HomeMy WebLinkAboutOP-08-2016-075877.TIF yA \ CATAWBACOUNTY Qe o ��e Case# OP-08-2016-075877
T '° Public Health Department - ti% r Subdivision
/ 366703041295
Environmental Health Division � �� �ri: � PIN#
. RK
rLt® PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 G •` +a LOT#
IH42 w
M.4.5 L• • . O .
NAME ON PERMIT: JAMES FLYNN, PO BOX 1811, DENVER NC 28037
Site Address: 3890 DAVIS RD, MAIDEN NC 28650
Property Size: Square Feet: 129,373.20 Acres:2.97
Directions: Hwy 16 S/ right Buffalo Shoals Rd/ right Davis Rd/ lot approx 3/4 mile on right
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONV TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
System Code: IQ4W 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: 400 ft of infiltrator installed due to installer receiving original AC permit for 4 BR. STB
794 Dellinger tank.
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.
Britt Bass#1019 08/16/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 08/18/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
ehpermil 08/I8/2016 10:29
��A NTY Permit# RBPR-9-15-22302
5 Rh CATAWBAthCOment
Q' Name James Flynn
w= 2 Public Health Department
dZallripiiii H Environmental Health Division Address 3890 Davis Rd Maiden NC
U ���Do7 �` PO Box 389, 100A Southwest Blvd,Newton NC 28658 PIN# 366703041295
\842 sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site '.,an Operation Permit
q
•
'L-
5
$ \
Ur\ISucrA3GE \ c
Sofa f�
s
1„ s ' G \
3Ige` 3-I < c
p lo'
Ae..(� .r q 11--�—I, _'ter yo) �� I''-r`'"‘---l.NJ
P ti M •
N
it ,,..',. °
:,. °�
a . 66,
I
1 . `I iSSt 11 `I . N21 -7 'i . S6 '
- r1sk- c_ i\ ) � Y >3 � �I Ac..‘ c- 11 ( (1(3
ie L ) 6-71 "lr,_ , Lt,,„J Ins4a1lt- 6("" 0 G ,
`ic 19Q— t l ..�,n (<it t( I H o z g c 1 l„., L,)
K L ,n 3 t- , }kr ('4-G a.v �h--) ZvL
r �o ,,, A
r \ PJ V
I1 t I 0 0 Or\ t t n. ��-.1 51t-1 /
Scale