HomeMy WebLinkAboutOP-06-2016-073177.TIF OA \ CATAWBA COUNTY ❑e • '"S.1 Case# OP-06-2016-073177
E gni Public Health Department 7 Subdivision GEORGIA PARK
< ;-•®p „"l, Environmental Health Division 'r . PIN# 366703321831
�84% PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 :122:$90:1, LOT# 18
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NAME ON PERMIT: KAREN RICE, 3532 MELDONNA DR, MAIDEN NC 28650
Site Address: 3532 MELDONNA DR, MAIDEN NC 28650
Property Size: Square Feet:20,037.60 Acres:0.46
Directions: 70 East Conover Blvd East/turn right on Emmnanuel Church Rd/turn right on NC 16 S/turn left on NC 16
South/turn right on Buffalo Shoals Rd/turn right on Meldonna/lot 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: 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: Septic Tank date: 3/7/16
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.
Shawn Abee - 1764 05/24/2016
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps 06/06/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT Form F
ISSUANCE
ehpennit 09/06/2016 10:38
Catawba County Environmental Health
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Parcel: 366703321831, 3532 MELDONNA DR lin=40ft
MAIDEN, 28650
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Copyright 2014 Catawba County NC
0511012016