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RBPR-07-2016-24344.TIF
THIS IS NOT A PERMIT Case # RBPR-07-2016-24344 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH_CONST - NEW WELL Contractor *AMERICA'S HOME PLACE/ STATESVILLE (CHAD HOLLOWAY), 1206 GREENLAND DR, STATESVILLE NC 28677 B:704-872-4400 C:704-746-7094 MOBILE FOR CHADF:704-872-4408 CKHOLLOWA)'@AMERICASHOMEPLACE .COM Owner ROCKY HILTON, 847 OAK ST, NEWTON NC 28658 Paid By AMERICA'S HOME PLACE (REX MINTON), 1206 GREENLAND DR, STATESVILLE NC 28677 13:7048724400 C 8283137748 NAME TO APPEAR ON PERMIT Rocky Hilton SITE ADDRESS: 2237 E MAIDEN RD, MAIDEN NC 28650 PIN # 365605189139 NAME of SUBDIVISION: Lot 4 2 A Section/Block PROPERTY SIZE: Square Feet Acres 10.00 DIRECTIONS: E Main St toward E Maiden Rd, Property across from Withers Rd PRIMARY CONTACT:Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well uta1 rabr vvumrs. meviac /1/16 - Updated Address/Parcel ID, Attached Deed Copy vv/ Plat New, 3 Bedroom, 2 -story, single family dwelling, 2129 sf, no basement, no garage 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:__ 33x39 Single Family Res # OF NEW BEDROOMS:: ,4� T� ,lo BASEMENT FIXTURES? No PLUMBING REQUIRED? Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE ANY. YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO F9-01apphcannn 09/07/2016 15.59 Page 1 of s� CATAWBA COUNTY Case 4 RBPR-07-2016-24344 Public Health Department Subdivision Environmental I lealth Division PIN# 365605189139 PO BoN 389, 100-A Soutfivest Blvd, Newton. NC 28658 1g 2 s. NAME ON PERMIT: ( ROCKY HILTON), 847 OAK ST, NEWTON NC 28658 ( Rocky Hilton) Site Address: 2237 E MAIDEN RD, MAIDEN NC 28650 Property Size: Square Feet Acres 1000 Directions: E Main St toward E Maiden Rd, Property across from Withers Rd 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 idenhficaho and baling of all property lines and corners and making the site accessible so that a complete site evaluation fan be performed. Date: �' `49 Signature of Applicant or Agent --7 P--2,7_ 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 I2.', '111 if ET ,ry.'. a it, I lI� itFnDFE A..•Ir?MIINIOUI ...... 1 Authorization to Construct Fee (NewlExpansion) 07/22/2016 $150 00 Fee Improvement Permit Fee 07/22/2016 5150.00 Well Permit & Inspection Fee 07/22/2016 $300.00 Authorization to Construct Fee (New/Expansion) 09/07/2016 $150.00 Fee ti�t1•,if;,;;il''•� "all '',TOITU:IA9111 Lm,F..E.ES!r"l:!Il"Ir�i....stam'UFtI.CI.INt1 tt'It:1Ui,i.11d!IL!N:,„willr1 l,�ttiltrl it,, u•..:.,tIj,�lIl;,:il�!�{ut ,r-tl, �l.��r!{�S750AI 07'( : uninnita�llIW111iV'.�'iLI1IWWliJIdIC'G�r .,a 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 - chapphcawm 09/07/2016 15 59 Page 2 of 4 PAYOR America's Home Place CATAWBA COUNTY 100A SOUTHWEST BLVD NEWTON, NORTH CAROLINA 28658 PHONE: 828.465.8399 America's Home Place (Minton, Res) PAYMENTS www.catawbacountync.gov TRANSACTION NUMBER: TRC -822053-07-09-2016 PAYMENT DATE: 09/07/2016 PAYMENTTYPE: CieditCard INVOICE NUMBER FEE NAME 09-16-332429 Authorization to Construct Fee (New/Expansion) Fee TOTAL PAYMENTS : RBPR-07-2016-24344 RECEIPT Wednesday, September 7, 2016 FEE AMOUNT $150.00 $150.00 CASE TYPE: Residential Building Plan Review WORK CLASS: Building Neve SITE ADDRESS: 2237 E MAIDEN RD, MAIDEN NC 28650 Owner ROCKY HILTON, 847 OAK ST, NEWTON NC 28658 Paid By AMERICA'S HOME PLACE, 1206 GREENLAND DR, STATESVILLE NC 28677 B:7048724400C:8283137748 **NO PEOPLESOFT ACCOUNT ASSIGNED ** Contractor *AMERICA'S HOME PLACE/ STATESVILLE, 1206 GREENLAND DR, STATESVILLE NC 28( B:704 -872-4400C:704-746-7094 MOBILE FOR CI-IADF:704-872-4408 CKHOLLO WAYa AMERICASHOMEPLACE .COM receipt 09/07/2016 15 59 Page 1 of I THIS IS NOT A PERMIT Case # RBPR-07-2016-24344 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New Contractor IMPROVEMENT - AUTH CONST - NEW WELL *AMERICA'S HOME PLACE/ STATESVILLE (CHAD HOLLOWAY), 1206 GREENLAND DR, STATESVILLENC 28677 B:704-872-4400 C:704-746-7094 MOBILE FOR CHAD F:704-872-4408 CKHOLLOWAY@aAMERICASHOMEPLACE.COM Owner ROCKY HILTON, 847 OAK ST, NEWTON NC 28658 NAME TO APPEAR ON PERMIT Rocky Hilton SITE ADDRESS: 2237 E MAIDEN RD, MAIDEN NC 28677 PIN # 365605189139 NAME of SUBDIVISION: Lot ti 2 A Section/Block _ PROPERTY SIZE: Square Feet Acres 10.00 DIRECTIONS: E Main St toward E Maiden Rd, Property across from Withers Rd PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Revised 9/1/16 - Updated Address/Parcel ID, Attached Deed Copy w/ Plat New, 3 Bedroom, 2 -story, single family dwelling, 2129 sf, no basement, no garage 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure Q N I TJFAWd.7*9191:10IN= OTHER DESCRIPTION: # OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 33x39 Single Family Res # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct). ACCEPTED: ALTERNATIVE: OTHER: INNOVATIVE. Other described: PLUMBING REQUIRED? Yes CONVENTIONAL: ANY: YES APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO F9-01uppheation 09/012016 1338 Page 1 uf4 . \lA CATAWBA COUNTY Case a RBPR-07-2016-24344 t G� Public Health Department Subdtctsion Environmental 1-Icalth Division PIN# 365605189139 �. PO Box 389. IOU -A Southwest I3hd, Ne�r4on. NC 28658 NAME ON PERMIT: ( ROCKY HILTON), 847 OAK SI-, NEWTON NC 28658 ( Rocky Hilton) Site Address: 2237 E MAIDEN RD, MAIDEN NC 28677 Property Size: Square Peet Acres 10.00 Directions: E Main St toward E Maiden Rd, Property across from Withers Rd 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 Imes and corners and making the site accessible so that a complete site evaluation can be performed Date Signature of Applicant or Agent An Em'ironmental 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 ym:fli j'���r�!Q 6` I�Ii I� Ittlll(�iilllii�(�tl ii�!FEENAME IIII,!l!u I;i;t.,l,. DATEC"`:y( li/FEE+AMOUNT!;' Authorization to Construct Fee (New/Expansion) 07/22/2016 $150.00 Fee Improvement Permit Fee 07/22/2016 $150.00 Well Permit & Inspection Fee 07/22/2016 $300.00 i :I i 9 ;'L'I.b P. yllljrTOTALFEES '?i;. . .`,w�( �7��1!����i�Ii��uil!�����;I� :lti�i�������'. i. ,{I1IJ. Bilii,.$600.00; �I!!, la+i!1!i':,',, ..InWIGLiIL'8u�' a, • - . ',e'�.'uWL'�'J5G9UtlIDlUaih:ii!IJi{IiWILILLWP._"vi,liWlL"9NL_:L'iiinnrtinn •r.'