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EHPR-06-2016-24138.TIF
7e-74,,,� �1; THIS IS NOT A PERMIT Case # EHPR-06-2016-24138 ",�, Ire�� CATAWBA COUNTY HEALTH DEPARTMENT 0 ' ro, s t 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES r Ig42 sM Environmental Health Plan Review - OSWP o _ o '• e IMPROVEMENT a'a �'1r Applicant MARGARET MOORE, 159 KULCHER LN,TAZEWELL VA 24651 C:2769700952 Contact Person 7 STAR REALTY (TANIAANNIANNIS), 7378 LITTLE MOUNTAIN RD, SHERRILLS FORD NC 21 C:70443067 17 Owner TRESTLE LANE LLC, 617 N MAIN ST, BELMONT NC 28012 C:704-494-7216 NAME TO APPEAR ON PERMIT Margaret Moore SITE ADDRESS: 4883 TRESTLE LN, DENVER NC 28037 PIN # 460604543806 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 155,073.60 Acres 3.56 DIRECTIONS: From Slanting Bridge Rd/Campground Rd, Right onto Catawba Burris, Right onto Bankhead, Right on Sallybrook Rd, Cross RR Tracks, Take 1st immediate Left onto Trestle Lane, At end of Rd, Dirt drive. PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY : Private Well DESCRIBE WORK: IP for Purchase* Proposing New 4 BdRM Home. 42x92 w/attached garage 25x25, & Back Deck 10x15 There is an existing well on the property that is the neighbors. This lot will need a new well. 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? No 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? Yes Property Easements Description: Duke Power APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF Vacant Lot EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: House 42x92 w/Att. garage 25x25, Back Deck 10x15 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9- 06/21/2016 16:21 Page 1 of ,pA CATAWBA COUNTY Case# EHPR-06-2016-24138 ,Q, iti i Public Health Department Subdivision 4 Environmental Health Division PIN# 460604543806 -+�- PO I3ox 389, 100-A Southwest Blvd,Newton.NC 28658 18.2 ,m NAME ON PERMIT: ( MARGARET MOORE), 159 KULCI-IER LN, TAZEWELL VA 24651 ( Margaret Moore) Site Address: 4883 TRESTLE LN, DENVER NC 28037 Property Size: Square Feet 155,073.60 3.56 Directions: From Slanting Bridge Rd/Campground Rd, Right onto Catawba Burris, Right onto Bankhead, Right on Sallybrook Rd, Cross RR Tracks, Take 1st immediate Left onto Trestle Lane, At end of Rd, Dirt drive. 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 ules. I understand that I am solely responsible for the proper identification nd I beling of all property lines and corners and making the site acce sible that a complete site evaluation can be performed. Date: ot� 2t�2ottn Signature of Applicant or ent An Environmental Health Specialist will contact you within 5 working ays of application date. If you need further information or assistance please call 828-466-7291 AREA1 ,III FEEN'AME !'llj�lll�-�.11kal!th aii.�il j t II1 Sap, DATE ijfNFE 4'AMOUNT Improvement Permit Fee 06/21/2016 $150.00 °4ITOTAI.IiFE;ES f , GltlN9tl��� , IVfliIG�,111111VI!!�f ',�$...... l ,i;1,1!.;1 iudiu "42112111111100 4 aulti,2 unto(.emialgiqtanntit 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) 09-ehapplieauon 06/21/2016 16:21 Page 2 of 4 — CATAWBA COUNTY HEALTH DEPARTMENT count ° .,e "V Application for Environmental Services Page 1 Improvement Permit ® Authorization to Construct ❑ Septic Repair❑ Septic Malfunction ❑ Septic Expansion n New Well Permit ❑ Replacement Well ❑ Well Abandonment n Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ® Existing Facility n Property Address LITZ 3 1 tcs. t Lyle, Subdivision ri)e JAW Sri( 2 KV1 Lot# Acres 2Ss Section/131ock/Phase Driving Directions to Property7-,rbfr, S\ `�,,25, Van,p5rb,A , a,: lzT .n, (..A_,,.,\,„n r��5 • iT '- \S v�1 . CT X11 hroo ��u vs Q P 1 r c 14- NAME TO APPEAR ON PERMIT? ❑ Owner [i Applicant n Contractor Applicant Contact Information Name Mar ace--(A Mco: c Address 1St\ 11 ..,\cLc./ 1at.€ \A zewill VIA 21-IGS I Phone z-i+✓ _ q ll Ct y 5 t Cell Phone 2.,-2 L l o— c Owner Contact Information Name-1-1L Lone l t t, Address to ,J M.,..,v, 1 \� o \ Nc 2 $0%2 Phone Cell Phone Wgt. s&rS sd IWforita t '13crgy/an-ke) Name \ w v.�... • , S 1 -} r \ Address - � U\ �\. M� .a• `' S +NtN V-nr t•ac 2 Ems'}i Phone Cell Phone 4 WHO WILL BE THE PRIMARY CONTACT? n Owner Applicant ❑ Contractor Description of Existing Structures on Site A%((AN l t-4 # of Bedrooms *j' Structure Dimensions # of Occupants Basement 0 Yes 0 No Basement Fixtures ® Yes ® 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. lithe answer to any question is "yes", applicant must attach supporting documentation. ❑ Yes *o Does the site contain any jurisdictional wetlands? ❑ Yes No Does the site contain any existing wastewater systems? d Yes Is any wastewater going to be generated on the site other than domestic sewage? El Yes No Is the site subject to approval by any other public agency? KrYes 0 No Are there any easements or right of ways on this property? Describe Ste. d.