HomeMy WebLinkAboutOP-08-2016-076123.TIF nA CATAWBA COUNTY ❑e ' vo. •f 0 Case# OP-08-2016-076123
`i r+2 f Public Health Department , ' Subdivision
4 �t ,;1, Environmental Health Division k`f r PI N# 471003147143
t' PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 '� LOT# 2
18.2 s. - - {.-.
M1
NAME ON PERMIT: DANA JOHNSON, 7257 SHERRILLS FORD RD, SHERRILLS FORD NC 28673
Site Address: 8270 MONBO RD, CATAWBA NC 28609
Property Size: Square Feet:570,636.00 Acres:13.1
Directions: from Sherrills Ford Rd /turn on Molly's Backbone/go to end of road & turn right on Monbo/ property approx
1.5 miles on left just past new long concrete drive/ entrance cut in
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 forpermit 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.
Wendell Caldwell#1044 08/24/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 08/25/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpennit 08/25/2016 10:07
--PA CATAWBA COUNTY Permit# RBPR-10-15-2514
�". GZ Name Dana Johnson
57 e ft& ' Public Health Department —
Address 8270 Monbo Rd Catawba NC
�• in t4,' c; Environmental Health Division PIN# 471003147143
, ' PO Box 389, 100A Southwest Blvd, Newton NC 28658
/842 sm (828)465-8270 Fax (828)465-8276 TDD(828)465-8200
Site Plan Operation Permit
\ yt/lenI'D o R �
/\
- ® (/is 1-1L/
CyIJI" • 1-N� Afp" e
G 15ffoR)
6 r ,... .......--ty Li.
I
1\95 �� i V
\\-- Ge e
c 16 "r11'1
3Ll) lo.a,(, TciiC-
1j
i ' ���' / �� r-
� v
�5 ° p,-.
CD
irt_.tJ V 7°' -- - — -
3CiI
+ ° S4 -.a ,•
0
Scale