HomeMy WebLinkAboutOP-4-12-26445.TIFCATAWBA COUNTY Case # OP -4 -12 -26445
Q - G Public Health Department
2 Subdivision
Environmental Health Division
PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot #
Is 2 w PIN# 268703101689
Applicant Philip R White
Owner Philip R White
Site Address: 4384 WHITE RD, Vale, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type: 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.
Leonard Butler - Butler Bros #2368
SYSTEM INSTALLER
Megen McBride - #2246
AUTHORIZED STATE AGENT
04/02/12 10:32
03/30/2012
INSTALLATION DATE
04/02/2012
DATE OF OPERATION PERMIT ISSUANCE Form F
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