HomeMy WebLinkAboutOP-04-2018-098668.TIF ay,• J CtTA\BA COUNTY ❑� 3 r - f❑� Case d OP-04-2018-098668
.T GLa 2, Public Health Department ri'1}'�xPrdCr Subdivision LEELAND TERRACE
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< :�®c, �; Environmental health Division 15. :� •+ PIM/ 375114440373
PO Box 389, 100-A Southwest Blvd.Newton,NC 28658 Ark-}i . LOTH 32-35& PT31&36
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NAME ON PERMIT: PAULETTE HOUSTON, 2359 PLAINFIELD DR, COPNOVER NC 28613
Site Address: 2359 PLAINFIELD DR, CONOVER NC 28613
Property Size: Square Feet:31,363.20 Acres:0,72
Directions: Emmanuel Church Rd, left Keisler Dairy Rd, left Lakeside Ln, right Plainfield Dr, 2nd on right
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: GBD System Code Description: Gravel Bed
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.
Leather septic 1111 04/10/2018
SYSTEM INSTALLER INSTALLATION DATE
04/24/2018
AUTIIORIZED STATE AGENT DATE OF OPERATION PERMIT
ISSUANCE Form F
5111,0" 04/26/20 I8 09:45
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Parcel: 375114440373, 2359 PLAINFIELD DR 1in=50ft
CONOVER, 28613
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04/242018