HomeMy WebLinkAboutOP-04-2018-098647.TIF se,: CATAW IBA COUNTY ❑� E r ❑� Case# OP-04-2018-098647
t; ¢ �'L rPublic Health Department :4l Yr' Subdivision ANNIE TRACE PH 2
< : �c Environmental Health Division ?I 4 e } PIN'A 377108986953
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1 LOTtt 24&25
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NAME ON PERMIT: CLAYTON HOMES, 260 JORDAN BRANCH RD, MARS HILLS NC 28754
Site Address: 2656 1ST AVE NW, CATAWBA NC 28609
Property Size: Square Feet:37,026.00 Acres:0.85
Directions: Hwy 10 E, left on 5th St SW, left Old Catawba Rd, Right on 5th St NW, left on 1st Ave NW
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONY 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.
BOBBI LASAGE 5250 04/20/2018
SYSTEM INSTALLER INSTALLATION DATE
04/24/2018
AUTHORIZED STATE AGENT DAM OF OPERATION PERMIT
ISSUANCE
Form F
chpennit 04/25/2018 16:56
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Parcel: 377108986953,2656 1ST AVE NW lin=50ft
CATAWBA, 28609
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Copyright 2014 Catawba County NC
04/24/2019