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HomeMy WebLinkAboutRBPR-08-2022-42032.tif $A THIS IS NOT A PERMIT Case# RI3PR-08-2022-42032 `Z" d fi �I Cnl'AWI3A COUNTY IIEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES /842 SM Residential Building Plan Review- Building New NEW WELL - ENGINEERED OPTION Applicant I)ANIEL,tit IA13El.I)I FN,PE (DANIEL SHABELDEEN),3145 TATE BLVD SE,HICKORY NC 28602 C:828-320-7252F:8283944126 DAN(r0I 1AUELDEEN-ENGINEERING.COM Owner \1W2 I.I,(' (.IOI IN KAISER),7478 BOTANICA PKWY,SARASOTA FL 34238 (':9.1199 3-17 18 131.WWORKING(0OI,.COM NAME TO APPEAR ON PERMIT MW2 LLC (John Kaiser) SITE ADDRESS: 6276 LYNCH BURG RI),HICKORY NC 28601 PIN # 373516941712 NAME of SUBDIVISION: __- C L REITZELL PROPERTY UNREC Lot# Section/Block PROPERTY SIZE: Square Feet Acres 0.43 DIRECTIONS: Sulphur Springs Rd,right I.ynchburg Rd,take right to stay on Lynchburg on right PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 240 WATER SUPPLY: Private Well DESCRIBE WORK: EOP submittal Now 13 x 30 2 bedroom residence 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? Yes Are there any easements or right-of ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 13 x 30 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: Other described. APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO eti pplicati,n 09/19/2022 08:52 Page I of 3 • N CAI'AWI3A t()I'\11 Case i RE3PR-08-2022-42032 Jis"(......t,ii 'L Public I Icalth Department Subdivision C L REITZELL PROPERTY UNRI Q •s' Environmental I Icalth Division PIN# 373516941712 PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 $• w NAME ON PERMIT: MW2 I•I.(' (,IUI IN KAISER).7478 BOTANICA PKWY,SARASOTA FL 34238 MW2 LLC (John Kaiser) Site Address: 6276 I,YN('I II3URG RI).I EICKORY NC 28601 Property Size: Square Pecs Acres 0.43 Directions: Sulphur Springs Rd,right Lynchburg Rd,take right to stay on Lynchburg on right 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 II'you need further information or assistance please call 828-465-8270 AREA2 ******************.....+.*44* :*41**.*....****************************************************************s l I•ENANIF DATE FEE AMOUNT E O P 08/23/2022 $90.00 Well Permit& Inspection Fee 08/23/2022 $300.00 IOTAI.FEES $390.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) eltapplicat ion 09/19/2022 05:52 Page 2 of3 illAN catawba county Noter public health DApplication for Environmental Health Services ��",'� i THIS IS NOT A PERMIT2 , D Application is for: ® New Construction 0 Existing Facility ❑ Improvement Permit ❑Authorization to Construct ®New Septic ❑Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection New Well Cl Replacement Well El Well Abandonment ❑Well Repair roperty Address 6276 Lynchburg Rd Acres 0.43 Subdivision C.L. Reitzell Property Unrec Lot# Driving Directions to Property Springs Road to Sulfur Springs Road; north to Lynchburg Rd to 6276 Lynchburg Road Describe work Tear down existing lake shack and build 2BR house on slab within same footprint Applicant Name Daniel Shabeldeen Applicant Address 3145 Tate Blvd. SE; Hickory,NC 28602 Phone 828.320.7252 Email danAshabeldeen-engineering.com Owner Name MW2, LLC Owner Address 7478 Botanica Pkwy; Sarasota,FL 34238-4423 Phone 941.993.4748 Email blwworking@aol.com Contractor Name Max's Digging Service Contractor Address 1972 Adam St.; Conover,NC 28613-8607 Phone 828.320.5631 Email millerbj57@gmail.com Name to Appear on Permit? ®Owner El Applicant ❑Contractor Who will be the Primary Contact? ❑Owner ©Applicant ❑Contractor Proposed New Construction-Residential Primary Residence ® New Residence ❑ Addition to Residence #of New Bedrooms *t 2 #of Occupants n/a Project Description Tear down existing lake shack and replace with new 2BR house on slab within same footprint Structure Dimensions,also specify dimensions of decks&porches 13'x 30' (Choose One) 0 Basement ❑Crawl Space ® Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes El No Retaining Wall>2' El Yes ® No Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions (Choose One) 0 Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' El Yes ❑ No Accessory Structure(s)Describe Structure(s)Dimensions Plumbing ❑Yes ❑No Describe Plumbing Needed (Choose One) 0 Basement 0 Crawl Space 0 Slab If Basement, Will There Be Water Using Fixtures In Basement 0 Yes ❑ No Retaining Wall>2' 0 Yes 0 No Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions (Choose One) El Basement ❑Crawl Space 0 Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No Retaining Wall>2' ❑ Yes 0 No Well Construction/Abandonment/Repair Proposed Well Type 0 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 Head to Pressure Tank?