-L -kd ttu. Existing water supply in use I Individual Well U Community Well n Semi-Public Well 0 County/City/Township Water Line Is a public water supply available? ** ® Yes tNo 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) ❑ Accepted ❑ Alternative giConventional ❑ Innovative ❑ Other 12F--Any ei e pis WTI r J mhbinn15 r("t II n-62_0-f new weM \.[ ,1C1VC3 CATAWBA COUNTY HEALTH DEPARTMENT �f_,,,n„ Application for Environmental Services Page 2 Proposed Facility Type R Primary Residence E New Residence Addition to Residence # ofNe Be ooms *t Project Description 1j9� ��(ipin/)�Xr� cI(� Jo(Is_ Structure Dimensions N2 ri q9/. lt` of Occupants 2 e Basement ® Yes 0 No Basement Fixtures p. Yes ® No H Accessory Structure(s) Describe # of New Bedrooms *'t if applicable Structure Dimensions # of Occupants Accessory Dwelling 0 Yes [7 No Plumbing 0 Yes ® No Describe Plumbing Needed U Multi-Family Residence# Units #Bedrooms per Unit*t Total # Bedrooms *t Structure Dimensions U Food Senice. Specify Type Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift H of Shills Dining Area (Sq. Ft.) (I Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen 0 Yes ® No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ® Individual Well ❑ Semi-Public Well ] Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug b ❑ Unknown Well Repair Requested 0 Yes 0 No Describe Calculated Design Flow. Commercial ;. Additional information may be required to determine design now 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 rioted as a bedroom and counted on 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. r if structure is plumbed hut 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 he non-expiring under certain specified conditions. An Authoriation 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 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 identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. 06/21/2016 Signature of Owner or Agent Margaret Are Date 01:55 PM EDT Printed Name of Owner or Agent VX„,vr �� ��o ; \ %*off pAa I II- U ,, II V 6, , .\°.� aE€ \ \\\ °A AylAi Ik S ,1 di. ` % Qi °a/f \\ �„�� \ i6\\% v'py ••\ i cI l �t .1 2 asg 7 \ \\ \ nn.�d ag°§4& � ¢ \ 1' \\, \ I . 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I r! 17517/ ii� �1 lit , of �y Y 1� �� 1 $,`r`4 1` II I 4 ' �� � � l� ii ` 1 44.,e — 1 1 , � 1�t11. 1i1 �i :i .I �'r �e I�� . i ; f 7 1 , I, tea, I I -80 I' "a t�, r' Vo''Phi' 11 'VOL.'h �1 ,1 �I �-',.,....M1.4.4,.0.11 .it....Z111114 'ill II Parcel: 460604543806, 4883 TRESTLE LN 1 in=150ft DENVER, 28037 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 06/21/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460604543806 Owner: TRESTLE LANE LLC Parcel Address: 4883 TRESTLE LN Owner2: null City: DENVER, 28037 Address: 617 N MAIN ST LRK(REID): 802572 Address2: null Deed Book/Page: 3250/0341 City: BELMONT Subdivision: State/Zip: NC 28012-3137 Lots/Block: / Last Sale: $225,000 on 2014-07-28 School Information: School District: COUNTY Plat Book/Page: 64/147 Legal: PLAT 64-147 Elementary School: SHERRILLS FORD Middle School: MILL CREEK Calculated Acreage: 3.560 Tax Map: null High School: BANDYS Township: MOUNTAIN CREEK School Map State Road t!: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoning1: R-30 Building(s) Value: $59,400 Zoning2: null Land Value: $154,800 Zoning3: null Assessed Total Value: $214,200 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: null/null Small Area: SHERRILLS FORD 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 #: 3710460600J Building Details 2010 Census Block: 4016 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P41 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report 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. ©2016, Catawba County Government, North Carolina. All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460604543806&typ=P 6/21/2016 CA vS Catawba County Public Health .j t, t, www.catawbacountync.gov/environmcntalhealth COUNTY Environmental Health —� '� P.O. Box 389, 100-A South West Blvd., Newton, NC 28658 North Carolina_ Phone (828) 465-8270. Fax (828) 46S-8276 Memorandum To: Carolina Centers, LLC From: Michael Cash, Environmental Health Supervisor Date: December 17, 2013 Subject: Permit Extension Addendum for Expiring Septic Permits at Sallybrook Lane, Denver, NC; PIN#460604543806; Catawba County Permit