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HomeMy WebLinkAbout EHPR-12-2022-42913.TIF $�• THIS IS NOTA PERMIT Case# EHPR-I2-2022-42913 CATAWBA COUNTY HEALTH DEPARTMENT Vim,': •', PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1 w Environmental Health Plan Review-OSWP IMPROVEMENT Contractor QUAIL HOLLOW BUILDING COMPANY (KEITH LEVAN),212 CANAL DR,STATESVILLE NC 28677 C:7049021089 KGLEVAN@BELLSOUTH.NET Owner TERRY WHITENER,8370 SLATE ST,TERRELL NC 28682 H:8284783241 C:7042196390 HOME:8284783241 NAME TO APPEAR ON PERMIT Terry Whitener SITE ADDRESS: 5201 BATTLE RUN DR,CATAWBA NC 28609 PIN# 368901197319 NAME of SUBDIVISION: BATTLE RUN CREEK PHASE I Lot# 1 _ Section/Block PROPERTY SIZE: Square Feet 87,120.00 Acres 2,00 DIRECTIONS: Buffalo Shoals Rd,right Battle Run Dr on right just before Musket Dr PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: Improvement Permit for property subdivision 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? 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 EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 60 x 60 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES: SEATING CAPACITY: TOTAL FLOOR SPACE ISO FT): Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: YES INNOVATIVE: ANY: Other described: 25%Reduction ehnpplicatiun 12/01/2022 09:I8 Page 1 of3 �.fl� CATAWBA COUNTY Case# EHPR-12-2022-42913 Public Health Department Subdivision BATTLE CREEK PHASE I R Environmental Health Division PINK BATTLE 368901197319RUN `� PO Box 389,100-A Southwest Blvd,Newton,NC 28658 NAME ON PERMIT: (TERRY WHITENER),8370 SLATE ST,TERRELL NC 28682 (Terry Whitener) Site Address: 5201 BATTLE RUN DR,CATAWBA NC 28609 Property Size: Square Feet 87,120.00 Acres 2.00 Directions: Buffalo Shoals Rd,right Battle Run Dr on right just before Musket Dr 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 end labeling of all property lines end 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. t /Date: ( Signature of Applicant or Agent I If you need further information or assistance please call 828-465-82 AREA4 FEENAME DATE FEE AMOUNT Improvement Permit Fee 12/01/2022 $150.00 'I•O'f:11..FEES $150.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) ehapphcation 12/01/2022 09:13 Page 2 of 3 catawba county public health Application for Environmental Health Services THIS IS OT A PERMIT Application is for: ew Construction 0 Existing Facility___ Improvement Permit ❑ Authorization to Construct ❑New Septic ❑ Septic Repair/Malfunction ❑ Septic Relocation ❑ Septic Expansion ❑ Existing System Inspection or Reconnection L❑New Well 5 01 0 Replacement Well ❑ Well Abandonment ❑ Well Repair Property a11'le 'tkrit D r in$* 3 L81Ottg13]S Acres �t r Subdivision l e 'k�v Lot# I Driving Directions to Property Describe work Applicant Name )- q h LmR- L?\f ' 1 Applicant Address 3370 ck h t` d�Y a tn/l [ � Q i d?E 1\.C_ g cr) Phone ce(48— oN (-2 2 C2 Email b i0.vn i 0 ye rii 147B uahz .Gorr) Owner Name'T' rT L * ryvela A le_ 5. J1r;t'el(l4 ,Y r Owner Address (93'70 6-11:2 _61- jrre Jt NC d 8'! Phone 7a'f-219�-�396 Email +I w i t >yy- ' �5 +€Y.net Contractor NameKetfh, E { L va►n1T44 c.