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HomeMy WebLinkAboutEHPR-03-2016-23359.TIF Sl$ ! THIS IS NOT A PERMIT Case # EHPR-03-2016-23359 7 y- CATAWBA COUNTY HEALTH DEPARTMENT C •o f D - i °-� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES .fir 1842 sm Environmental Health Plan Review - OSWP a }r�0 0 as IMPROVEMENT • - D - Applicant TAMMY& ROGER ALBRECHT, 917 43RD AV CT NE, HICKORY NC 28601 H:8283120398 C:8283201253 HOME:8283120398 Owner NORTH-SOUTH BUILDERS INC., 3820 79TH ST, FELLSMORE FL 329486246 NAME TO APPEAR ON PERMIT Tamm & Ro• er Albrecht SITE ADDRESS:( 3153 NC 18 HWY, VALE NC 28168 PIN # 265701488589 NAME of SUBDIVISION: JACOBS MEADOWS Lot# 1 Section/Block PROPERTY SIZE: Square Feet 38,768.40 Acres 0.89 DIRECTIONS: Hwy 10, Hwy 18 South, right on Hwy 18 South toward Morganton, go pat Tri-County Music Bar approx. 2 miles on Left, in curb between Roger Hill Rd at Knob View Dr PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP for Purchase* Proposing to put a modular on the home. Found Replacement well permit. Believe that their is a septic on the lot. Not sure of the exact location of the septic. Looking to tie into or expand if needed. 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: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: Modular 28x76, Decks: front 12x10, back 12x18 #OF NEW BEDROOMS:: 3 °- BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: G9-ehapplicaiion 03/09/2016 14:18 Page 1 of 5 a$ CATAWBA COUNTY Case# EHPR-03-2016-23359 efitirci. Public Health Department Subdivision JACOBS MEADOWS s; Environmental Health Division PING 265701488589 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 Ig42 w NAME ON PERMIT: (TAMMY& ROGER ALBRECHT), 917 43RD AV CT NE, HICKORY NC 28601 ( Tammy & Roger Albrecht) Site Address: 3153 NC 18 HWY, VALE NC 28168 Property Size: Square Feet 38,768.40 Acres 0.89 Directions: Hwy 10, Hwy 18 South, right on Hwy 18 South toward Morganton, go pat Tri-County Music Bar approx. 2 miles on Left, in curb between Roger Hill Rd at Knob View 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 AREA2 FEENrAME r ` s " AV' s Sp M DATE LFEMOUNT(rw t µ ary Improvement Permit Fee 03/09/2016 5150.00 E � a �. 'I IOTAI FEES..,,2t`x PIS ISWI T4a'�.,° a°teCr wE's' rrw' Exr„ki Ig'..SISO 001'x' Eidl'!dj a___ x�:ktvs,a..:,SlJ'8. b75„.:.w,a:u.a,L'.w,L . m--' , ..c'18'u:ua�& ,�'2.4�,vra«c^!r:`e `Ir`: --,,taut-a 2 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 03/09/2016 14:18 Page 2 of 5 -,14$ •\ THIS IS NOT A PERMIT Case # EHPR-03-2016-23359 a CATAWBA COUNTY HEALTH DEPARTMENT 0 �s PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sM Environmental Health Plan Review - OSWP �r to tiC O .{ IMPROVEMENT • •• ' row Applicant TAMMY& ROGER ALBRECI-IT, 91743RD AV CT NE, HICKORY NC 28601 H:8283120398 C:8283201253 HOME:8283120398 Owner NORTH-SOUTH BUILDERS INC.,3820 79TH ST, FELLSMORE FL 329486246 NAME TO APPEAR ON PERMIT Tammy & Roger Albrecht SITE ADDRESS: 9513 KNOB VIEW DR, VALE NC 28168 PIN # 265701488589 NAME of SUBDIVISION: JACOBS MEADOWS Lot# 1 Section/Block PROPERTY SIZE: Square Feet 38,768.40 Acres 0.89 _ DIRECTIONS: Hwy 10, Hwy 18 South, right on Hwy 18 South toward Morganton, go pat Tri-County Music Bar approx. 2 miles on Left, in curb between Roger Hill Rd at Knob View Dr PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP for Purchase* Proposing to put a modular on the home. Found Replacement well permit. Believe that their is a septic on the lot. Not sure of the exact location of the septic. Looking to tie into or expand if needed. 