Loading...
HomeMy WebLinkAboutCBPR-06-2022-41352.tif SBA �G THIS IS NOTA PERMIT Case# CBPR-06-2022-4 1 3 52 ti CATAWBA COUNTY HEALTH DEPARTMENT U O PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /8 2 sM Commercial Building Plan Review- Building New AUTH CONST Applicant TERAMORE DEVELOPMENT (SI IANNON COLVIN),PO BOX 6460,THOMASVILLE GA 31758 B:2295I60246F:2295134229 SCOLVIN a TERAMORE.NET Architect CASCO CORP (DAVID BAI'TS), 12 SUNNER DR STE 100,ST LOUIS MO 63143 B:3148211100 DAVID.BATTS(�THECDCOMPANIES.COM Contact Person TERAMORE DEVELOPMENT (SHANNON COLVIN),PO BOX 6460,THOMASVILLE GA 31758 B:2295 I60246F:2295134229 SCOLVIN@TERAMORE.NET Owner GARY IIIJFFMAN,4972 ELMORE DR,CATAWBA NC 28609 Paid By TERAMORE DEVELOPMENT LLC (A JOSEPH STRICKLAND),PO BOX 6460,THOMASVILLE GA 28144 C:7042247364 JSTRICKLAND r TERAMORE.NE'I' NAME TO APPEAR ON PERMIT Teramore Development (Shannon Colvin) SITE ADDRESS: 3207 E NC 10 HWY,CLAREMONT NC 28610 PIN# 376009169901 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet 81,457.20 Acres 1.87 DIRECTIONS: 3207 E NC 10 Claremont PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Public Water DESCRIBE WORK: Construct New Dollar General Erosion Control-ECPR-04-2022-40831 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: New Structure STRUCTURE TYPE: **NO STRUCTURE SELECTED** FACILITY TYPE: Business OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 140.83 x 76.66 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes EMPLOYEES PER SHIFT: 2 NUMBER OF SHIFTS: 2 TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT): RETAIL FLOOR SPACE(SQ FT): 8,496 DINING AREA FLOOR SPACE(SQ FT): Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described: .:I:q�li.:r.n•n 08/22/2022 14:59 Page 1 of3 �v,• \ CATAWBA COUNTY Case# CBPR-06-2022-41352 - Public liealth Department �' 2 Subdivision Q '� Environmental Health Division �� 1 PIN# 376009169901 PO Box 389,100-A Southwest Blvd,Newton,NC 28658 Ig42 NAME ON PERMIT: TERAMORE DEVELOPMENT (SI IANNON COLVIN),PO BOX 6460,THOMASVILLE,GA 31758 Teramore Development ( Shanr Site Address: 3207 E NC 10 H WY,CLAREMONT NC 28610 Property Size: Square Feet 81,457.20 Acres 1.87. Directions: 3207 E NC 10 Claremont Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat =without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements 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. The undersigned is the owner of the property or legal agent of the owner. Date: Signature of Applicant or Agent If you need further information or assistance please call 828-465-8270 AREA2 #####......*#F#F#k#t**fi#########i#Ffit##..........#i##4i4*t4##..... .... ...........tk*.i*.*i4##k####i.... FEENAME DATE FEE AMOUNT Plan Review-New Commercial 06/13/2022 $853.92 Authorization to Construct Fee(New/Expansion) 08/19/2022 $150.00 Fee TOTAL FEES $1,003.92 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) t6ahpli::,i,n 08/22/2022 14:59 Page 2 of 3 f 7 t . ( )1 Catawba county �3 public health $�5Z) Application for Environmental Health Services THIS IS NOT A PERMIT Application is for: p New Construction_ 0 Existing Facility ❑ Improvement Permit ®Authorization to Construct 0 New Septic ❑Septic Repair/Malfunction ❑Septic Relocation ❑Septic Expansion , ❑ Existing System Inspection or Reconnection ❑New Well 3A91 ❑Replacement Well ❑Well Abandonment ❑Well Repair Property Address E NC.:Hwy 10-Claremont,NC 28610 Acres 2.29 Subdivision nla Lot# nla Driving Directions to Property Approx.500'from