�,i1 C UU°LJ Brad e_ . Contractor Address.21'� (l at r1Ca, 1pr .-t y I ``e_ (2g(0 7 g Phone 71 -qO2. 1 O Errfai 9 I evQ vle e�1s DtAi-k i llQ� Name to Appear on Permit? 0 Owner 0 Applicant ntractor Who will be the Primary Contact? ❑ Owner ❑Applicant Er Contractor Proposed New Construction-Residential //ooe dayz.J' ) ,K/ 0 HI Primary Residence ' New esidence D Additi n to R• i met: #of New Bedrooms *t . , #of Occ p• is Project Description 0 0 Structure Dimensions,also speci dimensions of decks R,porches �t5 1�C�tf►�it th6, cr '% (Choose One) ❑Basement Q Crawl Space El Slab If Basement,Will There Be Water Using Fixtures In Basen nt ❑Yes ❑ No Retaining Wall>2' 0 Yes QrNo I Accessory Dwelling #of New Bedrooms*t #o O cupants Structure Dimensions (Choose One) ❑Basement 0 Crawl Space ❑ S b f If Basement,Will There Be Water Using Fixtures In Basement ❑Yes 0 No Retaining Wall>2' 0 Yes ❑ No v Accessory Structure(s)Describe Structure(s)Dimensions Plumbing 0 Yes 0 No Describe Plumbing Nee cd (Choose One) 0 Basement ❑Crawl Space 0 Slab d Basement,Will There Be Water Using Fixtures In Basement ElYes ElNo Retaining Wall>2' ❑ Yes ❑ No Multi-Family Residence #of Apartments #Bedrooms r Apartment*t Total#Bedrooms in Structure*t #of Occupants Structure Dimensions - i (Choose One) 0 Basement ❑Crawl Space ❑ Slab (Basement,Will There Be Water Using Fixtures In Basement El Yes ❑ No Retaining Wall>2' 0 Yes ❑ No /1/41 Well Construction/Ahandonm 'nt/Repair Proposed Well Type 1 dividual Well ❑ Semi-Public Well ❑ Community Well — I Abandonment Type [►Drille�d ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested 0 Yes L`J 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 PO. Box 389, Newton, NC 28658 Phone: (828) 465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov Existing Structures on Site Describe n O 'n -'- Structure Dimensions g of Bedrooms * #of Occupants 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? ** ❑ Yeslo Commercial ❑ Proposed New Construction ❑ E isting/Change of Use 0 Repair Food Service Specify Type W ' #Seats Dining Area(Sq.Ft.) #Employees per Shift #of Shifts Church #of Seats Daycare ❑ o 'A L o #of Children #of Employees per Shift #of Shifts Commercial Kitchen ❑Yes Ele. '-ntial Kitchen ❑ Yes ❑No Daycare#of Children #of Emp a Shift #of Shifts Business/Other Specify Type Structure Dimensions Retail Floor Space #o 1 es per Shift #of Shifts Other Information N /,.1_ Calculated Design Flow,Commercial t (This value will be determined by EH staff) I he Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. Ifihe answer to any question is"yes",applicant must attach supporting documentation. ❑Yes Does the site contain any jurisdictional wetlands? ❑Yes I% Does the site contain any existing wastewater systems? ❑Yes Is any wastewater going to be generated on the site other than domestic sewage? 