HomeMy WebLinkAboutOP-3-11-16514.TIF ��A CATAWBACOUNTY Case# OP-3-11-16�14
Q Public Health Department Subdivision
Q ? Environmental Health Division
'`- :� `�' PO Box 389, 100-A Southwest Qlvd, Newton, NC 28658 Lot #
I8 2 � P�N# 470003034471
ApplicantlOwner DAVID P FURMANEK ��� - �'1G '�P 0� �
Site Address: 7123 LONG ISLAND RD, Catawba, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type:
IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
(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.
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_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.
Robby Ray #1159 03/29/2011
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps - #1952 03/30/2011
AUTHORIZED STATG AGGNT DA'I'G OF OPERATION P6RMIT ISSUANCE
Form F
03/30/ I l I I:52
.JS$ Permit # OP-3-I I-16514
CATAWBA COUNTY
� G Name Dave Furmanek
� '� Public Health Department
�-3 Address 7123 Lon Island Rd
�p. Environmental Health Division
v '`� O � � PO Box 389, I OOA Southwest Blvd, Newton NC 28658 PIN#
18 4'L sM (828) 46�-8270 Pax (828) 46�-8276 TDD (828) 46�-8200
SITE PLAN for OP
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