HomeMy WebLinkAboutAUTH-11-2022-183843.TIF o f CATAWBA COUNTY
-illt,, Public Fieukti t arinieut Subdivision
.Environmental Ile Olth 0iviq
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Ilk.41, PO Sent 389,25 CiorcFn ent Drive.Tic‘vtoa,NC 28658 LOU 1
StteAddrass: 5885 ALLEY RD,CATAWBA NC 28609
Name on Permit ASHTON 8 EDWARO MCGWRE
Property Stu: Acres 3.98
Directions: Hwy 150.E, Left Si erriils Ford,Right Alley Rd,appre*.16 mile on Right
Owner/Authorized Representative Acknowledgement,of Permit Receipt
Otgli certify that I am the owner or authorized agent(owner's authorization required)rel,resenting the owner of
the property described above.
A (, As the property owner or authorized representative,1 have received the above referenced
permit(s)as requested in the application for service RRPR-1,0-2022-42558, by the following metho$(s):
Received in Person
Facsimile Transmittal (Return form with signature required)
Y Electronic linage Transmittal/E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific condition,
of the permit issued, and further understand that ail applicable regulatory requirements specified under the
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC I 8A.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: 11/09l2022
Owner/Authorized Representative Signature, . , \fl\(),
_ _
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Date_
Documentation of Periait(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by .. (nc nre ra/'ptrrson sem.ling perrnlr)
C____ ..,
Signature i Datei time till it1
methods Time 'Email US Mail . ._Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We want tto hear from yatPlease ttake a few mornentts tin complette our custtumer service survey at;
http://www,surveymonkeay.corals/EHCusttomerservice
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