WLS2007-01468. In accordance with State Law 2010-177, effective August 5, 2010, your Improvement Permit referenced above, expiring November 25,2012 is granted an extended expiration date. Your new expiration date will be November 25, 2016. This Addendum will remain with your existing permits on file. Please note that the Improvement Permit is transferable to any future owners of the property and that the permit is valid only so long as the property boundaries, site plan, site conditions, and wastewater flow remain unchanged. "Leading the Way to a Healthier Community" 0 -- mr c,,. f/ AWPgiled Health a;a° i Mike Cash From: Debra Bechtel Sent: Tuesday, December 17, 2013 3:35 PM To: Mike Cash Subject: Fwd: Duke Energy - 2008 Encroachment Agreement(Septic System) This is sufficient to issue the permit. Sent from my iPhone Begin forwarded message: From: Jodi Stewart <J Stewart cr,CatawbaCountyNC.gov> Date: December 17, 2013, 3:12:52 PM EST To: Debra Bechtel <DEBRA(D,eatawbacountvno.eov> Subject: RE: Duke Energy - 2008 Encroachment Agreement (Septic System) Yes From: Debra Bechtel Sent: Tuesday, December 17, 2013 3:03 PM To: Jodi Stewart Subject: Fwd: Duke Energy- 2008 Encroachment Agreement (Septic System) I am comfortable issuing the septic permit now. Do you agree? Sent from my iPhone Begin forwarded message: From: "Mack, Karol P" <Karol,Mack cr..duke-energy.com> To: "Debra Bechtel" <DEBRA(n;catawbacountvne gov> Cc: "WilliamsJR, Ed" <Ed.WilliamsJRR,duke-energv.com>, "temquirk @parkerpoe.com" <tomquirk 2.parkerpoe.com> Subject: Duke Energy - 2008 Encroachment Agreement (Septic System) Ms. Bechtel: Tom Quirk asked me to contact you regarding Duke Energy Carolina LLC's position on the attached 2008 Encroachment Agreement ("Agreement") concerning an existing septic system in Catawba County on the property described in the Agreement. Duke Energy agreed to the placement of this septic system under the terms and conditions that are specified in the Agreement. This Agreement remains in effect today. The October l9, 2012 letter from Doug Gould and Raymond Williams does not affect the Agreement or invalidate the Agreement in any manner. The 2012 letter was intended to inform local county health departments of Duke Energy's general policy prohibiting septic systems within its transmission rights of way. Karol P. Mack Associate General Counsel P.O. Box 1321, DEC45A Duke Energy Corporation Charlotte, NC 28201-1321 (704) 382-8165 Karol.Mackndukc-energy.com Street Address: 550 S. Tryon St., DEC45A Charlotte, NC 28202 [cid:irnage001.png @,01 CE2979.B6A32590] From: Quirk, Tom M. [mailto:tomquirk @parkemoe.com] Sent: Monday, December 16, 2013 8:55 AM To: Mack, Karol P Subject: Crescent, Catawba County and Duke Energy *** This is an EXTERNAL email. Exercise caution. DO NOT open attachments or click links from unknown senders or unexpected email. *** 2 at, Duke Energy. ELECTRIC TRANSMISSION RIGHTS-OF-WAY GUIDELINES/RESTRICTIONS VALID FOR NORTH CAROLINA AND SOUTH CAROLINA This list of rights-of-way restrictions has been developed to answer the most frequently asked questions about property owner use of Duke Energy's electric transmission rights of way. This list does not cover all restrictions or all possible situations. You should contact the Asset Protection Right-of-Way Specialist if you have additional concerns about the rights of way. This list of restrictions is subject to change at any time and without notice. Duke Energy reserves all rights conveyed to it by the right-of-way agreement applicable to the subject property. All activity within the rights of way shall be reviewed by an Asset Protection Right- of-Way Specialist It is strongly suggested that you contact Duke Energy and submit plans for approval prior to construction of any improvements within the rights of way. 1. Structures, buildings, manufactured homes, mobile homes and trailers, satellite signal receiver systems, swimming pools(and any associated equipment and decking),graves,billboards,dumpsters,signs,wells,septic systems or storage tanks and systems (whether above or below ground), refuse of any type, flammable material, building material, wrecked or disabled vehicles and all other objects (whether above or below ground) which may, in Duke Energy's opinion, interfere with the electric transmission right of way, in any way, are not allowed within the rights-of-way limits. Transformers, telephone/cable pedestals (and associated equipment), and fire hydrants are not allowed. Manholes,water valves,water meters and backilow preventors are not permitted. 