HomeMy WebLinkAboutOP-08-2016-075154.TIF Case
``:+�� CATH 'BA COUNTY Q' . OP-08-2016-07LSO
Public Health Department T2,5:r1/4z. err.
Subdivision CHARLES WILSON AND V\
C ''?�' Environmental Health Division ,-1--` •• • PIN# 460701366801
'�-t PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 D • i LOT# 9
/842 surd: r 17 ; .
NAME ON PERMIT: *MATT BECKHAM, 144 ARBOR RIDGE RD, MOUNT HOLLY NC 28120
Site Address: 3612 DOCKSIDE LN, SHERRILLS FORD NC 28673
Property Size: Square Feet:23,522.40 Acres:0.54
Directions: from Charlotte/ Hwy 16N/ right 150E / left Mt Pleasant Rd/right Dockside Ln/ property on left (old red &white
mobile home on left
Catawba County Health Department Operation Permit
System Type: IIIE - PPBPS GRAVITY DOSED SYSTEM
(In accordance with Table Va)
Description: 50% REDUCTION PPBPS
System Code: PPBPS System Code Description: PPBPS
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: System proposal by Michael Athanas LSS. Gary McNeeley on site duriing system
inspection. Used infiltrator tank and 5 trenches 46' each with d box.
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.
R and H #4959 07/29/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 08/01/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpemiit 08/01/2016 10:38
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