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HomeMy WebLinkAboutEHPR-07-2016-24403.TIF CJ\ TA\ \ I A Environmental Health - Division of Public Health COUNTY - PO Box 389—100-A South West Blvd.-Newton, North Carolina 28658 �i 'ib. .�.' (828)465-8270—Fax(828)465-8276 Norex, Ci— ronnG www.catawbacountvnc.00v/environmentalhealth/ AUTHORIZATION OF REFUND Date: 8/3/2016 Case #: EHPR-07-2016-24403 Applicant: Shane Sellers—Sellers Security Solutions, Inc. Refund Amount: 5150.00 Refund Reason: Not ready for Improvement Permit. Indecisive about Building plans so decided to withdraw & wait. No Site Visit Made by EH Authorizing Signature: I Iydra Received By Staff: \ $lv A w t 1 jUUl.,OdCIy Date: a ' )K0 -Leading the JVcn Iv a Healthier Community" VAPlaa,o„ ' Pulexealth t "1/11 1- 114;10 <juH��l :�Nl' !11,"1011 U, 1!1�+i1llilil111XIII 1�1�gr aN2 !;IiId"'Ifiiwgii�ll!Tit,'�4illih��iiin at�'ORIII7�k���il"�I IME ji�`� ilk"45 t kil"ilf ijj rl�i ,ikeatawba4�County; Nortq h1Carollina fiDisbursement;V,oyucher 1- A �tgWtxfi at�ll�s , t,IP! t�il fr Vendor No. Date 08/03/16 Make Payment To: �4'A COG Voucher No(s). Sellers Security Solutions, Inc. H t I Z d 6064 N Walnut St v rip Y Kannapolis NC 28081 1842 ATTACHMENT Prepared by: Katherine Harris Description Amount Improvement Permit 150.00 Sub-Total $ 150.00 Food Tax Sales Tax Total $ 150.00 �Ibh �e Y,3 ;Rt !„, u,ltiJ „ i 11l11 s1li !FolrAn4Miiig i lll Cw ,.Cpe' I ,OIb1 .' hp{ fr ijs Oof 1.00 h Fund,hLosenr. , ectg ,Pt ,, 1AntttJr se, r lin ,,. 1110.i1' i�ir {lIIIii58020.0 :' 663000;e•N Total The undersigned hereby certifies that the goods or services specified above have been received or performed. Payment has not been previously authorized and this expenditure is a proper charge to the appropriation indicated. The above charge is certified to you for payment. (SIGNATURE-APPROPRIATE OFFICIAL) AV)A Co CATAWBA COUNTY e�.: 100A SOUTHWEST BLVD �� i1' NEWTON,NORTH CAROLINA 28658 RECEIPT < .. rn 3 PFIONE: 828.465.8399 ea►e , U luj9 a►� Wednesday, August 3, 2016 \$42 sn+ www.catawbacountync.gov PAYOR: Sellers Security Solutions, Inc. Sellers Security Solutions, Inc. (Martel, Shannon) PAYMENTS TRANSACTION NUMBER: TRC-764072-03-08-2016 PAYMENT DATE : 08/03/2016 PAYMENT TYPE: DV INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-331049 Improvement Permit Fee ($150.00) TOTAL PAYMENTS : (5150.00) EHPR-07-2016-24403 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 3685 REID CIR, SHERRILLS FORD NC 28673 Owner SHANE SELLERS,3685 REID CIR, SHERRILLS FORD NC 28673 C:7047067334 Paid By SELLERS SECURITY SOLUTIONS, INC., 604 N WALNUT ST, KANNAPOLIS NC 28081 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** receipt 08/03/2016 10.50 Page 1 of I y�N3A NI ��1^� u . IS�G2 I� NOTA PERMIT Case # EHPR-07-2016-24403 , I 1 CATAWBA COUNTY HEALTH DEPARTMENT 81. •o• � I' ° e PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES •• 1842 5M Environmental Health Plan Review - OSWP 1:44.9 r-�o x M1 IMPROVEMENT i. o, o Owner SI-IANE SELLERS, 3685 REID CIR, SHERRILLS FORD NC 28673 C:7047067334 Paid By SELLERS SECURITY SOLUTIONS, INC. (SHANNON MARTEL), 604 N WALNUT ST, KANNAPO NC 28081 NAME TO APPEAR ON PERMIT Shane Sellers SITE ADDRESS: 3685 REID CIR, SHERRILLS FORD NC 28673 PIN # 460702562164 NAME of SUBDIVISION: REID A BEATTY Lot 6 3 Section/Block PROPERTY SIZE: Square Feet 28,314.00Acres 0.65 DIRECTIONS: Hwy 150 to Sherrills Ford Road, Left onto Beatty Rd, Left onto Reid Circle, Go about a 1/2 mile& home is on the Right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: *Application withdrawn. Owner is not ready to get an IP. They are indecisive on a building plan. NO EH Visti Made. Voided application & refunded fee. IP Only at this time* Existing system on the property. Shared well is in use. Will need a new well on the property. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF Trailer& metal storage building -To Be Removed EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: Trailer 25x21 NUMBER OF EXISTING BEDROOMS: 1 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 64x48 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplicatinn 08/03/2016 10:59 Page 1 oro • CATAWBA COUNTYJ"4i4ttQI1'flt..Afl Case# EHPR-07-2016-24403 .�I-'r:• , Public Health Department Subdivision REID A BEAT I Y 1-1 4 Environmental Health Division�� PIN# 460702562164 yrs. PO Box 389. 100-A Southwest Blvd,Newton,NC 28658 g.2 „ NAME ON PERMIT: (SHANE SELLERS),3685 REID CIR, SHERRILLS FORD NC 28673 ( Shane Sellers) Site Address: 3685 REID CIR, SHERRILLS FORD NC 28673 Property Size: Square Feet 28,314.00 Acres 0.65 Directions: Hwy 150 to Sherrills Ford Road, Left onto Beatty Rd, Left onto Reid Circle, Go about a 1/2 mile& home is on the Right. 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 comers 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 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 19-ehappliaation 08/03/2016 10:59 Page 2 of 4 aATHIS IS NOT A PERMIT Case # EHPR-07-2016-24403 ism G -r — ' CATAWBA COUNTY HEALTH DEPARTMENT ro "-' 1 cdj �:': ^C ]� '-' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Ig42 5M Environmental Health Plan Review - OSWP o o n IMPROVEMENT •}El • a a - o • Owner SHANE SELLERS, 3685 REID CIR, SHERRILLS FORD NC 28673 C:7047067334 Paid By SELLERS SECURITY SOLUTIONS, INC. (SHANNON MARTEL), 604 N WALNUT ST, KANNAPO NC 28081 NAME TO APPEAR ON PERMIT Shane Sellers SITE ADDRESS: 3685 REID CIR, SHERRILLS FORD NC 28673 PIN # 460702562164 NAME of SUBDIVISION: REID A BEATTY Lot# 3 Section/Block PROPERTY SIZE: Square Feet 28,314.00Acres 0.65 DIRECTIONS: Hwy 150 to Sherrills Ford Road, Left onto Beatty Rd, Left onto Reid Circle, Go about a 1/2 mile&home is on the Right. PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: IP Only at this time* Existing system on the property. Shared well is in use. Will need a new well on the property. SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? Yes Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF Trailer& metal storage building -To Be Removed EXISTING STRUCTURES i7AON SITE (IF ANY) DIM EXISTING STRUCTURE: Trailer 25x21 NUMBER OF EXISTING BEDROOMS: 1 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 64x48 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 07/29/2016 14:41 Page 1 of4 ,v,A CATAWBA COUNTY Case 4 EHPR-07-2016-24403 ii +ICA Health Department Subdivision REID A BEATTY C : �i ,< Environmental Health Division PINK 460702562164 - PO Box 389, 100-A Southwest Blvd. Newton.NC 28658 /H.2 ,. NAME ON PERMIT: ( SHANE SELLERS), 3685 REID CIR, SHERRILLS FORD NC 28673 ( Shane Sellers) Site Address: 3685 REID CIR, SHERRILLS FORD NC 28673 Property Size: Square Feet 28,314.00 Acres 0.65 Directions: Hwy 150 to Sherrills Ford Road, Left onto Beatty Rd, Left onto Reid Circle, Go about a 1/2 mile& home is on the Right. 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 at I am solely responsible for the proper identification and labe'ng of all property lines and corners and making the site ac.-ss�l- soot a complete evaluation can be performed. Date: „ZC{ Y )�j Signature of Applicant or Agent , , An Environmental Health Specialist will contact you within working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 Ll"�FEENAMiiiimi i01.G-79 7 9'�E���i{Ifi�pl il!!,17, , . rmmpp91I11)IIATF ll1.17.1l 7fFEE AMOUNTii. Improvement Permit Fee 07/29/2016 $150.00 Iilnp• sir 111 9111 n1I Alr I �; i' TT' ii i1TOTAL`FFCS 11 1 Ii1,5 ,16 u+1,i�d rpt: !z.r., - 5150001,1 �IAIIILt10J, 'I....4:112;41 -. 