2. Fences shall not be attached to poles or towers. Fences shall not exceed 10 feet in height and shall be installed greater than 25 feet from poles,towers and guy anchors. Fences shall not parallel the centerline within the rights of way but may cross from one side to the other at any angle not less than 30 degrees with the centerline. If a fence crosses the rights of way,a gate(16 foot wide gate at each crossing)shall be installed by the property owner,per Duke Energy's specifications,to allow free access required by Duke Energy equipment. 3. Contact Duke Energy and obtain written approval before grading or filling on the rights of way. Grading(cuts or fill) shall be no closer than 25 feet from a pole or tower leg,and the slope shall not exceed 4:1 on the rights of way.Grading or tilling within the rights of way or near a structure, which will prevent free equipment/vehicle access, or creates ground to conductor clearance violations, will not he permitted. Sedimentation control, including re-vegetation, is required per state regulations. 4. Streets, roads, driveways, sewer lines, water lines, and other utility lines, or any underground facilities shall not parallel the centerline within the rights of way,but may cross,from one side to the other, at any angle not less than 30 degrees with the centerline. No portion of such facility shall be located within 25 feet of Duke Energy's supporting structures. Intersections of roads,driveways,or alleyways are not permitted within the rights of way. 5. Any drainage feature that allows water to pond,causes erosion,directs storm water toward the rights of way,or limits access to or around a structure is prohibited. 6. Contact Duke Energy prior to the construction of lakes, ponds or retention facilities, etc. within the rights-of-way limits. 7. Duke Energy does not object to parking within the rights of way,provided that: a. A barrier,sufficient to withstand a IS mph vehicular impact,shall be erected by the party constructing the parking area to protect the pole, tower or guy anchor. The barrier shall be located in such a manner as to restrict parking to at least 5 feet from the structure. b. Any access areas,entrances,or exits shall cross(from one side to the other)the rights of way at or near right angles to the centerline,and shall not pass within 25 feet of any structure. Parking lot entrances/exits cannot create an intersection within the right of way. c. Lighting structures within the rights-of-way limits must be approved by Duke Energy before installing.Total height may not exceed 15 feet. d. Signs and other attachments to Duke Energy structures are prohibited. 8. Duke Energy Carolinas will not object to certain vegetation plantings as long as: a. It does not interfere with the access of existing structures or the safe and reliable operation and maintenance of the line. b. With prior written approval,Duke Energy Carolinas does not object to plants,shrubs and trees that are of a species that will not exceed,at maturity,fifteen(15)feet in height. c. Duke Energy Carolinas reserves the right to object to the planting of all plants, shrubs and trees within the right of way easement that may interfere with the proper operation and maintenance of the line. d. Duke Energy Carolinas may exercise the right to cut"danger trees"outside the rights of way limits as authorized by the right of way agreement applicable to the subject property and as required to properly maintain and operate the transmission line. We hope this is useful information. If you have additional questions or plan any activity not mentioned above, please contact: Duke Energy Representative: Telephone number: --- ___ Form 02191 (5/02/2008) APPROVED PLANT MATERIALS THAT CAN BE PLANTED ON DUKE ENERGY'S ELECTRIC TRANSMISSION RIGHTS-OF-WAY Plant materials below 15feet in height are approved for planting on Duke Energy's Electric Transmission Rights-of-Way in order to maintain the reliability of these major power lines that serve the public. The following lists of plants generally do not exceed 15feet in mature height in the service area of Duke Energy's Electric Transmission under the environmental conditions that exist on our rights-of-way. However,if any approved plants exceed the 15foot limit,they will be subject to removal. This is not an all-inclusive list. Note that some species have cultivars that exceed 15feet in mature height and some that will not. Botanical Name Common Name Mature Height Aesculus parvifolia Bottlebrush Buckeye 15' Amelanchier canadensis Serviceberry 15' Temstroemai(Cleyara)japonica Japanese Cleyera 10' Camellia sasanqua Sasanqua 10' Coryloosis glabescens Fragrant Winterhazel I5' Corylus