❑ Yes ❑No Environmental Health Catawba County Government Center, 25 Government Drive I P0. Box 389, Newton, NC 28658 Phone: (828)465-8270 ( Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe Lake shack to be torn down and replaced with 2BR on slab Structure Dimensions 13'x 30' #of Bedrooms* 1 #of Occupants na Basement ❑Yes ® No Basement Plumbing ❑Yes ❑ No Existing',Water Supply ® Individual Well ❑Shared Well—Number of Connections ❑ Community Well ❑County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑No Commercial ❑Proposed New.Construction 0 Existing/Change of Use ❑Repair Food Service Specify Type #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare❑ 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 Structure Dimensions Retail Floor Space #of Employees per Shift #of Shifts Other Information Calculated Design Flow,Commercial j' (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 0 No Does the site contain any jurisdictional wetlands? ® Yes 0 No Does the site contain any existing wastewater systems? ❑ Yes lI No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes IN No Is the site subject to approval by any other public agency? ❑ Yes ll No Are 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 ❑Alternative 0 Conventional ❑ Innovative ❑Other ❑ 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 time 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) Environmental Health soil/site evaluations require digging,augering,and/or probing into the ground. Property owner/applicant is responsible for marking all underground utilities,including but not limited to: underground power,cable,telephone,gas,water lines,and irrigation systems/sprinkler systems.Catawba County Environmental Health is not responsible for damage to unmarked utilities. 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. Signature of Owner or Legal Agent Date Printed Name of Owner or Legal Agent sT�re r.,» ROY COOPER •Governor NC DEPARTMENT OF KODY H. KINSLEY• Secretaryo HEALTH AND II HUMAN SERVICES HELEN WOLSTENHOLME• Interim Deputy Secretary for Health MARK T. BENTON•Assistant Secretary for Public Health nA rk Q4M N=k• Division of Public Health COMMON FORM FOR ENGINEERED OPTION PERMIT See Instructions for Use in Appendix A Except for"Date received",this Section to be completed by the Professional Engineer licensed in accordance with G.S.89C y r 'I e ' L 2'Z— LHD USE ONLY: Initial submittal of this NOI received: g-�Z - by FP Dote Initials PART 1: Notice of Intent to Construct(NOI)-Please check all that apply A U G 2 2 2022 ®Single System or ❑ Multiple Systems • AND Environmental Health X❑New ❑ Expansion ❑ Relocation of all or part of the Existing System ❑ Relocation of Repair Area ❑ Repair—LHD Permit Number ❑Repair—EOP/LSS COVID 19/AOWE Permit Number 1. Facility Owner's name:(Owner,Company Name,Utility, Partnership,Individual,etc.): MW2 LLC Mailing address: 7478 Botanica Pkwy _City: Sarasota State: NC Zip:_28601 Telephone number: _ 941.993.4748 E-mail Address: blwworking@aol.com 2. Professional Engineer(PE)name: Daniel Shabeldeen License number: 029232 Mailing address: 3145 Tate Blvd.SE City: Hickory _State: NC Zip: 28602 Telephone number: 828.320.7252 E-mail Address: dan@shabeldeen-engineering.com 3. Licensed Soil Scientist(LSS)name: Joseph Lynn License number: 1089 Mailing address: 6768 George Hildebran School Rd City: Hickory State: NC Zip: 28602 Telephone number: 828.310.0089 E-mail Address: joe.lynnoswps@yahoo.com 4. Licensed Geologist(LG)(if applicable)name: N/A License number: Mailing address: City: State: Zip: Telephone number: E-mail Address: 5. On-Site Wastewater Contractor name: Max's Digging Service License number: 1127 Mailing address: 1972 Adam St. City: Conover State: NC Zip:28613 Telephone number: 828.596.6040 E-mail Address:millerbj57@gmail.com 6. Proof of Errors and Omissions or other appropriate liability insurance for the following persons is attached that includes the name of the insurer,name of the insured and the effective dates of coverage: X❑ PE E LSS ❑ LG On-site Wastewater Contractor NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5605 Six Forks Road,Raleigh,NC 27609 MAILING ADDRESS:1642 Mail Service Center,Raleigh, NC 27699-1642 www.ncdhhs.gov • TEL:919-707-5874 • FAX.919-845-3972 AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER Engineer Option Permit Common Form LHD Reference: 7, Property location(physical address,tax parcel identification number or subdivision lot,block number of the property to be permitted): 6276 Lynchburg Rd; Hickory,NC 28601 County Name: Catawba 8. Type of facility: X❑ Place of residence No. Bedrooms: 2 No.Occupants:_ ❑ Place of business Basis for flow calculation: ❑ Place of public assembly Basis for flow calculation: 9. Factors that would affect the wastewater load: None 10. Type and location of proposed wastewater system: PPBPS Horizontal;front yard 11. Design wastewater flow: 240 gpd(For flow>3,000 gpd and industrial process,duplicate plans shall be sent to the State.) Design wastewater strength: ®domestic ❑high strength ❑industrial process 12. A plat as defined in G.S. 130A-334(7a)is attached: ®Yes ❑ No 13. Location of proposed or existing wells(drinking water,irrigation,geothermal,groundwater monitoring, sampling,etc.)and any potable and non-potable water conveyance lines is indicated on attached plans and complies with 15A NCAC 18A.1950: X❑Yes ❑ No This is a saprolite system. ❑Yes ® No 14. Evaluation(s)of soil conditions and site features in accordance with G.S. 130A-335(al)signed and sealed by a LSS is attached: ®Yes ❑No 15. Evaluation of geologic and hydrogeologic conditions signed and sealed by a LG is attached ❑Yes ❑X NA 16. Proposed landscape,site,drainage,or soil modifications are attached: X❑Yes ❑NA Attestation by Professional Engineer licensed in North Carolina pursuant to G.S.89C Daniel Shabeldeen hereby attest that the information required to be included with Registered Professional Engineer(Print Name) this Notice of Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws,regulations,rules,and ordinances in accordance with G.S. 130A-336-.1(e)(6). es/c //2)-Z.-- (nature of Licensed Professional Engineer ate DHHS/EHS/OSWP—EOP COMMON FORM Updated Apri12022 Page 2 of 6 Engineer Option Permit Common Form LHD Reference: This section is for Owner use to either designate PE as their legal representative or to self-submit the NOI. Designation of Registered Professional Engineer as legal representative of Owner for this Notice of Intent: John Kiser hereby designate Daniel Shabeldeen Pont Name of Owner Print Name of Registered Professional Engineer as my legal representative for purposes of this Notice of Intent pursuant to G.S. 130A-336.1. Signature of Owner Date Owner self-submittal of NOI: I, hereby submit this NOI prepared by Print Name of Owner Print Name of licensed PE pursuant to G.S. 130A-336.1. Signature of Owner Date NOTES: LIABILITY: The Department, the Department's authorized agents, or local health departments shall have no liability for wastewater systems designed, constructed,and installed pursuant to an Engineer Option Permit(G.S. 130A- 336.1(f)] RIGHT OF ENTRY: The submittal of this Notice of Intent to Construct grants right of entry to the Local Health Department and the State to the referenced property. ISSUANCE OF BUILDING PERMIT: Once the LHD deems that the Notice of Intent to Construct is complete via signature in the section below, the owner may apply to the local permitting agency for a permit for electrical, plumbing, heating,air conditioning or other construction, location,or relocation activity under any provision of general or special law pursuant to G.S. 130A-338. DHHS/EHS/OSWP-EOP COMMON FORM Updated April 2022 Page 3 of 6 • Engineer Option Permit Common Form LHD Reference: This section for Local Health Department use only. PART 2: LHD Completeness Review of the Notice of Intent to Construct "(c)Completeness Review for Notice of Intent to Construct.