HomeMy WebLinkAboutEXSY-08-2022-178460.TIF . .L
CATAWBA COUNTY Case 0 EXSY-08-2022-178460
•i lirclPublic Health Department Subdivision
-' J-a Environmental Health Division PINH 376009262384
: le PO Box 389,25 Government Drive.Newton,NC 28658 LOTH
Site Address: 1338 EAST END CT,CLAREMONT NC 28810
Name on Permit: 'TERAMORE CONSTRUCTION,LLC
Property Size: Acres.77
IN:actions: NC HWY10 E,take R onto East End Court.In cul-de-sac.
Owner/Authorized Representative Acknowledgement of Permit Receipt
1 certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
th property described above.
Xl_V As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service R13PR-08-2022-41984,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
V Electronic Image Transmittal/E-mail (Return receipt required)
it
• ](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
16
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 su ply well permitted.
Permit Issue Date:08/24/2022
Owner/Authorized Representative Signatu
Date C' "/2°2G J '
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)1
SignatureqE
Date/Time v+7 r!•
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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