'nllm i!lltlIs 'JGW llt.i" .,a aill��> 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-ehappliru ion 07/29/2016 14:41 Page 2 of 4 CATAWBA THIS IS NOT A PERMIT counrr CATAWBA COUNTY HEALTH DEPARTMENT No„,c,—;:rr ., Application for Environmental Services Page 1 Improvement Permit❑ Authorization to Construct U Septic Repair Septic Malfunction ❑ Septic Expansion El New Well Permit❑ Replacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address3685 Reid Circle Subdivision Reid Beatty Sherrills Ford, NC 28673 Lot# 3 Acres Section/Block/Phase Driving Directions to Property NC 150 to Sherrills Ford Road, Left on Beatty Road, Left on Reid Circle. NAME TO APPEAR ON PERMIT? ❑® Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name Shane Sellers Address 604 N Walnut St, Kannapolis, NC 28081 Phone 704-706-7334 Cell Phone 704-706-7334 Owner Contact Information Name Shane Sellers Address 604 N Walnut St, Kannapolis, NC 28081 Phone 704-706-7334 Cell Phone 704-706-7334 Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? IB Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site I bedroom,1 bath mobile home and a metal storage building #of Bedrooms *f 1 Structure Dimensions 25' x 21' #of Occupants 2-Seasonal Only Basement [' Yes ❑® 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 o No Does the site contain any jurisdictional wetlands? ! Yes ® No Does the site contain any existing wastewater systems? 0 Yes o No Is any wastewater going to be generated on the site other than domestic sewage? ® Yes 0 No Is the site subject to approval by any other public agency? O Yes 0 No Arc there any casements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well D Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): (systems can be ranked in order of your preference) ❑ Accepted 0 Alternative ❑ Conventional 0 Innovative 0 Other ® Any C A�+^`I ]B A THIS IS NOT A PERMIT COUNTY CATAWBA CATAWBA COUNTY HEALTH DEPARTMENT „,„� Application for Environmental Services Page 2 Proposed Facility Type n Primary Residence ❑® New Residence ❑ Addition to Residence #of New Bedrooms *1.4 Project Description New Stick Built single family home Structure Dimensions 64 ft x 48 ft # of Occupants 2 Basement n Yes n No Basement Fixtures CI Yes fl No n Accessory Structure(s) Describe #of Ncw Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling n Yes n No Plumbing ❑ Yes n No Describe Plumbing Needed n Multi-Family Residence# Units #Bedrooms per Unit*t Total# Bedrooms *t Structure Dimensions n Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) n Business Specific Type of Business Retail Floor Space #of Employees per Shift # of Shifts n Other Facility Type Specify If Church # of Seats Kitchen n Yes n No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type H Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested n Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will he determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. t If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits maybe revoked lithe information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent ,� Date 7/2-S. za/‘ Printed Name of Owner or Agent See g SPUer 5 I, ,lo-LP= _4.1 jder\Dra.-1____ Hereby Certify, that this Plot was drawn from an actual Survey made under my direct supervision, ( Deed Descriptions recorded in Deed Book 1=125_ Page f0412._ and in Deed Book _ __ Page _ . that the Ratio of Precision is 1 : _2.. .QnQ_± as calculated, that the Boundaries not Surveyed are shown as broken lines, that this Plat was prepared in accordance with the N. C. Standards of Practice for Land Surveying ( Board Rules Section .1600 as ammended ). LA(- --13-1c-1-3 2 ,& , •_ ....A:. ; ,;'. Legend Date C. Professional Lard Sun•eyo .r,rL 8f.,7 EIP Existing Iron Pipe �{ A N EIR Existing Iron Rod N 0 R lvi NIR New Iron Rod ii A 1< E - C.M Concrete Monument L R/W Right of Way - - J V� iI �y C .! ✓;LLL",NN ‘N OOrrw • .,„5, Cap.. .:r:...1.