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HomeMy WebLinkAboutEHPR-07-2016-24395 (2).TIF A CO G THIS IS NOT A PERMIT Case# EHPR-07-2016-24395 CATAWBA COUNTY HEALTH DEPARTMENT r o :'f PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES •' Y /842 SM Environmental Health Plan Review - OSWP F{ o a T ti AUTH CONST- REPAIR 1 a "I :• • Applicant THREE OAKS ENGINEERING/THE CATENA GROUP (JOHN ROBERTS), 1000 CORPORATE DR SUITE 101,HILLSBOROUGH NC 27278 B:9197321300 C:9194170509 JOHN.ROBERTS @THREEOAKSENGINEERING.COM Owner LAHRUE HOLLAND,4421 S NC 16 HWY,MAIDEN NC 28650 H:828-464-8686 HOME:828-464-8686 NAME TO APPEAR ON PERMIT Lahrue Holland SITE ADDRESS: 4421 S NC 16 HWY, MAIDEN NC 28650 PIN # 367803402451 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 87,991.20 Acres 2.02 DIRECTIONS: Hwy 16 S, on right past Cayton Dr PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Hwy 16 Widening Project SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF primary residence EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 30 x 105 NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: 09-ehapplicatioii 07/29/2016 15:34 Page 1 of4 (.1.y",A CATAWBA COUNTY Case# EHPR-07-2016-24395 Public Health Department Subdivision ' 111.11111 d Environmental Health Division PIN# 367803402451 .. PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 /842 sM NAME ON PERMIT: (LAHRUE HOLLAND),4421 S NC 16 HWY, MAIDEN NC 28650 ( Lahrue Holland) Site Address: 4421 S NC 16 HWY, MAIDEN NC 28650 Property Size: Square Feet 87,991.20 Acres 2.02 Directions: Hwy 16 S, on right past Cayton 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 a d labeling of all property lines and corners and making the site accessi so that a complete site evaluation can be performed. Date: 7�,ac//1(y Signature of Applicant or Agent MILE. 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 p3�3 33 y � 1,i 3 33313x 3' oy 3331.- 3 a�.i.ue 3�FEENAME °DATE FEE AMOUNT Authorization to Construct(Repair) Fee 07/28/2016 $300.00 TOTAL FEES 11316": - 1e P 3340g 0$ 0� 00 O 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) P9-ehapplication 07/29/2016 15:34 Page 2 of 4 A CATA THIS IS NOT A PERMIT Crtt. ;rY CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services '.1(296 Page 1 Improvement.Permit❑ Authorization to Construct Q Septic Repair Q Septic Malfunction 0 Septic Expansion 0 New \Nell Permit 0 Replacement Well 0 Well Abandonment 0 Well Repair ❑ Existing System Inspection (Pre-Approval Required) Application is for New Construction 0 Existing Facility D Property Address 4421 S NC HWY 16 Subdivision Newton,NC 28650 Lot# Acres 2., Section/Block/Phase ..m Driving Directions.to Property NAME TO APPEAR ON PERMIT? D Owner 0 Applicant ❑ Contractor Applicant Contact Information NarneJohn Roberts,Three Oaks Engineering john.reberts@threeoakserrgineering com Address 1000 Corporate Drive,Suite101 Phone 919-732-1300 Cell Phone 919-417-0500 Owner Contact Information Name Lahrue Holland Address 4421S NC HWY 16 Newton,NC 28650 Phone 828-464-8686 Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? 0 Owner ❑ Applicant. Q Contractor Description of Existing Structures on Site T rime bedroorn ono story trirk of Bedrooms *f 3 Structure Dimensions 30'x 105' # of Occupants?. Basement ❑ Yes El 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 in question. If the answer to,any question is"yes", applicant mast attach supporting documentation. ® Yes :N3 Does the site contain any jurisdictional wetlands? El Yes el No Does the site contain any existing wastewater systems? Yes No is any wastewater going to he generated on the site other than domestic sewage? Yes 0 No Is the site subject to approval by any other public agency? 