the intersection of Bethany Church Road and NC 10 towards East End Court. Providence MITI Road at the northwestern quadrant. Describe work Installation of_a septic system Applicant Name Teramnrn D velnpmAnt, I I C. Applicant Address 214 Klumac Road Suite 101 - Salisbury, NC 28144 Phone 704-224-7364 1 Cell Phone 704 2 J 24-7364 echrj[.klua43 Owner Name _ Teramore Development. LLC Owner Address PO BoxJ460_-Thomasyille,j A 3115$ Phone 229-516-4289 [ Cell Phone 704-224-7364 Contractor Name License# Contractor Address Phone _ 1 Cell Phone Name to Appear on Permit? la Owner 0 Applicant ❑Contractor Who will be the Primary Contact? RJ Owner ❑Applicant ❑Contractor Proposed New Construction-Residential Primary Residence ❑ New Residence 0 Addition to Residence #of New Bedrooms"1' #of Occupants Project Description Structure Dimensions,also specify dimensions of decks&porches Basement ❑Yes 0 No Basement Plumbing ❑ Yes ❑ No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions Basement 0 Yes ❑No Basement Plumbing ❑Yes ❑ No Accessory Structure(s)Describe __. Structure(s)Dimensions Plumbing ❑Yes 0 No Describe Plumbing Needed Multi-Family Residence #of Aparunents #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants T Structure Dimensions Basement ❑Yes 0 No Basement Plumbing ❑Yes ❑ No Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑Semi-Public Well ❑Community Well Abandonment Type ❑ Drilled 0 Bored ❑ Dug ❑ Unknown Well Repair Requested ❑Yes 0 No Describe ' Will Certified Well Contractor Install Water Line or Electrical Line from Well Ilead to Pressure Tank?❑Yes ❑No catawbacountync.gov Environmental Health (otowbo County Government (enter 25 uovetnmenr give I PO Boa 389 1 Newlon N( 28658 1828.465.8270 MAKING. LIVING. BETTER. Existing Structures on Site Describe nla Structure Dimensions #of Bedrooms* #of Occupants_ Basement 0 Yes ❑ No Basement Plumbing ❑Yes ❑ No Existing Water Supply ❑ Individual Well ❑Shared Well-Number of Connections 0 Community Well ® County/City/Township Water Line Is a public water supply available?** ® Yes 0 No Commercial ❑Proposed New Construction ❑Existing/Change of Use 0 Repair Food Service Specify Type #Seats - Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare 0 Yes ❑No #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑ Yes ❑No Residential Kitchen ❑Yes ❑No Daycare#of Children- #of Employees per Shift #of Shifts Business/Other Specify Type Dollar General-Retail Structure Dimensions 140.63 X 76.66 Retail Floor Space 8,496s sf #of Employees per Shift 2 #of Shifts 2 Other Information Calculated Design Flow,Commercial t 240 gpd (This value will be determined by EH staff) 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 El No Does the site contain any jurisdictional wetlands? ❑ Yes El No Does the site contain any existing wastewater systems? ❑Yes ®No Is any wastewater going to be generated on the site other than domestic sewage? ®Yes ❑No Is the site subject to approval by any other public agency? ❑Yes El No Arc there any easements or right of ways on this property? Describe 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 20 Alternative 10 Conventional 3❑Innovative D Other 4 Cl Any *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 floor plans as a bedroom at the tune of building permit issuance. This may prevent the need for septic system expansion in the future. t If structure is plumbed but has no bedrooms,calculated design flow will be determined by EH Staff. ** If No,a well