HomeMy WebLinkAboutOP-08-2016-075201.TIF v;E7A CATH\�BACOUNTY ❑s • - -� *ID Case# OP-08-2016-075201
7 Public Health Department t4 ,9Subdivision
�; H Environmental Health Division r• 'W r ' 'T PIM 371520812982
�c\J�� 3- PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 r t{ 4 G •k LOT# 3 & PT 4
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NAME ON PERMIT: RODERICK HARGROVE, 4131 1ST STREET PL NW, HICKORY NC 28601
Site Address: 1550 46TH AV NE, HICKORY NC 28601
Property Size: Square Feet: 167,270.40 Acres:3.84
Directions: go north on McDonald Prkway, turn right onto 16th St PL NE, turn left onto 46th AV NE lot will be on your left.
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONN 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.
Dean Evans -1782 07/29/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 08/01/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
elipermit 08/02/2016 11:13
Catawba County Environmental Health D P— $-2o( 0-5'201
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Parcel: 371520812982, 1550 46TH AVE NE 1 in=60ft
HICKORY, 28601
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the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel.disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct.indirect or consequential which arises or may
arise from this map/report product or the use thereof by any
Copperson right ore Cr a Catawba County NC
07/25/2016