0 Yes I No Are there any easements,or right of ways on this property? Describe Exiting water supply in use 0 Individual Well Community Well 0 Semi-Public Well 0 County/City/Township Water Line Is a public water supply available? * ` ❑ Yes El No If applying for an Improyement Permit or Authorization to Construct, Please Indicate I)esired System Type(s): (systems can he ranked in order of your preference) a Accepted ❑ Alternative 0 Conventional ❑Innovative 0 Other 0 Any f$ t t,`T':AI RI ftry:Illi 1 w C T E A ( NTY L - P R I -1'' _ i t� tY±f F i1 `t7t t E ` ,,, � 1r.",atkil , � `d !t wllr1}' y ' Ej l '' ,d ` r i 0 , d trrn. d C : °a r3 r a� . __t t ,, , ,rr a 'Irro 1i L' t rtt - --, ..... 11'0w' etti nt.... _Na"7 .0,3,-*,,nt nt a i,r,tt rf"4 �1" 4,,_ .... ...... ... f irak ,s t t* ' 1 cable till Stir .j t , ,\ w. d + � i " o ,, 114' up L, ticurs DD v,1l In ; ' Y a t criht Bar ng s aw 0..t' r , . i - fi lt, t= ettii ! i km t ' It ., �d yeill , ryiC, t. 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Ow' pS t atats a f tie r� -gent , . _ . � � „ �t itti e 1t al`. O r 41 A t> : r I Catawba County Environmental Health 41'x'0 B 5 N " n3 r` *76.- / / / a r T / / / . \ ''N/''''ll''''%') .- Parcel: 367803402451, 4421 S NC 16 HWY 1in=60ft MAIDEN, 28650 I This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 367803402451 Owner: HOLLAND LAHRUE JONES Parcel Address: 4421 S NC 16 HWY Owner2: null City: MAIDEN, 28650 Address: 4421 S NC 16 HWY LRK(REID): 4994 Address2: null Deed Book/Page: 2691/0247 City: MAIDEN Subdivision: State/Zip: NC 28650-9030 Lots/Block: / Last Sale: $221,500 on 2005-09-02 School Information: School District: COUNTY Plat Book/Page: Elementary School: BALLS CREEK Legal: null Calculated Acreage: 2.020 Middle School: MILL CREEK High School: BANDYS Tax Map: 005 K 06003 Township: CALDWELL School Map State Road #: 16 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoning1: R-40 Building(s)Value: $182,900 Zoning2: Land Value: $18,600 Zoning3: Assessed Total Value: $201,500 Zoning Overlay: WP-O,RP-O Year Built/Remodeled: 1967/1999 Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710367800J Building Details 2010 Census Block: 3006 WaterShed: WS-IV Protected Area 2010 Census Tract: 011602 Voter Precinct: P1 Agricultural District: Proximity Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina.All rights reserved. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=367803402451&typ=P 7/28/2016 SOIL EVALUATION & SYSTEM LAYOUT TIP R-3100 A Parcel 090 PIN: 367803402451 4421 S NC Hwy 16 Maiden, NC 28650 Three Oaks Job #7618 AR Prepared For: David Angel NCDOT Right of Way 840 Wallace Grove Drive Shelby, NC 28510 Prepared By: i 49,06133 \ 4. 1000 Corporate Drive, Suite 101 Hillsborough, NC 27278 Tel (919) 732-1300 July 28, 2016 6 ilk/ ,a ='� � a a John C. Roberts %Qr. 1292 '` are. .�`. INTRODUCTION Three Oaks Engineering (Three Oaks) was retained to locate any existing septic system components and evaluate areas potentially suitable for a repair septic system, when appropriate, in regards to the widening of NC Hwy 16 (R-3100). The purpose of this evaluation was to determine if the parcel can support a new initial system and repair area for an existing three-bedroom single family residence. The property was evaluated in accordance with North Carolina statutes for waste disposal ("Laws and Rules for Sewage Treatment and Disposal Systems", amended October 2011). STUDY AREA DESCRIPTION & INVESTIGATION METHODOLOGY The subject parcel consists of maintained lawn and an existing three-bedroom home (360 GPD) serviced by a private water