HomeMy WebLinkAboutOP-08-2016-076069.TIF ,t,ACATAWBA COUNTY Q
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• 'G Public Health Department '� . JP Subdivision
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d -� Environmental Health Division 's PIN# 366702880506
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PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 _ f " LOT# 2
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NAME ON PERMIT: *AMERICA'S HOME PLACE/ STATESVILLE, 1206 GREENLAND DR,
STATESVILLE NC 28677
Site Address: 3654 N OLIVERS CROSS RD, NEWTON NC 28658
Property Size: Square Feet:40,946.40 Acres:0.94
Directions: HWY 16 S, N OLIVERS CROSSROADS, LEFT PAST RUHAMA CHURCH RD WILL BE OPEN FIELD WITH
MAILBOX#SIGN FOR 3652
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.
Kenneth Dellinger-#1063 08/15/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 08/24/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpemut 08/30/2016 08:12
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Catawba County Environmental Health Of' K'2o/i 0760 67
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Parcel: 366702880506, 3654 N OLIVERS 1in=60ft
CROSS RD NEWTON, 28658
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