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HomeMy WebLinkAboutEHPR-03-2016-23468 (2).TIF THIS IS NOT A PERMIT Case# EHPR-03-2016-23468 :v. CATAWBA COUNTY HEALTH DEPARTMENT 0t 0 "'' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ti 1842 sM Environmental Health Plan Review - Septic Malfunction 9,*o o AUTH_CONST- SEPTIC_MALFUNCTION mi. _ • 1 �1V1 C1 I\ �P( — ( ,C 7 � Contractor COOL PARK PUMPING, INC (KELLY ISENHOUR), 1535 VICTORIAN HILLS CIR, CONOVER NC B:8282562926 C:8282171596F:828-256-2926 SAME AS PHONE ISENHOUR4@EMBARQMAIL.C( EMBARQMAIL.C( Owner JOHN THALMAN, 311 ABBOTS FORD RD, CI-IARLOTTE NC 28262 C:7042262537 JOFIN.THALMANN @ONSITEWOODWORKS.COM NAME TO APPEAR ON PERMIT JOHN THALMAN SITE ADDRESS: 1930 KOOL PARK RD NE 4, HICKORY NC 28601 PIN # 371412959722 NAME of SUBDIVISION: PINK ECKARD ESTATE Lot# 3 &4 Section/Block PROPERTY SIZE: Square Feet 402,494.40 Acres 9.24 DIRECTIONS: Springs Rd, left on Kool Park Rd NE, Lake Hickory Mobile Home Park on left before intersection of 16th St NE. lot 4, is 4th on right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Public Water DESCRIBE WORK: Revised 4/11/16 - Septic supplies 2 homes. Lots 3 &4. Each home has 2 BdRms. Total-480 gal/day *Sewage is on the Ground. The septic system for lot 4 is located between lots 3 &4. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: ** NO STRUCTURE SELECTED ** FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF 2 - Single Wide Trailer EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 14x60, 14x60 NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 5 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 04/11/2016 16:02 Page 1 of 8 s r121608:19a ONSITEWoodworkCharlotte 7045231381 p.1 , p CATAWBA COUNTY Case EHPR-63-2015-23465 ii_ri Public Heath Department Subdivision PINK ECKARD ESTATE na.s . Environmental Health Division P1Nlr j PO Ben 389, IOUASouthwest Blvd. Newton. NC 28658 371412959722 NAME ON PERMIT: (JOHN THALMAN), 311 ABBOTS FORD RD, CHARLOTTE NC 28262 ( JOHN THALMAN) Site Address: 1930 KOOL PARK RD NE 4, HICKORY NC 28601 Property Size: square Feet 402,494.40 Ac15 9.24 Directions: Springs Rd, left on Kool Park Rd NE, Lake Hickory Mobile Home Park on left before intersection of 16th St NE. lot 4, is 4th on right Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revokec if the information on this application,site plans or intended use changes for the proposed facility. F have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identifioaticn and labeling of all property lines and corners and making the site accessible so t a omplete site evaluation can be performed. Dale: 9P< 1 Z '4 (p Signature ofApplicant or Agent - 1 .An Environmental Health Specialist will contact you within S ting days of application date. If you need further iofoanation or assistance please call 828-466-7291 AREA2 cats**********ta*•*4,**t****+•?y*i***** w*+' c******ii******i.*,**i******** **41e:**f*4rt**t* t*w.,. *.i***-■*Y it FEE\AMF F'. ,$..LLti t i 141x, ? . _ .14pNlid r bi,ip:DATE L FEE AMOUNT C# Authorization to Construct(Repair) Fee 03/24/2016 x300.00 Authorization tc Construct(Repair) Fee 04/] 1/2016 $150.00 �*, `F TOTALi?EES k r °);: 4 �° ` ...fl �Rieg ` 54-0 00'E�"k -.M9 .6 .. :.__ .. __ .ii r 3 Y'T# rye�c„�•:.a�.