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CATAWBA COUNTY Case # OP-12-09-3115
Q Public Health Department Subdivision
d Environmental Health Division
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 PIN# 362601295680
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Applicant/Owner RICHARD C BORG
Site Address: 4250 HERTER RD RD, LINCOLNTON, NC
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:
Q
Types V and VI systems expire in 5 years.
Owner must contact health department 6 months prior to exiration for permit renewal.
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_ -
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.
Willis Septic Tank 41189 12/04/2009
SYSTEM INSTALLER INSTALLATION DATE
Luke Sears 12/04/2009
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F
02/10/10 12:53
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