0 Yes u>cr Is the site subject to approval by any other public agency? O Yes LE No Are there any easements or right of ways on this property? Describe IT applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): �J+,/, ' ur (systems can be ranked in order of y ference) per © Accepted 0 Alternative 'onventional 0 Innovative 0 Other Anyo1p teegthe- *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 an all applications.The number of bedrooms will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit ssuance. This may prevent the need for septic system expansion in the future. 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 SCHEDULE1 1 nvironmental 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 Authorisation 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 prope or leg I agent of the owner. signature of Owner or Legal Agent �Q'!� Date t d l'rinted Name of Owner or Legal Agent Nei E . Leya n 1774 0 Licit H o'law 13 y-I tel I n Cr7• � NCGS "BANDY" MINOR SUBDIVISION FOR: I N:701,817.73 usft. E:1,381,543.13 usft, DISTANCE) D 4 COMBINED SCALE 1,396-05' (MEASURE' � POD BRI N L 0 Y 1 R F} FACTOR: 0.99985362 ��� �� � �— �'� 8g5.g3' (GRID D15TANCE7 NCGS "EUREKA" � '�-' E 585"01'fl8"W N:701,982.35 usft. _ E:1,383,431.90 usft. APRIL 8TH., 2022 '1 •� NOT TO SCALE COMBINED SCALE �� Lp � e� FACTOR: 0.999855E S (TIE. ONLY} - , co — IT LOT 1 = 2.00 AC. TL + REMAINING PARCEL 7.93 AC. PO Oq 'U 9.93 AC.± TOTAL 00 / T OWNERS: TERRY L. &MELANIE S. WHITENER S' ZONING CLASS: R-40 AREA BY COORDINATE METHOD PIN#: 3Fi89011�7319 CATAWBA TOWNSHIP EIP SOLID N8fi`4g 26"W - — 8 DEED: 1534 0525 CATAWBA COUNTY, NORTH CAROLINA HOD (TIE ONLY) 3995 EIP VICINITY MAP 1" PIPE C i -� 1. THIS PROPERTY MAY BE SUBJECT TO EXISTING EASEMENTS AND/OR R/W'S, RECORDED Pm (BENT) NOT TO SCALE OR UNRECORDED, OBSERVED OR UNOBSERVED, AND NOT SHOWN ON THIS PLAT. CONTROL CORNER 2. HIS SURVEY 6 BASED UPON EXISTING PHYSICAL EVIDENCE AND OLD DEED. EX. #4 REBAR EIP N:6994292 usft 7" PIPE S2¢8 E 3, #4 REBAR SET AT EACH CORNER UNLESS dl`HERWISE NOTED (SEE LEGEND BELOW). E:1,381,429.32 usft 4. SHERRILLS FORD SMALL AREA PLAN. SIP i 5. LOT1 WILL BE SERVED BY PUBLIC WATER & INDIVIDUAL SEPTIC SYSTEM- #4 REBAR CAPPED 6. SETBACKS: 30' FRONT, 15' SIDES & 30' REAR. �I2,307.� 9 7. THE PARCEL OF LAND IS LOCATED WITHIN 1/2 MILE TO AN AGRICULTURAL DISTRICT_ CC26 s 8. THIS SURVEY IS BASED UPON EXISTING PHYSICAL EVIDENCE, OLD DEEDS, ��' z & PLAT BK. 22 PG. 264. SIP FLOOD PLAIN NOTATION /�j #4 REBAR t �' THE PARCELS OF LAND AS SHOWN ON THIS PLAT ARE NOT CAPPED LOCATED IN 100—YEAR FLOOD PLAIN, 07" -- -� 247.90, E — � f,/ WATERSHED NOTATION THE PARCELS OF LAND AS SHOWN ON THIS PLAT IS LOCATED WITHIN WS—IV PROTECTED AREA. SIP NOW OR FORMERLY1� #4 REBAR JEREMY PAUL LEE �S� CAPP-LD — RIW OWNERSHIP AND DEDICATION CERTIFICATE PIN# 36 8901 1 935fl2 WE CERTIFY THAT WE ARE THE OWNERS OF THE : PROPERTY 36890119 0 DESCRIBED HEREON, WHICH PROPERTY IS LOCATED WITH THE SUBDIVISION JURISDICTION OF CATAWBA COUNTY, THAT WE FREELY ADOPT THIS PLAN OF SUBDIVISION AND DEDICATE PUBLIC USE ALL AREAS SHOWN ON THIS PLAT i c� ^ SUCH AS STREETS, AND EASEMENTS, EXCEPT THOSE SPECIFICALLY INDICATED o Q z AS PRIVATE, AND THAT WE WILL MAINTAIN ALL SUCH AREAS UNTIL THE OFFER TO DEDICATION IS ACCEPTED SY THE APPROPRIATE PUBLIC AUTHORITY. Ln ALL PROPERTY SHOWN ON THIS PLAT, DEDICATED FOR PUBLIC USE, SHALL BE DEEMED FOR ANY OTHER PUBLIC USE AUTHORIZED BY LAW WHEN SUCH LOT I OTHER USE IS APPROVED BY CATAWBA COUNTY. 