-The local health department shall determine whether a notice of intent to construct,as required pursuant subsection(b)of this section,is complete within 15 business days after the local health department receives the notice of intent to construct. A determination of completeness means that the notice of intent to construct includes all of the required components. If the local health department determines that the notice of intent to construct is incomplete,the department shall notify the owner or the professional engineer of the components needed to complete the notice. The owner or professional engineer may submit additional information to the department to cure the deficiencies in the notice. The local health department shall make a final determination as to whether the notice of intent to construct is complete within 10 business days after the department receives the additional information from the owner or professional engineer. If the department fails to act within any time period set out in this subsection,the owner or professional engineer may treat the failure to act as a determination of completeness." The review for completeness of this Notice of Intent was conducted in accordance with G.S. 130A-336.1(c). This NOI is determined to be: ❑ INCOMPLETE(if box is checked, Information in this section is required.) Based upon review of information submitted in Part 1,the following items are missing: Copies of this form listing missing items were sent to the design PE and the Owner on Date via with directions to re-submit missing items using Page 5 of this form. Email,FAX,USPS,hand-delivered Print Name of Authorized Agent of the LHD Signature of Authorized Agent of the LHD Date 2 COMPLETE(If box is checked,information in this section is required.) Based upon review of information submitted in Part 1 of this form,this NOI is deemed COMPLETE. Copies of this signed form were sent to the design PE and the Owner on L."_2'Y.via (2'"ui I Date Email,FAX,USPS,hand-delivered A copy of this NOI and tracking information was sent to the State on via Date Email,FAX,LISPS,hand-delivered (2---, .,iw- yf k. 4L � - ,cL /7 q-6 -2-2Print Name of Authorized Agent o7the LHD Signature of Authorized Agent of the LHD Date DHHS/EHS/OS WP-EOP COMMON FORM Updated April 2022 Page 4 of 6 Engineer Option Permit Common Form LHD Reference:_ Re-submittal of NOI with missing items included this Section is for use by the owner or PE to submit items noted as missing during LHD Completeness Review above. Resubmittals must be accompanied by a cover letter from the PE. LHD USE ONLY: This NOI resubmittal received: by Dote Initials Item#from initial NOI Resubmittal description Attestation by Professional Engineer licensed in North Carolina pursuant to G.S.89C I, hereby attest that the information re-submitted for this Notice of Licensed Professional Engineer(Print Name) Intent to Construct is accurate and complete to the best of my knowledge and that the proposed system shall meet applicable federal,State,and local laws,regulations, rules and ordinances in accordance with G.S. 130A-336- .1(e)(6). Signature of Licensed Professional Engineer Date The section below is for Local Health Department use after submittal of items noted as missing above. LHD Follow-up Completeness Review of Notice of Intent to Construct This follow-up review for completeness of this Notice and Intent was conducted in accordance with G.S. 130A- 336.1(c). This NOI is determined to be: ❑ INCOMPLETE Based upon review of information submitted in the RESUBMITTAL above,this Notice of Intent remains INCOMPETE because the following items from Part 1 of this form remain missing: _ • Copies of this signed form were sent to the design PE and the Owner on via Date Email,FAX,LISPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ❑ COMPLETE Based upon review of information submitted in the RESUBMITTAL above in addition to information provided in Part 1 of this form,this NOI is deemed complete. Copies of this signed form were sent to the PE and the Owner on via Dote Email,FAX,USPS,Hand-delivered A complete copy of this form with tracking information was sent to the State: via Date Email,FAX,USPS,hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Dote DHHS/EHS/OSWP—EOP COMMON FORM Updated April 2022 Page 5 of 6 • • Engineer Option Permit Common Form LHD Reference: PART 3: Authorization to Operate(ATO) Except for dote received,the Section below Is to be completed by the Owner or the PE. LHD USE ONLY: Initial submittal of request for ATO received: by Date !Moats Date of Post-construction Conference: Post-construction Conference waived in accordance with G.S. 130A-336.1(j): T he following items are included in this submittal for an Authorization to Operate under an EOP: 1. Signed and sealed copy of the Engineer's report that includes the information in G.S. 130A-336.1(k)(1)and 15A NCAC 18A.1971(f) ❑Yes ❑ No 2. Operation and management program and ORC contract,if applicable ❑Yes ❑ No 3. Fee (as applicable) ❑Yes ❑ No 4. Notarized letter documenting Owner's acceptance of the system from the PE ❑Yes ❑ No 5. Owner meets requirements of ownership or control of the system per 1SA NCAC 18A.1938(j) ❑Yes ❑ No 6. Easement,right of way,or encroachment agreement required per 15A NCAC 18A.1938(j) ❑Yes ❑ No 7. Multi-party agreements required,as applicable,pursuant to 15A NCAC 18A..1937(h) ❑Yes ❑ No If yes,agreements filed in -County Register of Deeds in Deed Book Page______ Attestation by the Owner or the PE for Authorization to Operate I, hereby attest that all items indicated above have been provided to the Print name of Owner or Professional Engineer County LHD and the system shall meet applicable federal,State,and local laws, regulations,rules and ordinances in accordance with G.S. 130A-336-.1(e)(6). Signature of Owner or Professional Engineer Dote This section for LHD Use Only. LHD Review of required information for the ATO ❑ INCOMPLETE Based upon review of information submitted in the Section above,the following items are missing from the information required for an Authorization to Operate for an EOP: • Copies of this signed form were sent to the design PE and the Owner on via Dote Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ❑ COMPLETE Based upon review of information submitted in the Section above,this Authorization to Operate is hereby issued in accordance with G.S. 130A-336.1(m). A copy of this complete NOI/ATO with tracking information was sent to the State on via Dote Email,FAX,USPS,Hand-delivered Print name of authorized Agent of the LHD Signature of authorized Agent of the LHD Date ISSUANCE OF CERTIFICATE OF OCCUPANCY: Once the LHD determines completeness based upon the ATO submission,the owner may apply to the local permitting agency for permanent electrical service to a residence,place of business or place of public assembly pursuant to G.S.130A-339. DHHS/EHS/OSWP—FOP COMMON FORM Updated April 2022 Page 6 of 6 SHABELDEEN ENGINEERING, PA 3145 TATE BLVD. SE• BOX A • HICKORY, NC • 28602 PHONE: (828) 320-7252 CIVIUWATER/SEWER/ENVIRONMENTAL FAX: (828) 394-4126 CONSTRUCTION MANAGEMENT dan@shabeldeen-engineering.corn August 22, 2022 Mr. Dean Evans Catawba County Environmental Health P.O. Box 389 Newton, NC 28658 SUBJECT: Engineered Option Permit Submittal 6276 Lynchburg Rd.; Hickory PIN: 3735-16-94-1712 Mr. Evans: On behalf of the MW2, LLC (Owner), Shabeldeen Engineering, PA (SEPA) is submitting the following items for an Engineered Option Permit. 1. Notice of Intent (NOI) 2. Soils Evaluation by Mr. Joe Lynn, LSS (dated January 13, 2022) 3. Septic System Plan (dated January 28, 2022) 4. Proof of insurance LSS, PE, and contractor Project Description The Owner is in the process of constructing a new house on the referenced lot. The parcel is 0.43 acre. There is an existing structure built in the 1930's that will be demolished. The new structure will be a two (2) bedroom slab-on-grade structure sitting in the same footprint. The daily flow will be 240 gpd. The dosing rate will be Mr. Joe Lynn, LSS conducted the soils evaluation. Based on the evaluation, the septic system will be a Type III consisting of the following major components: 1. 1,000-gal. pre-cast concrete septic tank 2. 1,000-gal. pre-cast concrete pump tank with Zoeller N98 series pump 3. Dosing rate will be 22 gpm at 18' TDH 4. Pressure manifold with four (4) 1/2" Sch40 PVC taps 5. Four (4) rows of horizontal T&J panels each 40 LF in length. As shown on the plans, the drainlines will be 8-feet on center and offset 10 feet from the north property line. The drainlines and septic tank will be offset 5 feet from the structure. The repair area will be located between the structure and the lake buffer consisting of a TS-ll drip system. Please do not hesitate to contact me if you have any questions. Sincerely, N CA6u 1iV FESS/Q 11 • -Q . ' Daniel Shabeldeen, P.E. is SEAL August 22, 2022 c. 2/�1CiNEC- Ot`A`il SHpg/ IF,71 SHABELDEEN �!, ENGINEERING I tr I \nrhh' r,rinr•e Ethus • Integrity • Engineering MVE LLC JOHN KAISER Soil/Site Report Owner: MW@ John Kaiser Parcel# 373516941624 An evaluation of the soil properties on the aforementioned property has been conducted, as part of the due diligence process to determine if this property could support a subsurface wastewater dispersal (septic) system. The property was evaluated in accordance with North Carolina Statutes for waste disposal (`Laws and Rules for Sewage Treatment and Disposal Systems",The purpose of the investigation was to determine suitability for an On-Site Wastewater (septic) System to serve a residence. Site suitability is based on but not limited to topography, soil characteristics, soil wetness, soil depth, restrictive horizons, and available space. This report lists the findings, conclusions and recommendations for the property. (828) 310-0089, E-mail at joe.lynnoswps@yahoo.com. SOIL S Joe Lynn LSS kf.r ,'? 