�'. ' I N 1 1 53 g.-2— _ n'ect e`\P. Ener,y Corp .' 59.1 oat o� a Te Pap'd.40'OZ'F1d9.91'�' n,, Duke e°" a 3`; I(j)-- -a TI project N I + 1 N cD ,a �� ((I+ N 10 o v I� V ti rV iS IS Ii � <''\ \ bio C' ?, 6J 1 -I La,'C, z m O p 2 0-3 N1-0 ki • . rt re N rr 0 h3 1\ ,00 01 I\)b] COal to CO� �' IU �� Co 2.L'GI R7 I o "C. N L W I N Ni • ' N Ico 'Co a m \ —, I O p W \ — N PI i..,) N o_ \ N" ` .. Ile N 08'0943W' _ 0 59• C) ei ti �m z U Q3 18 E V1 -0.2 S 1�-� r L _ _ _ • ✓ �y s R 195 RETD CIRCLE or way Rd ro Right _� — Pa.red ' Rd- To Beni)' _ — —tee I o' -- ' Plat Book 34 Pagei Pitied : "-5' �' ' Boundary and Physical Survey Plat For SHANE SF'ELLERS stet Mt. Creek Township Catawba County North Carolina tar Rt Scale 1 "= 50' May 02, 2013 �L. gym All of Lot /1 3 of the Reid A. Beatty Subdivision Q, ; Reference o�`R a Plat Book 34 Page 119 PIN 4607-0256-2164 e , 0 Reid _ Circle DALE B. HILDERBRAN, PLS. LAND SURVEYING and SUBDIVISION PLANNING site_. • 2389 Kens Drive Sherrills Ford N. C. 28673 Phone (828) 478-3234 Mobile (980) 721-5025 Vicinity M:p No Scc1e r1 Catawba County Environmental Health �� '�i� i ��ti(.i� 5 97.14 4:04I -,, lcio 6 .,of i '1I� co v ' co 1-0.76 O 50'`0 pi 105.21 i� 4, ,� { 0.88 m---. n i'110,-.IFi lh .qi1:7, .1.1 St . , 4 \is i...., ,..., ' 11, ik 10:.41 228.8.l, ?8S O ,,,„1.0, itri ii fl. to i i _' j "r CO M .171 100, 1 ° :,..„ Ece, .‘„ ,;,. „, ...., I. 513 "" 90. 'r 238.20 y +11 Irill I. ilkI I2 1I:i4ki 283.166 .} 14 '11 , 1!k 35r0 i 9 ISS I IP '�, �. rII I 1larill ° .li. '6 ; well,),, x Gr^ 99-40 � �"�+��� It +� ����1t, R - 104.08 1.111111111— %MS Parcel: 460702562164, 3685 REID CIR 1 in=50ft SHERRILLS FORD, 28673 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 07/29/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460702562164 Owner: SELLERS SHANE H Parcel Address: 3685 REID CIR Owner2: City: SHERRILLS FORD, 28673 Address: 604 N WALNUT ST LRK(REID): 800120 Address2: Deed Book/Page: 3189/0983 City: KANNAPOLIS Subdivision: REID A BEATTY State/Zip: NC 28081-2163 Lots/Block: 3/ Last Sale: School Information: Plat Book/Page: 34/119 School District: COUNTY Legal: LOT 3 PLAT 34-119 Elementary School: SHERRILLS FORD Middle School: MILL CREEK Calculated Acreage: .650 Tax Map: 012EX 04003 High School: BANDYS Township: MOUNTAIN CREEK School Map State Road #: 1975 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoningl: R-30 Building(s) Value: $500 Zoning2: Land Value: $127,400 Zoning3: Assessed Total Value: $127,900 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710460700J Building Details 2010 Census Block: 3003 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P31 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Car olina. All rights reserved. abria_ http://gis.catawbacountync.gov/nomap/parcel_report.php?key=460702562164&typ=P 7/29/2016 44-s3AC� CATAWBA COUNTY a ....,7-. 100A SOUTHWEST BLVD YNEWTON, NORTH CAROLINA 28658 RECEIPT Po PHONE: 828.465.8399 °" v rn1E1!!>�> Friday, July 29, 2016 \842 sn+ www.catawbacountync.gov PAYOR: Sellers Security Solutions, Inc. Sellers Security Solutions, Inc. (Martel, Shannon) PAYMENTS TRANSACTION NUMBER: TRC-757004-29-07-2016 PAYMENT DATE : 07/29/2016 PAYMENT TYPE: Check 1023 INVOICE NUMBER FEE NAME FEE AMOUNT 07-16-331049 Improvement Permit Fee $150.00 TOTAL PAYMENTS : $150.00 EI-IPR-07-2016-24403 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 3685 REID CIR, SHERRILLS FORD NC 28673 Owner SHANE SELLERS, 3685 REID CIR, SHERRILLS FORD NC 28673 C:7047067334 Paid By SELLERS SECURITY SOLUTIONS, INC., 604 N WALNUT ST, KANNAPOLIS NC 28081 ** NO PEOPLESOFTACCOUNTASSIGNED ** receipt 07/29/2016 14.41 Page.I of 1