permit must be issued with the Authorization to Construct. RETRIP TO THE PROPERTY AND/OR SYSTEM REDESIGN WILL INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE) Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years); with complete plat-without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct,issued for septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the proposed facility changes.Permits may be revoked if site conditions arc altered such that they effect permit conditions or installation requirements. 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_ The undersigned is the owner of the property I agen cr. ,o Signature of Owner or Legal Agent ,, Date 0- 1 v�0o Printed Name of Owner or Legal Age t f m C1/4 Al • STNwo •r a " ho ROY COOPER • Governor r '= NC DEPARTMENT OF HEALTH AND MANDY COHEN,MD, MPH • Secretary Mt`� , HUMAN SERVICES MARK T. BENTON • Assistant Secretary for Public Health '•a Division of Public Health To: North Carolina Environmental Health Specialists From: Jon Fowlkes,On-Site Water Protection Branch Head Subject: Updated Design Flow Reductions for Dollar General Date: May 24, 2021 Based on additional data sets provided for Dollar General Stores,the following adjusted design daily flows may be used: - Up to 8,000 square feet of retail sales floor—200 gpd - Retail sales floor from 8,001 square feet to 10,000 square feet—240 gpd - Retail sales floor from 10,001 square feet to 12,000 square feet—260 gpd The adjusted design daily flows can only be used with the following conditions: 1. Tanks must be sized on the un-reduced design flow (120 gpd/1,000 square feet of retail space area). 2. Use of low-flow fixtures such as spring-loaded or automatically activated faucets with flow rates of one gallon per minute or less, low-flow urinals which use 0.5 gallons per flush or less, and low-flow toilets which use 1.28 gallons per flush or less. Cut sheets of the fixtures must be provided. 3. A floor plan of the building must be provided, identifying the retail sales floor square footage. 4. If a pump system is used, a Branch-approved flow equalization control panel must be used. The flow equalization control panel limits the amount of effluent discharged to the dispersal field to be no more than the maximum adjusted design daily flow.When the lag float is triggered,only one timed dose is delivered. Non-flow equalization control panels are programmed to discharge all effluent in the pump tank to the dispersal field when the lag float is triggered. 5. The tenants are prohibited from disposing into the wastewater system any chemical cleaners or any other compound which may be harmful to the bacteria in the wastewater system,including but not limited to quaternary ammonia compounds. 6. The tenants are prohibited from disposing of any food waste(solid or liquid)into the system. 7. The improvement permit,authorization to construct,and operation permit issued must specify a Dollar General store. In the case of multiple stores,the Dollar General store must be specifically identified. Any change to a facility designated as a Dollar General store would require a re-evaluation of the design flow and the system design,and revised permits would have to be issued. 