HomeMy WebLinkAboutOP-1-12-24029.TIF`agA CATAWBA COUNTY Case # OP -I -12 -24029
Q Public Health Department
d 2 Environmental Health Division Subdivision
Ca0 PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot #
18 2 S. PIN# 363917103656
Applicant JEANETTE SIGMON
Owner STEVEN HART
Site Address: 2795 N BRUSHWOOD CIR, NEWTON, NC
Property Size: SF ACRES
Directions:
System Type:
Catawba County Health Department Operation Permit
IIIG - OTHER NON -CONY TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration 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.
Earnest White - #1882
SYSTEM INSTALLER
Robbie Phelps - # 1952
AUTHORIZED STATE AGENT
01/03/12 12:52
12/30/2011
INSTALLATION DATE
01/03/2012
DATE OF OPERATION PERMIT ISSUANCE Form F
G
CATAWBA COUNTY
Public Health Department
�►r Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658
1842 SM (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465 -8200
Scale I "S-0
Permit #
Auth -12 -11 -23871
Name
Steven Hart
Address
2795 N Brushwood Cir
PIN#
SITE PLAN
N (3rL,.r4Vvo04 Ci,-.