HomeMy WebLinkAboutOP-4-11-17059.TIF �q CATAWBA COUNTY Case # OP-4-11-170�9
� G Public Health Department
�, 2 Subdivision
d � Environmental Health Division
���' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
I8 2 '" P�`1# 373410453161
Applicant/Owner LINDA H DELLINGER r�.�� � C�� �� . 73t f�
Site Address: 5184 CANTERBURY DR, Conover, NC �'�
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type: IIIG - OTHER NON-CONV 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.
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.
Kelly Isenhour 04/06/2011
SYSTEM INSTALLER INSTALLATION DATE
Susan Bumgarner - #1919 04/15/2011
AUTHORIZED STATE AGENT DATE OF OPEf2ATION PERMIT ISSUANCE FoCm F
04/18/t 1 09:36
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