HomeMy WebLinkAboutOP-07-2016-074861.TIF SpA it), CATAWBACOUNTY ❑° • 9. . 7.Pziai Case# OP-07-2016-074861
, Public Health Department 'k • d Subdivision
,�) Environmental Health Division • • PIN#• 470002650130
•1� PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 do
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NAME ON PERMIT: MANDY BARR, 2232 WHITEROCK CT, SHERRILLS FORD NC 28673
Site Address: 7633 MONBO RD, CATAWBA NC 28609
Property Size: Square Feet: 182,080.80 Acres:4.18
Directions: 16S / 150E / left Sherrills Ford Rd / right Molly's Backbone -left on Monbo 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: IQ4W System Code Description: Infiltrator Quick 4 Standard W
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.
Shane Jarrett#1851 07/I1/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 07/22/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehperniit 07/22/2016 09:56