HomeMy WebLinkAboutOP-6-11-18801.TIF g CATAWBA COUNTY Case # OP-6-11-18801
G Public Health Department
Q � Environmental Health Division Subdivision
v e's PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot #
I w PIN# 363805193766
ApplicanUOwner Rodney Trivette /� /
Site Address: 1889 APRILS WAY, Newton, NC ✓�" �_`� ���T
Property Size: SF ACRES
Directions:
Catawba County Health Department Operation Permit
IIA - CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
System Type:
(In accordance with Table Va)
Description: REPLACEMENT OF SEPTIC TANK ONLY
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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.
Bryan Miller# 1127 06/09/2011
SYSTEM INSTALLER INSTALLATION DATE
Jason Boyd - #1810 06/10/2011
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE Form F
06/10/11 16:32
,��A Permit # EHPR-2-11-9576
G CATAWBA COUNTY
F.,� '2. Public Health Department Name Rodne Trivette
Address 1889 A ril's Wa Newton NC
� �t� ,,`'� Environmental Health Division p�# 363805193766
a PO Box 389, 100A Southwest Blvd, Newton NC 28658
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