americana American Filbert 15' Cotinus coggygria Common Smoketree 15' Exoehorda racemosa Pearlbush 15' Hamamelis mollis Chinese Witchhazel 15' J-Iamatnelis vemalis Vernal Witchhazel 10' Hibiscus svriacus Rose-of-Sharon 10' Hydrangea quercifolia Oak-leafed Hydrangea 12' Ilex comuta burfordi nana Dwarf Burford Holly 10' Ilex crenate Japanese Holly 10' Ilex verticillata Winterberry 15' Juniperus chinensis'Hetzi' Hetzi Juniper 12' Kolkwitzia amabilis Beautybush 10' Lagerstroemia india(cultivars under 15-ft)" Crepe Myrtle' 15' Loropetallum chinense Loropetallum 12' Prunus'Holly Jolivette' Holly Jolivette Flowering Cherry 15' Punica granatum Pomegranate 15' Syringe vulgaris Common Lilac 15' Viburnum burkwoodi Burkwood Viburnum 10' Viburnum dilatatum Linden Viburnum 10' Viburnum plicatum var.tomentosum Doublefile Viburnum 10' Viburnum prunifolium Blackhaw Viburnum 15' Viburnum rhytidophylloides Lantanaphyllum Viburnum 12' Viburnum rhytidophyllum Leatherleaf Viburnum 15' Viburnum sargenti Sargent's Viburnum I5' Viburnum tines Lauristinus Viburnum 8' Vitex negundo Chasetree 15' "Crepe Myrtle Cultivars That Generally Do Not Exceed 15-Feet Mature Height Acoma Osage Apalachee Pecos Caddo Sioux Comanche Tonto Hopi Yuma Lipan Zuni Revised: 10/09 CATAWBA COUNTY Case!! WLS2007-01468 PubhetHeaki,Department 2) Environmental l{ealth Division Subdivision .. 0 VN;.'t,t PO Box 389, IOO-A Southwest Blvd,Newton.NC'28658 Sect/BL/Ph/Lot# w7i r (328)465-8270 FAX(828)465-8276 TDD(828)465-8200 PIN# 460604543806 • Applicant/Owner CRESCENT RESOURCES DOS-Ied 5C Site Address: SALLYBROOK LN DENVER NC ! Property Size: SF 3.56 ACRES • Directions: FROM CAMPGROUND RD/RT ON CATAWBA BURRIS R/ RT ON BANKHEAD RD/RT ON SALLYBROOK RD/ CROSS RR TRACKS/TAKE 1ST LFT ON ASPHALT DRIVE (TRESTLE LN)/AT END OF DRIVE Improvement Permit Permit Valid For: Five years X No Expiration Facility(Residential): House a House X Mobile I{ome Multi-Family Bedrooms 4 New? Addition? Projected Daily Flow ,y Q g.p_d Water Supply Private Well? Public? Semi-Public? Basement: Y Basement Plumbing:_/PP y1_ Hot'l'ub/Spa: Special Fixtures(explain): PProposed Wastewater System: PS Type: L4'Q/ . Proposed Repair: PL,.n ./D PP_B Ya Permit Conditions: 1� / _ rlQt21� / (10 /) YI Owner or Legal Represent Si natures Date: /'-24 _o' Authorized State Agent: / _ „ a, .0 01 Date: The issuance of this permit by the Ilea Departn`nt doe not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewage Treatment and Disposal Systems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Authorization to Construct Wastewater System (Required for Building Permit) * See site plan and additional attachments( ). Proposed Wastewater System: Type: Wastewater Flow g.p.d New Repair Expansion Soil LTAR: g.p.d./ft2 Type of Facility: Basement: Y Basement Plumbing: y HotTub/Spa: Special Fixtures(explain): Wastewater System Requirements Tank Size: Septic Tank gal Pump Tank gal Grease Trap gal Drainfield: Total Area: sq ft Total Length: ft Maximum Trench Depth in Trench Width ft Minimum Soil Cover in Minimum Trench Seperation ft Distribution: Distribution Box_ Serial Distribution Pressure Manifold LPP Other_ Additional Specifications: Authorized State Agent: Date: Permit Expiration Date: l have read and accept the specifications and all conditions of this permit as indicated. Owner or Legal Representative Signature: Date: Form B o\TUtnnuoAral. N1VLS/WarID i'1-41,2,2, • �A'PAWBA COUNTY Case# WLS2007-0 1468 ' Publio Health Department \ Environmental Health bi vision Subdivision KAKI,ta81,1% PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 Secl/BLJPh/Lot# w„✓i/ (828)465-8270 FAX(828)465-8276 TDD(828)465,8200 PIN# 460604543806 Applicant/Owner CRESCENT RESOURCES Site Address: SALLYBROOK LN DENVER NC Property Si SF 3.56 ACRES Directions: FROM CAMPGROUND RD/RT ON CATAWBA BURRIS R/RT ON BANKHEAD RD/RT ON SALLYBROOK RD/CROSS RR TRACKS/TAKE 1ST LFT ON ASPHALT DRIVE (TRESTLE LN)/AT END OF DRIVE ® Improvement Permit 0 Authorization To Construct Well Permit SITE PLAN £LLB. n as L ita,c- - pah-rl ck., wt-J ektU Dr” 3 q-wt� Scale System components represent approximate contours only. The contractor must flag the system prior to beginning the installation to ensure that proper grade is maintained. Do not install system under wet conditions. This permit is subject of revoca if the site plan or site conditions are altered. • nth•60 zed State;/tint Date Form C rVidrnun AVonmTIVLSA Donn 41.1/29/20.07 99:99 7945529735 SMEItIC PAGE 94/94 \,\ 1 \ 3 \ �II 1Iq }1a1. e 101 r p M -,, ,tii ,t, \ A 51,1112iiiiiiiiiiihili liil 1 i I 'fig ii : \ 1 fy1, 1 rdilfui 1. t I di}9i' tE .ggv . • i \ �O"S.s ` I�a1t ju. p;pii6 a .