HomeMy WebLinkAboutEHPR-06-2023-44540.tif , THIS IS NOTA PERMIT Case# EIIPR-06-2023-44540
d CATAWBA COUNTY I-IEAL FI I DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
181119 42 SM Environmental Health Plan Review-OSWP
IMPROVEMENT
Applicant KEY BUILDERS (MANDI 1-IOLLII)AY), 1459 N ASPEN ST,LINCOLNTON NC 28092
C:7047350040 MANDI«.KEYBUILDERSNC.COM
Owner CARLOS COUTO, 1717 BUFFALO SFIOALS RD,CATAWBA NC 28609
COUI'O70@YA1100.COM
NAME TO APPEAR ON PERMIT
Key Builders (Mandi Holliday)
SITE ADDRESS: 1709 BUFFALO SI IOALS RD,CATAWBA NC 28609 PIN# 367904742029
NAME of SUBDIVISION: Lot H 1 Section/Block
PROPERTY SIZE: Square Feet 40,554.36 Acres .931
DIRECTIONS: S NC 16 Hwy left Buffalo Shoals Rd on left before E Bandys Cross Rd
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Public Water
DESCRIBE WORK: IP only 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? Yes
Property Easements Description: 45'ROW
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: 6
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 48 x 36
#OF NEW BEDROOMS:: 3
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
06/06i2023 13:18 I'agc 1 of 3
Vy • • CATAWBA COUNTY Case# EHPR-06-2023-44540
.t. Public Health Department Subdivision
d Environmental Health Division PIN# 367904742029
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
/842 v,
NAME ON PERMIT: KEY BUILDERS (MANDI HOLLIDAY), 1459 N ASPEN ST,LINCOLNTON NC 28092
Key Builders ( Mandi Holliday)
Site Address: 1709 BUFFALO SHOALS RD,CATAWBA NC 28609
Property Size: Square Feet 40,554.36 Acres .931
Directions: S NC 16 Hwy left Buffalo Shoals Rd on left before E Bandys Cross Rd
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
AREA4
FEENAME DATE FEE AMOUNT
Improvement Permit Fee 06/06/2023 $150.00
TOTAL FEES S150.00
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)
eliapplicunon 06/06/2023 12:53 Page 2 of 3
DocuSlgn Envelope ID:2335EEBD-8C63-4978-B82D-E68A97A234F0
catawba county
public health 5 y0
Application for Environmental Health Services
THIS IS NOT A PERMIT
Application is for: ®New Construction ❑ Existing Facility
® Improvement Permit ❑Authorization to Construct
❑New Septic 0 Septic Repair/Malfunction ❑ Septic Relocation ❑Septic Expansion
❑ Existing System Inspection or Reconnection
❑New Well riol ❑ Replacement Well pli6' ❑ Well Abandonment ❑ Well Repair
Property Addrgsl Ruffaln Shoals Road Catawha ParneL#367904747029 Lot is being sub divided
Acres_1.335 Subdivision Lot# 1
Driving Directions to Property 321 Bus N TR onto Springs_Fast Road TLnnto_B.uffalo Shoals Rd
Describe work Single Family Residence-Framing- Flectrical - Plumbing -Mechanical
Applicant Name Key Builders, Inc _
Applicant Address 1459 N Aspen Street Lincolnton NC 28092
Phone 704-735-0040 Email mandi@keybuildersnc.com
Owner Name Carlos Couto
Owner Address 1717 Buffalo Shoals Road Catawba, NC 28609
Phone 704-685-0292 Email Couto70@yahoo_com
Contractor Name Key Builders. Inc
Contractor Address 1459 N Aspen Street Lincolnton NC 28092
Phone 704-735-0040 Email mandiQkeybuildersnc,com
Name to Appear on Permit? ❑Owner ®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 3 #of Occupants 6 max
Project Description New Single Family Stirk Rt�ilt
Structure Dimensions,also specify dimensions of decks&porches 48x36
(Choose One) ❑Basement ❑Crawl Space ® Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No
Retaining Wall>2' ❑ Yes ® No
Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions
(Choose One) ❑Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No
Retaining Wall>2' 0 Yes ❑ No
Accessory Structure(s)Describe Structure(s)Dimensions
Plumbing ❑Yes ❑No Describe Plumbing Needed
(Choose One) ❑ Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No
Retaining Wall>2' ❑ Yes ❑ No
Multi-Family Residence #of Apartments #Bedrooms per Apartment*t Total#Bedrooms in Structure*t #of Occupants
Structure Dimensions
(Choose One) ❑Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement 0 Yes ❑ No
Retaining Wall>2' 0 Yes ❑ No
Well Construction/Abandonment/Repair
Proposed Well Type ❑ Individual Well 0 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?0 Yes 0 No
Environmental Health
Catawba County Government Center,25 Government Drive I P0. Box 389, Newton, NC 28658
Phone: (828)465-8270 I Fax: (828)465-8276 I EHAdmin@CatawbaCountyNC.gov
DocuSign Envelope ID:2335EEBD-8C63-4978-882D-E6BA97A234F0
I,AIJIIiI .MI MAUI tb WI CLIC
Describe Structure Dimensions
#of Bedrooms * #of Occupants
Basement ❑ Yes ❑ No Basement Plumbing ❑ Yes ❑ No
Existing Water Supply
Ej 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 ❑ Existing/Change of Use ❑ Repair
Food Service Specify Type
#Seats Dining Area(Sq.Ft.)