„ n..nlr{fi��� 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) H9 - chapphcewm 09/01/2016 13 38 Page 2 of Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel IDi\366605189139----) Owner: HILTON ROCKY BRETT Parcel Address: Owner2: City: MAIDEN, 28650 Address: 847 OAK ST LRK(REID): 201730 Address2: Deed Book/Page: 3312/1939 City: NEWTON Subdivision: State/Zip: NC 28658-4321 Lots/Block: 2/ School Information: Last Sale: School District: COUNTY Plat Book/Page: 75/65 Elementary School: MAIDEN Legal: LOT 2 PLAT 75-65 Middle School: MAIDEN Calculated Acreage: 2.000 High School: MAIDEN Tax Map: Township: CALDWELL State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: MAIDEN County Fire District: MAIDEN RURAL Zoningl: R-20 Buildings) Value: $0 Zoning2: Land Value: $10,200 Zoning& Assessed Total Value: $10,200 Zoning Overlay: Year Built/Remodeled: / Small Area: Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 2023 WaterShed: 2010 Census Tract: 011602 Voter Precinct: P9 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/repos product was prepared from the Catawba County, NC Geosparal 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 venhcation of any data contained on this map/report product by the use, 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, NortCarolina. All rights reserve jlbiiCw lw rMW Y` 12 i\ lew kc - 2 4 C) k http://gis.catawbacount),nc.gov/nomap/parcel_report.php?key=365605189139&typ=P 9/1/2016 Deed of Trust With Future, Advarsoe Clause Retum To: Hamt:ton Sttk Bank L,rlunsPtbsri 5350 McEve, Road Suite G Flowery Hived, GA 30542 /- Prepared 0y: Hungton State Bunk rl hOW5 5350 Mc&., Road Suite G Flowery Branch, GA 30542 Tho dale of this Real Fink Decd of Trust ('Security Jurmoneal') is July 26, 2016. Grantor Trustee HIM HILTON THOMAS & GODLEY. PLUJ Sp..fROCKY BRETr HILTON 514WiLLiAMSONRD ROCKY BRETT HILTON MOORESVILLE, NC 28117 Spouse of ND:I HILTON 309 WEST MAIN STREET MAIDEN, NC 28650 Lander $350 ILTON MCEVERR STATE BANK 5350 MC£VER ROAD SVRE G FLOWERY BRANCH, GA 30542 zj t, Conveyance, For goal and acknowledged. and le. the Security Instrument. Gmnuo ul Lender, with power of sale, I See EXHIBIT'A" The pmpeny is located ?N 7 FILED CAMW COtllttJ an Jul 28, 20i6 at 12:":00 pm Ex,faa Tax $0.00 {had_) it x12557 DONNA HICKS WENCER, Rawater OT Octads L%03353 z91739-1746 e undo Mia fbeueaelRd ROAD, MAIDEN, North Cerebro Together with all rights, .acmenl4 i , 4nmmnces, mvalu., mineral righrc, oil and gas rights, all water and riparian rights, ditches, and water Hack and all existing and future impmveaonm, sirvctus., fixturm, and mpiacaneau tit may now, of at any Lima in:he fvtum, be part -fixe man .rate described above (all referred to as "la pony'). 2. Maximum Obaaadon Limit The maximum principal amount which may be snowed hereby at any note time, is two hundred eleven thousand and 00'IOD Dollars (S21 I,D00.00). This fimiratim of amount does not include imam and other fees and chugas validly made pmauaat to this Seurriry insaument. Also, this bmiwion does will apply to advaaas made under the turns of dib Soundly Instrument to protect LeAdoes security and m puform any of the eovermnm mnlnned in this Severity lrmiancnt, 0, Secured Debt and Future Advances. The term "Sensed Debi "u defined a follows uwa,..arw.c s.w.a.... w. wr+e....ewa.s.aa. ularma, I xau,amnw uvm,s 0 AU adsaaccs, including present ono furore loan obligations or advi oees, from Lender to Grant« undo any promissory rate, contract or other evidence of debt executed by Grantor In favor of Lender ) 740 (including any carnations, ksawaW or modificadout thereof) evidencing the sl wly Line of =oil secured hereby, Made at my time witEll thirty years -Pu the date of this Security 7nstrumeN, whether or not this Secun ty Instrument is specifically referenced. If triose than one person signs thin Security Instrument, each Grmkr agrees that this Security InmumenL will amuse all advances that we made In any one or more Granter, or any one or more Croc uor and others All such advances arc secured ea if trade on the deck of this Scaunry liumm mt. Tho promissory nose signed by NJ KI HILTON and ROCKY BRETT HILTON (the "Borrow,,') and dated the some date as this Security brswmmt (the "Hare") The Nate states that Borrower owes Lender two hundred elevm thousand and 001100 Dollars (U.S $211,000.00) plus Mount. Borrower has promised to pay mils debt or regular periodic paymanY and In pay the debt in full not lata then May 5, 2017 All addition[ sums advmced and exparmor mcuned by Urld n for inuring, presmmg or otherwise protecting the Pmperty and its value and my other sums adeemed and expemea incurred by Under under the terms of this Security Instrument This Security instrument wit[ not sec.. any other debt if Leader fails, with meant to that other debt, to fulfill my necessary requirements or m conform In any limitations of Repolanon Z and X that arc regmred for lums secured by the Property. a, Payments. Grown, agrees than it payments under the Secured Debt will be paid whom due and In accordance wnh the terms of the Second Net and this Semnry from ment 5, Warranty of Title, Grantor warrants that Grantor is or will be wwfuily mime of the estate conveyed by this Security instrument and has the right to it mvaceb)y great, convey and sell the Property in Trustee, to teas with power of Mile. Grantor .1m warranu that Elm property a unmco.bered, except for enwmbrmces of nomod. C Prlor Security Interstate. With regard m my other mortgage, deed of trust, security agmemen or other lien dnexua x riot created a prior security inter n or mewnbunce on the Property, Grinner agrees (A)TO make all payments when due amt in perform or comply with til covmma (B)To promptly deliver to Lender any notices that Greater receives from the bolder (C)Not m allow my mod, fication or extension of, net to request any future advances under any :use or agtxememi soma.' by the 1im document wiasoat Lmder's prior written commM. 