HomeMy WebLinkAboutAUTH-07-2022-175713.TIF ct;zr. CATAWBA COUNTY' '
y/.+rw, 'Public Health Dgnnmem'f Subdivision WYNSWEPT PH 5.1'
lips`.p_,s •Environmental Health Division PINS 387804E119E12
'+t:rtt/ PO Boa 359,23 Oovenunem brie Newton,NC 22652 LOU 65 `'
site Address: 3204 TIMBER RUN LN,MAIDEN NC 28850
'Name on Permit 'NEST HOMES LLC -
' Property Mira: Acres 0.76
DO*COMIC S Hwy 18.Left Ceylon Dr Left N Wynswept Dr Right Timber Run LN
Owner/Authorized Representative Acknowledgement of Permit Receipt
jay
r I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
• the properly described above.
J�����y'v�As the property owner or authorized representative,I have received the above referenced •
I permit(s)as requested in the application for service RBPR-03-2022-40477,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 1 have reviewed and understand the specific conditions
of the permit issued, and further understand that all applicable regulatory requirements specified under the
f North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(ISA NCAC 1SA.1900),
and/or Well Construction Standards(1SA 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:07/14/2022
Owner/Authorized Representative Signature 4. '&rqn•
Date ?f/iq Jaa2-
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means) •
Permit transmitted by (, (name ofperson se dingpermir) .
Signature V Datepnme f���I?ol
Method: _Fax J Email __LIS Mall_ Other
Owner's request to send by the above Indicated method of transmittal In lieu of signature
We warn:tto hear from yoselease stake a few moments tto complette our custtomer service survey as
http://www.surveymenkay.com/s/EFICusttomerService
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