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~gA CATAWBA COUNTY Case # OP-3-10-5388
Public Health Department
Environmental Health Division Subdivision OLD DAVE WHISNANT FA
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~r < PO Box 389, 100-A Southwest Blvd, Newton, NC 2868 Lot #
1 PIN# 279115633756
Applicant/Owner HAMMER & BRUSH I 0 -.3`61
Site Address: 2064 FRYE AV, Hickory, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
IIIG - OTHER NON-CONY TRENCH SYSTEMS
System Type:
(In accordance with Table Va)
Description:
25% REDUCTION
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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_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.
Gary Leatherman 03/05/2010
SYSTEM INSTALLER INSTALLATION DATE
Susan Bumgamer 03/12/2010
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F
03/12/10 11:17
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