HomeMy WebLinkAboutOP-5-11-18037.TIF ��A CATAWBA COUNTY Case # OP-5-11-18037
� G Public Health Department Subdivision
¢ ? Environmental Health Division
�� '�' PO Box 389, 100.A Southwest Blvd, Newton, NC 28658 Lot #
Is s° P�# 367701253046
Applicant/Owner MICHAEL BROWN
Site Address: 3483 DOROTHYS LN, Newton, NC ���� " I I' I � r � � I �
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
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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.
Dewey Grant #2607 OS/06/2011
SYSTEM INSTALLER INSTALLATION DATE
Robbie Phelps - #1952 OS/17/2011
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE FOrm F
OS/17/11 0924
��'A Permit # OP-5-11-18037
G CATAWBA CC�gJNTY
f.,� � Public Health Department Name Michael Brown
� �� `� Environmental Health Division Address 3483 Doroth 's Ln
V '� � PO Box 389, 100A Southwest Blvd, Newton NC 28658 P � #
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