8. We recommend the installation of a water meter for the Dollar General store. NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATIONS 5605 Six Forks Road.Raleigh.NC 27609 MAILING ADDRESS 1642 Mail Service Center.Raleigh.NC 27699-1642 www.ncdhha.gov • TEL 919-707-5854 • F4x.919-845-3972 AN EQUAL OPPORTUNITY/Af FIRMATIVE ACTION EMPLOYER Catawba County Environmental Health •3200 •3168 % 021 162 WINI e 4C 1� 44.29 31►0 0 150 I- co 3g53 N 151 3207 C -t..36 •3189 .1381 •311i9 U • •3165 3175 151 146.41 56 150 46.58 58.;',, to 57.31 -' r- .-;;4 t� v p367 57.29 5',. 1/4 aye° 21 t " •\ .388 \2' •139a A 50.94 151 \1°:cn 70 .06 Parcel: 376009169901, 3189 E NC 10 HWY 1 in=80ft CLAREMONT, 28610 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 2021 Catawba County NC 08/19/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 376009169901 Owner: HUFFMAN GARY MICHAEL Parcel Address: 3189 E NC 10 HWY Owner2: City: CLAREMONT, 28610 Address: 4972 ELMORE DR LRK(REID): 24103 Address2: Deed Book/Page: 3213/0761 City: CATAWBA Subdivision: State/Zip: NC 28609-8128 Lots/Block: / School Information: Last Sale: $150,000 on 2013-10-07 Plat BooklPage: School District: COUNTY Elementary School: CATAWBA Legal. Middle School: RIVER BEND Calculated Acreage. 1.870 High School: BUNKER HILL Tax Map: 025 Y 03026B Township: CATAWBA School Map State Road #: 10 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: CLAREMONT RURAL Zoningl: HC Building(s) Value: $98,400 Zoning2: Land Value: $71,000 Zoning3: Assessed Total Value: $169,400 Zoning Overlay: WP-O Year Built/Remodeled: 2004/ Small Area: BALLS CREEK Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permit Address Search for this parcel. Firm Panel #: 3710376000J If available, Building Permits for this parcel. Septic 2010 Census Block: 2032 links are not permits. 2010 Census Tract: 011402 Septic Final Permits prior to 08/2018, contact Agricultural District: Environmental Health. Building Details WaterShed: WS-IV Protected Area Voter Precinct: P5/ Voting Map Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospabal 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. C 2022, Catawba County Government, North Carolina. All rights reserved. fir, CATAWBA COUNTY Case N IMPV-07-2022-176234 fi r. Public Health Department Subdivision } < Environmental Health Division PINd' 376009169901 • • fi(•) PO Box 38F,25 Government Drive,Newton,NC 28658 LOIN �: w , Site Address: 3207 E NC 10 HWY, CLAREMONT NC 28610 Name on Permit: TERAMORE CONSTRUCTION Property Size: Acres 2.29 Directions: Hwy 10 E, at corner of East End Court Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION • Permit Category: New Septic Westeweter Flow 240 g p d Type of Faculty: Business-DOLLAR GENERAL Basement? NO Basement Plumbing? NO Bedrooms: Water Supply: Public Water Maximum Occupants: INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25%REDUCTION System Classification: IIIB-SYSTEM W/SINGLE EFFLUENT PUMP Pump Rgquired _ REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 50%REDUCTION HORIZONTAL System Classification: IVA-ANY SYSTEM WITH LPP DISTRIBUTION i' Pump Required ***** Operator Required Permit Conditions: 'DO NOT CUT OR FILL OVER SYSTEM AREA Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, Including the direction of gutter tows or foundation drains,is not aooroved and may result in failure to approve the initial system installation.or the suspension/revocation of existing permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. the Improvement Permit is not affected by a change in ownership of the property This permit was issued in compliance with the provisions of the North Carolina'Laws and Rules for Sewaee Treatment and Disposal Systems' (15A NCAC 18A 1900) Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation lu°gn E.401 07/2212022 Authonzed State Agent Permit Issuance Due 7/22/2027 Permit Expiration Date No grading or contraction activity is allowed in areas designated for system and repair without approval of the Health Department, . . t chprnnit 07/22/2022 10:11 r I s`-�1. ,f► ! : ..