HomeMy WebLinkAboutOP-08-2016-075924.TIF •l CATAWBA COUNTY 0 � J' Q Case# OP-08-2016-075924
E r � Public Health Department f} ' Subdivision CLEARVIEW ACRES PL 9
`' Environmental Health Division !ti- 'f PIN# 372418306846
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PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 c�o q 51 a ' LOT# 26-28
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NAME ON PERMIT: ROBERT ELROD, 2631 27TH ST NE, HICKORY NC 28601
Site Address: 2631 27TH ST NE, HICKORY NC 28601
Property Size: Square Feet:54,014.40 Acres:1.24
Directions: Down Springs Rd to Clearview Acres, go to the yield sign &take a Left, 1st Rd on the Right-27th St NE, Last
house on the Left.
Catawba County Health Department Operation Permit
System Type: IIIB -SYSTEM W/SINGLE EFFLUENT PUMP
(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.
Loose Ends- Brandon Martin#4716 07/13/2016
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride 08/19/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpennit 08/19/2016 09:53
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