HomeMy WebLinkAboutOP-09-2016-076541.TIF CATAWBA COUNTY 0 o. }'1�0 Case# OP-09-2016-076541
UL Public Health Department .. Subdivision MAPLE GLEN
/ET 4 Environmental Health Division r, PIN# 470003039875
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PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1•p ' LOT# 5
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NAME ON PERMIT: BRANDON EDMONDSON
Site Address: 1019 HEATHER GLEN DR, CATAWBA NC 28609
Property Size: Square Feet:40,075.20 Acres:0.92
Directions: Hwy 10 E, right on Murray's Mill Rd, left on Sherrills Ford Rd, Left on Long Island Rd, right on Maple Glen,
right on Heather Glen, property in cul-de-sac 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: 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 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.
Shawn Abee#1764 09/06/2016
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd 09/07/2016
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
Form F
ISSUANCE
ehpermit 09/07/2016 09:52
1�A Permit# RBPR 7-16-25272
?-� �GCATAWBAthCOUNTY Name Brandon Edmondson
2 Public Health Department
< "` �', Environmental Health Division Address 1019 Heather Glenn Catawba NC
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 470003039875
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Site Plan Operation Permit
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