HomeMy WebLinkAboutOP-6-11-18757.TIF ��A CATAWBA COUNTY Case # OP-6-11-18757
Q ' G� Public Health Deparhnent
a Environmental Health Division Subdivislon
.�.� `�' PO Box 389, 100-A Southwest Qlvd, Newton� NC 28658 Lot #
1 2 �� PIN# 461712961628
ApplicanUOwner pETER GJURAJ
Site Address: 3579 ANDOVER PL, TERRGLL, NC
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
System Type: IIlB - SYSTEM W/S[NGLE EFFLUENT PUMP
(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:
PUMP TO OFF SITE LOT.
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.
A 1 Backhoe # 1117 11 /06/2008
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd - #1810 06/08/2011
AUTHORIZED STATL AGGNT DATE OI� OPERATION PERMIT ISSUANCE Form F
06/09/ I I 12:33