HomeMy WebLinkAboutOP-04-2018-098702.TIF 4Pa • CATAISBA COUNTY De❑� Case ti OP-04-2018-098702
yT Public Health Department TrJd} Subdivision PEBBLE BAY PH 3 REVISION
a�'i . Environmental Ilealth Division1/"74 i �' r • PINk 460605173544
PO Box 389,100-A Southwest Blvd,Newton,NC 28658 ��}Lx { 1,0T#OT# 97
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NAME ON PERMIT: GREGORY SCAPELLATI, 155 CHERRY BARK DR, MOORESVILLE NC 28117
Site Address: 4616 GOLD FINCH DR, DENVER NC 28037
Property Size: Square Feet:61,419.60 Acres:1.41
Directions: Hwy 150 E, right on Slanting Bridge Rd, right on Burris Rd, Right on Bankhead, left on Gold Finch Dr. Lot on
right
Catawba County Health Department Operation Permit
System Type: IIIG -OTHER NON-CONN TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25%REDUCTION
System Code: 104W System Code Descriotion: Infiltrator Quick 4 Standard W
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: Infitrator tank
Jason Boyd checked tank and 1st 2 trenches on 4/19/18
Robbie Phelps checked last two lines on 4/20/18.
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 Ammons#2943 04/20/2018
SYSTEM INSTALLER INSTALLATION DATE
04/25/2018
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
ehpennit 04/2620 IS 09:15
Catawba County Environmental Health
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Parcel: 460605173544, 4616 GOLD FINCH DR 1 in=50ft
DENVER, 28037
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