2 "7/\FQp0� , Site suitability is based on but not limited to topography, soil characteristics, soil wetness, soil depth, restrictive horizons, and available space. This investigation was accomplished by traversing the property (County GIS map) and observing land-forms (slope, drainage patterns, gullies, past uses, etc.) as well as soil characteristics (depth. structure, texture, seasonal wetness, etc.). OWNER/APPLICANT: MW2 John Kaiser LOCATION: 6276 Lynchburg Rd. COUNTY: Catawba TYPE OF FACILITY: Residence DESIGN UNIT: 240 gallons per day WATER SUPPLY: Well AREA/USE: .43 acres TOPOGRAPHY: 5 to 30% LANDSCAPE POSITION: Linear slope SITE LIMITATIONS: Wells, Lake Hickory, Duke Energy Right of Way DATES OF EVALUATION: 08/27/2021 , 02/21 , 03/28, 05/24, 07/22/2022 EVALUATED BY: Joe Lynn ONSITE WASTEWATER SYSTEM PROPOSAL Description Initial System I Repair System Available Space Suitable I Suitable S stem Type PPBPS horizontal T&J panels 1 TS-II drip Site LTAR .25 10.15 S stem Size 160 feet 1 800 feet # Trenches 4 116 Length of Trenches varies 50 foot Trench Depth 20 inches lower wall 6 inches Distribution Method _ Pressure Manifold Se•tic Tank _ 1,000 gallon Pum. Tank 1 ,000 gallons The house can not have a foundation drain SITE PREPARATION No grading is to be done. The area for the initial system and the repair cannot be graded. Remove the existing house very carefully, do not damage the soil area in front of the house. SYSTEM INSTALLATION The initial system, must be located as shown in the attachments and the Improvement Permit and Authorization to Construct. The septic tank and pump tank should be installed as shallow as possible. The system must meet setbacks: 50-100' from wells (depending on soil type and space), 50' from streams and ponds, 10' to 25' to storm water diversions (gullies, ditches, etc.)10' property lines,15' from top of embankments greater than two feet in depth and if a retaining wall with a drain is used the setback distance must be 25 feet, 15 from pools, etc. The systems must be installed when the soil is not wet. Consult Environmental Health about soil wetness and system installation. A description of each pit/boring is attached and the attached maps display the approximate locations of the pits/borings and noteworthy features. DISCLAIMER The findings in this report represent my professional opinion about soil and site conditions based upon the information available to me during the evaluation. Variability in the soils could result in conditions that are unpredictable and different than what I found. I am not responsible for errors made due to unclear, unknown, or misrepresented property lines. I am not responsible for difficulties caused by the location of overlooked critical features (such as wells, utility lines, water lines, streams, septic systems, buildings, etc.) on this or neighboring property. There are other circumstances beyond the scope of this report that could create problem that might deny the use of the property as desired. Some of these include: zoning laws, excessive grading, and misallocations of houses, drives, property lines, wells, and utilities. Buried utilities and culvert runoff should not cross drainfields, septic tanks, or repair areas. ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDR'YYYI I`� ov28/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Janice Adams NAME: Insurance Management Consultants,Inc. PHONE (704)799-1600 FAX ((A/C INo,Ext): _ IA/C,No): (704)799-2955 P.O.Box 2290 E-MAL ADDRESS: janice@irncipls com — INSURER(S)AFFORDING COVERAGE _ NAIC E_ Davidson NC 28036 INSURERA: RLI Insurance Company 3056 INSURED --- --- -'- --' - -- '— - - '— INSURER B: Shabeldeen Engineering.PA INSURER C: 2905 9th St Place NE INSURER 0: INSURER E: Hickory NC 28601 INSURER F: r COVERAGES CERTIFICATE NUMBER: 22--23 GL AUTO PL 21-22 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW IMAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER-AIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBRD W POLICY NUMBER POLICY EFF POLICY EXP — LTR IN$ VD (MM/DD/YYYY) (MM/D0/YYYY) LIMITS X COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE-TO REN IFID CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 A PSB0005085 01/02J2022 01/02/2023 pERSONp._BADVINJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2.000.00DX POL CY JECT LOC PRODUCTS $ _ ~OTHER: _ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _(Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED PSA0002663 01/C8/2022 01/08/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Uninsured motorist $ 1,000.000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE: AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION XI PEATJ7E EORH AND EMPLOYERS'LIABILITY - AN`f PROF'RIETORlPARTNER/EXECUTIVE YIN1,000,000 A OFFICER/MEMBER EXCLUDED'? �, NIA PSW0004406 10/03/2021 10/03/2022 E.L.EACHACCIDENT $ _ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes escnbeunder - L.DISEASE-POI-ICY LIMIT $ DESCRIPTIONIPTION E. OF OPERATIONS below 1,000,000 Per Claim $1.000,000 Professional Liability A R0P0045726 01/02/2022 01/02/2023 Aggregate $1,000.000 DESCRIPTION OF OPERATIONS l LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more spare Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DEIiYYYY) 2/1/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ste hanie Horan NAME: P Wade Associates, LLC PHONE (704)892-9297 (A/C 7041896-0485 (A/C,No,E,xt1: 1(A lc,No): P.O. Box 1209 E-MAIL shoran@wadeict.com ADDRESS: _ 212 S Main Street INSURER(S) AFFORDING COVERAGE NAIC 8 Davidson NC 28036 INSURER A:Auto-Owners Insurance Company 18988 _- INSURED INSURER B:Markel Insurance Company Joe D Lynn Jr. INSURER C: 6768 George Hildebran School Road INSURER D: INSURER E: Hickory NC 28602 INSURER F: COVERAGES CERTIFICATE NUMBER:21-22 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INBR AMYL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I, s s POLICY NUMBER (MM/DD/VYYY) IMMIDDTYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCIJRREN::E $ 1,000,000 DAMAGE TO UNITED A CLAIMS-MADE X OCCUR PREMISES 'Ea occurrence) $ 300,000 —� 35515975 9/18/2021 9/18/2022 MED EXP.Any one person) $ 10,000 PERSONAL &ADV INJURY $ ^GEN'LAGGRE.GATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 POLICY PET LOC PRODUCTS-COMP/OPAGG $ 3.030,000 OTHER $ -- _ AUTOMOBILE LIABILITY COMBINE.I5 SINGLE LIMIT $ _- (Ea acode'J ANY AL TO BODILY INJURY(Fer person) $ ~— ALL OWNED —SCHEDULED BODILY INJURY(For accident} $ AUTOS AUTOS _ NON-OWNED PROPERTY DAMAGE `_— HIRED AUTOS _ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGA:rE DED RETENTION$ ~$ WORKERS COMPENSATION PER 1 J OTH- AND EMPLOYERS'LIABILITY YIN STATUTE J ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT $ O'FICERIMEMBER EXCLUDED? -) N/A -- (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ It yes describe under --- DESCRIPTION OF OPERATIONS below E L DISEASE-POL.CY LIMIT $ B Professional Liability (ESC)) ME01453-03 9/1B/2021 9/18/2022 Each Claim $1,000,000 Pobcy Aggregate $1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Information Purposes THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. XXXXXMCCOOMOCIOCOOCCXXXXX.XX 7S�QCX AUTHORIZED REPRESENTATIVE J.J. Wade, III/AH \ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r2o14oll Aca® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYY) `.--- 08/10/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ISU - H.B. Cantrell & Co. NAME: Leann Abernathy te G No.Eat); (704)964-9000 T(A C Nam; (704)954-9010 - 1501 E 7th St. A R� ; __Ieannehbcantrell.com _ Charlotte, NC 28204 INSURERS)AFFORDING COVERAGE —NAIL/ INSURER A: Erie Insurance Exchange 26271 -_- INSURED INSURER B Max's Digging Services, Inc Wesco insurance Company__ ggI INSURERC: 1972 Adam St INSURER D: Conover, NC 28613-8607 - —__ INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 00005171-0 REVISION NUMBER: 6 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L POLICY EFF POLICY EXP ITR TYPE OF INSURANCE INSD POUCY NUMBER IMWDOIYVYYI ono.. A UNITS A X COMMERCIAL GENERAL UABIUTY 1 Q42-1850642 06/18/2022 06/18/2023 EACH OCCURRENCE_ II 1,000,000 DAMAGEW CLAIMS-MADE