} } ( a: x aE IA 211V0 . L- \ <\\\1 S' �alir ,a'assf;1 p ; de ;, \\\ ' \ \1911 ,\� , \a Ra i) W "l I l 1 1 I Vt si el > — I., a ?s�Fa,5 - 1 1 % u� I tr ' bud l'."1l W.°�s ta�o}:�d ii ;5y1 aeA Se • CF SS Ealh Ni 1 / \II \\ a I , e g3 . i P� 1c Y \'. ! ;f I;pl hF 11" n ige jecL + g h 4F� g 9i 65 i� I, 142 Is i ;la f?” to fli a\ / Et 1° 1 5; ` 4 1, 1M _`Y ism- v- _i� � ! e il .fi,a .r Il `p' l °.•.r �1 1,% i:1 1 Y4:V. 3 -C \�1 X11 a0. S le,. aa.t ?,1, \ 1k // d�pe i� Ce.:e! i `\I I,i \ / yry� e81R // -- `-Pe' \ 1/41 \ 1;'', \ la=L1 \-- // €3 A �, 9, di. Ait — \, .F 'ICI. ` :�� /' d°= 4) }o° ! \ n 6 . 7a \ \ as -iii Vz. °:1 ,Fr1kd DEPARTMENT OF 13NVIRONMENI AND NATURAL RESOURCES - Shen D11Vy1�S , E JVIRo1a4E aALHEAI1TI. PROPERTY D* �_ pN S11$WASIEWA7�t313C1TON COUNTY: • • SOIL/SITE EVALUATION [J for ON-SITE WASTEWATER SYSTEM OWNER: - CA-eke-4- RtS'°wZa'd, T_Ac, _ APPLICATION DATE ADDRESS: . DATE EVALUATED: PROPOSED FACILITY: fR. SF_D PROPOSED DESIGN FLOW(.1940 SD PROPERTY SIZm LOCATION OF 5178 s q)/ K.« kid, - PROPERTY RECORDffi): WATER SUPPLY:: U Public 'e9 0 Spring ❑Other ' EVALUATION OD: :• •... Baling Q Pit ❑Cat TYPE OF WASTEWATER: T `-• ❑Mistral Prams Mama r o • KIM Omit • F196n YDOOD=FACTORS • 19161 Y LAICISCAlt 1 1 1'08ilfOttE I H , P1606112 • was/4 .WO• 1961 19411. SOES: - .19411 .1956 .94141 OA= ManICS/ COMS15142taf wrnassr SOO. SAPRO RR8'III a ' =rams IED49.AI.OGY` COSAC! Berns CLASS 7ROWE D - 8 kik,G(,,sa- fir, s� s�° KQd-&. ) , g- S' Mo,56k,5c Fr, 53jSt L) F- Brvih,(M.^) 0. ZS- 1 37- Va PksbkSC F, 531 519 4 v-5t ��� 6 — y' uki6r151.— F, 5..11 61, CB 6) • ' /ui56d-c R• 51" C ' .D 2 347t- '><8 kik 56k/sci P,51,5* ", F- giwA,(/r ) _al 27 5-- Oa ) a -4 wk, &t sce i1cs,sf i Red-3 w L - fl My/✓k�56kc/c R,55 = ) 3 630 0- P lr k,Gri SU- Fri Ss/I re �J . - s- y ' JvJstile, sc Fr,SS s`( • sore • DESCRIPTION IAC SYSTEM REPAIR SYSTEM own FACTORS(1946X Lvu iNc space(194,3) SITE CLASSQ'ICAITON(1948x Y+oimTypr(?) EVALUATED BY: Vafi-ick Ad, ,LiAiri .SIAM: • O771ER(S)PRESENT: 6e LTAR ?AMR/BS: - . 2908 FILED DK 2 9 0 0 PG 1 6 8 7 1687 CATAWBA COUNTY DONNA HICKS SPENCER REGISTER OF DEEDS FILED Apr 30, 2008 AT 09:40:51 am BOOK 02908 START PAGE 1687 END PAGE 1692 INSTRUMENT # 10273 EXCISE TAX (None) BR PREPARED BY: Karol P. Mack, Associate General Counsel, Duke Energy Corporation Mail To: Duke Energy Corporation Site: 001112 J do Heather P. Blum (ECO3T) P.O. Box 1006 Land Unit: 1173349 Project No: 001112-371917 Charlotte, NC 28201-1006 STATE OF NORTH CAROLINA ) ENCROACHMENT AGREEMENT COUNTY OF CATAWBA ) THIS ENCROACHMENT AGREEMENT ("Agreement") is riade and entered into this day of , 2008 by and between DUKE ENERGY CAROLINAS, LLC, a North Carolina limited liability company (hereinafter "Grantor"), 526,South Church Street, Charlotte, North Carolina, 28202, and WOODLAND & WATERVIEW, LLC, a_North,Carolina limited liability company (hereinafter "Grantee"whether one or more), Crescent,Resources, LLC;P.O. Box 396, Terrell, North Carolina 28682; • WITNESSETH: WHEREAS, Grantee is the owner of that certain land located in Catawba County, North Carolina, acquired by Grantee pursuant to that certain deed recorded in Deed Book 64 at Page 147 in the Office of the Register of Deeds for Catawba County("Grantee's Property"); and WHEREAS, Grantor is the owner of certain perpetual easements and rights-of-way over, across and upon Grantee's Property upon which easements and rights-of-way Grantor maintains a high tension electric transmission line, said rights-of-way being conveyed to Grantor by that certain instrument recorded in Book 587 at Page 22 in the Office of the Register of Deeds for Catawba County (the area of said easements and rights-of- way being hereinafter referred to as "Grantor's Easement"); and WHEREAS, Grantee desires the authority to encroach upon a portion of Grantor's Easements for the purpose of installing and maintaining a septic area system, and Grantor is willing to permit the encroachment (the "Permitted Encroachment")pursuant to the terms and conditions of this Agreement. 01.07.2008 hpb 1 • 2908 BK2908PG 1688 1688 NOW, THEREFORE, for and in consideration of One Dollar ($1.00) paid by Grantee to Grantor, and other good and valuable consideration, the receipt, adequacy and sufficiency of which are hereby acknowledged, Grantor and Grantee do hereby covenant and agce to the following terms and conditions: Grantor hereby grants to Grantee and Grantee's contractors permission to install and maintain the Permitted Encroachment over, across and upon those certain portions of Grantor's Easements containing approximately 0.397 acre all as shown as "Area in Septic Easement = 0.397 Acres" on that certain drawing entitled "Property Owned by Carolina Centers, LLC, Cowans Ford Development", dated June 6, 2002, attached hereto as Exhibit A and incorporated herein by reference("Encroachment Area"). 