HomeMy WebLinkAboutOP-08-2016-075712.tif �A CATAWBA COUNTY Q Case# OP-08-2016-075712
FT , Uz, Public Health Department -1� Subdivision
Environmental Health Division r PIN# 372311662516
:' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 la 16 t9. 13, f LOT# 6
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NAME ON PERMIT: CHAD HEATHERLY, 1928 33RD ST NE, HICKORY NC 28601
Site Address: 1928 33RD ST NE, HICKORY NC 28601
Property Size: Square Feet: 16,117.20 Acres:0.37
Directions: From Springs Rd, Food Lion will be on the Right onto 25th Ave NE, Left onto 33rd St NE, Go past the trailer
park &the S curve. After the curve it is the 3rd house on the 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:
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 07/26/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 08/15/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
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