HomeMy WebLinkAboutOP-08-2016-075184.TIF e 5 e Case#
stiiA � CATA\\BA COUNTY � , �❑ OP-08-2016-075184
'irJ _ . .� Subdivision
List:„. Public Health Department r- .
L.119 t 1� Environmental Health Division I� ' 3-•1 PIN# 268703143904
PO Box 389. 100-A Southwest I3h-d, Newton_NC 28658 + c LOTtt
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NAME ON PERMIT: NICK FOX, 7840 W NC 10 HWY,
Site Address: 3831 LEFEVERS RD, VALE NC 28168
Property Size: Square Feet: 225,640.80 Acres:5.18
Directions: Hwy 10 West to left at Banoak School to 200 yds/turn righ tonto Lefevers to Job 200 yds on right
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONV 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.
Leonard Butler-2368 05/09/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 08/01/2016
AUTHORIZED STATE AGENT DATE OP OPERATION PERMIT
ISSUANCE Form F
caperniit 08/02/2016 09:28
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Parcel: 268703143904, 3831 LEFEVERS RD 1 in=60ft
/ALE, 28168
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- Copyright 2014 Catawba County NC
02/03/2016