7. Claims Against Title. Grantor will pay all taxes, assesnlanW, bens, encumbrances. lease paymrns. ground rams, uWilic" kind ober charges rdat�tl1ppPmperty I. dee, Lead,, may require Gmnior m provide toUndcrcopms of all nasiaythat kuclllamo on are disc and the receipts evidencing Grantor's paymrnt Grantor will defend utG`Eo Cherg(Kitylnst my claims Itat would Impair the Sim of this Security lesucmrnt Gran ,�agsttat(n afsCgn to Moder, as cequsted by tender, any rights, claim or defames Grantor may fin g`bul p tis who s ply labor m mmenals m maintain of improve the property. B. Daze an Sale. Cicada may, miss optioy pec!rtmlot nnk balance of the Secured Debt m 6e Immediately due and payable upon thf'',ealhgnp tot centrad ran she creation ot, a uamfa or sale of all or any part of the Property Thts gM is Joel in d amoo,. imposed by federal law, as applicable. yds 9. Warranties and RepresA.ntos. III or glitand authority in enter mho this Security Sastrounow, The execution and d'eLvery Qf,t)ksgS�ecuity homMo m will or s:a'W. any agrooms guvcmmg Ormw or Ld,'whieb (iiggmr is d'gsyty. 10. Property Condition Acte alf6ne and inepeetion. Grmta will keep ilia Nope try in good condaiop and make ail ttpeirsiias skawaabiy necessary Grantor shall not commit or allow any wank, wpairmans, or deterioration 7fiho Property Grantor will keep the Property Gee ofeetious weeds and grasses Gsanror agrees that ilia naar<of the oavpnaty arzd ease win ria acbsUneatly change without Lendeh poor written consent Grantor will not permit my change in my Iiccm r, restricuve Covenant or casement without Lender's prior written commt Grants will notdy Lender of tett demands, proceed cgs, chain and actions against Oncow, and of any Loss a damage m the PNpaty. Lander or I vIdees agents may, at Undoes epaoq enter the Pruperty, at my rvamoablc time for Lha purpose of inspecting Ole Property Lauder shat', give Grusin, mice at fie time ofor Were m Inspection specifying a reasonable purpose for the inspection Any inspection cribs Properly shall be mumly for Lender's bencf l and Ormmr will to an way rely on Landers saspecaon o.sa.was...uasa 11, Authority to Perform. If Grmmr fads to perform any duty or any of the covenants contained in this Security W trument, Lender may, without notice, perform or cause them to be performed, ) 741 Grantor mnt hits Leader n anmuy in fact m sign (micams name m pay my amount ncceaaary for performmcc Lenders right to perfmm for Grantor shall not cream an obligation W in fomk and Leader, failure to perform cold not preclude Leader from aereising any of Leader's other rights under the law Or this Security instrument to if. otmel ptami[md by Iaw. 12. Leasaholds; Condominiums; Planned Unit Devolopments. Grantor agrees to comply with the provisions ofany lease of this Seconry Instrument is an a leasehold. If the Property iactudes e unit in a condominium or a pixtmad unit davelopmmL Grantor will perform all of Gmnrm, thi ics under the covcnama, by -Iowa, or ragdancris of the wndomman, at planned unit development 13. DsersuiL Grantor will be in defau,t if any party, obligated os, sic Secured Debt faits to make payment when duo Grantor will be to default if a breach occurs under the menu of this Security Instrument or any other document executed for the purpose ofermaing, searing or guarantying the Secured Debt Latin this is a high can home loan as delmid under North Catalina law, a good faith belief by Lender that Leader, at my time is truccure with respect my p,raon or eoury obligeoed on the Secured Debs or that the prospect.fmy paym nn ar the value of the Property is trimmed shall also cone5mm an event ofdefault 14, Remedies, on Derfauh. la some immnces, federal and stare law will require Lmdcr to provide Gram, with actica of the right to curt or o@er and es and may ,std dish time ubad,,[.. for foreelomm actions, Sublets w these limitations, if any, Lends may accelerate the Secured Debt and foreclose this Snuory, Inst ur ant in a manner provided by law if Grantor is in default. If this Is, a high cost home Fawn, as defined ands Nord: Camima taw, we may accelerate :he tin only maker the .indicans set fatth m NC Gen. $tor §24-1,IE (b)(1). At the option of lards, ail or any part Of the agreed fees and charges, accrued interest and principal shall became immediately due and payable, atter giving notice if roqured by law, upon the Occurrence ofa default or anytime thereafter. In addition, lender shall be entitled to all the remedtn provided by law, she .of rhe Sone dD,bt this Security insrrumrnt and any telated documents. Including without limitation, the power to sell the Property If them is a default, Tmsree small, to addition to my other permitted remedy. at the request of alae Lends, advertise and sell the property a' a whole or to separate parcels at public auction to she higher, bidder for cash, agar having first given such notice of hearing as to commencement of forcelo a proceedings and obtained such findings or leave of court as may be then squired by law, and convey absolute rine fie and clear of all right, title and interest Of Gramm at such rima and plea as Trustee dwtgnates Trustee shall give calls,.(sale inclu sag teatime, Wrens ere place circle toil a dna'rytiui of ilia Pspcny to M sold as required by rl%Ypp2;rl? taw In effect It the sure of [he proposed salt VeChys' Lpuo sale of the Property and to rise extent at prOhibi byell make and deliver a dad;. Sh, Property sold wMch canveya abaoLu�oiitk to nd alit, Itrs[ paying sitfeta,chargesandcomb,includingtheTrustatfpmmu ion, s Ilea) ty'under all moneys advanced for spairs, rues, h a manes, liens, assn' X and p�l7gyom m, ccs and interest Narwq and ;be principal and interest on the Seemed payy ngthc cucplus, any, ro Gemro, The T.0 . communion shall be five percent of this -grow f thp In fora won mplead fumclve Lead.,my purchase the Property The rKualPt any of. d 'nee shall be prima facie evidence of the facts set fmnh therom. All remedicn are dtanmm, cum a'vr`ud n t clusry and the Lender is antided to ell m rmcbm All mrteattaw dequity, wm4ZV4mr nal faxpr Ily tit fmA The mt ptanw by Lender of any wen m payrlsml or perdel poem on (h� Se at 7(�abt arts the Delano is due or is aacetsasd or efts, foralnurep comfinsomI,lyd afW'1�act commode awoivtr of Lender's right in require wartime cote of my existing defaultBy^.n"pt erley'icing my reaudy an Granites defauu, Lender doe' at waive Lender, right to later woaider