HomeMy WebLinkAboutOP-08-2016-075202.TIF -x}A CATAWBA COUNTY e I 1` e Case# OP-08-2016-075202' .� Subdivision
Al y„ Public Health Departmentt�. CRESCENT LAND AND TIN
�,.�,ig .- Environmental Health Division *t�}� 1 PIN# 374502590765
u�� PO Box 389. 100-A Southwest Blvd, Newton.NC 28658 . 0 LOP? 60
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NAME ON PERMIT: DAVID THOMAS, 3254 GRANDVIEW CLUB RD, PFAFFTOWN NC 27040
Site Address: 6655 DORSETT LN, CONOVER NC 28613
Property Size: Square Feet:28,314.00 Acres:0.65
Directions: 16 N left on St Peters Church RD, Right on Valewood, Left on Dorsett LN
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.
Rueben Clayton - 2694 07/27/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 08/01/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpennit OR/02/2016 11:19
Catawba County Environmental Health o f-t -2o(6 - 075 202
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Parcel: 374502590765, 6655 DORSETT LN • 1in=40ft
CONOVER, 28613
This map/report pmduct was prepared from the Catawba County,NC Geospatiat Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
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 person or entity.
Copyright 2014 Catawba County NC
02121/2016