�, 'till" r 4111 tlr i� ; 11s r i1 eI4►ifi III 1 1 WI PP , I I' 1 of"l Iao ,, } ,, . i . 1. .' 11 ;111 11A \ # ... 1 1 in ill 1 1. 1 HJ'i l I iiii 1 . i �ihl I r' 1 I--Al ' "\ An 1. ' i = i1 tl I ! i • I i i ti i 1i .M. 1 . 'IA \ .... . '''' 't-4 ---— - k ..‘4 4 • 1 . al, . .,_ -,----- . .,. .., .,,,,... . . . ,4\ 7 • lit .--•'" - - t:.''. --.- ti,1 t li ir • • \1 1 TT \ ;,...... • .• , �0 1 ). "1 i , • ll /100- • 1,' 1, j '!rsr� ts� viv ;`1 " yill; j� d 1 % 1, 1�,�` � �_, . ,..... , • ;, . ; ,,.. • . , I it to . ‘ ' \ ' --!' --ii .,......., t-. i,f. 1.1 Hi! ;1 .. :..,1• ; .. -7.- ..... .. ..--. ,1 ,... ._i � - i k ' I 1 • .\ .. .....,.. , - ,.-...,._ __,4, . 11 1 . - : -. J .- 1 'mil . , .. ,. .,........0„-co .,1 . ._ N. -:-- . i. •• , --,-„. • I K •1 i•' •, . it 1 1! 1 t,� 1 - " i e 1 • 111011 Fl�� • 1 e . . .. 1 It 1 • •p.---.._ / e1 -- EI,�� � R s.. ''‘ 2Fig VI iitiUIH 6 1 ..,. .,‘,..„ ,.,..,, i) ...„..,_„,_,,___________iiiiiii.T: i11 Iii 7 �`1 1 I 1 OoliAR o 11L1 .�, ,, CLAREMONT,NC i a 11 :1) ii. �, a _ STORE MIR '- % 'II V co CamScanner ` ' • ' : t AR lAt� e lie I tear a e er `i,. + �1 1111/11111 11; 1'g !! Ii11 GI t . AMidiE1111f1f1.1iE10 1 I 11111 IiI!'11 �' y f1 'E1aRIfiti t� t iiiriiiI'iP A St • � # A A jiIIfli' iI! 1a a I! !1I ' { r _ • t .. .,�,�z J-�� ,� E .• ��•-• .A . ., 'i i ' 1 1 i 1 El 'I el 8 1 I 1 11. ! ,, 9 s! ,. • ....• ..1.. .. 1� .... .f'rr. 1 l—, R A y e i �i 1 1 !i . t' '. :''. .:. . ..---i-ooir ,' ,,,.,•-as.' . . ._t„.......e...• 1 ., ‘'.it -'-'' 1\ k 411\It 1 . T ._ ....__.„...„.....:r. ,...,,, 1 lqi '. I 1, . ____..p.,.-z7:7-----'..1,..-:: :,..!7...!....fic-,7..-...1 \ 'A-0 ft ..‘ I/\ Y t I .t 1 ,V/ -• ~ i. `AL I �.►.. t•I Fr, -...1' '' ST II ..".... '....01 i . •t It 1'':v.;:, '' t , -1": .,.11i k \-. t \•' '',V-.. i, t`\ 1 -::... .t, _1,, : 1 A 11,11, wir. .....• . ... ier \ \ ..% .\, ,...`,k.' li. i'. \ i ? i + .. �J `n .11E R .i `I_., - 1 `.1,-cam L r-{---'I .w..,`':• ; III di`A.•'� �I 1 '� i• a I1. I , I 111111. ‘.1.r.1-:I ...i..A\-:t 11311 -. L. ' .. ------ .� 1-i...—--...: ,KY1 �-T..._._...,- id: -...,......... ?MA'' .7, ........ .kis•Zdt::: . " - ' !Pl§e71 . • _' •'m:-a-u=r1,- , •mmemeas .vfl°w14Mr ...........--------- r.. _1t '�E 1 I 11 ir.s.......„ i " . 11 il 1 // 41:'''''". I E 1 1 1.1_ ][1 , CLAREMONT,NC...DOLLAR GENERAL. ( jJ i � : , I :' .0 STORE#24198 \j% � ; ,.' �g 5`� J DO NOT SCALE.PAS KS RECEIVED AS A COMM. E S f DEPARTMENT OPENVIRONMENT AND NATURAL RESOURCESShoesoj_ - PROPERTY ID/: IEVLSRON OP ENVIRONMENTAL HEALTH COUNTY: ^ rf .d�ISIIEWAS EVATIRSBCIION SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWN ER: 1.:Iceere. ++sl. __APPLICATION DATA ADORES$ : 'I _ DATE EVALUATED: ]-c'zz PROPOSED FACILITY;. - '..1J PROP° DE$IOh4 FUN(.1949x. G K I R D . . PROPERTY SIM Z.R t WC- LOCATION OF SITT". c. ..- PROPERTY RECORDED: WATER SUPPLY; 0 PrivatePublic _ Wall d Siring 0 Ohet EYALUATIONUEIROD a Auger Bade* -EfPk U Cut • TYPE OF WASITWATER:, Sewage. 0 I»durtdal Promo 0 Mixed - .. ♦ • , , r,� 1 ! t i 1�,P...�... Pa,^.i.;a „=5iirrr:::.....;.