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Onmc v Q iii Z 3 8 `a,---...d O "A OA, r 3 T ,, 8u .oj!c 29 g g ms=a o z 3 PA, V) n iq k” o_ : a o 0i; gR aFz[�. ��.// �@ P� ps � /1111'\� ; o^. ` > FFa li 9A 31A A 8 5 hi d RICHARD 0 . BRAJER Tie 'MAO DANIEL STALEY Public Health HEALTH AND HUMAN SERVICES Onsite Water Protection Branch July 25, 2016 Charles Lombard 7186 Andersonwoods Drive Cincinnati, OH 45244 Re: Approval No. JMB859 Private Well Located Less than 25' from Building Perimeter [Rule 15A NCAC 2C .0107(a)(2)(M)] Property location: 9652 Riviera Drive Sherrill's Ford . NC 28673 Dear Mr. Lombard; On July 21, 2016 the On-site Water Protection Branch received your request for a variance from the Well Construction standards, Title 15A North Carolina Administrative Code Subchapter 2C .0100. The request for the variance concerns a water supply well on the referenced property that is proposed to serve a single family dwelling. Part of the structure planned for the property will be within twenty-five feet of the well. Specifically, the variance request grants you permission to use a water supply well at a distance closer than the twenty five foot setback to a building perimeter. Achieving the twenty five foot setback would be difficult given the challenges of the property. Based upon information provided by you and the Catawba County Health Department, it is my finding that based upon current conditions as the site exist today (as well as the current proposal for use of the structure) you meet the conditions necessary for approval of a variance as specified by 15A NCAC .0118 (a) (1) and (2). On that basis and if the following conditions are met, the requested variance is approved: ---2"-"Nothing Compares,_ �eurJz rt ,f IJc oic P.irrr .cx-ric I I .. i f v![., Page 2 of 4 Lombard July 25, 2016 I) The well/wellhead shall meet all current 2C. 0100 standards, including but not limited to being properly grouted, terminated at least 12" above land surface, properly sealed, having a thread-less sample tap etc. 2) The well shall be sampled for the same parameters required of a newly constructed well. If samples indicate contamination, further repairs or treatment will be necessary. 3) No potential sources of groundwater contamination shall be stored near the well-head. 4) No termite treatment shall be applied within twenty five feet of the well, unless alternative methods are approved by the Catawba County Health Department. The granting of this variance is for the well location only. It in no way relieves the owner or agent from other requirements of the North Carolina Well Construction Standards including, but not limited to the requirements in 15A NCAC 2C .0113(b) to repair or to abandon any well which acts as a source or channel for the migration of contamination. This approval does not imply sufficient water quality. Further, the approval does not relieve your responsibility to comply with any other applicable Federal, State, or local laws or regulations. If you have any questions regarding this variance, please contact me at(828) 713- 3335. Sincerely, :::)(71,;,, John M. Brooks R.E.H.S, MS !%'Nothing Compares:-L_ _ LAKE NORMAN - t41114—"A "."1114 it big Hem S Q _ "°tic1*► I " a le Egg, Prat's, Y .r f6 4eis vk dlyL,�0 ‘ 'PM= 11;011flilY b 5BI 1 AI �� wd, 1 t. ,,La® Inspection shall include any part of the system located more than 5 feet from the primary structure that is a part of the operations permit Advertised number of bedrooms as stated in MLS or as stated in attached sworn statement by owner or owner's representative: 2 Gallons per day for designed system size or number of bedrooms as stated by county health department information: 240 GPD ❑Copy of Operations permit from Catawba County Environmental Health Attached IA Operations permit not available ❑ System requires a certified subsurface water pollution control system operator pursuant to G.S. 90.4-44 Current Operator's Name Most recent performance,operation and maintenance reports are ❑ attached ❑ not available Type of water supply N Well ❑ Public Water ❑ Community Water ❑ Spring Location of Septic Tank and septic tank details: FRONT RIGHT CORNER AT EDGE OF DRIVEWAY, 1,500 GALLON TWO COMPARTMENT SEPTIC TANK. Feet from house or structure: 12 FT Feet from well if applicable: 60 FT Feet from water line if applicable and readily visible: N/A Feet from