HomeMy WebLinkAboutOP-07-2016-074634.TIF ,q CATAAABACOUNTY 0I!. r� ''f0 Case# OP-07-2016-074634
r .!j Subdivision CATAWBA CO BOARD OF
Public Health Department 1f
4 ' 1 )�, Environmental Health Division PIN# 279009158260
�yi PO Box 389, 100-A Southwest 13lvd_Newton.NC 28658 • .� LOl'# 5•
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NAME ON PERMIT: CALIN SERAZ, 4424 1ST STREET DR NW, HICKORY NC 28601
Site Address: 5824 DWAYNE STARNES DR, HICKORY NC 28602
Property Size: Square Feet:23,958.00 Acres:0.55
Directions: going south on 127, right Dwayne Starnes
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 cothren #1838 07/01/2016
SYSTEM INSTALLER INSTALLATION DATE
Steven Price 07/15/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
dips suit 07/18/2016 10149
RBPR 04-2016-23712
OP 07-2016-74634
5824 Dwayne Starnes Dr, Hickory
• System installed 7/1/16 by Joey Cothren
• Septic tank: 4/19/16 gst 1000 stb 160.
• Supply line 5 ft.
• Installed 4 lines of IQ4PS chambers(78 ft, 78 ft, 74 ft, 74 ft) 304 ft total, 9 ft on center.
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