the va default ifnwntinun of happens again, 14, Expenses; Advances on Covenants; Altomeys' pees; Coliootlon Costs. &cep, when prohibited by law. Grantor agree it, pay all of Leader, npm'a if Gnnwr bremha my covenm, in this Security Infm alert Gyrator will also pay on demand any amount incurred by Leader for insuring. uuyecung, preserving s o3Wrwtm protecting in. Property and Lendes'a mounty interim. These expenses will bets musical from the mete of the psymeal until ped in full at the highest mmreat rate in effect as provided in the [emu of the Secured Debt. Grantor Ogren to pay all costs mid expenses incurred by Lender in collecting, enforcing Or protecting Leader's rights and renadsn under this Security Instrument This amount may include, but ,s Out limited to, squ rrley" fon, court costs, and ode, legal expenses. This Security famanmt shall Mm in in effect until refined. Grantor &&rocs in pay for any amrdation costs of such Minae. ++maw ',.rwfwaw+.emr. ac,asla.. aas,oa,�.as. rw. id. Environmental taws and Hazardous Substances. As used as this demon, (1) "6ft moz.eml Law"means, without hmicard, the Casnpreheasive£nv(mnmensrrl Response, Compensation and Liaksety Aa (CERCLA, 32 U.S C 969) et req ), and as other fed bind, ma and local taws, regulations, ordiruaces, codes orders, anomey Banned opinions or interyrmive Imes concerning the public health, safety, welfare, atvfrmse ent or a hazardous subsance; and (2) 'Hicur dans Stilettoes, "muses any toxic, radits cti+e or hmArdous mataut, wands, pe:`.uans or contaminant which has characteristics whioh render the substance dangerous or potentially dangerous to the public health, safety, welfare or cnvironmcm. The term includes, without limstanan, any subs4ecesdeSmad as "hazardous marc utL" "mese subsandis' "hazardous waste' os'saaatorms substance under any Envimnmenml Law, Grantor represents, warrants and agrees that: (A)isaoept as previously disclosed and ackrsowbral in writing to Lender, an Hasrdma Sahara.. is or will be located, stored or released on or in the Property. This reduction does not spot, u, [mail camodum of Herardosn Suleamozn sbar are generally nmirgmadl an be appropriate for the normal use and munnumence ofthe Property. (B) Except as previously disclosed and acknowledged in writing to Linder, Grader and every coned hes baa, a., and shell roma. in all :..Alien. with any appinnild. Envia,dr iai Law. (C)Gramor shall umnodately mnfy Lender if a release or duearrned release of a Hazardous Substance occurs on, under or about the property in there is as station. or any ErAndon. a al Law concerning the Property In such an avoid, Grantor shall lake all necessary remedial action in accordance with any Envnonmenal Law. (D)Grantor shall immediately notify Linder in writing as soon as Grantor has reason to believe there is any pending or, threatened investigation, claim, or proceeding relating to the release or threatened«lease of any Hazardous Substance or the violation of any Enviso mescal La.. 17. Condemnation. Grantor will Stye Lender prompt notice of any pending or threatened action, by private or public entities a purchase or take any or sit of she property through eondermation, emmmt doms[n, cr any otlar incus Gamor eta Wre s Lender to intervals: in Gamo's name in my at the above descnbeci actmns or.ami Grantor assigns to Lender the precede of eny award or claim for damages connected with a condemnation m other taking of all or any For of the Property. Such proceeds shall be considered payments and will be applied a provided in this Seurny Instrument. This assignment of proceeds is sobject to rhe tenet of any pnor mortgage, deed of truss, sacunty agteeri or other lien document. 10. Insurance. Grantor shall kap Propeny insured against Ipds by fire, Hood, shelf and other hnrvrds and risk reasonably associated with the Property due to t d Iooadon. Thio importance shall be maintained is she amounts and for the permds that Lmipcmquir bat Laodtt sGryirea pamant to she preceding two sentenan con change during the terQt fthe Nbl.Themsureac6cenier providing the insurance shall be chosen by Gan v sub) us ode's approval, which small not be uddecrwbly, withheld lFGramor fails to mai t and a, .R g�descrybpd nbovA tarzdu may, at Ledi option, obtain coverage to prosect 's ngpb in ' 00p according to the terms of this Santry Instrument. Grantor acknuw>'e _'ns and agrZn that .{ogdar or oar of Leari affiliates may receive commissions oa purohase'Aai skit, u All insurance policies and rencwek ah411aba aer�to er and shall include a eandard "numildle ctnae' and, where eppItenb,- re. Y� ciat�se Grantarshat] irnmedia'sly notify Lendtr Of cancellation or IdmialioLm YI allhave rhe nghtto hold the policiesand «newels, If Leader requires, G[Ltco[shait ethane give to Leader all receipts of paid premiums sod renewal noised. Upon ton s ve immediate trona to the iron r c canter and Lender Lender may aproura ons d nniVito ..adutehy by finest, Unless otherwise agreed to tr0& in,uren. proceed[ shahs be applied m the ins nation ter mfoo, is of the property or to she Secmcd4pbt,Printer or not then due, at Lender's option. Any al+phcatinn of proceeds in principal shall not ads. W pustpone the nuc data of the scheduled paymeer nor change the amoum of any payment. Any excess will be paid to the Gamor. If the Property is acquired by Lender, Graam's right w any insurance policies and proceeds resulting Isom damage to the Property before the acquisition shall pus to Lender to the "beat of the Secured Debt immediately before the acquaition. 19. Escrow for Taxan and Insu noon. Unless othenwise provided in a separate agreement, Grunter will not be ra}uired m pay to Lender funds for taxes and insurance in escrow. 29. Financial Reports and Additional Documents. Grantor will provide les Landes upon request, any financial statement or information Linder may doom mainthl necessary. Grantor agrees to ages, &It., and Mss any additions] documents or amfications that =may consider:rccsaary a`Mw caa 1. ow..; A wmm w..sw. lei 1. vwsn. n,w.nx,.araur:+arm» na.ar 17Gt21 ro pert«t coranue, ae�d preserve Grnnrotx obfgatiau uadr mit Sacur:q Instrument and Lindens Len status on me Property. 