HomeMy WebLinkAboutOP-04-2018-098654.TIF ■ ,y
' 1`•1 e Case U OP-04-2018-098654
a
Ta 1; 2 Public Health Department •a + l Subdivision
< ea :� Environmental I lealth Division i PINU 372409064347
• �� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 • LOT#
1134. }.i
NAME ON PERMIT: DEREK CRUMP, 1827 KOOL PARK RD, HICKORY NC 28601
Site Address: 1827 KOOL PARK RD NE, HICKORY NC 28601
Property Size: Square Feet.56,192.40 Acres:1.29
Directions: Sandy Ridge Rd turn right onto Kool Park Rd, Sandy Ridge Baptist Church is on right, gas station on left,
take right past church, 1.2 miles turn left, cluster of mail drive right before them, long gravel drive circles
around
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25%REDUCTION
System Code: IQ4PS System Code Description: Infiltrator Quick 4 Plus Standard
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to expiration 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.
DERRICK BARNES 1017 04/19/2018
SYS'T'EM INSTALLER INSTALLATION DATE
04/24/2018
AUTHORIZED STATE AGENT DATE OF OPERATION I'ER cIIT
Fame I'
ISSUANCE
ehpennir 04/2520 IS 16:47
NEM-o.1-a0116,_
Catawba County Environmental Health 01 5G1
L_______._.f 108 p 1 _o
\hh:
190.9
I
l
-Gi 1011111°"64.47
59.35 11
I. . . :
•
i0
VW
rn 61
Crsib
sL •
, f
'KA1r 1
e set in
r7
M
I' C-4-41-1 liptil3
d
4-0
ki. • f
r
74.11
, ni--, \ ..e
ITIO
Parcel: 372409064347, 1827 KOOL PARK RD 1in=50ft
NE HICKORY, 28601
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the anracy of location and labeling Information contained on this map or data on this repot.Catawba County promotes and recommends
the Independent vecifn.etioh of any data contained on this map/report Product by the user.The County of Catawba,Its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,Indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
04/242018