-•_� 'E- I p N t ` H �}}� c:::^� 9Ii'o t ar- i ti .: ''.: ti 1 I i t:•:• �� ',�N L,H�' tiS]li i I� 1����ti 16 �,"!.. I 1� 1�"!N Iti � t R i j}I e�r�r,� Its r I I , III 3 1 ar1:�'I I1„I �Fj{ , :' I i I s I,I , I }� a: jqp' t^a� ''' U,. • �_ �- ni;�. ! 1 �1 ti , , 9 ,ii, i �iF t�h�Ul � I �• !" !i �f����• i,f+ �,• M 91n �ewt $ 1,}�y ;IT u:,li,td" i =. q'� �l 4, i �� I ,�` n+ �� IRIi, �In ua� !!E '���'. r Ia ��� ��� I I� i�1!JII� _�{ ifl1�'1 ��.�li@IiHfli��' ^ d_I;+i�l-� ;�,�,�,-•ash e .!1: !' 1 C' e ,, n e i i t'tt: ' •:; I , a. q trt,g �Ir'� �f 4�17 oil ii i il3�ii' E•�s::::. > t 4�'{ tit( t �` `Iy� F t • t � t..7 �I ���11 ilRiin.J: If.�:t+l�.' tIS.G! fi :2, i,:Yi g+ .III I.t1 i iI,.L:tnt,:•.„ IIIH 1,,t.',Iis..hi,..., cl!it...!,„q11 I...E... ....•.. L _ ijl: "ii i�s„ ���: t� � 1 m t , tyliE?:�i,r.......i!I!a��'ji• i t: �: t: , ,r-�;�,... I �;'ppli� ,• �'E Bull'; 1, �'•-'i ... k .-., y •• NII t ,- u •��utm In, I'.!� ! 1 II rF I I' �1 � E'• li i' -...3, I, r1If,,11. Ili I� al(Gil!. �Ifiltx l , „ �,, no , I,...n ;:, a�... b!_ot• X� C !_tI pp ;;, 1 j,I��`�'� l �: .�... • .�:� � • � i � I�I�- a�:; -,, ^ �'_ 4�d � i'• S!..1 !.I' '�i����f7::4'�"�I , t In , B s, �it. .. tsau, , , l l.I ill,l n _�pT' t, ��i iNli1 '�' a� I '� :iin,-4iid�s !;�i •! I111��: R. } tF ! I� `�E �F �l� r (: i J�Isis y F'Gii {{ r j� �1;1}I1 I I i' .. •'. . �� ii�ia�t_a�u !P,C`. � ,� �IYp uza !'1= a(�':m r•. ien��! !Raw1: ,E'� Pg SSivia iii i Fk i il�: ! i^' i p �_ i 11!Ff_"hEll n._ !6 IF•.'El ilhiim,.. IIIIII. -- tliln ... � da un a 1.61B1!11H..Uh1li!�116'i{L'i '� .•: 'F" tb,' 1 gj^� - -- n�: . �....._............1. .•' _..•. ... ` O _g ,S Gl-,5 r1 :tc At L . r,' Vgt1,1( ,� S 1 .rtl� lik4( . G,_ rf re YI 4'( , �" • C- 5--,?ii qbk Gl... i' / `'s g 7 '7/3 ( q f,- A - P 3 �8`� / / 48 ai • 4 . DESCWno71 DrdiAl:„t tait OTHER FACTORS(.1944 SITE CLASSIFICATION(.I94S): P C. Avarublr SPace G19 _ .• SyMosTYPO G0 t..4 fro` . EVALUATED BY: 0, 'Eat..„., OTHER(S)PRESENT:, . . 'Sift LTA / a a r ,aa.— CO : . .. i lig CamScanner Catawba County Health \ jkftl •3168 / t + it 1 ' ;,- 7 I) h .1 o1' 21�25 • 't6 56 / :, i , 0, ..29 w 'a 40 , �Dr a i 3 1 9 r'C, *;\ `a r Ii \ — Id -.6.36 •1361 .0.6 M .� S 146.41 • 51 71 150 'r $ v 6i ! 1. .. 01. 58•;4' .* 11 in al . ,. -, , .57..219 . 1 pr7:.......„......."14, '36T57.29 . ft \t\\\\\\: '' .43 .i8: .....•-•'932 Parcel: 376009169901, 3189 E NC 10 HWY 1i CLAREMONT, 28610 ISCam Scanner 3760-1041 FILED CATAWBA COUNTY on Aug 02, 2022 at 01.20 pm Excise Tax (None) Mt. INSTR.# 17046 /(i-AB)- "^"Li troy DONNA HICKS SPENCER REGISTER OF DEEDS Bk03760 Pg 1041-1043 NORTH CAROLINA NON-WARRANTY DEED Excise Tax: $0.00 Tax ID Nos. 376009169901, 376009271032 & 376009261827 Verified by _ County on the _ day of ,20 By: Mail/Box to: Grantee This instrument was prepared by: IA-molest Law Partners(VDWI 4905 Creedmoor Rd.Suite 302,Raleieh,NC 27612 Brief description for the Index:2.292 acres on Plat Book ,Pane .CCR THIS DEED made this day of July,2022,by and between GRANTOR GRANTEE TERAMORE DEVELOPMENT,LLC,a Georgia T �'`t RE DEVELOPMENT,LLC limited liability company "' a liability company P.O.Box 6460 P.O. Thomasville,GA 31758 '''' e,GA 31758 Enter in appropriate block for each Grantor and • e,mar address,and,if appropriate,character of entity,e.g. corporation or partnership. The designation Grantor and Grantee as shall include said parties,their heirs,successors,and assigns,and shall include singular,plural,masculine,feminine or as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged,has and by these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain lot or