HomeMy WebLinkAboutOP-5-11-18221.TIF�yqA CATAWBA COUNTY Case # OP -5 -11 -18221
Public Health Department
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'Environmental Environmental Health Division
. < PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot #
s 2 PIN# 3667b28630502-
Applicant/Owner JOHN M GARDNER r-'711P�' 19-
Laban William Helderman
Site Address: 3497 BUFFALO SHOALS RD, Newton, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON -CONV TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
G
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:
The plumbing from the house was installed so deep the location of the system was changed to allow a gravity system.
New backhoe pits were evaluated in the new area.
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 05/12/2011
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps - #1952 06/17/2011
AUTHORIZED STATE AGENT
06/17/11 11:54
DATE OF OPERATION PERMIT ISSUANCE Form F
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Environmental Health Division
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Permit #
OP -5 -11 -18221
Name
John Gardner
Address
Buffalo Shoals Rd -
PIN#
SITE PLAN for OP
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