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��A CATAWBA COUNTY O ' i• �, 0 ca$e# OP-07-2016-074643
X' tnc; Public Health Department T•�I -1PJ Subdivision
4 ,u �H Environmental Health Division PIN# 370014431351
`�JV -° PO Box 389, 100-A Southwest Blvd, Newton,NC 28658 i r LOT# 1 & 4
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i NAME ON PERMIT: JOHN FINDLEY, 228 KILBORNE DR, NEWTON NC 28658
Site Address: 1034 FINGER BRIDGE RD, HICKORY NC 28602
Property Size: Square Feet: 53,143.20 Acres:1.22
Directions: 1034 Finger Bridge 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: 104PS 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.
Ernest White#1882 06/23/2016
SYSTEM INSTALLER INSTALLATION DATE
Steven Price 07/18/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpennit 07/18/2016 10:38
RBPR 01-2016-22972
OP 07-2016-74643
1034 Finger Bridge Rd, Hickory
• System installed 6/23/16 by Ernest White#1882
• Septic tank: 4/13/16 gst 1000 stb 160.
• Supply line 5 ft.
• Installed 4 lines of 1Q4PS chambers (74 ft, 74 ft, 74 ft, 74 ft)296 ft total, 9 ft on center.
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