2. Grantee and its contractors shall be responsible for contacting Grantor and obtaining Grantor's permission prior to commencing any work pursuant to this Agreement or operating or transporting any equipment within the Encroachment Area that could jeopardize the safety and/or reliability of Grantor's transmission line. 3. Grantee and its contractors shall maintain a safe work clearance under the transmission line as defined by Grantor's engineering calculations. Grantee and/or its contractors shall obtain Grantor's specification for such safe work clearance in writing,prior,to any work being performed or equipment being operated or transported near the transmission;line. If aby construction work by Grantor is required to maintain safe work clearances, Grantee shall be responsible for the cost of such construction. • 4. Grantee's use of Grantor's Easement shall comply at ail times with Grantor's "Right of Way Restrictions," as the same shall be amended from time to time, a copy of which has been provided to Grantee. 5. Grantee and its contractors shall maintain and communicate safe work practices under the transmission line and around associated transmission equipment. 6. In consideration for the rights granted to Grantee by Grantor hereunder, Grantee, for itself and its contractors, accepts such rights with the full understanding of the risk of loss of life, personal injury or property loss or damage which may arise out of Grantee's exercise of its rights as set forth herein, and Grantee agrees to exercise its rights hereunder at its own risk. Grantee shall not hold Grantor, its successors or assigns, liable for any loss, injury or damage which may occur to Grantee or its property whether such loss, injury or damage results from the negligence of Grantor, its successors or assigns, or otherwise, and Grantee hereby releases Grantor, its successors and assigns, from any loss, injury, damage or any claims related thereto. 7. Grantee and its contractors shall indemnify and hold harmless Grantor, its members, managers, officers, agents, employees, successors and assigns, from and against any and all losses, fines, liabilities, claims, demands, causes of action, costs and expenses (including without limitation, attorneys' fees) for personal injury(including death) or property damage to the extent such injury or damage shall result from, arise out of, or be attributable to, directly or indirectly, any construction work, maintenance work, or operations undertaken by Grantee or its contractors, or any other act or omission by Grantee or its contractors, upon Grantor's Easement. Such indemnification shall be effective even in cases where Grantor has given permission for work pursuant to this Agreement. 01.07.2008 hpb 2 2908 •EK2908PG 1689 1689 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed and sealed as of the date and year below written. GRANTOR: Duke Energy Carolinas, LLC a NC limited liability company By: age i/ Name: Georg- . Christian, Jr. Title: Manager, Right-of-Way STATE OF NORTH CAROLINA COUNTY OF MECKLENBURG I certify that the following person(s) personally appeared before me this day, each acknowledging to me that he or she signed the foregoing document: Geor le W. Christian,Jr., Manager,Right-of-Way Date: 4--A3-0� �r i,aa .'ArA�..% a �i- My Commission Expires: 1��as •• /1 Notary Public OFFICIAL SEAL it 1 Notary Public,North Carolina 1‘.-...:-% ELLEN WHITLOCK. My Commission Expires December 25,2008 Signatures Continue on Following Pagel 01.07.2008 hpb 3 : 2908 Mt 2908 PG 1690 1690 GRANTEE: Woodland & Waterview, LLC By: V- Name: L&J L. ra.eiscc,6 4_ Title: h4Riutfh_MEAAr$a, STATE OF NORTH CAROLINA v COUNTY OF 1 retie it I certify that the following person(s) personally appeared before me this day, each acknowledging to me that he or she signed the foregoing document: I. ell k . T5 e e r Date: Li 'I(J'0 9 _'Nett S,4� .dZ My Commission Expires: �C I j ti I a- U \ ' Notary Public %wtvv�EAT"o%O* //i� •. . O �bpc `r 4O\C" P co3. tote- \tediA \on exP = oMVcom p3iv\2 c \01 t\. /��,+ORTHI1CP' \\\��\\: 01.07.2008 hpb 4 2908 BK 2 9 0 8 PG 1 6 91 1691 DUKE ENERGY CORPORATION ASSISTANT CORPORATE SECRETARY CERTIFICATE I, Sue C. Harrington, Assistant Corporate Secretary of Duke Energy Corporation, a Delaware corporation, do hereby certify that the Board of Directors of Duke Energy Corporation