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Home My WebLink AboutAUTH-04-2016-070970.TIF �6A CATAWBA COUNTY Case# _- - _, �.�. s 'j Public Health Department Subdivision WYNSWEPT PH 1 Q =,. Environmental Health Division PIN# 367804517494 1St ' PO Box 389, 100-A Southwest Blvd,Newton. NC 28658 LOT# 29 �80 ,u NAME ON PERMIT: *BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673- Site Address: 4564 CAYTON DR, MAIDEN NC 28650 Property Size: Square Feet: 34,848.00 Acres:0.8 Directions: take hwy 10 to hwy 16 South and turn left onto Cayton Drive, Property is .3 miles on the left Owner/Authorized Representative Acknowledgement of Permit Receipt I certify that I am the owner or authorized agent(owner's authorization required) representing the owner of the property described above. v As the property owner or authorized representative, I have received the above referenced permit(s) as r requested in the application for service RBPR-03-2016-23539 by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required) ,/Electronic Image Transmittal/E-mail (Return receipt required) As the property owner or authorized representative I have reviewed and understand the specific conditions of the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems (15A NCAC 18A .1900), and/or Well Construction Standards (15A NCAC 2C .0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 04/08/2016 ` Owner/Authorized Representative Signature Date Documentation of Permit(s) Transmittal (permit transmitted by electronic or other means) Permit transmitxed b, , pA�Ii a S (name of person se ding permit Signature �j� AIS ` I °1 r 4 Date/Time i i Co 0 I I t IS Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We want to hear from you. Please take a few moments to complete our customer service survey at: http://www.surveymonkey.com/s/EHCustomerService ehpennit 04/08/2016 12:07 Page 3 of 3 ig CATAWBA COUNTY CI 0 Case# AUTH-04-2016-070970 i '11111 1, Public Health Department yW4`r Subdivision WYNSWEPT PH 1 Environmental Health Division i��-'' LO �3 -c PIN# 367804517494 ��^sY� PO Box 389. 100-A Southwest Blvd,Newton.NC 28658 e•— i LOT# 29 IR4 s„ gI i (ll A ' CATAWBA COUNTY Case# AUTH-04-2016-070970 H-04-2016-070970 y; Public Health Department Subdivision WYNSWEPT PH 1 H Environmental Health Division PIN# 367804517494 ®y PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 LOT# 29 g42 a NAME ON PERMIT: "BEASON GENERAL CONTRACTORS, PO BOX 636, SHERRILLS FORD NC 28673- Site Address: 4564 CAYTON DR, MAIDEN NC 28650 Property Size: Square Peet:34,848.00 Acres:0.8 Directions: take hwy 10 to hwy 16 South and turn left onto Cayton Drive, Property is .3 miles on the left The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Authorization to Construct Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Authorization to Construct Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewage Treatment and Disposal Systems' (15A NCAC ISA .1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any niven neriod of time Jason Boyd 04/08/2016 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 04/08/2021 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ehpereat 04/08/2016 12:07 Page 2 of 4 �}1A � Permit # RBPR 3-16-23539 4 G CATAWBA COUNTY Name Beason General Contractors 2 Public Health Department Address 4564 Cayton Drive Maiden NC U . P 5 Environmental Health Division PIN# 367804517494 -Y PO Box 389, I00A Southwest Blvd,Newton NC 28658 /842, sM (828)465-8270 Fax (828)465-8276 TDD(828)465-8200 Lot 29 Site Plan Authorization to Construct grt 5)` /-4,- I ? to _ —_ -g V' _ — _ _ , — I 0-0 i - - act- .r Wi ,-,_. SD go /L t. ICP+° ZS 2°c) • 56 Zlo Its ' 2- SveeLf 5s` I,-a- t5 ' 60' y32 PT s ..2• l Icy j 0,� :- 5T _ 0 --.) 2 G o ' r So IN . z ' Y (35 kJ 4 1q2 cilA Y CaYfo .,-, Qri t c ,— qo Scale