�'-7�3 n. '_`�a4t>.:'���'S^i .:3:..' _ *uG. _.._-... ,..:£a.i::. FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 9zh u( (0 8Z -) P Ii')-ehnpplic:niun 04/11/20[6 16:02 Page 2 MS ' CATAWBA COUNTY �/ �� IOOA SOUTHWEST BLVD tK NEWTON, NORTH CAROLINA 28658 RECEIPT ;nom - m 1 ii PHONE: 828.465.8399 UwF' Monday, April 11, 2016 1842 sM www.catawbacountync.gov PAYOR: THALMAN, JOHN PAYMENTS TRANSACTION NUMBER: TRC-653564-11-04-2016 PAYMENT DATE: 04/I 1/2016 PAYMENT TYPE: Credit Card Payment by phone by John INVOICE NUMBER FEE NAME FEE AMOUNT 04-16-327068 Authorization to Construct (Repair) $15000 Fee TOTAL PAYMENTS : 5150.00 EHPR-03-20 1 6-2 3 46 8 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 1930 KOOL PARK RD NE 4, HICKORY NC 28601 Owner JOHN 'FHALMAN, 311 ABBOTS FORD RD, CHARLOTTE NC 28262 C:7042262537 JOHN.THALMANN@ONSITEWOODWORKS.COM ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Contractor COOL PARK PUMPING, INC, 1535 VICTORIAN HILLS CIR, CONOVER NC 28613 B:8282562926C:8282171596F:828-256-2926 SAME AS PHONE ISENHOUR4 rilEMBARQMAI: receipt 04/11/2016 15:59 Page 1 of 1 A �$ �n THIS IS NOTA PERMIT Case # EHPR-03-2016-23468 CATA\VISA COUNTY HEALTH DEPARTMENT �0.'.r;5 0 '-"� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES iI l 3i 18. 2 sm Environmental Health Plan Review - Septic Malfunction l t lei AUTH CONST- SEPTIC MALFUNCTION •-d. 1 }' Contractor COOL PARK PUMPING, INC (KELLY ISENI-IOUR), 1535 VICTORIAN HILLS OR, CONOVER NC B:8282562926 C:8282171596F:828-256-2926 SAME AS PHONE ISENHOUR4 n EMBARQMAIL.C( Owner JOHN THALMAN, 311 ABBOTS FORD RD, CHARLOTTE NC 28262 C:7042262537 JOFIN.TI-IALMANNaONSITEWOODWORKS.COM NAME TO APPEAR ON PERMIT JOHN THALMAN SITE ADDRESS: 1930 KOOL PARK RD NE 4, HICKORY NC 28601 PIN # 371412959722 NAME of SUBDIVISION: PINK ECKARD ESTATE Lot#21-34 44-51 Section/Block B PROPERTY SIZE: Square Feet 402,494.40 Acres 9.24 DIRECTIONS: Springs Rd, left on Kool Park Rd NE, Lake Hickory Mobile Home Park on left before intersection of 16th St NE. lot 4, is 4th on right PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Public Water DESCRIBE WORK: *Sewage is on the Ground. The septic system for lot 4 is located between lots 3 & 4. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: ** NO STRUCTURE SELECTED ** FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF Single Wide Trailer EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 14x60 NUMBER OF EXISTING BEDROOMS: 2 #OF OCCUPANTS: 3 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 09-chapplianion 03/24/2016 13S7 Page 1 of8 0,A CATAWBA COUNTY Case# EI-IPR-03-2016-23468 .C . � Public Health Department Subdivision PINK ECKARD ESTATE rtti *�^1 H Environmental Health Division 371412959722 ^'4-. PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 $4%S'+ NAME ON PERMIT: (JOHN THALMAN),311 ABBOTS FORD RD, CHARLOTTE NC 28262 ( JOHN THALMAN) Site Address: 1930 KOOL PARK RD NE 4, HICKORY NC 28601 Property Size: Square Feet 402,494.40 Acres 9.24 Directions: Springs Rd, left on Kool Park Rd NE, Lake Hickory Mobile Home Park on left before intersection of 16th St NE. lot 4, is 4th on right Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identificAtir an Labeling of all property lines and corners and making the site ace sable so that a complete evaluation can be performed. ' � Date Signature ofApplicant orAoent VC"i � X An Environmental Health Specialist will contact you within 5 working days of application date. It you need further information or assistance please call 828-466-7291 AREA2 1 Pf'3 iid..