT OF SEPTIC TANK ONLY
System Code: System Code Description:
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
Kevin Bowles#1697 06/22/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 07/13/2016
AUTHORIZED STAFF AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
chpcnnit 071132016 09:01
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