21. Joint and Individual Liability; CoSigrome: Successors and Assigns Bound. All but doe not mix "evidenced debt a rejoins a des so only I mortgage Gartner Secunryl the but discs not sip" evidence of debt, Grantor does so only m tnonggge Cnntans interest in the Property to ucces payment of the Secured Rett and Gaston denature Agee to be personally liable on Inc Secmext Debt if this Seconty instrument scewes a guaranry between Leader and Gramm, Granit agrees to waive arty rights that may prevent Lender from bringing any action or claim against Grantor or toy party indebted mode, la. obligation. These rights may mclude, but art not limited :o, any anti-0efmtency or nne•acUo, Iowa. The dudes and benefits of this Security Instrument shall bind and bea ifit the successor, and assigns of Gmnmr and Lender. 22. Applicable Law; Severabitty; Interpretation. This Security Itnmmcnt Ahad be governed by Federal law and the law of thejurisdimUM to which the Property is located. This Security Instrument ix complete An meatatcd. This Security tosmeml, may ant it amended or modified by oral Secured agreement, Debt My senior, m this Security insmmene a e effenna, or any agreement nicks to or Secured Debt that a varies with y wrote law will t. l m esection, unless that Ino expressly oe war be permed me riling toss twritten at seeauns. illany section of mu Secul not effect y themunent bi ity, f he r m ai according to its kry hi that union wine be usered and snit dot lI ihe nclude the plural ral of the cohns th of this Sec ire cap mmant Wh roes, o the rec lnsgulars Se instrument me plural and the pearai the rand laram Then be used and beadings of the t the arms thisoft Security Immanent are for t Time oe only and arc not is be used to interpret or deficit the tenni of this Secunry Instrument. Time is of mo asenoe in this 5xunry Instrument. 23. Ssxeaasar Trustee, Ixedcr, at Lenders o vrm, may from note m lima rtmave Trustee and appoint a successor trust" without any other remarry than the disignadon in writing. The successor trustee, without conveyance of the Property. shall succeed in all the tide, power and dunes conferred upon Tmsttt by this Security Instrument and applicable law. 24. Notice. Unless otherwise required by law, any trance shall be given by delivering it or by mailing it by first class nail to die appropriate parry's address is this Security lmtswnem, re many other addreas designated in writing Notice to one grammr will be deemed to be ounce to all grutmn. 25. Mar Terms, if el ccked, the foimwing are applicable to this Sceunty investment. ® Construetlon Loan. This Security instrument sourer an obligation incurred for the construction afar, improvement on the Pmpmy. U Feelurc Filing. Grader giants to Imiler a sccudry interest in all goods that Grantor owns now or in the future and that Ara or will become fixtures Lela os m me pmperry, This Security suu Instrument @ic. a financing statement and any q",.bobid phis, or other repr ducaoo maybe filed ofseeord for purposes of Article4 oCme jnarrc t'amrnrntet Cale. ❑ Riders. The covcnusu and agreements ofeacha ltl�tjdW check belowucincarpomted m:o end suppletskn: arA amend me les ru o-fgiji Secud;} Iasmnunjfk all applicabia boxes? U Condominium Rider U Planned ❑ Additional Tates, By signing below, Gasser age Wtjhct and co�yena curtain ed in this Seeunry Instrument and Is, any attachments Grannie aboaictoi led' [recetptofa copy oftha Security lretrumenton the date stared in this Secur, at. r,1. ` Grantor Seal D Sant naw�aRv rnniysn,utagl� A'Po*M�etfasaMAraypN Pybtlt nder HAMIL STATE BANK rJnn Georgia ..Ne /r"Qntou Monager jenm= "oetJee �..11a1et Acknowledgment State of North Caroli- CZf_.T7r_..i' ''a, C a mnry public, do hereby certify that NIKI HILTON, mssried to ROCKY SRETT$ 7 Nperaau4[y eppurcd betare me itis day and acknawlWged the due fxecuuim of)he tooing instrument. Wimcas my hind and official stamp or sol on My Name) My commixsion czpires- 3-1-1-7 AcknowlMgmenr State of Nmrm CC. .alio. `t 1 a aL'1.e'. nulmy public, d BEN S,THOMAS NOTARY PUBLIC IREOELL COUNTY STATE OF NORTH CAROLINA MY COMMISSION EXPIRES 03-01-2017 I .Y BRETT acknowledged f `OM1' Nnta�glrtc � 1 PJeN 5 l �L� BEN S,7140MAS (Print Nomej � My cc iemssmn czpna NOTARY PUBLIC rW" 1REOELL COUNTY STATE OF NORTH CAROLINA MY COMMISSION EXPIRES n"'�''an" 1744 ekoowledgmeofi Sta6e Nwti Carploa Cuunty of 1, a «a:ary pab4m, do hcwby ccrt6ry ancy Lu Day, Mortgage Optnl,.s My Se Snior Prceidrntof FIAMILTON STA NK peraonnlly appeared befnrc me this day ar d ackoowledgcd Ne eemmn of the fore g instrumem W6mess my hand uM o,Tlciat sl=p or seal oa Nnfory Pohla. (Yrm! Name) y fAmm16610n C%p1ICS Lnm Ongination Organlxelion HAMILTON STATE Loan Ongiaaror NANCY DAY BANK NMLS ID 748153 NMLS 1D; 795963 w�au. mwrr.,a w�.xi..r«ra+aw..oac.. a,smv•zu.mssrtan rw:ar EXHIBIT A East Maiden Road Maiden, NC 28650 Beginning at a 5/8" rebar in die in the southeast comer of a 45" right of way and the northeastern corner of Lot I as shown on that plat recorded in Plat book 75, Page 65 in the Catawba County Register of Deeds, thence with the eastern line of Lot I, S 37-07-38 W 1488.12 feet to a 5/8" rebar in the line of Jason Bolick (DB 2000/75), thence with the northern lines of Bolick and McRee N 69-26-24 W 249.38 feet to a 1.5" pipe in the eastern line Glen Hooper (DB 1228/486), thence with the eastern line of Hooper N 08-19-50 E 468.87 feet to a point, thence with a new line of Lot I N 56-58-56 E 957.30 feet to a 5/8" rebar in the southeast comer of Lot 2 of said Plat having passed through a 5/8" rebar at 5 feet), thence with the eastern line of Lot 2, N 1349-16 E 203.40 feet to the southern margin of said 45' right of way, thence with the southern margin of said 45' right of way S 74-52-18 E 228.19 feet to the Point and Place of beginning, containing 10.00 acres, more or less, in accordance with that survey dated May 26, 2016 by Randal W. Honeycutt, PLS. The parcel described hereinabove is identified as Lot I A on said survey attached hereto and incorporated herein by reference} and as ruCa'ded t n plc f book -7(o Q Pae 32, T g .. QA MAP NOT TO SCAT E TC AirrlTO wP:'LAT-e ms rnr.wv. CANOT A m`� s >K ON uuNExrs PENTON XC 2� r ANN n4 gµrcttvll SNCnN w0 111e1 OA- - T C PONT ON., Bdn-N INN Al ATTTOC u.sNP.Y.mrs A. m . ANC NAE`NTC . wa.