HomeMy WebLinkAboutOP-2-11-15143.TIF �gA • CATAWBA COUNTY Case # OP -2 -11 -15143
�� G2 Public Health Department
Environmental Health Division Subdivision
l 0 "I PO Box 389, 100 - A Southwest Blvd, Newton, NC 28658 Lot #
/842 M P1N# 265704708566
Applicant/Owner DAVID BEARD •
TROY MOTZ t!IPR - 7- ,h -6' 7
Site Address: 4276 SAMUELS RUN, Vale, 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 e,
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.
Dennis Hoyle #1849 02/01/2011
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride - #2246 02/10/2011
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE
Form F
02/15/11 08:35
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