#Employees per Shift #of Shifts
Church #of Seats Daycare❑Yes El 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 t (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?
0 Yes 0 No Is any wastewater going to be generated on the site other than domestic sewage?
0 Yes 0 No Is the site subject to approval by any other public agency?
❑Yes 0 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 0 Alternative 0 Conventional 0 Innovative 0 Other 0 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.
** IfNo,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 lithe 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 Agenl{s(ahe Date 6/1/2023
Printed Name of Owner or Legal Agent Carlos Couto
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Parcel: 36790� 4742029, 1717 BUFFALO SHOALS RD CATAWBA, 28609
Owners: SOARES MARIA ESMERALDA, SOARES MARIA COUTO
Owner Address: 1717 BUFFALO SHOALS RD
Values - Building(s): $311,300, Land: $80,000, Total: $391,300
This mapheport 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
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Parcel: 367904742029, 1717 BUFFALO SHOALS 1 in=200ft
RD CATAWBA, 28609
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 2023 Catawba County NC
06/02/2023
Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 367904742029 Owner: SOARES MARIA ESMERALDA
Parcel Address: 1717 BUFFALO SHOALS RD Owner2: SOARES MARIA COUTO
City: CATAWBA, 28609 Address: 1717 BUFFALO SHOALS RD
LRK(REID): 2631 Address2:
Deed Book/Page: 3383/0064 City: CATAWBA
Subdivision: State/Zip: NC 28609-8027
Lots/Block: / School Information:
Last Valid Sale: $65,000 on 2006-04-24 School District: COUNTY
Plat Book/Page: Elementary School: BALLS CREEK
Legal: Middle School: MILL CREEK
Calculated Acreage: 10.120 High School: BANDYS
Tax Map: 003 K 01017 School Map
Township: CALDWELL
State Road #: 1003
TaxNalue Information: Tax Rates Zoning Information:
City Tax District: All in County Zoning District: COUNTY
County Fire District: BANDYS Zoningl: R-40
Building(s) Value: $311,300 Zoning2:
Land Value: $80,000 Zoning3:
Assessed Total Value: $391,300 Zoning Overlay: WP-O,FPM-O
Year Built/Remodeled: 2007/ Small Area: BALLS CREEK
Tax Revaluation 2023: Info, COMPER Split Zoning Districts: /
Online Appeals Zoning Agency Phone Numbers
Valid Sales (COMPER) for this parcel
Contact Tax Dept. at 828-465-8436
Current Tax Bill
Miscellaneous: Firm Panel Date: 2007-09-05
Building Permit Address Search for this parcel. Firm Panel #: 3710367900J
If available, Building Permits for this parcel. Septic 2010 Census Block: 4014
links are not permits. 2010 Census Tract: 011402
Septic Final Permits prior to 08/2018, contact Agricultural District: PROXIMITY
Environmental Health.
Building Details
WaterShed: WS-IV Protected Area
Voter Precinct: P1/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.
y-,d,�, CATAWBA COUNTY HEALTH DEPARTMENT
.
