HomeMy WebLinkAboutOP-9-10-10926.TIF � CATAWfA -- COUNTY Case # OP -9 -10 -10926
ti ( — AIWA "e .2 Public"Health Department
Subdivision
1 Environmental Health Division
d el PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot # ANDERSON PARK
- SM PIN# 368703115724
Applicant/Owner PEARLIE MAE CATOE
Site Address: 3955 TOWER RD, Maiden, NC
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:
I
I
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.
Keny Dellinger 01/28/2010
SYSTEM INSTALLER INSTALLATION DATE
Luke Sears 01/28/2010
AUTHORIZED STATE AGENT DATE OF OPERATION PERMIT ISSUANCE
Form F
09/09/10 14:29
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