HomeMy WebLinkAboutOP-9-10-10908.TIFgA CATAWBA COUNTY
G Public Health Department
QEnvironmental Health Division
t PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658
!g 2 w
Applicant/Owner R. MICHAEL ISOM
Site Address: 3341 PHONEY FARM RD, Vale, NC
Property Size: SF ACRES
Directions:
Case # OP -9 -10 -10908
Subdivision
Lot #
PIN# 267803108778
Catawba County Health Department Operation Permit
IIIG - OTHER NON -CONY TRENCH SYSTEMS
System Type:
(In accordance with Table Va)
Description: 25% REDUCTION
Z)
Types V and VI systems expire in 5 years. p
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.
tim Hice
SYSTEM INSTALLER
Susan Bumgarner
AUTHORIZED STATE AGENT
09/09/10 14:40
09/03/2010
INSTALLATION DATE
09/09/2010
DATE OF OPERATION PERMIT ISSUANCE Form F
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