HomeMy WebLinkAboutAUTH-09-2022-180358.TIF .t.1.fir CATAWBACOUNTY ` -
wI Ms Public Health Dcpanmcnt Subdivision HOLLY HILLS
4- . , is Environmental Health Division PIMA 389608382795
'�,Ly� PO Box 389,25 Government Drive,Newton,NC 28658
LOTH 4
Site Address: 8350 SPRUCE ST, DENVER NC 28037
Name on Permit 'GIG HOUSING.LLC,T/A PIEDMONT HOMES OF NC
Property Sloe: Acres 0.48
Dlrecttona: Right on Radio Station Rd,left on WC St to NC-18 S.Turn left to NC-150 E. Right on Grassy Creek Rd. Turn
eft on Spruce St.Stte back of subdivision on left.
Owner/Authorized Representative Acknowledgement of Permit Receipt
ilikti gutty that I am the owner or authorized agent(owner's authorization required)representing the owner of
the property described above.
the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-05-2022-41182,by the following method(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
•/ Electronic Image Transmittal/E-mail (Return receipt required) _.
ti ��jqs 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 Pe
requirements specified under the
q
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.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.r(`Permit Issue Date:09/16/2022 ``
.„.
C
Owner/Au oriu Representative Signature ) �i` ��
Date - c
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
Signature Date/Time L�I,7,I
Method: Fax "Email US Mail tIII Other
Owner's request to send by the above indicated method of transmittal in lieu of signature •
We wantt tto hear from yo4Please ttake a few momentts tto complette our custtomer service survey att
http://www.surveymonkey.com/s/EHCusttomerService
rn 1 ke ph nc eg nc-u. awl
thpnmit 09/19l2022 07:34