property line if said property lines are known or marked: N/A Approximate distance from finished grade to top of tank or access riser: 1 FT Access riser(s) Dyes Zno Tank lids intact ® yes ❑ no Tank has baffle wall ®yes Ono Describe condition of baffle wall: GOOD CONDITION Inflow to tank is noted as sufficient: Zyes Duo Inflow to tank is noted as insufficient or blocked: Dyes no Water level in tank is relative to tank outlet: yes Ono Outlet T is present ® yes❑ no Describe condition of Outlet'1: DETERORATING 3405 Denver Drive, Denver, NC 28037 Office: 704-483-5125 Fax: 704-483-5933 ' info@LakeNormanSeptic.com www.Lake Norm anSeptic.com 1 LAKE NORMAN ad st arz m n mak opoliat4H1/4 "` ul� r ��jhlWkiiiii 1 ti I ge�. N 04411•6 .,"iIiimin, - 'r rrintA ele Nip lNi ; : o F III �"' brem o Client Name: CHARLES LOMBARD Client Phone& Email: (305-205-8525) CHARLIELOMBARD55(iD,GMAIL.COM Realtor Phone& Email: (704-562-7509) aninc Tbellsouth.net Property Address: 9652 RIVIERA DRIVE, SHERRILLS FORD NC 28763 Date of Inspection: WEDNESDAY JUNE 101 n, 2015 BEFORE 12700 CALL ON WAY Client is: ❑ Owner of Record ❑ Realtor ❑ Lender® Buyer Seller Certified Inspector Name: DAVID D.CURRIER Company Name: LAKE NORMAN SEWER &SEPTIC SERVICE Company Address: 3405 DENVER DRIVE, DENVER, NC 28037 Inspector Certification Number: 1840 I - Inspector Expires: December 31, 2015 The on-site wastewater system inspection,hereinafter referred to as Inspection,shall be performed in accordance with the Standards of Practice of the North Carolina On-site Wastewater Contractors and Inspectors Certification Board. Minimum Inspection Requirements can be viewed at www.ncowcicb.info Services provided shall include: Z Inspection meeting minimum requirements R Pumping of Tank Cost of Services to be provided: $600.00 (includes digging up to 1 foot on each cover) As required by 21 NCAC 39.1002(a)(1)this contract must be provided by Inspector and signed by client or client's representative prior to Inspection being performed. 811 Locate will be called to mark the public lines on the property. If there are any private utility lines,electric dog fences,sprinklers,etc. they will need to be marked prior to our arrival.Our inspectors are not liable to repair anything they disturb underground,if it is not marked. Not responsible for any damage beyond the curb line. Acceptance of Inspection stated above and permission to access property is hereby granted with signature below. Furthermore signature below acknowledges receipt of copy of this contract: 1' ( 1z1, p (aSws ___, JUNE 9111, 2015 Signature of Inspector Date 3405 Denver Drive, Denver, NC 28037 Office: 704-483-5125 Fax: 704-483-5933 info@LakeNormanSeptic.com www.LakeNormanSeptic.com LAKE s��gqyy NORMAN Ts '�C 3 Yt %: y �'.}�. 11�� y1� 1 "$' AGM 1 a�q �� i sa�r.Ir• 1 r��f81�i6!� 4� ��k r .,pk '?autism+"-� . �i, A t u • ty�,� pi 41itk, " metro X4 1 atm ! y �limr Outlet has filter Eyes ®no Effluent leaves the outlet ®yes Eno Roots present in tank ®yes Eno Describe extent of roots: SMALL ROOTS IN DISTRIBUTION BOX Evidence of tank leakage Eyes Eno Evidence of non-permitted connections,such as downspouts or sump pumps: Eyes Eno Connection present from house to tank: ®yes Eno Connection present from tank to next component: ®yes En() Percentage of solids in tank: 30% tl Nl84` Daili lb ' was last pumped: ® Date unknown 9d r okt- .. Does systen' .pump tank? ❑ yes(complete blanks below)Eno e .nd -1/244411, Feet from or structure: lir Atfb Feet from well or gni,'i a iiff applicable: �',§(' 4. Feet from water line if ai,740A; ble: l;C N4; 1ii. k' Feet from property line if proper are known or markee, `. Distance from finished grade to top of t:'44r access ri .t+_ tr Access risers in place Eyes Eno t . . Feet from septic tank: ri�etii iffr Describe type: OS , vitN t MP, 411 Describe condition of tank li/` llif Location of control p. ,, 1 lip; r+% 2j�„ Electrical connitat s are in place and properly grounded: NO es Eno 'ego.