HomeMy WebLinkAboutOP-08-2016-075275.TIF c CATAWBA COUNTY ue ' 1. -'" r•'=iJ Case# OP-08-2016-075275
.0Public Health Department f .'�� Subdivision
i� Environmcmal Health Division "ti- � ti PIN# 366801191368 PO l3ox 389. 100-A Southwest Blvd, Newton. NC 28658 O' ...� r' 10'1'#
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NAME ON PERMIT: CLAUDE AVERY BALLARD HEIRS, 1143 MURRAYS MILL RD, CATAWA NC
28609
Site Address: 2377 PROVIDENCE MILL RD, NEWTON NC 28658 •
Property Size: Square Peet:43,995.60 Acres:1.010
Directions: Hwy 16, left Providence Mill Rd, 1st on right
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: 104W 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.
Gary Leatherman #1111 08/01/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 08/03/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpennit 08/03/2016 09:32 •
4gA .� CATAWBA COUNTY Permit# EHPR-9-l5-22269
� 2 Public Health Department Name Claude Avery Ballard Heirs
d Nitie�►. .- Environmental Health Division Address 2377 Providence Mill Rd
J� i? PO Box 389, 100A Southwest Blvd,Newton NC 28658 Newton NC
184sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 PIN# 366801 191368
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Site Plan Operation Permit
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