parcel of land situated in Catawba County,North Carolina and more particularly described as follows: Being all of that certain 2.292-acre parcel as shown on the plat entitled,"ALTA/NSPS LAND TITLE SURVEY OF 1.868 ACRES TRACTS ONE&TWO and 1.074 ACRES LOTS 1 &2-PLAT BOOK 28,PAGE 167 D.B. 3213,PG.761 &D.B.1708,PG.418 FOR TERAMORE DEVELOPMENT,LLC"dated June 14,2022 and recorded in Plat Book ,Page 10-,Catawba County Registry("CCR"). NC Bar Association Form No.7®11112010,2013 Thu standard form has beak approved by: Printed by Agreement with the NC Bar Assaciation North Carolina Bar Association-NC Bar Form No.7 3760-1042 The property hereinabove described was acquired by Grantor by instruments recorded in Book 3752,Page 1528,Book 3752,Page 1533,CCR,and Book 3752,Page 1538. All or a portion of the property herein conveyed dots not include the primary residence of a Grarfttlit TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtuapra:estharetobcl[mgipg 1A the 1042 Grantee in fee simple. The Grantor makes no warranty,express or implied,as to title to the property hereinabove described. IT IS THE INTENT OF THIS DEED TO COMBINE THE PROPERTY DESCRIBED AS LOT 1,LOT 2,TRACT 1, TRACT 2 AND TRACT 2A AS SHOWN ON PLAT BOOK 2,4, PAGE t(.2. CCR ("THE RECOMBINATION PLAT") INTO ONE 2.292 ACRE PARCEL AS SHOWN ON THE RECOMBINATION PLAT,TO THE EXTENT THAT THE RECOMBINATION PLAT DOES NOT DO SO,IN ORDER TO SATISFY REQUIREMENTS OF THE CATAWBA COUNTY DEPARTMENT OF REVENUE. • IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. TERAMOR V PMENT,LLC, a Georgia ml a mpany • By: Name: Hv Title: STATE OF-TRONA S COUNTY I certify that the following person(s)personally me y,each acknowledging to me that he or she voluntarily signed the foregoing document for In,. ted ,. and in the capacity indicated: �JOW 1 CS1FSTC-71-e12-r f? -E Date: '1 I21c I ignature ;774 Pu is 000000000� ,+ Printed Name._it�� a A CO My Commission Expires: �i g. 4 'cAR1` t- ° r4,p EXPIRES F. GEORGIA El usER 11, ' • PUISLtC' • Is 00000 NC Bar Aswcialion Form No.7 7 1/1/2010,2013 This standard form has boas approved by: Printed by Agreement with the NC Bar Association North Carolina Bar Association-NC Bar Form No.7 3760-1043 • CONSENT THIS CONSENT is entered into by PRIME MERIDIAN("Lender"),as holder of that certain Deed oft( 43 Trust dated June 21,2022,recorded in Book 3752,Page 1557,and that certain Assignment of Rents dated June 21,2022,recorded in Book 3752,Page 1568 in the Catawba County Registry of Deeds,North Carolina,which encumbers the property described in this Non-Warranty Deed to which this Consent is attached. Lender does hereby consent to the execution and delivery and recordation of this Non-Warranty Deed_ IN WITNESS WHEREOF, Lender has executed this Consent wider seal by•its duly authorized representative as of the ;al day of July,2022. "LENDER" PRIME MERIDI BANK By: Name: (i Title: LP COUNTY,STATE OF ace 1 certify that the following person personally appeared before me this 2 1 day of July, 2022 and acknowledged to me that he voluntarily signed the foregoing document for the purpose stated therein and in the capacity indicated: —4-r.