- Audible ego`vY:il Audible-m Bible alarms(as applicable)work: ❑fie;;,�\- o .nt'Y �Ptg46,lta rns on and effluent is delivered to next component: Eyes ❑nc ,,� "'noble to operate pump due to lack of electricity at site at time of inspection: Eyes Eno ilib * 3405 Denver Drive, Denver, NC 28037 Office: 704-483-5125 Fax: 704-483-5933 info@LakeNormanSeptic.com www.LakeNormanseptic.com LAKE NORMAN arab ,iir: '�i ii �h'NI IMI "A x p, �'µ' .if¢4Nv 4t`tl 4 r; ® e Dispersal field: Type of system: ®Conventional ❑ Accepted ❑ Innovative❑ Experimental ❑ Controlled Demonstration ❑ Pretreatment Brief Description of System Type: GRAVITY TYPE SEPTIC TANK Feet from property line if property lines are known or marked: N/A Feet from septic/pump tank: 5 FT Number of lines: 3 Length of lines: 85 FT EACH Evidence of past or current surfacing at time of inspection: Eyes ®no Evidence of traffic over the dispersal Geld: Eyes Eno Vegetation,grading and drainagenoted that may affect the condition of the system or system components: Eyes no Effluent is reaching the dispersal field: ©yes Ono Other pertinent facts noted during inspection: o At the time of the septic inspection the septic system was functioning as it is intended. o The septic tank outlet baffle is deteriorating and should be replaced with an outlet effluent filter. o There are small roots infiltrating the distribution box. No representation,warranties or opinions are hereby given, written or expressed otherwise,as to the future performance of onsite wastewater system described herein. This onsite wastewater system inspection is a presentation of system facts in place on date of inspection. Lake Norman� Sewer& Septic Services LLC is a full service provider. Inspector Signature: f (act " L i!_ Date: JUNE 11H 2015 . Pictures included on the following pages. 3405 Denver Drive, Denver, NC 28037 Office: 704-483-5125 Fax: 704-483-5933 info@LakeNormanSeptic.com www.LakeNormanSeptic.com t'A • THIS IS NOT A PERMIT Case # RBPR-06-2016-24168 G� r CATAWBA COUNTY HEALTH DEPARTMENT ❑� t •�rj[1 v "` PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig42 s^+ Residential Building Plan Review - Buildin New of ��9 CI 6 IMPROVEMENT- ABANDONMENT �' ? j • Ito ,,' . 4' 1 g' PJ/'�f?, � o� ' eP_CDNI ' Y "" ` Contractor *OGDEN CONSTRUCTION, LLC, SHAUN (LOUIS OGDEN), PO BOX 1281, DAVIDSON NC 28031 B:(704)309-6810 C:(704)309-68I0F:(828)478-9327 OGDENDEVELOPMENT@MSN.COM MSN.COM Owner CHARLES LOMBARD III, 9652 RIVIERA DR, SHERRILLS FORD NC 28673 1-1:3052058528 HOME:3052058528 NAME TO APPEAR ON PERMIT *Ogden Construction, LLC, Shaun (Louis Ogden) SITE ADDRESS: 9652 RIVIERA DR, SHERRILLS FORD NC 28673 PIN # 462802667471 NAME of SUBDIVISION: LUTHER COWANS SHERRILL PROP Lot#27 & PT 26 Section/Block PROPERTY SIZE: Square Feet Acres 0.73 DIRECTIONS: 150 TO SHERRILLS FORD RD RIGHT ON ISLAND POINT LEFT ON RIVIERA DR PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK(evise 6 -Added Well Abandonment for 2 inch wet inside the proposed garage footprint of the home. New 3 BdRM House 70x60. Proposing to use existing system/well on property. 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Old 3 BdRm home has been torn down EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: Empty Lot NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70X60 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL ABANDONMENT ABANDONMENT TYPE: Drilled E9-ehappl kation 07129/2016 08:48 Page I of 8 0') ,.. CATAWBA COUNTY Case 4 RBPR-06-2016-24168 Cv(.....ti y Public Health Department Subdivision LUTHER COWANS SHERRILL 2 .�y )) Environmental Health Division PIN# 462802667471 11PO Box 389, 100-A Southwest Blvd,Newton, NC 28658 /g.2 ,M NAME ON PERMIT: *OGDEN CONSTRUCTION, LLC, SHAUN (LOUIS OGDEN), PO BOX 1281, DAVIDSON NC 28036- *Ogden Construction, LLC, Shaun ( Louis Ogden) Site Address: 9652 RIVIERA DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.73 Directions: 150 TO SHERRILLS FORD RD RIGHT ON ISLAND POINT LEFT ON RIVIERA DR 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 identificati n and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date:912 Signature of Applicant or Agent c7 0 0�b, ex-,,,,k An Environmental Health Specialist will contact you wihin 5 working days k application date. If you need further information or assistance please call 828-466-7291 AREA1 SETBACKS: 50' LAKE BUFFER 'i^"ii ill gHliIB 57511111111p377-:7--, r!'��!�slil��fli(' "'�� "- ri �IlrFu %7FB�1!{Irt-.—r��la�'il L 1111i"'i ILFEENAME • IailiI,I" 1" 5ii1th1i11liiilLG',!I ' • ;DATE _�ijij FEEAMOUNT: Improvement Permit Fee 06/23/2016 $150.00 Well Abandonment Fee 07/29/2016 $100.00 7ll[11511(41111" tt. pl rid" II 1 I " i it ' I', r1I 1 I �1 I�)��U�IIfIG��i';TOTAL FEESfb i,dl ;i,„It��l11'I i . !