supply. A pool is located behind the home. A portion of the existing initial septic system is located within proposed improvements for NC Hwy 16. Soil borings were advanced with a hand-auger and soil color was determined with a Munsell Soil Color Chart. Observations of the landscape (slope, drainage patterns, etc.) as well as soil properties (depth,texture, structure, soil wetness, restrictive horizons, etc.)were recorded. Push probes were used to search for buried septic system components. FINDINGS The field survey was conducted on July 26, 2016, by John C. Roberts, LSS and Evan Morgan, LSS- IT. Four(4) soil borings were advanced within the proposed septic system and their locations shown on the attached figure. All soil borings were rated as Provisionally Suitable for Conventional Systems. Surface soil horizons typically exhibited friable, sandy clay loam textured surfaces with weak, medium, subangular blocky structure. Subsurface horizons exhibited a friable or firm, clay loam texture with moderate, medium, subangular blocky structure to greater than 48 inches. A long- term acceptance rate (LTAR) of 0.35 gal/day/sqft is recommended for these soils. Detailed soil boring descriptions are attached. PROPOSED SEPTIC SYSTEM A portion of the existing system will be impacted by the proposed improvements for Hwy 16, as shown on the attached site plan. As such, a septic system layout was completed. The septic system has been demonstrated with various colored pin flags delineating proposed septic drainlines. System locations and proposed Hwy 16 improvements are shown on the attached figure. Power and TV utility lines are located in the proposed septic system area. These utilities will need to be relocated outside of the proposed septic system area. A pump tank will need to be installed to properly distribute wastewater to the septic drainfield. The septic system layout information is attached. Initial System The initial system can utilize 258-ft of Accepted System drainline (L5-L8), or equivalent, with wastewater distributed via a pump. Drainlines are proposed to be installed on contour with a trench bottom depth of 18 to 20 inches below the existing surface. R-3100A Parcel 90-System Layout 1 July 28, 2016 Three Oaks Job#7618 Repair System The repair system can utilize 258-ft of Accepted System drainline (L1-L4), or equivalent, with wastewater distributed via a pump. Drainlines are proposed to be installed on contour with a trench bottom depth of 18 to 20 inches below the existing surface. CONCLUSIONS The findings presented herein represent Three Oaks' professional opinion based on our knowledge of the current laws and rules governing on-site wastewater systems in North Carolina. A Soil Evaluation & System Layout was completed within the subject parcel. Based upon the information obtained from the Soil Evaluation & System Layout, an adequate area of soil rated as Provisionally Suitable for Conventional Systems exists to support relocation of the initial system and provide 100% repair area for the existing three-bedroom home (360 GPD). Soils naturally change across a landscape and contain many inclusions. As such, attempts to quantify them are not always precise and exact. Due to this inherent variability of soils and the subjectivity when determining limiting factors, there is no guarantee that a regulating authority will agree with the findings of this report. R-3100A Parcel 90-System Layout 2 July 28, 2016 Three Oaks Job#7618 Z1 w, s. --,- 'All ± \ I t , .. Ism =—° o_ FXIS TANG Riw '' F.., ..4: s, t .. , (Doi cL ��I 2 __ F 11, ., =:."r•+ .. .r •ir.a -,„ Gs 7306 _.ip i t4ry'.'IL.++'ss•ve a 4�.a+�j,' ,�dr"� ._ "�/ .