Telephone: (828)465 8270 DD: (828)465 8//��p W1.S #r2llQ(�-80 WV
Improvemc�ft Permit ' AC )( Repair Permit. Operation Permit. /v System Type. l,' Well Permit.)( Replacement Well /.3't/
Ou>ner/Agent C A- i o 5 p - sJfi-27� I Phone ?Q ii . 3O 7- -3s---,z 7
Address . /9/ 7 L3 u FF,4-L1) SWTR/S g..DA,O Subdivision
CA'n4cuil- t , N. C, a W3n5 Section/Block/Phase Lott
Lot Size 11D, z4 4)irections: /6 S () g gp_i9.GO I A�i) _ P -Ss5 C:_—_ AAI j±G42,44 /5
i/,1=�v AQ 6o �P,t is O y.,5 4i)7-=.. O A Qj
-- —Property •ddress_--j 7/9 A3itr.F.4_t0_Shonts 4,461)
Facility: House_ Mobile Home Business Multi-family Other: Pin Number 342? 0 S9 ao a9
Other . Zoning Approval# _ t
#Bedrooms # Seats #Employees . Application Rate GPD Flow
Hot Tub or Spa ye no pecial Fixtures Basement yes to . 100% Re air Area yes/no
Basement Plumbing ye [to Water Supply: Private Well )c Public Semi-Public
*************************************************************************************************c *ov'a}***********rt.)
Type of System: Trench Bed — Pump -- Pump/Panel _ Panel —LPP - Other ac3fi Pr.o c, r�N ..$ya
Septic Tank Size /DOD Pump Tank Size — Nitrification Field: Total Square Feet_Ja4Q Depth of Stone MO-
Bed
Size - Trench Width 3 / Total Length of All Trenches Van Number of Trenches 91-
Trench Length /O0//0 of/od//0O/—I --- Feet on Center 9 / Maximum Trench Depth Distance of Nearest Well
*DO NOT INSTALL SEPTIC WHEN WET* *WELL : CORD REQUIRED AT COMPLETION*
************************************* '.. ******************************************* ***************************************
Topo % Slope
Texture
Structure Jet.- 1
Clay Min. if,Ad oti.�
Soil Wetness " pt"'�r gyp,
Soil Depth " ./{}- 0"i
Restric. Hoz. at " �` '/�/
Available space yes/no \ vV /%5/
Overall Class S PS U "/ p'D
Comments: /j
/ 4S107 ?Onkdcbe-
\s�� lc+�;cad Cvnn(`n5
,� c; LOB +'( •• U/et i
\k
r>
if0-0nrr
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+;' T! jg 14c -
4.Filter Required $ d `�sfi'At7
Riser required when .
tank is more than 6 747
inches deep.
**NO GUARANTEE OR WARRANTY IS I PLI D 4 R GIVEN AS TO THE PERFORMANCE eR LENGTH OF TIME THIS SYSTEM
WILL FUNCTION**
'************************************* *,*** *** ************************************ ************************************
i97.l r
• An Authorization to Construct is valid for (5)five years from date issued and is not transferable. Well Permit valid for 5 years
provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be
inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use.
The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of
water is guaranteed at arty site by the Health Department.
Permit Date EIIS C- !----- R, E
Owner/ nt Septic Tank Installed By KS-rte/�t Date 4 t0-7
EHS/;�,{/ Well Installed By57v-t ui2e_Well Grout Approval Da Well Head
Approval tc_ Date Sample Collected
Date of Results Results EHS ,l,f '
White-Office Yellow-Owner/Agent Pink-Building Inspection Authorization to Construct 1�
%tea CATAWBA COUNTY Case# IMPV-10-2022-I82068
.fi.a Public Health Department Subdivision
d Environmental Health Division PIN# 3167904742029
PO Box 389,25 Government Drive,Newton,NC 28658 LOT# 1
IY
Site Address: 1711 /1709 BUFFALO SHOALS RD,CATAWBA NC 28609
Name on Permit: ESMERALDA SOARES
Property Size: Acres 10.12
Directions: 321 N Bus/Maiden Hwy, bear right onto Car Farm Rd, left onto Buffalo Shoals Rd, property on the right
Improvement Permit
AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS •
THIS PERMIT IS NOT FOR SEPTIC INSTALLATION ' 'llf''t
Permit Category: New Septic _ Wastewater Flow 480 g.p.d
Type of Facility: Multi-Family-duplex
Basement? No Basement Plumbing? No Bedrooms: 4
Water Supply: Public Water Mexlmum Occupants: 8
INITIAL SYSTEM SPECIFICATIONS
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 25%REDUCTION
System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS .._....,..-
Permit Conditions: 'Do not cut, drive,fill,or grade over septic or repair areas.
'This is an improvement permit only and is not intended for septic installation purposes.
Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent propor
drainage away from the septic system, including the direction of gutter flows or foundation drains,Is not approved,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 arc 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 Sewage Treatment and Disposal Systems' (I5A NCAC 18A.1900). Neither Catawba County nor the Environmental I Iealth •
Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. :i;:•: '•
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.
•
10/11/2022
Authorized State Agent Permit Issuance Date
10/11/2027
Permit Expiration Date
No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department.
ahpcnnit 10/I1/2022 16:30
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This map/report product was prepared from the Catawba County.NC Geospatfal Information Service.. Catawba County has made substantial efforts
to ensure the accuracy of iocetbn end labeling Information contained on MI6 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
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Copyright 2021 Catawba County NC
10/17/2022
DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet ! oj?
DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID M:
ON-SITE WATER PROTECTION BRANCH y« COUNTY:_Catawba,
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
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OWNER: _ APPLICATION bATg.
ADDRESS: DATE EVALUATED: ff 3YZP
PROPOSED FACIL IY: r€tr44aplig.. PROPOSED DESI W(.1949): We, PROPERTY SIZE:
LOCATION OF SITE: 6 707 k 1711 B, t.'4 PROPERTY RECORDED:
WATER SUPPLY: 0 Mute - ( Public 0 Weil 0 Spring 0 Other
EVALUATION 114111 10D: 0 Auker Boring &Pit 0 Cul TYPE OF WASTEWATER: 0 Savage 0 Indiana'Process D Mixed
R ; .: • SOIL MORPHOLOGY
Y : (1941) PROFILE F CTORS.
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DESCRIPTION RIP'I7oN D T1AL SYSTID4 REPAIR SYSTEM OTHER FAcrogS 0946):
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SITE CLASSIFICATION(.1948):
System Typo(e) 2 ,� 1 j EVALUATED BY:
}" K� OTHER(S)PRESENT: f _Fnw
SiteLTAR Q, . ?Jr
COMMENTS:
Updated February 2014 i' `
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DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID#: -
DIVISION OF PUBLIC HEALTH DATE OF EVALUATION: T7ss/=,z
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ON-SITE WATER PROTECTION BRANCH ..,
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Parcel: 367904742029,474.7 BUFFALO SHOALS 11n=100ft
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This map/report product was prepared from the Catawba County,NC rzonsontiel I rift.ii ti,n Services, Catawba County has made substantial efforts %" i?
to ensure the accuracyof location and labeling Information oor►falned on this map or data on this report.Catawba County promotes and reoomrhendq',
the Independent verffcation of any data contained on this map/report product by the user.The County of Catawba.Its employees,agents,and - • .. t
I personnel,disclaim,and shag not be held liable for any and all damages,loss or tabilty,whether direct,Indlnect or consequential which arises or may, y„
arise from this map/report product or the use thereof by any person or entity.
Copyright 2021 Catawba County NC . w
1 0/1 1/2022 .
�g'p' • CATAWBA COUNTY
t ‘..°.1 100A SOUTHWEST BLVD
NEWTON,NORTH CAROLINA 28658 INVOICE/RECEIPT
�h PHONE:828.465.8399
v ��►� Tuesday,June 6, 2023
8 4 2 srn www.catawbacountync.gov
Invoice Number: 06-23-423629 Invoice Date: 06/06/2023
EHPR-06-2023-44540
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 1709 BUFFALO SHOALS RD,CATAWBA NC 28609
Applicant KEY BUILDERS, 1459 N ASPEN ST,LINCOLNTON NC 28092
C:7047350040 MANDI@KEYBUILDERSNC.COM
**NO PEOPLESOFT ACCOUNT ASSIGNED**
Owner CARLOS COUTO, 1717 BUFFALO SHOALS RD,CATAWBA NC 28609
COUTO70@YAHOO.COM
PAYOR: Key Builders
Key Builders(Ilolliday,Mandi)
FEES
EHPR-06-2023-44540 FEE AMT DUE AMT
Improvement Permit Fee 110-580200-663000 06/06/2023 $150.00 $0.00
FEES: $150.00 $0.00
TOTAL FEES: $150.00 $0.00
PAYMENTS
INVOICE NUMBER FEE NAME FEE AMOUNT
TRANSACTION NUMBER: TRC-65722630-06-06-2023
PAYMENT DATE: 06/06/2023
PAYMENT TYPE: Credit Card
306436670
06-23-423629 Improvement Permit Fee S150.00
TOTAL PAYMENTS: $150.00
invoicereceipt 06/06/2023 12:59 Page I of I