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g CATAWBA COUNTY Case # OP-3-10-5483
Public Health Department Subdivision
Q Environmental Health Division
"s' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
tw PIN# 368904838702
Applicant/Owner GEMINI HOMES
Site Address: 5886 SUNSET VIEW LN, CATAWBA, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS
(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_ -
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 Willis #1186 02/25/2010
SYSTEM INSTALLER INSTALLATION DATE
Luke Sears - # 1896 02/25/2010
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F
03/16/10 15:52
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