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~gA CATAWBA COUNTY Case # OP-3-10-5715
G Public Health Department
Q Environmental Health Division Subdivision ROLLING GREEN
w PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
t w PIN# 372013230494
Applicant/Owner BUMGARNER SEPTIC TANK AND GRADING
Site Address: 1044 ROLLING GREEN DR, Newton, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type: RIG - OTHER NON-CONV TRENCH SYSTEMS
(In accordance with Table Va)
Description: 25% REDUCTION
Types V and VI systems expire in 5 years. 0
Owner must contact health department 6 months prior to exiration for permit renewal.
System Installation Comments:
Installed per Construction Authorization
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.
Mike Bunagamer #2688 03/19/2010
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd - #1810 03/24/2010
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F
03/24/10 10:21
BA CATAWBA COUNTY Permit # EHPR-3-10-4213
G Name Bum arner Septic
Public Health Department
Environmental Health Division Address 1044 Rollin Green Dr. Newton
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 372013230494 J
1$ Z sM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 to 'SSSlp
Site Plan Operations Permit
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