HomeMy WebLinkAboutOP-11-10-12948.TIF • CATAWBA COUNTY Case # OP-11-10-12948
� Public Health Department Subdivision
Environmental Health Division
u IMO PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot #
1 M PIN# 364608878926
Applicant/Owner RANDY MCCLELLAN Site Address: 4466 DANIELS ST, Maiden, NC OPR lb SO
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
IIIG - OTHER NON -CONV TRENCH SYSTEMS
System Type:
(In accordance with Table Va)
Description: 25% REDUCTION
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration 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.
Kenny Dellinger #1063 11/08/2010
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps - #1952 11/08/2010
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F
02/01/11 09:47
+ Permit # OP-11-10-12948
r t� CATAWBA COUNTY Name Randy McClellan
t- ,' " M 1 Public Health Department Address 4466 Daniels St
Environmental Health Division PIN#
/ `'� ® PO Box 389, 100A Southwest Blvd, Newton NC 28658
8 2 sm (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465 -8200
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