HomeMy WebLinkAboutAUTH-06-2022-173243.TIF ev,• r CATABACOI!I II 1 L'afca Al:ttl46.2022-1712a3
Whltc I+erflh tktwtmcn auto,.,,kw WHITE EAGLE RANCH
-01 Is F...rtrreenW Hnith Do.mon PtNs 370006 6E473
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Sits Address: 1385 WESSEX LN H CKORY NC 26602
alma on Gwmit: SUSAN ARMSTRONG
Property Ste.: Acres 3 63
Derscttons• US 321 S b Bethel Church Rd. left onto w d Eagle Rance, ngnt at fork. home i on the right
Owner/Authorized Representative Acknowledgement of Permit Receipt
XI coldly that I urn tier n..rcr or uuthurireri agent tuner's Auth:ri.ration required)rrpncscnt;ntt the owner of
I the property des ibed arohcwe.
f As the property owner or authorized representative, I have received the above referenced
pernitls)as requested in the application ;'or service EIIPR-OI-2022-3971R, by the fol owing method(s):
Received in Person
_ Facsimile transmittal(Ret.irn loon with signature required)
4 Electronic Image Trunsmir.al'E-mail (Return receipt required)
As the property cwiser or authorized rcpresen:alive I have restewed and understand the specific conditions
of the permit issued, and further understand that all applicable re1u!atory requirements specified under the
North Caroline lams and Rules for Sewage Treatment and Disposal Systems(I SA NCAC 18A.1900),
and/or Well C'onstracttoa Standards(I SA NCAC 2C.0100), shall apply to the Is.uance of this permit and
the construction of the wastewater system and,'or water supply well permitted.
Permit Issue Date:06138r2022 _
Ovvner'Autlloriz Rcpr scntativc Signature >�l4.
>F t'L PlArt
r r7 /�
Date
1)cocameatanon of Permit(s)'1raaasnittal
(perms:transmitted by electronic or other means)
Permit transmitted by (mArne ul person sending permrr/
4±7,....___
Sigraturc ^ I?,ste:Time 0115/1)
Method: ____Fes jE:mail US Mall Other
Owner's request Io seed by the above Indketed method of transmittal in Ilea of signature
We want tto hear from ya&Please ttake a few momanns tto complette our custtomer service survey att
hdp://www..survayrnonkey.cern/s/FACusttornerServIee
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PK-ot-Zo22-3171F
Catawba County Environmental Health A.17K_0 ,_ - 1.13
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Parcel: 370009069973, 1365 WESSEX LN eA J 1 in�Oft
HICKORY, 28602 (`\milv‘g
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Copyright 2021 Catawba County NC
06/02/2022