(' -`: ;;1/4.1, 18,... tii;�1 ilia 5250 . .f .hili ill1,111l IF.. "t llllulif11111111kl 011111111l'lti}:idIlIPdl” Lwd.1111!likl.0"ii i'iJ11111111i r-Jal'H!.nh11."tr . ivl 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) E9-ehapplicai ion 07/29/2016 08:48 Page 2 o18 eA CAT..AWBA COUNTY Case# RBPR-06-2016-24168 .f' ry G Public health Department Subdivision9 zLUTHER COWANS SHERRILL 4 4' „'%, Environmental hlealth Division PIN# 462802667471 "wV PO Bos 389. 100-A Southwest Blvd,Newton, NC 28658 /847 s NAME ON PERMIT: *OGDEN CONSTRUCTION, LLC, SHAUN ( LOUIS OGDEN), PO BOX 1281, DAVIDSON NC 28036- *Ogden Construction, LLC, Shaun ( Louis Ogden) Site Address: 9652 RIVIERA DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.73 Directions: 150 TO SHERRILLS FORD RD RIGHT ON ISLAND POINT LEFT ON RIVIERA DR atura_ s WELL ABANDONMENT RECORD g,;:i .1 North Carolina Department of Environment and Natural Resources.Division of Water Quality WELL CONTRACTOR CERTIFICATION 4 I.WELL CONTRACTOR: 5. AA'dill-DETAILS: a.Total Depth: It. Diameter, in. Well Contractor(Individual)Nana' h.Water level I Het aw Measuring Ninth a. hlcasuring point is n.above land surface. Well Contractor Company Name STREET ADDRESS 5. CASING: Length Diameter a.Casing Depth(il'known): It. .in City'or Town State Zip Code h.Casing Itevurced: It. ill. 1 Area code-Phone number 7. DISINFECTION: 2,WELL INFORMATION: (Amount of C,5-]5%calcium hypachlnriic used/ SITE WELL ID a(if applicable) S. SEALING MATERIAL: STATE WELL PER NIIT e(if applicable) Neat Cement Sand Cement Cc limn It,. Cement lb. COUNTY‘YELL PERMIT u(if applicable) Warm gal. Water gal. DWQ rat OTHER PERMIT n lifapplicnblel Ernlunite WELL USE(Circle applicable use): Monitoring Residential Iirmmniw lb. Mu it cipa UP ah tic Iad ustria li C ammcrvia l Agricultural Recovery Injection Irrigation Type Slurry_Pellets_ Other(Est use) Water gal. Other 3.WELL LOCATION: Type material COUNTY QUADRANGLE NAM II —— --- ..._-"---- NEAREST TOWN: Atnntult (StrcctRoadNome,\tmbv-C,nnuid.Subdivision.lot No-Pared,Zip Code) 9. EXPLAIN METHOD OF ENIPLACENIENT OE MATERIAL: TOPOGRAPHIC/LAND SEl-fING: Slope \'alley Flat Midge Other_ --_ (Cale appropriate setting) LATITUDE min he is codegrees.,. r to t __. _.._. .. mad,. LONGITUDE Je'Nnalfnmwr to. WELT,DIAGRAM:Draw a detailed sketch of the well on the hack of this Latitude/longitude source: GPS Topographic nlnl) form shoving Cowl deplIi,depth and di:tinder of screens(if anyI remaining !lamina/dud/must be shun on n(/S(/.S tops weep and in the well,gun el interval,imenals of casing perforations.and depths and onuehad r„this/ben iVnal rrins(/PS;) Apes of till materials used. 4a,FACI LI Thename nfdw()minus whar the well 1,touted.Complete-la width. ilia residential wellskip 4a:cninplete4h.well mom ininnutinn'mly.1 I I. DATE WELL ABANDONED 1'AGILITN'I 11)1(1 if appl cable) I Do IIEREIiy CERTIFY THAI TIDE WELL WAS ABANDONED IN ACCORDANCE NAME OF FACIL IIV __ WanISA NCM:]C,WELL CONSTRUCTION S I ANDAROS.AM)THAT A I'D I.1'OF THIS RECORD II AS BEEN PROVIDED Tel)Illi WF LI.OWNER. STREET ADDRESS City or'own Stale Zip Code SIGNATURE Or CERTIFIED WELL CON I,\C'rOR DATE 4b.CONTACT PER SONAVE LI.OWNER: NAME SIGNATURE OF TITIVATE WELL OWNER ABANDONING TI If:WELL DATE The pnrmu sell airier must be an individual who personelle abandons hiO9er rrsidemial well STREET ADDRESS _.__ in accordance with 15,\.NeAC 2C All 134 City or Tense StateZip Cade I'RINT ill)N.U16a IF PERSON ABANDONING ciu,'v'1LI 1, ( )- Area code-Phone number Submit a copy to the owner and the original to the Division of Water Quality within 30 days. Four GN'311 Ann:Information Management,led]NI nil Ser vice Center-Raleigh,NC 27699-1617, Phone No.(9 19)733-7015 est 565. Rev.5106 E9-chapplicaonn 07/29/2016 08:48 Page 8 of 8 4 )A Cc) CATAWBA COUNTY \' IO0ASOUTHWESTBLVD �II ' NEWTON, NORTH CAROLINA 28658 INVOICE/RECEIPT L.