HomeMy WebLinkAboutOP-08-2016-076221.TIF `FPA • CATAWBA COUNTY ❑� ❑� Case# OP-08-2016-076221
e " G Public Health Department S{{r+ .5);4:IrF Subdivision
G � H r `+ '-Y } PIN#
*fey „�, Environmental Health Division } 376303114866
0® PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 } + LOT#
/g.2 i. • 1 . Cgti:
Ei yr. 1
NAME ON PERMIT: BILL & MARY HEFNER, 3887 BOTTOM LN, CLAREMONT NC 28610
Site Address: 3887 BOTTOM LN, CLAREMONT NC 28610
Property Size: Square Feet: 63,597.60 Acres:1.460
Directions: Rock barn Rd turn left on Halls Dairy turn left on Bottom Ln, property all the way down on left in curve of road
(Heavily Wooded Lot)
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONV 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.
Shane Jarrett#1851 08/18/2016
SYSTEM INSTALLER INSTALLATION DATE
Steven Price os/29/2016
AUTHORIZED STATE.AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpeun it 08/29/2016 09:28
R6PQ ore- Zot4— 2Vo42
oP o8- zol6 — ?6z2-1
3881 3>Ho Ce-.a. C/.c.°,e et }
4& 5y z,s4-.11edby sti�..� Sarre-ft t Issl a, 6/1/A,
Vz-/ /le rP loll SrA IoM
1,54-llca 3 INKS o4 $44G3 dw..(x/'s / 102- eecll Gn 9f+ Ccnl.v
(5� t5' VP/
V !/S / /3o'
33` 30 /
/30 '
SD
ITI 2<�
+dd,tio �f Qv: z4
sr
pp ,<4l
Keec.v
/ V
n oe l�j J
rot'
I bt,� y, I
e2' ,�( 4h
/ST"
aq
P III,
call