HomeMy WebLinkAboutAUTH-06-2022-174870.TIF i
• I t y� CATAWBA COUNTY� Case# AUTH-06-2022.174870
s' t �1 a tA Public Health Department Subdivision
li n— . at Environmental Health Division PIN" 360903410395
wPO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1-3
Site Address: 2293 FINGER BRIDGE RD,HICKORY NC 28802
Name on Permit: ROBERT WALKER
Property Size: Acres 2.88
Directions: Hwy 10 turn onto Finger Bridge Rd
Owner/Authorized Representative Acknowledgement of Permit Receipt
/� certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
((( the property described above.
/�✓As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-06-2022-41314,by the following method(s):
Received in Person
/Facsimile Transmittal(Return form with signature required)
v Electronic Image Transmittal/E-mail (Return receipt required)
WAs 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(ISA 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:06/30/2022
Owner/Authorized Representative Signature y r e,/i .,
Date 7- 7 -22-
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted b (name ofperson se ding permit)
Signature t Date/Time 7IAA)
Method: Fax "I Email US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from youPlease ttake a few momentts tto complette our custtomer service survey att
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I 0 335oa°341141 &
ohpeimit 06/30/2022 11:01 D