HomeMy WebLinkAboutOP-04-2018-098660.TIF ^gA . CATAWBA COUNTY 0 CI Case# OP-04-2018-098660
G, Public Health Department Fr fJ' + tt Subdivision HIDDEN CREEK ESTATES
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< :��p .j Environmental health Division 1+ PIN# 370012958329
�'*' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 F < LOTd 47
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NAME ON PERMIT: KRISTINE LICKFELT, 5251 DON SHENK DR, SWARTZ CREEK MI 48473
Site Address: 1168 HIDDEN CREEK CIR, HICKORY NC 28602
Property Size: Square Feet: 16,117.20 Acres:0.37
Directions: 321 S to River Rd, to Hidden Creek Circle Estates, straight to house
Catawba County Health Department Operation Permit
System Type: IIA-CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
(In accordance with Table Va)
Description: REPLACEMENT OF SEPTIC TANK ONLY
System Code: GTR System Code Descriotion: Gravel Trench
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,
KEVIN BOWLES 1697 04/17/2018
SYS'T'EM INSTALLER INSTALLATION DATE
04/24/2018
AUTHORIZED STATE AGENT DAVE OF OPERATION PERMIT
ISSUANCE Form F
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Catawba County Environmental Health
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Parcel: 370012958329, 1168 HIDDEN CREEK 1in=40ft
CIR HICKORY, 28602
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04/24/2018