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: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Mobile Home OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: Modular 28x68, Decks: front 12x10, back 12x18 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 03/09/2016 11:36 Page 1 of ,A CATAWBA COUNTY Case# EHPR-03-2016-23359 i�f� .a Public Health Department Subdivision JACOBS MEADOWS 4 4 Environmental Health Division PIN# 265701488589 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 42 :U NAME ON PERMIT: (TAMMY& ROGER ALBRECHT), 917 43RD AV CT NE, HICKORY NC 28601 ( Tammy & Roger Albrecht) Site Address: 9513 KNOB VIEW DR, VALE NC 28168 Property Size: Square Feet 38,768.40 Acres 0.89 Directions: Hwy 10, Hwy 18 South, right on Hwy 18 South toward Morganton, go pat Tri-County Music Bar approx. 2 miles on Left, in curb between Roger Hill Rd at Knob View 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 I s an 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 that a complete • -evaluation can be performed. Date: 3.) • k(. Signature of Applicant or Agent g� 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 AREA2 raraE? r oggi: s "' 3 as y` rJ 3 a Mr yflk :} "�NR, FEENAME. ,aa, e G'M'x r, (k ,l DATES FEE%AMOUNTa a Improvement Permit Fee 03/09/2016 $150.00 iu ' a` :. « akiL a 44441410:54444:L4, „4.74_ 3i411s.'jaat.4 " ...._a?.I:u"q't iWtii tt frar4 n#,=,,.n.a.�b.-' r">f:r iadet4/ FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-elmpplicolion 03/09/2016 11:36 Page 2 of 5 CATAWBA THIS IS NOT A PERMIT cot Nrr CATAWBA CATAWBA COUNTY HEALTH DEPARTMENT < ?z; Application for Environmental Services Page 1 • Improvement Permit y Authorization to Construct❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction A Existing Facility rl Property Address qI 513 Knob View Dr Subdivision, )Qccbs ( lenrlrc,s Nixii:b NC a$Il e Lot# I Acres E9 Section/Block/Phase Driving Directions to Property t q'&, ''L.}wi 1 p - . c k- So,-.-1,h r ' ' V.A. a!'l \ -S . --C a tr•ottsx,V J - Re\3 -TO; C uMI musk a Fir '\99r a mNc. nrJ Le.gC, ■ ta alvcb tw.s,5 ,a3zr4liu 2-0 t A3 KNob Vtc.W 0C t NAME TO APPEAR ON PERMIT? 7 Owner LX. Applicant ❑ Contractor Applicant Contact Information Name Genrn F 1Zc ester (a-Wprech-N Address cln tc' Nye C-r- N-Er, cc,x,rM NC QF62OI Phone W77- 3jD -(j3O Cell Phone 7j - 3Do-less-- Owner Contact Information Name \Otl`1-) - fX)( t`k. -- i.t.i k&eos Address (3R`Co '1Ct 5T Fe 1(svnere FL 3 4 -Del 101 -L4 co Phone Cell Phone Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant n Contractor Description of Existing Structures on Site # of Bedrooms *t 3 Structure Dimensions # of Occupants Basement ❑ Yes U No Basement Fixtures ❑ Yes ® No The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. ® Yes l No Does the site contain any jurisdictional wetlands? EllYes ® No Does the site contain any existing wastewater systems? O Yes cfNo Is any wastewater going to be generated on the site other than domestic sewage? ® Ycs D No Is the site subject to approval by any other public agency? O Yes dNo Are there a any easements or right of ways on this property? Describe Existing water supply in use V Individual Well ❑ Community Well i 1 Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes 0 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) „7 0 Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other Any A CATAVVI�. THIS IS NOT A PERMIT COUNTY V .�`�. CATAWBA COUNTY HEALTH DEPARTMENT Northc„a'—, Application for Environmental Services Page Proposed Facility Type r t 12mo ❑ Primary Residence ❑ *New Residence n Addition to Residence # of New Bedrooms *t 1 Project Description (11) Q F ov t s�Z�lv Structure Dimensions a� - (o.