HomeMy WebLinkAboutOP-6-11-18573.TIF � CATAWBA COUNTY Case # OP-6-11-18573
p Public Health Depardnent
Q � Environmental Health Division Subdivision
a 't' PO Box 389, 100.A Southwest Blvd, Newton, NC 28658 Lot #
� w P�# 377401068475
Applicant/Owner JEFFREY P BROCK �,`�
Site Address: 4283 W LAUREL HILL RD, Claremont, NC �� pR ' �� I 1 ' ""��
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
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 fVCAC 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.
Johnny Phillips # 1861 OS/31/2011
SYSTEM INSTALLER INSTALLATION DATE
Megen McBride - #2246 OS/31/2011
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F
06/03/11 0922
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