�. +- — i , kk Mme""+({ "^°` .l 7• s s , 'V ' I 1 \ PPS E51 7 f t 4 N° app �r , 5 R� D A • " �- 62 w � � _.) $. i it1 ,fi t"3 1 O� �� v0 L �. ` t L N t CO,� ■ � �� --� is 1l? R --- , ,�,� }} �' ■ q X .mow; ,... ` t tikst , '\1 . , \\. !..., v %1 u, !:' t i \ t (� w 4 ^41 \ TZ r 1,. \ 0 Vd4.I +CANp�J S: �a.1f ,. ..;,�1i ,.7 V t 1 '' 1 ,. t� is S 49°4810' E_ c &p `jtaint Oa cn- \ 90 0 �N�yq z ul LAWRENCE C9 ICES Z >~' 48 29% Initial and Repair Sepik System! �. Field Uru* Color InllRepaipak field Length System Lerr�th t Y Repair 76. .65 'd 45 t 2 6 .Repair .77. 65 --1 3 W Repair -70. 65 4 Y Repair .71 6S 5 6 uut ai 7x 65 90. 6 W Initial 70 65 7 5 initial 71. 65 8 B. Initial 70 65 9 W Nd1Uned 72 • t I Soil Evaluation Form Three Oaks Engineering Sheet t of 1000 Corporate Drive,Suite 101 Job: -76,/ Hillsborough,NC 27278 County: 919.732.1300 Date: 7.. 2 Soil Bode: Z . 3 Landscape Position — Slope(%) ts„ 2 < 2 < 2 < 2 Horizon 1 Depth (r3 # 2.Z 1,1 Texture C rr SC4 . Consistence F PR Structure .c K6k Clay Mineralogy (;:e. t„c Horizon 2 Depth 4-/ *" el34 Texture CL CL Consistence Structure c 6L S 12)e, € Clay Mineralogy L. Horizon 3 Depth Texture Consistence Structure Clay Mineralogy Horizon 4 Depth Texture Consistence 4 Structure Clay Mineralogy Horizon 5 De. h Texture Consistence Structure _gay Mineralogy Soil Wetness Restrictive Horizon Saprolite Other CLASSIFICATION LTAR pdift2) 0 3 (3,347 (5,34 ),35 Comments: Evaluated by: 1 1 v S v o a o 'o a ` o°> 1- a a O o m u v m o - ' N v c• a v 1 N w cm 0 o .0 a u a c a = ry o la � o -tr, o me NU r3a C Z u 3 F-- O *' I- ►' �n OE o o Q• a �° a W Y I V m o .. V Z a. p ce 0 'a Fes.. o v"'i vl 1- v v 0 0 a o M �1 ce -o v 0 2 Q a i n uJ o v 1- i W ,1I wC \V o Cs 1 En l,T u F- ~- a Z • w .0O W• • ® :.1_.. ii :s Z = V _N CZ N O ` U u SIB F t v A e! co 4,:,. . a t o IP m u c I • o c a) • o = a = Q w' o U N N LL a� o F- °' a 0 o a) ZZ a. Q'O a aa n .- I_ 0 y, N _ p C LL L a N O ' C 2 C N u t a 1 C O F- - - Y it 4^ - CATAWBA COUNTY HEALTH DEP amlq'2 • 2 9 Lot Evaluation Improvement Permit Repair Permit ,.completion Permit C� Owner/Agent 7 oy ..Sc/V4"OL1 J, Phone Address ,p , / 'o-c 3,3--fi Subdivision /!?/4/l e/V, /U, C C . Section/Block Lot # Lot Size Directions: .j p .0, • • , - o,i /' -.1,4-14 4:., - e. LLIr _ . L. Facility: House] Mobile Home Business : Other: Zoning Approval yes/no # Multi-family Other : 100% Repair Area yes/no Bedrooms Baths Seats E<uployees : GPD Flow Application Rate Garbage Disposal Special Fixtures : REPAIR NOTICE: REPAIRS MUST BE WITHIN 30 Basement yes/no Basement Plumbing yes/no : DAYS OR DAYS FROM DATE OF PERMIT. Water Supply: Private Public ****************************************************************************************** Type of System: Trench C_,Bed System Other (Specify) Tank Size: Septic Tank -�)k-ri " Pump Tank Nitrification Field: Total Square Feet 6'0 Depth of Stone J a Bed Size ' Trench Width. 3 ' Total Length of All Trenches .. dc) Number of Trenches Individual Trench Length/do//oo/ / / Feet on Center Maximum Trench Depth Distance to Nearest Well 5 1 Lot Evaluation: Approved Disapproved ***************************************************************** 7::*_11-***************** Sketch of Lot Evaluation Site - System Design - a • P4TTE E c x/sTivG e � r ���rgErno _ - , 7-Azoc 115.1 _ _.,__ ___ r _,. ._ _____ - 4.,. III r 1► if _ Fro ,, _ ... , . .r W . G; ****************************************************************************************** Permit Date 3-.a / - r9 (Lot Evaluation and Improvement Permit void after 36 months) Owner/Agent Sanitarian Installed By /74?e ,; Date y-(3-85 Sanitarian G. ...,, ) (/Note any changes/information in red or by sketch on back) Topo S PS U Drainage S PS U Depth S PS U Restrictive Hoz_ S PS U Space S PS U Soil S PS U III Loans: Sandy Clay, Silt, Clay, Silty Clay .6-.4 IVa Clays: Sandy, Silty, Clay .i-:2 **Op. Permit.and/or Cert. Op. Required (`Must be completed prior to final) CATAW13A . COUNTY HEALTH DEPARTMENT. 