% # of Occupants Basement ❑ Yes [p 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 n Food Service Specify Type # Scats 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 n Yes No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well n Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored IT Dug n Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted 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 arc 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 comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent IM IAA { Q I ISate 5—q l— \Co Printed Name of Owner or Agent \ (�t/�bin 4�1'))^P C hA Catawba County Environmental Health •9512. 1 0) 1 �a 1 / 3Q.8(7 1 % s 83 * • 53.28 t 66.89 .--t9 * KNpB 41E,N DR a „a• f ` e1,(9 . N.9,- L obi � / 60_ 4 cci ni co. 253.62 09513 • • I 09531 7/. Parcel: 265701488589, 9513 KNOB VIEW DR tin=50ft VALE, 28168 o cm c T 15-- NC \.ca)1-x{ This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 03/09/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 265701488589 Owner: NORTH-SOUTH BUILDERS INC Parcel Address: 9513 KNOB VIEW DR Owner2: City: VALE, 28168 Address: 13250 79TH ST LRK(REID): 100601 Address2: Deed Book/Page: 2712/1230 City: FELLSMERE Subdivision: JACOBS MEADOWS State/Zip: FL 32948-6246 Lots/Block: 1/ School Information: Last Sale: Plat Book/Page: 45/155 School District: COUNTY Legal: LOT 1 1 PL45-155 JACOBS MEADOW Elementary School: BANOAK PL 45-155 Middle School: JACOBS FORK High School: FRED T FOARD Calculated Acreage: .890 School Map Tax Map: Township: BANDYS State Road #: TaxlValue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: COOKSVILLE Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $10,600 Zoning3: Assessed Total Value: $10,600 Zoning Overlay: WP-O Year Built/Remodeled: / Small Area: PLATEAU Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2008-02-20 Building Permits for this parcel. Firm Panel #: 3710264600L Building Details 2010 Census Block: 1017 WaterShed: WS-III Protected Area 2010 Census Tract: 011802 Voter Precinct: P2 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. ©2015, Catawba County Government, North Carolina. All rights reserved. u / /1 ' on ,,{ j rn� ti Im,on ekes -\ern v r* cry , i bt,( 4 http://gis.catawbacountync.gov/nomap/parcel_report.php?key=265701488589&typ=P 3/9/2016 t). CATAWBA COUNTY HEALTH DEPARTMENT wr s#0/—a/ci'aS3 Telephone: (828)465-8270 TDD: (828)465-8200 IP AC Rpr. Prmt. Opr. Prmt. Sys. Type Well Prmt. Replacement Well (Well Rpr. Print. Owner/Agent 0,-_5.4., / . . Phone • Address or • Subdivision _ Section/Block/Phase Lot# Lot Size. irections: is W jt nir _,_ --'_ I' - , 1'1 Property Address 44 .,,.. p & 0 a Facility: House t/Mobile Home Business_Multi-fantily� . Other: Pin Number 9 7 o/ fi PC7 i Other . Zoning Approval# • #Bedrooms # Seats - #Employees . Application Rate GPD Flow Hot Tub or Spa yes/no Special Fixtures Basement yes/no . 100% Repair ea yes/no Basement Plumbing yes/no Water Supply: Private Well Public Semi-Public *****************.********************************** ********************************************************************** Type of System: Trench Bed Pump , ' p p/Panel and LPP Oth r Septic Tank Size r Pump Tank Si, / • ' ificati Fie T tat Square No. Depth of Stone sr Bed Size Width Total Length f All ch Number of Trenches Trench Length_/ / / / / Feet on Center Maximum Trench Depth Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* ******************************************iii****************************************************************************** Topo , % Slope Tex e t5 S tore i' C :y Min. r .i/Wetness i oil Depth /— / Restric. HP,. r(1 Availabl: s.. yes/n+ `�D0 / ' Overa C .. S PS a Co nests: - . --. 