2.00 AC. OWNER SATE PRELIMIN R i PL1"'1,T NOT OR OWNER DATE <v co RECORDATION R CONVEYANCE STATE OF NORTH CAROLINA COUNTY OF CATAWBA I' -- ------ ---------- -=-----_ A NOTARY PUBLIC FOR SAID COUNTY AND STATE, DO HEREBY CERTIFY THAT - - __---------------------------------------------- ----- --------_-------------------- -------------- ' SIP PERSONALLY APPEARED BEFORE ME THIS DAY AND ACKNOWLEDGED THE DUE #4 REBAR CREEK BRANCH �. EXECUTION OF THE FOREGOING INSTRUMENT. CAPPED --�' WITNESS MY HAND AND OFFICIAL SEAL, THIS THE ------------- -- DAY OF ------- _ - _- 20 ------- NOTARY E!P " PIPE MY COMMISSION EXPIRES EIP 1- _ __--- #4 RFRAR EIP (#4 REBAR) SIP N:699,243.34 usft #4 REBAR E;1,381,362.13 usft CAPPED REMAINING PARCEL w 7.93 ± AC. NOW OR FORMERLY U RICKY W. & CATHERINE E. LEE , PIN#: 368901099283 1653/0749 REVIEW 4F ICER CERTIFI ATE STATE OF NORTH CAROLINA CATAWBA COUNTY I, Curve Table REVIEW OFFICER OF CATAWBA COUNTY, EIP " #4 REBAR CERTIFY THAT THE MAP OR PLAT To WHICH THIS CERTIFICATION IS AFFIXED 686•78' Curve # Length Radius Delta Chord Direction Chord Length MEETS ALL STATUTORY REQUIREMENTS FOR RECORDING. b �" S89'22'02"W ` C1 184.86' 656.70' 16.13" N79'21'26"W 184-25' 4'0 WHITE -. OAK TREE 1 C2 173.60' 530.00' 18.77` S4'26'40"W 172,83' REVIEW OFFICER DATE J ` IL/ �� { 't 1 l NOW OR FORMERLY DAVID A. & STACY L. JONES LEGEND f PIN#: 368901186899 (! = SIP (SET IRON PIN) 3259/1340 `o #4 CAPPED REBAR LO APPROVAL CERTIFICATE FOR, MINOR SUBDIVISION OF LAND j �" ���`0, 0 = EIP (EX. IRON PIN) CERTIFY THAT THE SUBDIVISION PLAT SHOWN HAS BEEN FOUND TOI�r,Q A5 DESCRIBED COMPLY WITH THE SUBDIVISION REGULATIONS OF CATAWBA COUNTY AND IS j +' f }( = NO PHYSICAL CORNER SET APPROVED FOR RECORDING IN THE OFFICE OF THE REGISTER OF DEEDS OF �3 J OR FOUND CATAWBA COUNTY WITHIN THE SIXTY DAYS OF THE DATE OF THIS POWER POLE APPROVAL, 50 0 25 50 100 200 = NCGS MONUMENT I = LINES NOT SURVEYED TIE LINES —__— GRAPHIC SCALE: 1 Inch 1 .SQUARE IRON= 50 ft- � = RIGHT OF WAY = PROPERTY LINE DIRECTOR OF PLANNING OR DESIGNEE DATE ' f CERTIFICATE OF SURVEY AND ACCURACY: f 1, MILES A. WPIGHT CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY PRELIMINARY PLATRVEYED BY: MILES A. UMBERWRIGHT, PIS. j SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVISION r 1 ` HE AREA OF A COUNTY SUBDIVISION OF LAND WITHIN WRIGHTENGINL�WRIGHT SCSOCIRvE�ORS LICENSE NUMBER L5256 (DEED DESCRIPTION RECORDED IN 1534 PAGE 0525, ETC. ): TOR H THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS AN ORDINANCE THAT REGULATESLICENSE# C-4053 DRAWN BY: LGC DATE:APRIL, 2022 NOT FOR INFORMATION FOUND IN BOCK - PAGE THAT THE RATIO OF PARCELS OF LAND. j PRECISION AS CALCULATED IS 1AS AMEN THAT THIS PMA a, F F.