HomeMy WebLinkAboutOP-2-11-14940.TIF , CATAWBA COUNTY Case # OP -2 -11 -14940
hq � G� Public Health Department Subdivision
.23 Environmental Health Division
d In 0 "c' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
f8 . PIN# 371408992125
Applicant/Owner GERALD R KAMP e H P f_ /- ) 1 -8' 7Y
Site Address: 4005 16TH ST NE, Hickory, 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: 25% REDUCTION
0
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.
Brian Miller 01/31/2011
SYSTEM INSTALLER INSTALLATION DATE
Susan Bumgarner - #1919 01/31/2011
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE
Form F
02/03/11 11:53
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