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HomeMy WebLinkAboutOP-4-11-17060.TIF �qA CATAWBA COUNTY Case # OP-4-I1-17060 y � G Public Health Department Subdivision � � Environmental Health Division �� `�' PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # tg 2 �M PIN# 373407699466 Applicant/Owner ALMA S AYERS �f� R-3--,�-y�'�(� Site Address: 5609 SULPHUR SPRINGS RD, Hickory, NC Property Size: SF ACRES Directions: Catawba County Health Department Operation Permit IIIG - OTHER NON-CONV TRENCH SYSTEMS System Type: (In accordance with Table Va) Description: 25% REDUCTION ��, a� .�. 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. Maiden Grading 04/06/2011 SYSTEM INSTALLER INSTALLATION DATE Susan Bumgarner - #1919 04/15/2011 AUTHORtZED STATE AGENT DATE OF OPERATION PERM(T ISSUANCE FoCm F 04/18/11 09:52 �QR - 3 - qq�� �-�-3�-�� ��``��"k�� l��' '_ � I p 7S � o � ,� J � . � � . \ �� (:��HA M QiCI � ��52.. J � -� 2 � • `