� v - I I I �5 6926'N'E 1 r6r9w� A69 BJ � AAT PAT FlpM PUT TS -65 I NORTX „I I I' In` I� I I I I 1 eAurzO____-_l,am, PANAA IEGFNO rmN (TYPE ANNO)`�) SwE O., u upl /NCCC Eno xamwprt FlIEO Jui06, 20+6 6<05pm BOCK OOO]6 CATANBA COUNTY NC GONNA XILNS SF`ENCER NdM PAGE W REGISTER OF OEE05 NET. 11 $'N xr E CAC PATAT u 120' 0 120 290' 960' — - \ G .. RAPHICme SCJ.IF: - FECT LOT 1 A 10 00 ACRES NOIANi '0" OF xOFM UROVN6 [ ON L OF CA.. u+ I[�N 01 6LC FW CVO NONTY . STANP CD ANSOONAI.Y. �J`Y?ital�„A."".,,LAN,... mE roREvpxe wsnewA` I o 0 oirlCut INA,.` TAPE INE�nr DF d w p COO, Yr co.vuAamx ExPIREs �LM 1 ��. 2oLJ i i �.F I I - N W'19'So£ nJ la' 9Se 27 LOT 2 A 10 00 ACRES S., CERIIFlGIE PANOss HONMOTT CvmFr mr mrs Pur WAN OR.Nx ANDER AOL FAOM P"CSm ANNE ..NA ((NTCIPDox RECORm11.. DD PACE9u66). BOANOARI6 Not 5K NEP T. of PROsON As cuwu¢N Is I, . I P,A1 ..5 PRE rD IN DANCE NIM -30 AS MIANE. .1 'LRAu",Y" I`IRI:AR'A RDSx. 1NAN. D LAND .11 INE AREA Cl A CNN' ON ,N OCE 1 REcw.."' PARauE DI D wNNESS I oNCI— SC .1 ANTENunON 11 -AER ANO 5U . TTE �.e of VL 2016 HGAgO ------------ =ems L�aass Q: I j:.n oel P _ I ra.aoe ah! A,!! SAB.i _ yeTwr f✓ pa 915 = b q' pA AOY Ids u/i}Y wA1 's-1`6�S -_e_ a ___- 20.00 ACRES TOTAL AREA 6Y COORDINATE COMPUTATION FEMA CERIIFlGPON mmm�n NAnI ren w.ue NONCAA ,uuw,wrA w mmno NCAA censer m A seou nwv /r Di ___-------- I I I„In�I ,N:vAe I �^ ON Ile»[ ____N -' - 45' H/II FROM PLlP )5=65 REVISED .i 1-1-2016 TO PLAT FON RECONTANON `AN E(EMPT SVOOAARON FOR ROCKY B. HILTON CALDWELL TSP, CATAWBA CO., N.C. - NONEY�CUR (ANOUaewoN��A-+auP e w EPu M1MO PUIEE NO c OEEO JJI2-19]9 CVDRO MC IeO�l6]I CR PUi >5-65 nm 9/TZCT I I ON OIL I605T6v Dw OAE 5-96-2016 .E I - 120' I N .vsss-cs-+e-s+» HLS RLE B- 2865 THIS IS NOT A PERMIT Case # RBPR-07-2016-24344 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH_CONST - NEW WELL Contractor AMERICA'S HOME PLACE/ STATESVILLE (CHAD HOLLOWAY), 1206 GREENLAND DR, STATESVILLE NC 28677 B:704-872-4400 C.704-746-7094 MOBILE FOR CHADF:704-872-4408 CKHOLLOWAYaAMERICASHOMEPLACE COM Owner ROCKY HILTON, 847 OAK ST, NEWTON NC 38658 NAME TO APPEAR ON PERMIT Rocky Hilton SITE ADDRESS: E MAIDEN RD, MAIDEN NC 28677 PIN # 365605189139 NAME of SUBDIVISION: Lot # 2P' Section/Block PROPERTI' / SIZE: Syuare Pcel �\cresr 10 l DIRECTIONS: E Main St toward E Malden Rd, Property across from Withers Rd PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: New, 3 Bedroom, 2 -story, single family dwelling, 2129 sf, no basement, no garage 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? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 33x39 Single Family Res # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct) ACCEPTED, ALTERNATIVE' OTHER: INNOVATIVE Other described: PLUMBING REQUIRED? Yes CONVENTIONAL: ANY. YES APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO 1-9 - chapphcetim 07/22/2016 10 59 Page I of 4 CAT.AWBA COUNTY case n RBPR-07-2016-24344 (__CD Public Health Department SnbdIYl51011 Fnwronmental Ilealth Division PINti 365605189139 PO Boz 389, 10(1-A Southwest BIN d, Newton. NC 28658 NAME ON PERMIT: ( ROCKY HILTON), 847 OAK ST, NEWTON NC 28658 ( Rocky Hilton) Site Address: E MAIDEN RD, MAIDEN NC 28677 Property Size: Syuare Feet Acres 10 Directions: E Main St toward E Maiden Rd, Property across from Withers Rd 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 S ire .; ilihlli? ;. 11 I� nN'is; •ly c, ill: h8 i „U EEAMA r*i ,DATE'^ ' ' �F I __ilt Authorization to Construct Fee (New/Expansion) 07/22/2016 $150.00 Fee Improvement Permit Fee Well Permit & Inspection Fee !;rii���!'ll i�!i lliil li' TOTA;L. FE ES�iN,�� �1i,18'(�I,iIs,V"• 07/22/2016 $150.00 p�07hh/J2J42/2016 $300.00 I ill'1Nl�illllill�illli'��illillilllilpl;� i(llilllllili'ilr. fu„$600.00;�' LWifi;uILIGI:I&Ci181111iIG1illilll6'(i' +'•IIh1AlIIh1!.h�----lil�4� 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) IH-eh.rppl cemm 07/22/2016 10 59 Page 2 of THIS IS NOT A PERNIIT Case # RBPR-07-2016-24344 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Review - Building New IMPROVEMENT - AUTH CONST - NEW WELL FM— El El Contractor *AMERICA'S HOME PLACE/ STAITSVILLE (CHAD HOLLOWAY), 1206 GREENLAND DR, STATESVILLENC 28677 B.704-872-4400 C:704-746-7094 MOBILE FOR CHADF.704-872-4408 CKI-IOLLOWAY r@AMERICASHOMEPLACE .COM Owner ROCKY HILTON, 847 OAK ST, NEWTON NC 28658 NAME TO APPEAR ON PERMIT Rocky Hilton SITE ADDRESS: E MAIDEN RD, MAIDEN NC 28677 PIN # 365605189139 NAME of SUBDIVISION: Lot 4 2 Section/BtocL PROPERTISIZE: Square Peet Acres 2 DIRECTIONS: E Main St toward E Maiden Rd, Property across from Withers Rd PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY : Private Well DESCRIBE WORK: New, 3 Bedroom, 2 -story, single family dwelling, 2129 sf, no basement, no garage 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? Yes Are there any easements or right-of-ways on this property9 No APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS: 3 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 33x39 Single Family Res # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No Desired system types (Improvement Permit or Authorization to Construct) ACCEPTED ALTERNATIVE: OTHER INNOVATIVE Other described: PLUMBING REQUIRED? Yes CONVENTIONAL ANY: YES APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-chapphiaunn 07/22/2016 0946 Paee I oft �A CATANVBA COUNTY Case# RBPR-07-2016-24344 ,? Public Health Department Subdivision dd Environmental I lealth Division PIN# 365605189139 PO Box 389. 