HomeMy WebLinkAboutOP-3-11-15685.TIF �gA CATAWBA COUNTY Case # OP -3 -11 -15685
G Public Health Department
��Am` y Subdivision
Environmental Health Division
v Ya� PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot #
1842 s. PIN# 364817007593
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Applicant/Owner KAREN HESS _ -j C�'37
Site Address: 3228 S US 321 HWY, Newton, NC '" HPA
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
IIA - CONV SYSTEM (SINGLE- FAMILY OR 480 GPD OR LESS)
System Type:
(In accordance with Table Va)
Description:
Types V and VI systems expire in 5 years. -V
Owner must contact health department 6 months prior to exiration for permit renewal.
System Installation Comments:
Tank replacement only, (1500 gal)
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.
Jonathan Watts 1879 02/24/2011
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps - #1952 03/01/2011
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F
03/01/11 13:45
BA Permit # OP -3 -11 -15685
� CATAWBA COUNTY Name Karen Hess
(, m 1- Public Health Department Address 3228 S US 321 HWY
V in g� 4 Environmental Health Division PIN#
PO Box 389, 100A Southwest Blvd, Newton NC 28658
18 2 s m (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465 -8200
SITE PLAN
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