„....4,4,1 ` PHONE: 828.465.8399 a►, Friday, July 29, 2016 1$411 sm www.catawbacountync.gov Invoice Number: 07-16-331031 Invoice Date: 07/29/2016 RBPR-06-2016-24168 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 9652 RIVIERA DR, SHERRILLS FORD NC 28673 Owner CHARLES LOMBARD Ill, 9652 RIVIERA DR, SHERRILLS FORD NC 28673 H:30520S8528 Contractor *OGDEN CONSTRUCTION, LLC, SHAUN, PO BOX 128 I, DAVIDSON NC 28036- B:(704)309-68IOC:(704)309-6810F:(828)478-9327 OGDENDEVELOPMENT@MSN.COM ACCOUNT: 7053 PAYOR: *Ogden Construction, LLC, Shaun FEES RBPR-06-2016-24168 FEE AMT DUE AMT Well Abandonment Fee 07/29/2016 $100.00 $100.00 FEES: $100.00 $100.00 TOTAL FEES: $100.00 $100.00 invoicereecipt 07/29/2016 08:48 Page I of I CATAWBA THIS IS NOT A PERMI 2q • CATAWBA COUNTY HEALTH DEPARTMENT „,.,„c-, Application for Environmental Services Page I Improvement Permit❑ Authorization to Construct❑ Septic Repair❑ Septic Malfunction 0 Septic Expansion 0 New Well Permit 0 Replacement Well ❑ Well Abandonment[W Well Repair 0 Existing System Inspection (Pre-Approval Required) 0 Application is for New Construction 0 Existing Facility ❑ Property Address qp.7 a R iJef' b Subdivision r't(1s 4&r? / e_ Lot# Acres /50 � '�('r , Section/r ck/}'hase G Driving Directions to Property - i,�/ Z6 t, PO LF � � t � LA- LF NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant Contractor Applicant Contact Information / Name V conb�' LLC \c)jn1nea Address 11.0. OpC9c, (a2 1 f)e cj d S� 4jC c740-0-? Phone SOV- 3 , 6too Cell Phone 90-U-3Q4-‘,f/d Owner Contact Information 2 Name Ovsr.toe k' - Imo'" C Address O ti\i 0 Phone Cell Phone Contractor Contact Information Name C.),#„‘„, ce'- �� fit-- y t 1 l AddressQrao, tut t at,Utic)5 4JC ry,cf0.3 Phone Cell Phone 004(-308 8/6 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant EICaractor Description of Existing Structures on Site - e c F-(ousr -feet Pen-0 rt #of Bedrooms *'j Structure Dimensi ns #of Occupants Basement ❑ Yes ❑ No Basement Fixtures Q Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property tiLquestion. If the answer to any question is "yes", applicant must attach supporting documentation. ❑ y.. . No Does the site contain any jurisdictional wetlands? C'IYes El No Does the site contain any existing wastewater systems? ❑ Yes Q'N Is any wastewater going to be generated on the site other than domestic sewage? ® Yes Is the site subject to approval by any other public agency? ® Yes No Are there any extents or right of ways on this property? Describe Existing water supply in use Individual Well U Community Well ❑ Semi-Public Well ❑ County(City/Township Water Line Is a public water supply available? ** ❑ 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) ❑ Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other ffrAi<ty CATAWBA THIS IS NOT A PERMIT OUNTY CATAWBA COUNTY HEALTH DEPARTMENT „o„nab,`` Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence New Residence ❑ Addition to Residence #of New Bedrooms *j. 3 Project Description C Structure Dimensions 20 {.O # of Occupants f Basement ❑ Yes ❑ No Basement Fixtures ® Yeslo Lf Accessory Structure(s) Describe #of New Bedrooms *j' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence# Units #Bedrooms per Unit*j' Total# Bedrooms *j' Structure Dimensions U Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area(Sq. Ft.) LI Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type Individual WO ❑ Semi-Public Well ❑ Community Well Abandonment Type Drilled ❑ Bored 0 Dug ❑ Unknown Well Repair Requested Yes [_, rio Describe Calculated Design Flow, Commercial fi 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 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. 'j 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)five years from the date issued and is not transferable;improvement Permits and Well Permits are transferrable. Permits maybe 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.-19 (� Signature of Owner or Agent Cls. I � Date (- Printed Name of Owner or Agent /� , $k,a Uva a 0 o� THIS IS NOT A PERMIT Case # RBPR-06-2016-24168 gial CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES t • Ig42 s� Residential Building Plan Review - Building New :S.1141 PDAACOJ raj IT IMPROVEMENT ! ' ' }' Contractor *bDEN CONSTRUCTION, LLC, SHAUN (LOUIS OGDEN), PO BOX 1281, DAVIDSON NC 28031 B:(704)309-6810 C:(704)309-68I0F:(828)478-9327 OGDENDEVELOPMENT@MSN.COM Owner CHARLES LOMBARD III, 9652 RIVIERA DR, SHERRILLS FORD NC 28673 H:3052058528 HOME:3052058528 NAME TO APPEAR ON PERMIT *Ogden Construction, LLC, Shaun (Louis Ogden) SITE ADDRESS: 9652 RIVIERA DR, SHERRILLS FORD NC 28673 PIN # 462802667471 NAME of SUBDIVISION: LUTHER COWANS SHERRILL PROP I of#27 & PT 26 Section/Block PROPERTY SIZE: Square Feet Acres 0.73 DIRECTIONS: 150 TO SHERRILLS FORD RD RIGHT ON ISLAND POINT LEFT ON RIVIERA DR PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New 3 BdRM House 70x60. Proposing to use existing system/well on property. SITE INFORMATION Do any of the following apply to the properly 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF Old 3 BdRm home has been torn down EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: Empty Lot NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70X60 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: 119-eha pl h cation 96/27/2016 0951 Page 1 of 4 CATAWBA COUNTY Case# RBPR-06-2016-24168 .0 Public Health Department Subdivision LUTHER COWANS SHERRILL <, Environmental Health Division PIN#I 462802667471 �tp PO Box 389. 