7:6- 4 (704) 465-8270 Lot Eval. 1.,..lIMprove. Permit c/IFepair Permit Cert. of Comp. Permit C...---Op . Permit Owner/Agent 7o7 r =7::_senlfOti/I. Phone 1-/Ay..�2 ,3$ Address "pia!j 5.15ci7 79 11/, C'. ,44 , // Subdivision • Ir1i4/P Eel) AA c, P.P4SO Section/Block/Phase Lot# Lot Size a Rc,2-ES Directions:s G'g fF c t ,ectrt-TS ) -e'.Q.S j if/GC. 2.3E5 ftnu.J:L- A41 Facility: House Mobile Home Business . Other: Tax'Hap # 5�-4:-- Multi-family Other 0.,y-.&i9•a.r. . Zoning Approval # Zrj 9O?.(„r7 Bedr Seats Employees . Application Rate _ Flow Hot Tub or Spa yepecial Fixtures . 100o Repair Are o REPAIR NOTICE: ,Basement yes Basement Plumbing yes/no . REPAIRS MUST BE WITHIN 30 DAYS OR . Water Supply: Private L./Public . DAYS FROM DATE OF PERMIT. ****************************************************************************************** Type of System: Trench t/Ted r _Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank )0 D'� Pump Tank Nitrification Field: Total Square Feet 230-73---Depth of Stone J,, /' Bed Size Trench Width S / ' Total Length of All Trenches ) 0 0 Number of Trenches Individual Trench Length5/... / / Feet on Center Maximum Trench Depth Distance of Nearest Well .50--j- Lot Evaluation: Approve•c-k no (Void After 24 months) ************************************************************************** * ************* Topo .›.:5- o Slope Sketch of lot Evaluati 0Bit - System Design - Final Texture c i 0 NOT ,(II INSTALL Structure ,(3Loc✓4y 1 i • • WHEN WET 1 I ' • Clay Min. l,'/ i I 2 T2 Esvc.,4 S Soil Wetness ) / P 2/.. Soil Depth 4,/.2 >� 1 SO 1X3 Restric. Hoz. at�.2-" �, Available space.(iii)no T ) I . Overall Class SOU Comments: . • 17 Septic Tank Contractors MUST contact the 1 1 Sanitarian BEFORE I ISD r changing permit. 1 • a, **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVE% THROUGH THE ISSUANCE OF THIS PERMIT** ****************************************************************************************** Permit Date 9 . • �y ^�7 9Y (Improvement Permit void after 60 months) Owner/Agen• r,/ �•(�S.-4 Sanitarian /p — /2,� Installed tgy �_/2/V T W 77- Date ,P.-7 %'-S Sanitarian - �,,1�- S . • (Note any changes/information in red or by sketch on back) *******IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE******** IS AN ADDITIONAL $25 CHARGE. nrt-:•� (\c( .,. DI.... R1.7..1..... C.-..... V 11r.w-Owner/A ornt nrrrn-Rlao.Tncn.T.P. (--� A CO,,.. CATAWBA COUNTY F-r � 100A SOUTHWEST BLVD NEWTON,NORTH CAROLINA 2865E RECEIPT ®a PHONE: 828.465.8399 V �,:IV Friday,July 29, 2016 /8 42 srn www.catawbacountync.gov PAYOR: Three Oaks Engineering/The Catena Group Three Oaks Engineering/The Catena Group(Roberts, John) PAYMENTS TRANSACTION NUMBER: TRC-757181-29-07-2016 PAYMENT DATE : 07/29/2016 PAYMENT TYPE: Credit Card 169116940 INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-331058 Authorization to Construct (Repair) $300.00 Fee TOTAL PAYMENTS : $300.00 1 EHPR-07-2016-24395 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 4421 S NC 16 HWY, MAIDEN NC 28650 Applicant THREE OAKS ENGINEERING/THE CATENA GROUP, 1000 CORPORATE DR SUITE 101, HI NC 27278 B:9197321300C:9194170509 JOHN.ROBERTS @THREEOAKSENGINEERING.COM **NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner LAHRUE HOLLAND,4421 S NC 16 HWY, MAIDEN NC 28650 H:828-464-8686 receipt 07/29/2016 15:33 Page 1 of 1