HomeMy WebLinkAboutOP-08-2016-075762.TIF SQA ip CATAWBA COUNTY . •0• —f El Case# OP-08-2016-075762
.7';421111C:-; Public Health Department Subdivision HEATHERBROOK
d San. , ; Environmental Health Division 7g- PIN# 268702660120
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 0. o LOT# 23
1842 s.
NAME ON PERMIT: JOSHUA& ASHLEY BENFIELD, 7989 W NC 10 HWY, VALE NC 28168
Site Address: 3993 HEATHERBROOK TR, VALE NC 28168
Property Size: Square Feet: 94,960.80 Acres:2.18
Directions: Hwy 127 to 10W go approx 5 miles turn right into Heatherbrook Trail/go to end of road and property is last on
right in cul-de-sac
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.
Chris Benfield - 1029 08/12/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 08/16/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
elipermit 08/16/2016 11:23
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Parcel: 268702660120, 3993 HEATHERBROOK lin=60ft
TR VALE, 28168
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Copyright 2014 Catawba County NC
08/16/2016