�» Ft ia(t s„ llS '. iiWaS 1g'I (m EECNAME. ei;. v? ' t r it ;I .__ .` 5.(:_ DATE w,f a/ FEE AMOUNT°F Authorization to Construct (Repair) Fee 03/24/2016 5300.00 ''uf TOIALRFE5 trw S� 'a 'sis ttf 3Ir*erfaI t,„530000iix „.affr et ? �. _z; .i•...,_.-.0:.,.....�.. �.._.. ,w . ..3.r 9'_ 2i. ........,ii;l2t& u” FEES ARE NON-REFUNDABLE ONCE A SITE VISLC IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-eliapplication 1 3/24/2016 13:57 Page 2 of 8 s®_tr241609:58a ONSITE Woodwork Charlotte 7045231381 p.1 THTS IS NOT A PERMIT Ili Iry CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit ❑ Authorization to Construct❑ Septic Repair ❑ Septic Malfunction Septic Expansion ❑ New Well Permit ❑ Replacement Well Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) n G Application is for New Construction ❑ Existing Facility ►' Property Address I / 30 VAS Darlk. 1L Mb Subdivision L41LC fitGud.y M P r- ILA/Coal NC. ZS(cJO Lot # y Acres// Section/Block/Phase Driving Directions to Property NAME TO APPEAR ON PERMIT? pO«Tter ❑ Applicant ❑ Contractor Applicant Contact Information i` Name ��l`1 l� Liih/k/�f t �� 11�1Chnl_@____ y_ .�-[ Address '31 ( pie, �o .t z Lr Phone l °Li t1_,(? . 1 .s 3-2.- I Cell Phone 10 L{ itt, 7.s Owner Contact Information Name Address Phone Cell Phone Contractor Contact Information Name CooL °(4ttV pu AAP)Nc, LC�( ey Address Phone I Cell Phone 2,5 211 I S�(p WHO WILL BE THE PRIMARY CONTACT? FOPOwner ❑ Applicant RContracior Description of Existing Structures on Site #of Bedrooms *f Z St:ucture Dimensions I LI X(49 #of Occupants 3 Basement ❑ Yes X No Basement Fixtures 0 Yes g, No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. O Yes P'No Does the site contain any jurisdictional wetlands? 'Yes IR No Does the site contain any existing wastewater systems? Yes gt7No Is any wastewater going to be generated on the site other than domestic sewage? O Yes rallo Is the site subject to approval by any other public agency? O Yes no Are there any easements or right of ways on this property? Describe Existing water supply in use I❑ Individual Well ❑ Community Well ❑ Semi-Public Well County_/City/Township Water Line Is a public water supply available? **zee' Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ID Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other Any Mar 24 16 07:42a ONSITE Woodwork Charlotte 7045231381 p.2 THIS IS NOT A PERMIT �ATAWBA CATAWBA COUNTY HEALTH DEPARTMENT C Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence ft of New Bedrooms 't Project Description Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ® Yes 'i No ❑ Accessory Structure(s) Describe 4 of New Bedrooms 11 if applicable Structure Dimensions 4 of Occupants Accessory Dwelling [I Yes n No Plumbing ❑ Yes n No Describe Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*t Total ft Bedrooms *I Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift ft of Shifts Dining Area (Sq. Ft) n Business Specific Type of Business Retail Floor Space # of Employees per Shift ft of Shifts ❑ Other Facility Type Specify If Church ft of Seats Kitchen ❑ Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ri Semi-Public Well n Community