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Site Address: 4361 BEECHWOOD TR,TERRELL NC 28682
Name on Permit PATSY TALBOTT
Property Size: Acres 0 69
Directions: 150 W to Kiser Island Rd(L)Fieldstone Dr(R)8eechwood Tri(L)
Owner/Authorized Representative Acknowledgement of Permit Receipt
0 I certilj that I am the owner or authorized agent(owner\authorisation required)representing the owner of
)(
the pmpert) de>eribed abt' e.
As the properly owner or authorized representative. I have received the above referenced
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permit(s)us requested in the application for service RBPR-1)9-2022-42367,by the following tncthod(s):
Received in Person
Facsimile Transmittal(Return form with signature required)
iii Electronic Image 1 ransmittal:E-mail (Return receipt required)
As the property owner or authorized representative I have reviewed and understand the specific conditions
► ' e 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 NC'A(' 1NA.1900),
and/or Well Construction Standards(15A NCAC 2('.0100). shall apply to the issuance of this permit and
EEi1Ei :
nstruction Si natu '
Date..12411.12.2,
Documentation of Permits)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by rn,nne r,1'pcv:tirm sending permit)
Signature Date,'l'ime I / /;)
Method: Fux `j F.mail US Mail _ ________________ Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
We wantt tto hear from yo►.tPiease ttake a few momentts tto complette our custtomer service survey att
http://www.su rveymon key.com/s/E HCusttomerSe ry ice
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WPDT Report
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Area of Interest (AOI) Information
Area : 3,134,508.74 ft'
Dec 2 2022 9:29:24 Eastern Standard Time
820
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1:4,514
Parcels(Polygons)-Parcels '" Prgected Rate 0 0 63 0.06 0.�2 mt
I 1 1 1 % N N ti 4
Non-System Roads — °tiler State Agency Route 0 006 0.1 011011
— Fetters:Route — Secondary Route
Non-System Primary Roads
Other System Roads — Interstate E i a.c.,w.er U. C..mb h Veda Cava, Stan w*All cr,m.
MY . OnmStsanim tarr-.va Evi MERE. Gam. SaNC/aah
— Ramps.Rest Areas,Non Mamtme — US Route aeT.v,tiye.,s ertnNasA,usos,toy Ems US Corm...Duos
USDA N:AOT G.5 u=.d See res Dv, Arun DS USGS NGA NASA
- NC Ror.te
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12/2/22,9:34 AM about:blank
4361 Beechwood Tr
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