100-A Southwest Blvd, Newton.NC 28658 7842 NAME ON PERMIT: *OGDEN CONSTRUCTION, LLC, SHAUN ( LOUIS OGDEN), PO BOX 1281, DAVIDSON NC 28036- `Ogden Construction, LLC, Shaun ( Louis Ogden) Site Address: 9652 RIVIERA DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.73 Directions: 150 TO SHERRILLS FORD RD RIGHT ON ISLAND POINT LEFT ON RIVIERA DR 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 identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 SETBACKS: 50' LAKE BUFFER �.: f nil DATERfr:r,. ri�:7 TM FEENAMF '� tlj° ; t , FEEAMOUNT�h� Improvement Permit Fee 06/23/2016 $150.00 „ ,,TOTAL FEES 31;1141111:,...� S150.0000 . g. .:. . _ _ 1$1 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) G9-elapplicw ion 06/27/2016 09:51 Page 2 ofLI ma $ ♦G THIS IS NOT A PERMIT Case # RBPR-06-2016-24168 Q ? CATAWBA COUNTY HEALTH DEPARTMENT 0} v O 0 PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES !1!L ti ra 1842 5M Residential Building Plan Review - Building New •is.. a A IMPROVEMENT '' ' ir Contractor *OGDEN CONSTRUCTION, LLC, SHAUN (LOUIS OGDEN), PO BOX 1281, DAVIDSON NC 280 B:(704)309-6810 C:(704)309-68IOF:(828)478-9327 OGDENDEVELOPMENT @MSN.COM Owner CHARLES LOMBARD III,9652 RIVIERA DR,SHERRILLS FORD NC 28673 H:3052058528 HOME:3052058528 NAME TO APPEAR ON PERMIT *Ogden Construction, LLC, Shaun (Louis Ogden) SITE ADDRESS: 9652 RIVIERA DR, SHERRILLS FORD NC 28673 PIN # 462802667471 NAME of SUBDIVISION: LUTHER COWANS SHERRILL PROP Lot# '7 & PT 2E Section/Block_ PROPERTY SIZE: Square Feet Acres 0.73 DIRECTIONS: 150 TO SHERRILLS FORD RD RIGHT ON ISLAND POINT LEFT ON RIVIERA DR PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: BUILDING NEW 3 BEDROOM HOME 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? Yes • Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: • DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) . DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 70X60 #OF NEW BEDROOMS:: 3 BASEMENT? Yes BASEMENT FIXTURES? PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 06/27/2016 09.22 Page I of4 • /,gA \ CATAWBA COUNTY Case# RBPR-06-20 1 6-24 1 68 F '^ i.-- Public Health Department Subdivision LUTHER COWANS SHERRIL <' , H Environmental Health Division 462802667471 PO Box 389. 100-A Southwest Blvd.Newton.NC 28658 PINtt 18 2 w NAME ON PERMIT: *OGDEN CONSTRUCTION, LLC, SHAUN (LOUIS OGDEN), PO BOX 1281. DAVIDSON NC 28036- *Ogden Construction, LLC, S Site Address: 9652 RIVIERA DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.73 Directions: 150 TO SHERRILLS FORD RD RIGHT ON ISLAND POINT LEFT ON RIVIERA DR 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 identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation cari be performed. Date: _ Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 SETBACKS: 50' LAKE BUFFER FEENAME DATE ` FEE AMOUNT Improvement Permit Fee 06/23/2016 $150.00 TOTAL FEES . ' $150.00 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) • E9-ehapplication 0627/2016 09:22 Page 2 of 4 • 'CATAWBA THIS IS NOT A PERMIT v 1.m-�.....� CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 Improvement Permit LJ Authorization to Construct`I Septic Repair❑ Septic Malfunction❑ Septic Expansion ' „ New Well Permit❑Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction El Existing Facility ❑ Property Address 96Sa Rt thf Y 11 4 Dr Subdivision ,rr to Q5/0 AiC Lot# Acres .}.. Section/B . ' .ase Driving Directions to Property 1 S Q�1. S ... a. g'L PC), LT' aM. Qte∎_)O —tt& NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant [Contractor Applicant Contact Information Name ` nn Address �d �p ( �L��V J�JSex-- �C��/ / Phone Cell Phone 90 q e `f) Owner Contact Information rr r� ,, Name CV,ar lre Y��lrir(Mra Address k Phone Cell Phone Contractor Contact Information _�` rn� Name . a ACV Ud` Address '. V , e_ o _ ! I• • • ♦ •D Phone Cell Phone DV- ' Q - 6„„• WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site . , !