on April 4, 2006, approved and adopted the Approval of Business Transactions Policy Statement, which provides in relevant part that any direct report to the President and Chief Executive Officer of Duke Energy Corporation may approve, or delegate the authority to approve, business transactions (including acquisitions and divestitures) involving amounts of $50 million or less. I further certify that Christopher C. Rolfe, Group Executive and Chief Administrative Officer, Duke Energy Corporation, is a direct report to the President and Chief Executive Officer of Duke Energy Corporation, who, pursuant to the authority granted by the Approval of Business Transactions Policy Statement, has delegated to Angeline M. Clinton, Vice President, Enterprise Services, Duke Energy Business Services LLC, the authority to approve amounts up to $10,000,000 for capital projects, commitments to buy products or services, equity investments (including acquisitions, partnerships,joint ventures, etc), divestitures, operating-leases, and termination of commodities contracts; and subsequently, Ahgeline'M. Clinton, in accordance with the Delegation of Authority for Enterprise Business Services;has delegated to Dennis F. Wood, Ill, General Manager for Real Estate Services,Duke Energy Business Services LLC, the authority to approve up to $5,000,000 for land acquisitions and divestitures and building rent; and subsequently, Dennis F. Wood, III, in accordance with the Delegation of Authority for Enterprise Business Services: Enterprise Operations, has delegated to R. Steven Bodenheimer, Director of Transaction Management, and George E. Toft, Director of Land Services;-the authority to approve $1,500,000 to execute deeds, leases, and similar real estate documents on behalf of Duke Energy Corporation and its affiliates for land and facility acquisitions and divestitures, which authority includes the authorization to execute any contract, lease, deed, easements, rights of way or other instruments related to the authorized transaction; and to Kristina L. Breeding, Manager, Right-of-Way; George W. Christian, Jr., Manager, Right-of-Way; and Harold L. Glorius, Jr., Manager, Right-of-Way, the authority to approve up to $750,000 to execute deeds, leases and similar real estate documents on behalf of Duke Energy Corporation and its affiliates for land and facility acquisitions and divestitures, which authority includes the authorization to execute any contract, lease, deed, easements, rights of way or other instruments related to the authorized transaction. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the Corporate Seal of said Duke Energy Corporation this 4th day of January, 2008. tagRCY. . Att. Ass (le orpora Secretary tv (S):— –( _ w....e1 2sos BK 2 9 0 8 PO 16 9 2 1692 '' OH \ d4 \ id' ' s i;p ll AN rid t\_ •` .� hi ) Y aC�,�t 7 ,, — 1 et �j i ' 1 ti \Illei p\\ ■ "---- t.1a / i.91{' . '11 q. \\\ R.\G '\4—. �L Iii 00! ' i!'•I i t 1'1 \' c / \t 11dj1 01 ` t Z 1 \ \� iii" 1. • ' ' ° / t ii al P ■ / 5S III ,\LtIRiiB Eli h1 t0 �i t 1 ( hi rill IAS i S' 1)' ' Ili 7'■ P., -i n P I \ 0.a 4 ■ ' , 6\ // I 9 . 1 Q . ` J A kV / '> � t! y , '£££ 1 `I i8 Imo■n.iiiiimhuum , / i� \ Elk_ 1 II , \ 1 ££! 1 I 1• it rIrE 1 lip , + n 1 II/ 1w " nn��t+�(Itrq�numt+giq' 1 Gl'pp is �\ f'4 ♦ ' 'u, \ r o" d 9t \ M�S, 1 ` A� \ t l I I I Y` Li @" \`.'�� \\' '�?'\ \ ■ \ ii d i1 14 Ali lil q nt \ 1 �1 \ \ " fi eif �ii�i.i �tl `. n ul \\ \ 111 li OW! 1`! �. L G t f1 - wi . .I.! ii 'J ;-'' a on i(l� 1 ` .;fig az 1 1 1IE ilk!,n, �q-„�,� \ % ' �# '\ �epags hI jt \� P 4l�i�i��pli�itllt ef° \ +' \`'\, �- Iv t i � Pj'It i �' I �II lill i ' 1� THIS MAP IS NOT A CERTIFIED -- SURVEY AND HAS NOT BEEN REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS" BA CATAWBA COUNTY M Pt 100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 RECEIPT U Ie�►e PHONE: 828.465.8399 rjyF ` d Tuesday, June 21, 2016 184'1 SM www.catawbacountync.gov PAYOR: 7 Star Realty 7 Star Really(Anniannis, Tapia) PAYMENTS TRANSACTION NUMBER: TRC-698379-21-06-2016 PAYMENT DATE : 06/21/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME F EE AMOUNT 06-16-329697 Improvement Permit Fee $150.00 "TOTAL PAYMENTS : 5150.00 EHPR-06-2016-24138 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 4883 TRESTLE LN, DENVER NC 28037 Applicant MARGARET MOORE, 159 KULCHER LN, TAZEWELL VA 24651 C2769700952 Contact Person 7 STAR REALTY, 7378 LI'T'TLE MOUNTAIN RD, SHERRILLS FORD NC 28673 C:7044306717 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner TRESTLE LANE LLC, 617 N MAIN ST, BELMONT NC 28012 C:704-494-7216 N. receipt 06/21/2016 16120 Page I of 1