HomeMy WebLinkAboutOP-3-12-25824.TIFss$ CATAWBA COUNTY Case # OP -3 -12 -25824
Public Health Department
.; Environmental Health Division Subdivision
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
PIN# 372211750045
Applicant SHARON SCOTT
Owner SHARON SCOTT
Site Address: 3221 1 ST AV DR SE, Conover, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type: IIIB - SYSTEM W /SINGLE EFFLUENT PUMP j I
(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:
Original septic tank was filled in.
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.
Gary Leatherman 03/12/2012
SYSTEM INSTALLER INSTALLATION DATE
Susan Bumgarner - #1919 03/13/2012
AUTHORIZED STATE AGENT
03/13/12 16:48
DATE OF OPERATION PERMIT ISSUANCE Form F
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