HomeMy WebLinkAboutOP-4-12-26448.TIF�qA CATAWBA COUNTY
Q G Public Health Department
dEnvironmental Health Division
PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658
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Applicant RICHARD CROTTS
Owner RICHARD CROTTS
Site Address: 4130 CARRIAGE LN, Hickory, NC
Property Size: SF ACRES
Directions:
Case #
OP -4 -12 -26448
Subdivision
Lot #
PIN#
370016833441
SAP Q-
-1a�
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON -CONY TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
-F—
Types V and VI systems expire in 5 years. j
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.
Kenny Dellinger #1063
SYSTEM INSTALLER
Megen McBride - #2246
AUTHORIZED STATE AGENT
04/02/12 10:27
03/30/2012
INSTALLATION DATE
04/02/2012
DATE OF OPERATION PERMIT ISSUANCE Form F
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