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HomeMy WebLinkAboutOP-08-2016-075745.TIF aA CATAWBA COUNTY e � : • Case# 0P-08-2016-075745 Public Health Department ¢4J Subdivision CLEAR SPRINGS t r I , .o•'t „�;� Environmental Health Division ,i • PINJ 374519526107 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 -�• i� �'% ' LOT# TR 1 1842 :. • ? 7�7 } t! • li • NAME ON PERMIT: JACK & TERESA WALTER, 3000 PEACHTREE ST EXT, CLAREMONT NC 28610 Site Address: 5907 FLAMINGO DR, CONOVER NC 28613 Property Size: Square Feet: 106,722.00 Acres:2.45 Directions: Hwy 16 North, to Springs Rd about 1.2 miles, Right onto Flamingo Dr, go about 400 ft, Left onto the gravel drive to the home. Catawba County Health Department Operation Permit System Type: IIA- CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) (In accordance with Table Va) Description: REPLACEMENT OF SEPTIC TANK ONLY System Code: GBD System Code Description: Gravel Bed 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: Tank only replacement 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. Kevin Bowles 08/12/2016 SYSTEM INSTALLER INSTALLATION DATE Steven Price 08/16/2016 AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F ISSUANCE ehpc'wit 081161 016 09158 EHI'R 07-2016-24346 OP 08-2016-75745 5907 Flamingo Dr, Conover • Septic tank installed 8/12/16 by Kevin Bowles#1697 • Septic tank: 5/27/16 gst 1000 stb 160. • This was a tank only replacement )1Ii 5-r 21- 'LS' a • K+tip rt 3 b5' T, No."-.j Dr �I 7-14: \J p NI