HomeMy WebLinkAboutOP-5-11-18339.TIF �� CATAWBA COUNTY Case # OP-5-11-18339
p Public Health Department , ,
�' � Environmental Health Division Subdivision
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�"�' PO Box 389, 100.A Southwest Blvd, Newton, NC 28658 Lot #
Ig w P�N# 367702989918
ApplicanUOwner EVELYN SMITH �`,�-P�_ l
RITABEAVER �� �,
Site Address: 3755 AIRPORT RD, MAIDEN, 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 �`
�
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.
Britt Bass#1019 OS/20/2011
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd - #1810 OS/25/2011
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE FOrn] F
OS/26/11 08:39
`�� � CATAWBA COUNTY Permit # OP 5-11-18339
�` " r � Name Rita Beaver
� � � '��'° L Public Health Department
y Address 3755 Ai ort Rd Maiden NC
,#, s �r Environmental Health Division
U ''� ��°'� � PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 367702989918
j$ 4 Z sM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
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