100-A Southwest Bh d, Newton. NC 28658 Jg q2i:. NAME ON PERMIT: ( ROCKY HILTON), 847 OAK ST, NEWTON NC 28658 ( Rocky Hilton) Site Address: E MAIDEN RD, MAIDEN NC 28677 Property Size: Square Feet Acres 2 Directions: E Main St toward E Malden Rd, Property across from Withers Rd 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 si cces so that a comptete site evaluation can be performed Date. 7— ZZ /[-, 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 FEENAME DATE FEEAMOUNT Authorization to Construct Fee (New/Expansion) 07/22/2016 5150.00 Fee Improvement Permit Fee 07/22/2016 5150.00 Well Permit & Inspection Fee 07/22/2016 S300.00 TOTAL FEES $600.00 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) P" - chappimaw,n 07/22/2016 00 46 Page 2 of 4 LATA"A THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT M Application for Environmental Services Page I Improvement Permit ❑® Authorization to Construct 19 Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permitz Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ Application is for New ConstructionE:1 ❑ Existing Facility E:11 C r,,Jed Property Address Subdivision Off � not er Lot #I11--^ �O R Acres 10 v Section/Black/Phase / Driving Directions to Property Travel E Main St toward E Maiden rd. Property is locate ,�jC jt,t;SS%.✓f V�:t P,QS Rd NAME TO APPEAR ON PERMIT? [I Owner ❑ Applicant Q Contractor Applicant Contact Information NameRex Minton Address1206 greenland dr Statesville, NC 28677 Phone I Cc]] Phone828-313-7748 Owner Contact Information NameRocky Hilton Address309 W Main St Maiden,NC 28650 Phone828-320-8259 Cell Phone Contractor Contact Information NameAmerica's Home Place Address 1206 Greenland Dr. Statesville, NC 28677 Phone 704-872-4400 Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner M Applicant ❑ Contractor Description of Existing Structures on Site N-° # of Bedrooms *j' - Structure Dimensions # of Occupants Basement ❑ Yes 0 No Basement Fixtures 0 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. If the answer to any question is "yes", applicant must attach supporting documentation. ® Yes D No Does the site contain any jurisdictional wetlands? ® Yes M No Does the site contain any existing wastewater systems'? D Yes O No Is any wastewater going to be generated on the site other than domestic sewage? D Yes D No Is the site subject to approval by any other public agency? D Yes D No Are there any easements 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 Q 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) 0 Accepted 0 Alternative 0 Conventional 0 Innovative 0 Other N Any C^ T ADZ 7B A THIS IS NOT A PERMIT COUNTY ��. "��`j�L. CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type X Primary Residence N New Residence ❑ Addition to Residence # of New Bedrooms *t 3 Project Description Single Family New Construction. t 2 - Structure Structure Dimension 33 )( ? 9 # of Occupants 4 Basement ElYes Is❑ No Basement Fixtures ® Yes No ❑ Accessory Structure(s) Describe # 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 Unit*t Total # Bedrooms *t Structure Dimensions Food Service S.... pecify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ 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'fype N Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ 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 %ill 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 aith 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 deparnnent 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent /� ��.1� Date 7- Zdt, Printed Name of Owner or Agent r&O -LG 4 G�? VICINITY MAP NOTES SITE NOT TO SCALE I. THE PURPOSE OF THIS SURVEY IS TO ACD 8 ACRES TO LUT 2 OF PLAT 75-65 TO CREATE A 10 ACRE TRACT. 2. SUBJECT PARCEL ID NO.: 3656-05-17-6735 & 365B-05-16-9739- ,3. Ti45 SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITLE SEAARCH. THIS PROPERTY MAY BE SUBJECI TO RIGHTS OF WAYS OR EASEMENTS NOT SHOWN HEREON, 4. THIS PROPERTY IS CURRENTLY ZONED R-20. AND IS LOCATED IN MAIDEN ZONING DrSTRICT. 5. SUBJECT PARCEL 14 NOT LOCATED IN A VATERSHED PROTECTED AREA. 7. OWNER: ROCKY HILTON 847 OAK ST NEWTON, NO 28658 OWNER CER77FICATE I NEEDY CERTIFY THAT I AM THE OWNER OF THE PROPERTY SHOWN AND DESCRIBED HEREON THAT I HEREBY ADOPT THIS PLAN OF SUBDIVISION WITH MY FREE CONSENT, ESTABLISH MINIMUM BUILDING SETBACK LINES, AND DEDICATE ALL STREETS, ALLEYS, WALKS, PARKS AND OTHER SITES AND EASEMENTS TO PUBLIC OR PRNATE USE AS NOTED.' OWNER JAMS & A7ARILYN MCREE 3194-15CB a 1.5"S70D FOUND ORIGIN UNKNOWN S 69°26'24"E rr� 69.74' DAILY fn ONLY i 5/9 RESAR _� P� 75-65 Dl 4 MORIN FROPA I n7 JASON d SUSAN E000K # 1000-75 f�l I I 1 i 1 1 I -.._ --_- -4 1.5"ROD CERTIFICATE OF APPROVAL I CERTIFY TPAT THE SUBDIVISION, AND RECOVBtNATION PLAT SHOWN HAS BEEN FOUND TO COMPLY ?4TH IHE SUBVIV190N RFGUlA77ONS OF THE TOWN OF 1MNDEN AND IS APPROVED FOR NECOROMG IN THE OFFICE OF THE REGISTER OF DEEDS INET! IIN SIXTY DAYS OF 77,1E DATE OF THIS APPROVAL. TOWN PL1,N,NGK CATE LEGEND ® EXISTING IRON (TYPE NOTED) o NEW IRON (TYPE NOTED) ® PK NAIL ® MAG NAIL 0 RIR SPIKE o CONCRETE MGNUMENT © STONE X CO.Y'PUTED PONT NAIL -1 ,^TCS/NCGS GRID ,'MONUMENT d UTILHY POLE K LIGHT POLE DUKE POWER BOX OTELEPHONE PEDISTAL , SANITARY SEWER MANHOLE C5' STORMORAW MANHOLE ®WATERLINE MANHOLE M WRIER IMETER © WATER VALVE SEWER CLEAN OUT QQ GAS VALVE RAV OVEFHFAD UTILI"ES —. F CE 120' 0 120' 240' 3610' —y —w — SANIIfFY Sy/ER - " .— WATER LM - Lm'e5 4101 50KVE(ED GR,,VPHIC SC_�E - FEET ' EL L' 110MIT DATE GLEN & )JOY H'OUPEK 7228-485 5/8"REBPR SET 5 [TACK ON IME LOT 1 A 10.00 ACRES S1AIE OF NORTH CAROLINA, COUNTY OF CATA.WBA I, ..4 NOTARY PUBLIC FOR SAID COUNTY ANO SIAIE, DO HEREBY CERTIFY THAT .. -. PERSONALLY APPEARED BEFORE ME HIS DAY AP40 ACKNOWLEDGED THE DUE EXECUJIUN Ur THE FOREGOING INSTRUMENT. WITNESS MY HAND AND OFFICIAL SEAL, THIS THE DAY OF , 20 . NU1HKr MY COMMISSION EXPIRES--- ___ 20— DEBORAH HILTON 2215-a45 I I I I / I 7 I E 14'23.74' MICHAEL PEELER 2240-22 SURVEYOR'S CERHFICATE 1, RANDAL HONE1CUTT CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL SURVEY ,MADE UNDER MY SUPERVISION (DESCRIPTION RECORDED IN DEED BOOK 331m PAGE 1939 AND PLAT BOOK 75, PAGE 65); THAT THE BOUNDARIES NOT SURVFYFD ARE CLEARLY INDICATED AS DRAWN FROM INFORMATION FOUND IN BOOK PAGE THAT THE RATIO OF PRECISION AS CALCUL4TE0 IS 1:10000; THAT THIS PLAT WAS PREPARED IN ACCORDANCE 'NTR4 G.S. 47-30 AS AMENDED. 