Well Abandonment Type ❑ Drilled I I Bored n Dug n Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted or all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms, calculated design flow is required. *- If No, a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL. CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5) live years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may he revoked if the information on this application, site plans or intended use changes for the proposed facility. 1 have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. 1 understand that [ am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. ����p� Signature of Owner or Agent _ a� /1 /Date V� tr n / 1� Printed Name of Owner or Agen �� N I"I en) I�u �N/v .. CATAWBA COUNTY ENVIRONMENTAL HEALTH a� ENVIRONMENTAL HEALTH COMPLAINT FORM '�'. ' EH-03-2016-5929 1842 SM SEPTIC COMPLAINT Complainant ANONYMOUS COMPLAINT, , Violator JOHN THALMAN, 14612 RAYNI-IAM DR. CI IARLOTTE NC 28262 SANITARIAN: Megen McBride PROPERTY ID#: 371412959722 STATUS: In Violation CALLBACK: No MEDICAL CONFIDENTIAL: No STREET ADDRESS: 1930 KOOL PARK RD NE 4, HICKORY NC 28601 DIRECTIONS: Springs Rd, left on Kool Park Rd NE, Lake Hickory Mobile Home Park on left before intersection of 16th St NE. lot 4, is 4th on right Septic Complaint Septic Complaint COMPLAINT: 1 VIOLATIONS: VIOLATION DESC: Sewage on ground under home, in front and rear. DUEDATE VIOLATION DATE 03/07/2016 ENDDATE DATE RECEIVED: 03/03/2016 PRELIMINARY DATE: 03/04/2016 CLOSED DATE: EXTENSION DATE: ACTIVITY DATE NAME COMMENTS Code Activities 03/07/2016 Notice of Violation letter MM 03/17/2016 Cnse"1Notes 3r 1N 44,Certified and regaular il re rned 'forwarding time expired a".. � �.�? _ .. `4*s�.return to sender,",, • _ , _r s 03/17/2016 Notice of Violation letter SP - Mailed NOV to address provided on return label by USPS INSPECTION# STATUS TYPE COMPLETED Septic Complaint EHINSP-319080 Failed Eli First Inspection Megen McBride 03/04/2016 03/04/2016 Made site visit. Sewage on ground between MEI #3 and #4. Sewage also ponding under corner of MH#4. Will send NOV. rehcomplaintfonn 03/23/2016 12:47 Page 1 of 1 Mar 24 16 07:42a ONSITE Woodwork Charlotte 7045231381 p.3 Catawba County Environmental Health r r 7 - ,\ 4 — `- t2g0 Zt0 p0 / - �f ' / 100. _ 5 g - 3 37 — :I\rr \ 200 ✓ ✓—k I\ r — ' 1e9.\9 - - G J S t' . — IT '?krs' 2 , - (I.-. \ - \ 2095 ' u+ ✓ - _Vi ` \3 `, J �� \-\. 1. �p \\o - - \ - — y- �\ r 5 -- 1 ---- --\--' si\ "-- u9 �! — — — 51 ■ �0Y0�.`(470) - (1621 `o' s so - •-- - cIit. II \ r.. H-----'-------------, cc-- 11-1 II \ 1 -10so � Parcel: 371412959722, 1 930 KOOL PARK RD 1 in=80ft NE HICKORY, 28601 This rnapireport product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial eftons to ensure the accuracy of location and labeling information contained on this map or dale or; this report.Catawba County promotes and recommends the independent verification of any cata contained on this'rap/report product by In.e user.The County of Catawba, Is employees,agents,and personnel,disclaim,and shall net be held liable for any and all damages,loss or liabitly,whether direct.indirect or consequential which arises or may arise from his map/report product or the use(hereof by any person or entity. Copyright 2014 Catawba County NC 02)23/2016 Catawba County Environmental Health r y P Z Y 100.0' 5 36 37 — ' -" 021 — 10 / , / — --- Zoo - --38 / 1 0.3 , 109.