11 -,)O in CI\ v_./ en ZOO Filter Required Riser required when // tank is more than 6 � inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFO'AI• * •" - • - IS SYSTEM WILL FUNCTION** ***************************************' ********************************************************************************* *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for(5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations,and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guaranteed at any ite by the Health Department. ��Aa �4' - /��Y/�.if„ _ _ ^r Permit Date i. L.. A S (! EHS C>d//L/J-(i J Owner/Agent ��`� Septic Tank Installed By Date EHS Well Installed By rQ,.,�,% ,2. .... Well Grout Approval DateQ-.lo—81( Well Head Approval Date a-)-O-.,d 1 Date Sample Collected —d Date of Results Results " ' EHS µ, �, -�� `�_ White-Office Blue-Building Inspection Operation Permit Yellow-Owner/Agent Green- taw ding Inspection Authorization to Construct 9y_ Cl r / THIS IS NOT A PERMIT WLS# WLS2001-01253 1. I c-. CATAWBA COUNTY HEALTH DEPARTMENT �\z % Application for Environmental Services Well/ Replacement I: APPLICANT OWNER CONTRACTOR RANDY DAVIS BOBBY DAVIS 1481 LARRY DAVIS RD 889 N HWY 18 LAWNDALE NC 28090 VALE NC 28160 NAME TO APPEAR ON PERMIT BOBBY DAVIS SITE ADDRESS 9513 KNOB VIEW DR VALE Pin# 265701488589 DIRECTIONS: HWY 10 W/RT HWY 18 N/LOT ON CORNER OF KNOB VIEW DR& HWY 18 NAME of SUBDIVISION: JACOBS MEADOWS Lot# 1 Section/Block/Phase PROPERTY SIZE: Square Feet Acres .86 Date TYPE OF FACILITY: House House X Mobile Home Dimension of Structure Bedrooms 3 Basement: N Water Using Fixtures in Basement: N No. in Family 2 Whirlpool Tub: N Gal.Capacity: MULTIPLE FAMILY Units Total Number of Bedrooms DAYCARE:Number of Children RESTAURANT: Seats Square Feet Dining Area 1100 Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? N If so,describe: Has any grading,removal,or addition of soil been done to this property? N If so,describe Are there easements/right-of-ways recorded on this property? N Type of Water Supply: Individual Well X Community Well Municipal Semi-Public Monitoring Well Request: N #of wells Name of Site I understand that this is a formal application for a well permit,Improvement permit or Authorization to Construct a ground absorption sewage disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purposes. I certify the above information to he correct and understand that an improvement Permit issued as a result of this information is transferable and has no expiration date,but may be revoked if this information. site plans or intended use changes for the proposed facility. A Well Permit and Authorization to Construct issued by this department is valid for(5)ti ve years from the dare issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure this property. Date: Signature of Applicant or Agent K G — ************************************************************** ********************* (FOR OFFICE USE ONLY) Please Contact BRUCE MORSE between 8 am and 9 am Phone 828-465-8271 Zoning Approval: Yes..No Zoning Approval#: FEES Type Description Date Received Amount By WELL Well Consuuc/Insp Permit 5/19/01 SS $145.00 Total: S145.00 ***IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY,THERE IS AN**4 ADDITIONAL$43 CHARGE. �A CD CATAWBA COUNTY ///� C 100A SOUTHWEST BLVD �` s T Ala 14 NEWTON, NORTH CAROLINA 28658 RECEIPT d s_P PHONE: 828.465.8399 U " S�ai r Wednesday, March 9, 2016 1842 9 www.catawbacountync.gov PAYOR: Albrecht,Tammy& Roger PAYMENTS TRANSACTION NUMBER: TRC-634354-09-03-2016 PAYMENT DATE: 03/09/2016 PAYMENT TYPE: Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 03-16-325989 Improvement Permit Fee $150.00 TOTAL PAYMENTS : $150.00 EHPR-03-2016-23359 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 9513 KNOB VIEW DR, VALE NC 28168 Applicant TAMMY& ROGER ALBRECHT, 917 43RD AV CT NE,HICKORY NC 28601 H:8283120398C:8283201253 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner NORTH-SOUTH BUILDERS INC., 3820 79TH ST, FELLSMORE FL 329486246 receipt 03/09/2016 11:34 Page 1 of I