7h'IS SURVEY CRF_ATE3 A SUBDIVISION GF LAND WITHIN THE AREA OF A COUNTY OR MUNICIPALRY MAT HAS AN ORDINANCE THAT REGULATES PARCELS OF LAND. WITNESS MY ORIGIP!AL SIGA;;7URF_, REGISTRATION NUMBER AND SEAL THIS THE -Fh DAY OF ;r+1G/+./ 2076. A A . V RANDAL V✓. HONEYC TT /PLS -4-199 aaA3,n a PAUL & RANDY DEWNGER 7 I 233'1-1592 20.00 ACRES TOTAL AREA BY COORDINATE COMPUTATION FE.IM.A. CERTIFICATION IN ACCORDANCE WITH THE NATIONAL FLOOD INSURANCE RATE MAPS PUBLISHED BY TFF UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD), FEDERAL INSUKANCE ADVINISTRATION, AND PROVIDED gy TIIE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEVIA), FEDERAL ;NSURAN'CE ADMINISTRATION (CATAW6A COUiITY NORTH CAROLINA). FIRM PANEL NO. 3 7 7 03656 00), EFFECTNIF DATE: 9-5-2007. THIS PROPERTY HAS BEEN DETERMINED TO LIE OUTSIDE OF A SPECIAL FLOOD Hr17A.RD AREA, REVISED DAFE: 7-1-2016 TO PLAT FOR RECORDATION AN EXEIAv T SUBDIVISION FOR: —ROCKY B. HIL MI i CALDWELL TSP., CATAWBA CO., I.C. Lu W"D1 kj� (O EVr-LYN WO30�MACK ti. 1212-5 .vww.koneycufi�urvey,aam FIRM iC-3570 J. Mike Honeycutt L-1360 Randal W. Honeycutt L-4399 LOT 2 A J2aoD— ------ 10.00 ACRES ? — DATE 5--26-2016 ;u -------- SCALE: 1"= 120' f HLS Flt E: D— 2845 I PIN: 3656-05-tB-9139 - JAMES & TERRY WOMACK 07 1242-307 s/s'REeAx 248.41 - - - L/a_suA r I � Is Flo qi 0) ,TFCHARLES & SUSAN CRAVEf1- 4766-1768 -`- -. � 611' WT'( ' 7FFLAT 75 - 95 ---'----.—_- L I w TIMOTHY PO4NEL_ I N Cil 3254-1395 ~ S- 93''9-1 ''W 24B. I �'"�� 5187100 203 �40' ---------- 5/8 REBAR I;u � •4�w 5I i�lr'3 ln1 jj DONALD & DOROTHY FISH ,Q ILI.5`PIPE---- ... N 07_1306E 477_95--____-_V Lc DENT a �5' R/F FROM PLAT 75-65 d 5/8"Rc".9.AR 20.00 ACRES TOTAL AREA BY COORDINATE COMPUTATION FE.IM.A. CERTIFICATION IN ACCORDANCE WITH THE NATIONAL FLOOD INSURANCE RATE MAPS PUBLISHED BY TFF UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD), FEDERAL INSUKANCE ADVINISTRATION, AND PROVIDED gy TIIE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEVIA), FEDERAL ;NSURAN'CE ADMINISTRATION (CATAW6A COUiITY NORTH CAROLINA). FIRM PANEL NO. 3 7 7 03656 00), EFFECTNIF DATE: 9-5-2007. THIS PROPERTY HAS BEEN DETERMINED TO LIE OUTSIDE OF A SPECIAL FLOOD Hr17A.RD AREA, REVISED DAFE: 7-1-2016 TO PLAT FOR RECORDATION AN EXEIAv T SUBDIVISION FOR: —ROCKY B. HIL MI i CALDWELL TSP., CATAWBA CO., I.C. HONEYCUTT LAND SURVEYING, P.A. P.O Box 1103 - 22 5. Mat" Ave. Suite 102A Newton N.C. 26656 Ph—. 828-465-0702 .vww.koneycufi�urvey,aam FIRM iC-3570 J. Mike Honeycutt L-1360 Randal W. Honeycutt L-4399 FEMA FLOOD PANEL N0. DEED: 3312-1939 COORD, FILE, 16057631.CRO 3710365600) EFF. DATE,9/5/2007 PLAT: 75-65DI41G FILE: 16057631.D4VC DATE 5--26-2016 PIN: 3656-05-17-67.35 -------- SCALE: 1"= 120' f HLS Flt E: D— 2845 I PIN: 3656-05-tB-9139 - Catawba County Environmental Health Parcel: 365605176735, MAIDEN, 28650 1 in=200ft 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 INC 07/21/2016 5 Y 5116 4 Y� VICINTY MAP pNOT 10 SuU NOTES 'iv.-�rv�-,a'-F•'m •r I.I uEs-v:-n.nn . m.I.m uPl R I PTAESY [drily -1 1 - - PWEA , MF PttwGl. Sl.evm E,11 M ED'EN. -w 1 x[PL AE""' -1 PLW M 4uepMAON w1M W tE CVxSIXf. t4 W,.mw @MA'x4 ETT.x IM'' CMPYw2 a: '.AWt.A +S. A—. T'KP 5?R axx Itvam.'s Ip tuaK pV P$ -AS xORD rt 1 )Tart OI' NOxM W'OIINa, .0"' A, IA,- li�rp' Olu//n I.TA CVP L+o --I 'ATE s co wAS A [,&i°�i�D'FCFASMJti'E6llr f6LFSfC17'WN"d mC�fVPFCdnC NJI Y OCM. C4 MS0140 ANa Vii1CW. EV. w fiOMPrs4Vx h:wRE6 3t. z0µ y5i 'L111.V" ���111 xt MIN yY,Rm wlcWmrvlM.Gxo-vr mr I a . rrs` ' xo. s�.w+rl llwu I rs vo"�EA, re"W�"". IPPPP W 1p0 1 Fa� 17 PMI CGn aPu•MlF4 n a aemu K zoEw - �S 69'>5�'14 E l�.r 6rt9MJ Y' �NORiH fi+C r",, • FYISPxv 1FJN (IlK Mt, ta) o M+' ,IpN (rn'C wICV1 . PM sxE y (tgrKPLIE uUvuuCM n¢ Rdr • ./P .uro PalNuexr 0� Awa.,. ....... MD ILELI JWI Da IDMITE04 05 pm 9NN ODUT6 COVNTY LATPWf1ANC 3W�w mei Yl.um ��ron.rer.r DONwn H'cns SPENCER P..E Opaz ftEGIbiEROF REc05 INS'. I1Z4] - 12P U 120' F40' 360' GRAI'WC 9CAL£ - f2£T y4ygA ¢a,�r.. EE n 9Si,1J LOr 2A MW ACRES SVRN NR'S 'ER ,P"T Pwv4LL r..PPET ? C1-1 IIP, M5 PUi WAS dW WN "T' W Sui[RrlSttka IROv Wt VNOER N' 9JPLV+rE51VN !(,CSCPIPTPY A.PS. EP OEtO dblf JJi3 PFµ4f ISSP .WO UMtt 5 PWL AwiiIT BiW.YFR NUE, C,MA£`7.i { y mgGi1G A: GPAWN E,, MIVRIMIION V lu -A A E IIP1 1111[ !Y PRC[IvfM 4 1EA..ti 'IUWtl1 .1 Mrt qni -1 PPCPMNO W 4GPPWICF WVx GS - AS dVN � �•�PMP,�M p�...P Vu1C1PNM Mwi Iw) µ dHwCC GPI E VIC` f11 M D. ,Nm6z ul oelGlNel SILruNhe, RCGm Rl uvPHEA µ0 SIAL TIIS IEEE ------------- zi. 1�V399 o-; i ry� lwl PAT l�l� Hoam�1a0Goran 3W�w mei Yl.um ��ron.rer.r 8�3 A- 913 �/E lwl PAT l�l� Hoam�1a0Goran 3W�w mei Yl.um ��ron.rer.r 8�3 �oI 913 }� O_4 r '^L^ — E,NID]6MIXJ NA, 5-16-1V 16 N #5t-a5-r]-ET]3 nrr IrtS FttC: A 2865 S r I-_ 190' ne6a-as-In-ems 20.00 ACRES TOTAL AREA 9Y U,R,NANE CNY'NTAT{11N w x05 j1 45' FIV FROM PUT 7M1-65 RCNSEfI OA1F, l -I -]p16 i0 PUI COR RfNRM I10N aV fvlvai SVUVM9ON lLA ROCKY 11. HfLTON CALDWEIL TSP., CAlAWBA CO., N.0 lwl PAT l�l� Hoam�1a0Goran 3W�w mei Yl.um ��ron.rer.r /T<.r 1.-P5 VAI rtw nIX#PwMW vttu, E111-1919 EOVPTT iLc""ISPIATT PEAT 75-65 1ONC 111L 1605 /6]roW E,NID]6MIXJ NA, 5-16-1V 16 N #5t-a5-r]-ET]3 nrr IrtS FttC: A 2865 S r I-_ 190' ne6a-as-In-ems Parcel Report Parcel Report - Catawba County NC Parcel Information: Parcel ID: 365605176735 Parcel Address: City: MAIDEN, 28650 LRK(REID): 201729 Deed Book/Page: 3312/1939 Subdivision: Lots/Block: 1/ Last Sale: Plat Book/Page: 75/65 Legal: LOT 1 PLAT 75-65 Calculated Acreage: 18.000 Tax Map: null Township: CALDWELL State Road #: Tax/Value Information: Tax Rates(pdf) City Tax District: All in County County Fire District: MAIDEN RURAL Building(s) Value: $0 Land Value: $78,000 Assessed Total Value: $78,000 Year Built/Remodeled: null/null Current Tax Bill Miscellaneous: Building Permits for this parcel. Building Details WaterShed: null Voter Precinct: P9 Parcel Report Data Descriptions List all Owners Deed History Report Owner Information: Owner: HILTON ROCKY BRETT Owner2: null Address: 847 OAK ST Address2: null City: NEWTON State/Zip: NC 28658-4321 School Information: School District: COUNTY Elementary School: MAIDEN Middle School: MAIDEN High School: MAIDEN Zoning Information: Zoning District: MAIDEN Zoningl: R-20 Zoning2: Zoning3: Zoning Overlay: Small Area: null Split Zoning Districts: / Zoning Agency Phone Numbers Firm Panel Date: null Firm Panel #: null 2010 Census Block: 2023 2010 Census Tract: 011602 Agricultural District: Assessment Report Page 1 of 1 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. ,See app r C 00 $3N pf DI ,j, acie-S i 00 �30b http://gis.catawbacountync.gov/noniap/parcel_report.php?key=365605176735Rtyp=P 7/21/2016