•9 Y l 6, a: r 0 ., . i O 2 5 i\ \ 43- 111r- ILO. \-- -- -■101.11 - 3.c , 4: ` / 94 w 17 t --- ----0 ...-% %,------\\51- 3 411..) , '- -- -- , , -,....%`‘,\-- / 2 ----- -11:i ---------_ ---....._ / 11 - / / .-..--- --'c- 9 1. v(0 ' / 21 6 1 1 51 1070`470) (162) o 181.50 ...,„M l-----. b 1080 Parcel: 371412959722, 1930 KOOL PARK RD 1 in=80ft NE HICKORY, 28601 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 03/23/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 371412959722 Owner: THALMANN JOHN A Parcel Address: 1930 KOOL PARK RD NE,Unit: Owner2: THALMANN JOHN W 26 Address: 14612 RAYNHAM DR City: HICKORY, 28601 Address2: null LRK(REID): 64097 City: CHARLOTTE Deed Book/Page: 3112/0333 State/Zip: NC 28262-0445 Subdivision: PINK ECKARD ESTATE School Information: Lots/Block: 21-34 44-51/ B Last Sale: School District: COUNTY Plat Sale: ge: 6/25 Elementary School: CLYDE CAMPBELL Legal: LOT 21-34 44-5 PL 6-25 Middle School: ARNDT Calculated Acreage: 9.240 High School: ST STEPHENS Tax Map: 216H 04002 School Map Township: HICKORY State Road #: 1400 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: HICKORY County Fire District: ST STEPHENS Zoningl: R-1 Building(s) Value: $87,400 Zoning2: null Land Value: $201,200 Zoning3: null Assessed Total Value: $288,600 Zoning Overlay: null Year Built/Remodeled: null/null Small Area: null Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: null Building Details 2010 Census Block: 3009 WaterShed: null 2010 Census Tract: 010302 Voter Precinct: P30 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared horn the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_rcport.php?key=371412959722&typ=P 3/24/2016 :to O 7 O - 3 Z1 O O co -. iZ F' v r: co (IN T •, . ..? o ,..r -< C: ca n m - r (` '\ O '� ' C . Z r... ,'� '" ��, W n i Cwt O 1 {, . ;'4 F 11 1• -,• � ,N -3 W Z 7,. '-._� CO ti z N Z Z o •�• D P hi o > ® �C (11 -- 1N t.1 Z g ".1 , U VI I a t v, m r o• Q a off.. m r. .. 0 C7 i m cc m 1 < C m N z ; ,I Q ry IQ in ? t UY m cc, i i '� S in 0 + 1" a >1-1 r- '-I 7 d. K --"A-..---..'\ > n .� w In 2 3-�� 5' o a r,` ? >fr , O 2 z ( � - o m to ro z y : m z a m m t „it "4 C7 n `� o o ”{ ti cr 0 p rn a v • -0 a a m e o o / \cf.) . \\,,a:sj r •, —1 ,. : [J. . : . 1 �r • . /..., ._ rr � ,.„ . ad... ' A , 0, . f , i p\ . r-1. 4. . .., • ., . . c9 ,..D., (,) P V4'A C CACAWBA COUNTY V 100ASOUTHWESTBLVD NEWTON. NORTH CAROLINA 28658 RECEIPT ► a PHONE: 828.465.8399 ... Thursday, March 24, 2016 4,> 184'1 sni www.catawbacounlvnc.gov PAYOR: THALMAN. JOHN PAYMENTS TRANSACTION NUMBER: TRC-643229-24-03-2016 PAYMENT DATE : 03/24/2016 PAYMENT TYPE: Credit Card payment by phone INVOICE NUMBER FEE NAME FEE AMOUNT 03-16-326452 Authorization to Construct (Repair) S300.00 Fee TOTAL PAYMENTS : $300.00 EHPR-03-2016-23468 CASE TYPE: Environmental Health Plan Review WORK CLASS: Septic Malfunction SITE ADDRESS: 1930 KOOL PARK RD NE 4, HICKORY NC 28601 Owner JOHN THALMAN. 311 ABBOTS FORD RD, CHARLOTTE NC 28262 C:7042262537 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Contractor COOL PARK PUMPING, INC. 1535 VICTORIAN HILLS CIR, CONOVER NC 28613 B:8282562926C:8282171596F:828-256-2926 SAME AS PHONE ISENHOUR4 @EMBARQMAI_ receipt 03/24/2016 13:52 Page 1 of 1