X OCCUR PREMISES(TcE occurrence) $ 1,000,000 — --------- MED EXP one.: :.. ) $ 000 PERSONAL&ADV INJURY $ 1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 _X_ POLICY JECT L I L. PRODUCTS-COMP/OPAGG $ 2 000,000- OTHER $ A AUTOMOBILE LIABILITY Q06-1830619 O6/18/2022 06/18/2023 a acdd DI)IN LE LEA $ `1,000,000 ANY AUTO BODILY INJURY(Per person) $ OVVNEAUTOS SCHEDULED BODILY INJURY(Per accident $ ___- AUTOS ONLY X AUTOS ) HIRED u NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY -- acciden_p_-- — -- S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE i DED RETENTION S E B ANNDEAEAPLOYERS LIABILITY Y H WWC3590795 0611812022 0611812023 X SSrATUTE ER 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E-L.EACH ACCIDENT $ 100,000_ OFFICER/MEMBER EXCLUDED? n N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE. $ 100,000 H yyes,describe under — !M DESCRIPTICN OF OPERATIONS below 1 E.L DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Shabeldeen Engineering ACCORDANCE WITH THE POLICY PROVISIONS. 3145 Tate Blvd SW HICKORY, NC 28602 AUTHORIZED REPRESENTATIVE 4/1401,A (LSA) ©1988-CORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by LSA on 08/10/2022 at 02:41 PM Catawba County Environmental Health \\,,,..) 0'4') 'N't. .01,4 V,Vr': i,$,N;A-K.!) '''':-C.-''*'.1''''. ' A f-,'.:,''',.-+*44,:.' 4. '...k:Att!,l'., 4,kfi ifir-V,'- -.4<. , CP 2:\ \ RP '''''..*49,411:Y..'-4'..:,, Vi.bi', .-4.-,. ;,, .... ,./,,..t,-.4.74,0-,.,:, v., ,,, v., . ..,.-..t-vtiv:, wetzfiti,,,v, -,.. ,..i,... •6290 'Itii-*;;;t1"14k0147:7:1,k8141'".:-.../••,c fi" � 4 '4a%, ?t >t+, :\--11-7(-13 5...... 1,,,.. .,.,,-, � 6284 rMs 1 4 �i fi�jjT c1� �µ.,qw �('�' 1 GFS{ d "' 1. r vi \ .7 11 ` ` 6 = 44 00 t t:1 Q ¢A. ' CO 2 °-4 r via t . 4 °# z •6276 4yy may,*�x$�ira i7 , Qy 1,,fA q 1 i g y '' J J cri ID o `''E4 e,`'''s 4 ' 246.00 �y CA r 9° v� 1r- 5 Cfl ',c lV t0 T 1 4 •6270 60 0 250.00 156.00 93.44 56.67 v co 30 1553 n —L f I I 3 Parcel: 373516941712, 6276 LYNCHBURG RD 1in=50ft HICKORY, 28601 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 08/22/2022 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 373516941712 Owner: MW2 LLC Parcel Address: 6276 LYNCHBURG RD Owner2: City: HICKORY, 28601 Address: 7478 BOTANICA PKWY LRK(REID): 40325 Address2: Deed Book/Page: 3666/0188 City: SARASOTA Subdivision: C L REITZELL PROPERTY UNREC State/Zip: FL 34238-4423 Lots/Block: / School Information: Last Sale: School District: COUNTY Plat Book/Page: Elementary School: SNOW CREEK Legal: Calculated Acreage: .430 Middle School: ARNDT Tax Map: 0807 01017 High School: ST STEPHENS Township: CLINES School Map State Road #: 1693 Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: ST STEPHENS Zoningl: R-40 Building(s) Value: $35,300 Zoning2: Land Value: $72,200 Zoning3: Assessed Total Value: $107,500 Zoning Overlay: CRC-O,FPM-O Year Built/Remodeled: 1938/ Small Area: ST STEPHENS/OXFORD Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-12-18 Building Permit Address Search for this parcel. Firm Panel #: 3710373500K If available, Building Permits for this parcel. Septic 2010 Census Block: 1027 links are not permits. 2010 Census Tract: 010201 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details WaterShed: Voter Precinct: P33/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 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. ©2022, Catawba County Government, North Carolina. All rights reserved. 171k Co CMAWBA COUNTY �3' 100A SOUTHWEST BLVD Q a NEWTON,NORTH CAROLINA 28658 RECEIPT a ►� PHONE:828.465.8399 \U\ ��►� Monday, September 19, 2022 \\�4'V sM www.catawbacountync.gov PAYOR: MW2 LLC MW2 LLC(Kaiser,John) PAYMENTS TRANSACTION NUMBER: 'I'RC-47497545-19-09-2022 PAYMENT DATE: 09/19/2022 PAYMENT TYPE: Check 309 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT 09-22-412335 110-580200-663000 EOP $90.00 09-22-412335 110-580200-663000 Well Permit& Inspection Fee $300.00 'IYYI'A 1.1'AYM F N'1'S: $390.00 RBPR-08-2022-42032 CASE TYPE: Residential Building Plan Review WORK CLASS: Building New SITE ADDRESS: 6276 I YNCIIBURG RD,HICKORY NC 28601 Applicant DANIEL SI IABELDEEN,PE,3145 TATE BLVD SE,HICKORY NC 28602 C:828-320-7252F:8283944126 DAN@SHABELDEEN-ENGINEERING.COM SHABELDEEN-ENGINEERING.COM Owner MW2 I,I.C,7478 BOTANICA PKWY,SARASOTA FL 34238 C:9419934748 BLWWORKING@AOL.COM **NO PEOPLESOFT ACCOUNT ASSIGNED** receipt 09/19/2022 08:52 Page I of I