� i- #of Bedrooms *t Structure Dimens ons #of Occupants Basement ❑ Yes ❑ No Basement Fixtures Q Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the propertyi3question. If the answer to any question is "yes", applicant must attach supporting documentation. Y o ® Does the site contain any jurisdictional wetlands? a"Yes No Does the site contain any existing wastewater systems? ❑Yys Is any wastewater going to be generated on the site other than domestic sewage? es ry Is the site subject to approval by any other public agency? O Yes Yi'I No Are there any cments or right of ways on this property? Describe Existing water supply in use Individual Well Li Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ 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) �_ � ❑Accepted ID El Cd' Alternative ❑Conventional Innovative ❑Other My , C ATA\ ]BA THIS IS NOT A PERivin "COOUNNTYC�VV 13 ` CATAWBA COUNTY HEALTH DEPARTMENT „,,,,,c � Application for ErWironmental Services Page 2 Aenosed Fac ityTvpe ❑ Primary Residence [ "New Residence ❑ Addition to Residence #of New Bedrooms 5t 3 Project Description /(I&W 61oiaC' Structure Di,meeAsions 'Pb K C.6 #of Occupants t Basement HI Yes ❑ No Basement.Fixtures ® Yes ❑ Accessory Structure(s) Describe if of New Bedrooms `t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes ❑No Plumbing ❑Yes ❑No Describe Plumbing Needed Multi-Family Residence#Units #Bedrooms per Unittt Total#Bedrooms 5t Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift _ It of Shifts Dining Area(Sq.Ft) U Business Specific Type of Busiress Retail Floor Space #of Employees per Shift #of Shifts ❑ Other Facility Type Specify If Church#of Seats Kitchen ❑ Yes ❑No If Daycare Specify Occupancy Application for Well Construetion/Abandonment/Repair Proposed Well Type C individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes r to 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 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. 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)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 identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. /' Signature of Owner or Agent —/� /��y/ bate 6—/ gay Printed Name of Owner or Agent L L . CL.Q,VrN. V oar\ . , D�AJ IJON ALLEN c ASSOCIA 'PES P. A L'/olai "Since 1971 Commercial • Residential • Mortgage Surveys • Multi—Family Construction Staking * Subdivision Dosign • Topographical 131 Crasslake Park Drive — Suite 102 • Mooresville • NC • 28117 (704) 664-7029 (704) 664-8041 Fax I, certify that this map was drawn under my supervision from an actual survey made under my supervision recorded in deed book__ _, page_ , and/or plat book__12 , page_102_, that the ratio of precision is 1':10,000, that this map was prepared in accordance with the General Statutes of North Carolina Chapter 89C. my hand and seal on the 22. day of JUNE , A.D. 20_ 16 .,/ r/ ;; f:•y`• WILLIAM M. AB,4_E& PLS '04. t', SEAL '• It- CURVE TABLE L34G9 CURVE RADIUS LENGTH BEARING CHORD aS aS i^4e �O• `= Cl 50.00' 43.82' N 23'57'34" W 42.43' -o;<< SUfN •�,ve� LAKE NORMAN ��i7y"A"AAii11ltP``�`` 110.13 O. S67'01158'"E ce e W 0‘°‘.1/4 m ft M OuFF-' OV U 5a OON 60 W l aW LP . I 43.6 760 CONTOUR PER ACTUAL FIELD SURVEY °M. LO 15.5 a'2 N1 PROPOSED HOUSE LAKE N / P cP NORMAN LOT 25 1 & A PORTION OF 26 It \ oN�N PB. 12 P0.102 w \ oo 0 0 15.0 , i IT N / / 1.1 z LOT 27 & m IO LEGEND A PORTION OF 26 c, co., = P.P. = POWER POLE :, / 0.73 AC. 0 = POWER TRANS. E.I.P. = EXISTING IRON FOUND / �0 �� I.P.S. — #4 REBAR SET d 5 1 1.5g LOT 28 R/Y! = RIGHT—OF—WAY , PB. 12 P0. 102 CP — COMPUTED POINT G 17 Cp NOTES 1) THIS PROPERTY MAY BE SUBJECT TO ANY EASEMENT AND/OR RIGHTS—OF—WAY OF RECORD. ,,; II 1 E 2) AREA COMPUTED BY THE COORDINATE 2'PIP METHOD. RIVIERA DR. 3) EXIS11NG 760' & 761' CONTOUR ELEV- AEON BASED ON LAKE NORMAN LAKE LEVEL AT COWAN'S FORD DAM (READING ON 6\20\2016. 0' 25' 50' 100' 5) NO GRDR MONUMENT FOUND WITHIN 2000 FEET. SCALE IN FEET PLOT PLAN SURVEY OF 9652 RIVIERA DR LOT 27 AND A PORTION OF 26 LUTHER COWANSSHERRILL ET AL SCALE 1° = 50' MOUNTAIN CREEK TWSP., CATAWBA CO., N.C. HELD BOOK: FILE: RIVERA 9652 ACQUIRED BY: ac RLE: TAY MAP N0: 462602607471 Catawba County Environmental Health I e, nigh'. !f 1vL !r u'I I I l i 11 y- �+ 1 �I'I. l� 17i'y°"'rl i+�III III". 