County Seal

County of Dare
Environmental Health Department
PO Box Drawer 1000
Manteo NC 27954

Authorization For Wastewater System
Construction Data

 Manteo
(252)475-5092
Northern Beach
(252)475-5080
Frisco
(252)475-5076

Permit Date: 2017-04-07   Permit#: 26716
Parcel: 022383559  PIN: 986707678511 District:  20

Owner Name:  MENZIE, CYNTHIA
Owner Address:  126 OTTER SLIDE LN KITTY HAWK, NC27949
Owner Phone:  N/A
Street Address:  126 OTTER SLIDE LN SOUTHERN SHORES, NC
Subdivision Name:  CHICAHAUK
Legal Description:  LOT: 559 BLK: SEC:

Authorization By: HEATHER RAY Date: 2017-04-07

  1. Original Permit Number: --
  2. Wastewater Inspected by: --
  3. Any alteration in soil conditions (including location of structures and appurtenances) or modification in use, design wastewater flow or wastewater characteristics as specified in the associated improvement permit and application, may subject this authorization and associated permit(s) to revocation

Other Conditions:
PERMIT TO RELOCATE TANK AND BUILD DECK. DECK MUST REMAIN 5' OFF DRAIN FIELD. AND TANK MUST REMAIN 10' OFF PROPERTY LINE.


Applicant: Ron Akers / Leigh Taylor Construction

Disclaimer: This permit does not relieve you of the responsibility to obtain any other necessary Federal, State or Local permit(s).