-PitinT01414,- c rrs Joivo+, J e. CArablya_ G2.41-6"to Notary Public P ' t Name: C,Ty 912or,Y5 My Commission Expires: [Affix Notary Stamp or Seal] j • y CNlINT1 MY SyEy��110µ010 II GO y�yM ati1Y t Wombat a X 47• Wild AwNyPI MUrdYwMra 3 NC Bar Association Form No.7 tO f2010,2013 This standard form has been approval by. Printed by Agreement with the NC Bar Association North Carolina Bar Association-NC Bar Form No 7 mumps. �g",,r5g 4 J' F.tg 11 \,\\'b\t\\i V,41 4 per+p-; -9 !p o E C rZ o J u l4 @ 6E 1 w. MlilS EF — W t ,; } MIU�IIB/IdS► 111f1oJOft3Jgy� % - r_� 1`� - - ;1IpS aCl _ F 71WL1 y 'RtK� _ t f - 9�w? r - '�rly- K--_K�___� g f O p h w .nm'.,raw y •-, �� t -1;11 j_7 _ ter- :W W 1; I6r_oKW i ••t-4-tn1-i,i ?I' --.r' limo' ~ � 1 R t iC •• 11; I i I/:, .:7.1-.1/:Al.l.A...1-1 �s�qk E t'' 400ickg '` ml ' \ \\ 11 - 6{ Y Qu iii g.: I n6°� gigii 5 _ I— �— amn L.m+i�� -t" SDo �6 a `� a en I Fi Tic,u,r�,.°'_,.„ 1 a � n 2 7 'e a 14 `'a UP 1il` a ' m 9hi ye Er b CD it im! li:1,, 11 ,;' Fe, i pi i " 2 1 1 iii 1 Msss3 PI ' G1lR;ii I a . ;:: E p r e5 • i1! tynp � �« ` Y � � 8y tj° rw � ga rt yow 1,M " 2 1 1Qa ' r s ° -11 aL y [ 6. E(1444,1444 \ i 1 r �� er 1 , i ...4 ......0 0.----7-ex, .:\ ,, g gg 1 Pi i $ �' il ng t aF \ ; ...:. fi IP V. e 14 el 11 li :or :,.,' y Pi 1\ 13 I \ y COo g ~ rl� '• le' 16/ i E rq 1 s II $ ti110 . a s y�s��''4 GlF g I .11 g! i sl it ii a 4 \ ill li III �yPi G7�111111' rt9 il,,g ii C.,..0.OM il 4 \' \ ‘ 1411111 1! ill il 0_ ilki 1 \ !NO; Iii :11 11 ,'a'�.v, d 71 L_____V Y�::5 '' Li'MA Qg6 [yS_s - 4 �� yk$� E [ilkif 1 1141 Kx III 6 'I OP 41 Ai V11 .Bil 3 � e � '� �bE6i Ijly, i � X Nil m,w.�,, „'a 5 1E iu gi11 it E i 1 i Si / ESalIl 1'!li€01 ililg : i! 1 it 11 gs1QIiii e • Megen McBride From: Michelle Lail Sent: Thursday, August 18, 2022 11:17 AM To: Megen McBride Subject: RE: Dollar General, Claremont Good morning Megen, You are correct, they do need a deed to recombine the property. A non-warranty deed was filed on 8-2-2022 (DB 3760-1041), immediately after Plat 84-162.The deed will combine the property into one parcel.We are at least 12 weeks out in our mapping work. It will be later this year, before it is reflected on GIS. Thanks, Michelle From: Megen McBride Sent:Thursday,August 18, 2022 11:05 AM To: Michelle Lail<MichelleLail@CatawbaCountyNC.gov> Subject: Dollar General, Claremont Hi Michelle, We received the attached recorded plat for a lot combination for Dollar General. In order for you to map this, they will also need a deed for the combination?The deeds listed on the plat seem to be property purchase... not lot combination. Thanks, Megen It was recorded on 8/2, see attached plat. Jennifer Edwards Senior Civil Designer BREC, PA 1520 Meadowview Drive 1 • Wilkesboro, NC 28697 336.844.4088 (p) By receiving and accepting this electronic correspondence and using its contents the receiving parties understand that the electronic media may contain intermediate design information and may not necessarily be intended for construction. We agree to hold BREC, PA, and Blue Ridge Geomatics, PA harmless for any defects in this data. We agree that it shall be our responsibility to reconcile this electronic data with the paper plans and that only the paper plans shall be regarded as legal documents for this job. We agree not to further distribute this electronic information to any other entities. We shall also not use this information for any other design project other than the one intended. On Thu, Aug 18, 2022 at 8:00 AM Dean Evans <DEvans a,catawbacountync.gov> wrote: You had called me a couple days ago asking about the septic permit. The only hold up I can find is that we need a recored plat showing that the properties have been combined before any more permits can be issued Thanks Dean Evans REHS CATAWBA COUNTY HEALTH DEPARTMENT 828-465-8270 828-851-6547 2