HomeMy WebLinkAboutOP-3-11-16522.TIF ��,� CATAWBA COUNTY Case # OP-3-11-16�22
�j G Public Health Department
� Subdivision
d i.: Environmental Health Division
�� ''`'' �'�' PO Box 389, 100-A Southwest B(vd, Newton, NC 286�8 Lot #
Ig '� �M PIN# 367904846839
ApplicantlOwner $ANDYS CROSSROADS VOL FIRE DEPT
Site Address: 1611 BUFFALO SHOALS RD, Catawba, NC Y}'���( -r,� '���-
Property Size: SF ACRES
f/
Directions:
Catawba County Health Department Operation Permit
IIIB - SYSTEM W/SINGLE EFFLUENT PUMP
System Type:
(In accordance with Table Va)
Description: 25% REDUCTION
�
1_
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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 IVCAC 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.
Kenneth Dellinger #1063 06/07/20ll
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps - #1952 06/08I2011
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT [SSUANCE Forn1 F
06/08/11 08:38
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