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~gA CATAWBA COUNTY Case # OP-3-10-5716
Public Health Department Subdivision
d Environmental Health Division
o~v PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
PIN# 269902793860
Applicant/Owner MARVIN & ELAINE POPE
Site Address: 1259 SAND PIT RD, Hickory, 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
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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. o
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.
Kelly Isenhour #1099 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 10:25
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BA CATAWBA COUNTY Permit # EHPR-1-10-3636
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Public Health Department Name Marvin and Elaine Pope
C ~p `1 Environmental Health Division Address 1259 Sand Pit Rd Hickory
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
I8 p SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 U- U Ttf'2 -(6 'P T~
Site Plan Operations Permit \
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