11;��P,,'A'�lf V 1'� 11 N I,I t.`.'', J I� ,A,.A1 WI, 'I l k1lc'li, 'ai, r '', r}i1 „t l''Yj' Ial !�au' Il!+ : �il'111 + ,If rS.'''i7,IIr i11. fi ,Ih !I'I, LN , Y� .il I r f � ; a l Ili: m°� , . 1-4 � I r,7:,jy. :. ''N 0,F . I1^dli A II ro , I;,fl'I.�,II. t;!I a .I i! I 11 iII�lti Il .y t:. II ,. 1 I A .�., t�tll.t I'-! 4 t r �. � I � r5 r�}I I I �'i 'I i�1 1 I i �'h,� i I I 7�!J I k i I�� �, ��"!�!I IGe i e��' I I° I : i 'I }4�: 1. V �i i. 4 I S <. v ' 1, III�� fl' S'� kc7(. '.?1,4 II , 111li tAiilii{ . ,1'N�},. 1 I ,it 1,41,t' 1:.. f.Ilt I I- tit 11 {41. I! i v.� - ! r ' f 1 I y� 1 hli �b+:�1J , ;�t I II i,m+l. 1' l o-tiA �� 1 iiiii' 'flf..;l '1 y'"s 1 -v b r l! io ,� .Y p , f ^Y. 1.I Ili li )... Ili 4 it l II 1 11 li} ..bili''�.11A i{ fl y1 p o '11 #� �s r M hl `i' •w,,.. �, I t I i, 'r',, l I I ir: .I�I 4 b it •Ii I 1 -d I i `i 5* ,1l a iIII 1 1 i� 1 Ill I 141 : 1 : .4�t Ifl p 9,I r it XI : f 1 k✓"1 Ik 't} ;li 1�� ��� i I� i v °h3 ti•n'1 �', I� III �'�' d � �d y 1 I '�b f I I � { I n f �: 1 l .' r n I II �� $ . „p II J; �, �! uleq 1 It1 r,. II (I 1 a4,■� � ri 11 I I , 14:',,,,-,, .� � `� 1� r { n F� � yy�u �` t l 'SIN N . u I ‘ I I :f a 14 I a MI,R �}.�' I + , i �ill"' a n ff, {� � f '" r 1 1 NI'1 14 I � l�I{� 5�lI � � � : ➢ 'I Y �-r�: ll �'��I�( ,q�t(,l�il I � �'r,�,:• 4 � 6 , 1 I if � �i, � LI �• 11 �"�� �r :,, �1 �x �' li+���i�r(�� n I'C 11•, I ' III Iq 1 „ n )� + .17. {. °� ' � �'ad,l,�11�1 „�II�I f ! ill. I �� �r l :, i Iu p 1 I I, I I'I[ 1,I , I I'{ I i ' ' ;;C!4 'lIUrllk, 1 4 ����1 w (� l:I ,h, 1 1 '1 ' `_`r I,1 l�I l� �' °I I I �1 i 1 y h ra,11 jj �a!}�1 �� N I - �" 1r' j,' f, , � ��Ii�I II I }� � j��"pJ1 "r1!4l1 III ar � b I i � � ��I t1i1�.1n1: � 1>YIn`� �q�'��� iMf : � q� f ) � �� I ,'� 1�f�1 J I IF ..I i J.n:.oM1lilfllll 1111111 ,I if .'.w i ll I�1 Gy 1r7,, ,I f x i �#'; �gn� ��µ 5��� �II � � II����,��, f �.tl li l�.•, IM1 II I �i� . 1� 151.4q f tillllllW ! �I'jI» I"� ; �I II O 1Y It O 25 ' �ti3' ass lit 11 �II h � l t / r 763—"',, ' ;II �11f �i :all�=hu+i 3. \ / I 01 i III / I , II' 26 �`- � 0 help' , lr 'i rlI':. 11 7." (((/// . " � PIS la"'': 1 �141+ 'b °1 `,'; / i 1 + l ,rU �rl "l'h��I � �( , / ! ,:$111 vaI ��r ! I � IuC$ 11 ul II,: '', rye. ,;" i it , 11M;I1 �( Iii +xt . 1 11 1011 tili r r, , i,�I �" t•�, i 1 ,, � �I 4, 1� II ! ' qil INap i , iI„<III�1 I r 11 ' .2.34 // J / /27 ��I I:1;:11A�' �n1 I �l ' �I tI I�x r� �� '1 ,� 4,f I,.f t h + i I i�i, Iilk1 /,I I Ir/ 44.81 I ioi, di} �d 911 ' �� 11;ilir0„ �t /67.39 1 1 Iii rlrs I i'iill ,.. P 11 ,1 j rip{ I 1 er, p�i'tt14l 1 i i C 1' 'a I :fil l4,`4IIII.I;' 9 l fir q,fi I lit tI i ,' l i I , Ill IVI i It II: , I1 , r. � '� I,� 7o.s1 14,° ,N�1ji,111 ,, ; 1; Igil „cis 10 S N 111 I T � '� u p �..�,,.,®. .�- 'l fI :. 'f� lll� I i1/4 �I�h Il Iii II . a � ' _ - i I hiit_e4 o I di-I.I II .h 1i11 , f f11 ,?vid',nr ,}.,I' Parcel: 462802667471 , 9652 RIVIERA DR 1in=50ft SHERRILLS FORD, 28673 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial ettods 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 06/23/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 462802667471 Owner: LOMBARD CHARLES R Ill Parcel Address: 9652 RIVIERA DR Owner2: null City: SHERRILLS FORD, 28673 Address: 9652 RIVIERA DR LRK(REID): 8231 Address2: null Deed Book/Page: 3298/0839 City: SHERRILLS FORD Subdivision: LUTHER COWANS SHERRILL State/Zip: NC 28673-7226 PROP Lots/Block: 27 & PT 26/ null School Information: School District: COUNTY Last Sale: $22,500 on 1978-03-01 Plat Book/Page: 12/102 Elementary School: SHERRILLS FORD Legal: LOT 27 & PT 26 PLAT 12-102 Middle School: MILL CREEK Calculated Acreage: .730 High School: BANDYS Tax Map: 008AX 03017 School Map Township: MOUNTAIN CREEK State Road it: 2613 TaxNalue 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: $500 Zoning2: null Land Value: $308,400 Zoning3: null Assessed Total Value: $308,900 Zoning Overlay: CRC-O,WP-O,FPM-0 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: 2008-03-18 Building Permits for this parcel. Firm Panel it: 3710462800K Building Details 2010 Census Block: 2022 WaterShed: WS-IV Critical Area 2010 Census Tract: 011503 Voter Precinct: P31 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 res ved. � 3 n 13 911 lo1aJ- 4,u' O V f lUl�. f JS)net ( Thm http://gis.catawbacountync.gov/nomap/parcel_report.php?key=462802667471&typ=P 6/23/2016