�ll�, TION OR Cf^' NVEY j1 NCE � 2D9 1ST AVE. SOUTH APPROVED BY: MAW FILE: 1591-001 ACCORDANCE WITH G.S. 47-30 AS AMENDED. WITNESS MY I �yPjjE'!�, l.,J� /`-�1+ '� ► CONOVER, NC 228613 LICENSE NUMBER AND SEAL THIS 8TH. DAY OF APRIL A-D., 2022. 6 EIP • . CIATES SCALE: 1" = 50' I" SQUARE IRON SURVEYOR (828) 465---2205 OFFICE SURVEYOR LICENSE NUMBER REVISION: Catawba County Environmental Health En si ,,,,‘, Ki, •5186 0172 ?ro49 8400 160.00 50.00 184.50 •v , •°r-i'+ .i-ri ... ♦5214 �VN OR r� • 41 [2,53 Eta / , 236.78 y 5° &328 � fat . 15.79 :-... C to ark x.,• .,. • 687.78 N a 0 120. • 68 0384 '.67 • 280' tJc .:1 • • , $ ' * T.-14,3 ' t it7 Parcel: 368901197319, CATAWBA, 28609 1 in=200ft 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 12/01/2022 12/1/22,9:02 AM Parcel Report Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 368901197319 Owner: WHITENER TERRY L Parcel Address: Owner2: WHITENER MELANIE S City: CATAWBA, 28609 Address: 8370 SLATE ST LRK(REID): 20168 Address2: Deed Book/Page: 1534/0525 City: TERRELL Subdivision: BATTLE RUN CREEK PHASE I State/Zip: NC 28682-8724 Lots/Block: 5/ School Information: Last Sale: $22,500 on 1987-10-01 School District: COUNTY Plat Book/Page: 22/264 Legal: LOT 5 5 PL 22-264 BATTLE R PL 22-264 Elementary School: BALLS CREEK Middle School: MILL CREEK Calculated Acreage: 9.890 High School: BANDYS Tax Map: 019 Y 04039 Township: CATAWBA State Road #: Tax/Value Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: BANDYS Zoningl: R-40 Building(s) Value: $0 Zoning2: Land Value: $100,400 Zoning3: Assessed Total Value: $100,400 Zoning Overlay: WP-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 Permit Address Search for this parcel. Firm Panel #: 3710368800J If available, Building Permits for this parcel. Septic 2010 Census Block: 2011 links are not permits. 2010 Census Tract: 011501 Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY Environmental Health. Building Details WaterShed: WS-IV Protected Area Voter Precinct: P5 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. gis.catawbacountync.gov/nomap/parcel_report.php?key=368901197319&type=u 111 K1411111 .--!,, CATAWBA COUNTY 100A SOUTHWEST BLVD p NEWTON,NORTI I CAROLINA 28658 RECEIPT PHONE:828.465.8399 Thursday,December 1, 2022 I8 2 5M www.catawbacountync.gov PAYOR: Quail Hollow Building Company Quail Hollow Building Company(Levan,Keith) PAYMENTS TRANSACTION NUMBER: TRC-5232780I-01-12-2022 PAYMENT DATE: 12/01/2022 PAYMENT TYPE: Check 3412 NCDL2189292 exp 11/5/27 dob 11/5/61 INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT • 12-22-415384 110-580200-663000 Improvement Permit Fee $150.00 TOTAL PAYMENTS: S150.00 EHPR-12-2022-42913 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 5201 BATTLE RUN DR,CATAWBA NC 28609 Owner TERRY WHITENER,8370 SLATE ST,TERRELL NC 28682 H:828478324 I C:7042196390 Contractor QUAIL HOLLOW BUILDING COMPANY,212 CANAL DR,STATESVILLE NC 28677 C:7049021089 KGLEVAN@BELLSOUTH.NET "NO PEOPLESOFT ACCOUNT ASSIGNED•w receipt 12/01/2022 09:17 page 1 or 1