HomeMy WebLinkAboutRBPR-07-2023-44943.tif THIS IS NOT A PERMIT Case# RBPR-07-2023-44943
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d CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
\84�5M Residential Building Plan Review- Deck/Porch
EXS SYSTEM
Applicant *RELIA-BUILT CONSTRUCTION,INC. (JOHN SHERRILL),3797 HWY 16 N. DENVER NC 28037
B:7049661176 C:7049661176 OFFICE@RELIABUILTCONSTRUCTION.COM
Co-Applicant GARRETT SUGGS,4248 POINTE NORMAN DR,SI IERRILLS FORD NC 28673
Contractor *RELIA-BUILT CONSTRUCTION,INC. (JOHN SHERRILL).3797 HWY 16 N. DENVER NC 28037
B:704966 1176 C:7049661176 OFFICE!it�,RELIABUILTCONSTRUCTION.COM
Owner GERALDINE LAWRENCE.5723 GREENVIEW DR,GREENSBORO NC 27409
NAME TO APPEAR ON PERMIT
*Relia-Built Construction, Inc. (John Sherrill)
SITE ADDRESS: 4248 POINTE NORVIAN DR,SI-IERRILLS FORD NC 28673 PIN # 460719616374
NAME of Sl:BDIVISION: POINTE NORMAN Lot# 23 Section/Block
PROPERTY SIZE: Square Feet Acres 0.66
DIRECTIONS: NC 150,Right onto Point Norman Dr,Property on Left
PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank
GALLONS PER DAY: 360 WATER SUPPLY: Private Well
DESCRIBE WORK: Rebuild deck 30'x16'
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? Yes
Property Easements Description: 10'drainage easement
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: 48x48
NUMBER OF EXISTING BEDROOMS: 3 #OF OCCUPANTS:
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 30x16
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
ehapplieauon 07202023 I1:17 Page 1 or
CATAWBA COUNTY Case# RBPR-07-2023-44943
Public Health Department Subdivision POINTE NORMAN
Environmental Health Division PIN# 460719616374
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
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NAME ON PERMIT: *RELIA-BUILT CONSTRUCTION,INC. (JOHN SHERRILL),3797 HWY 16 N,DENVER NC 28037
*Relia-Built Construction, Inc. (
Site Address: 4248 POINTE NORMAN DR,SHERRILLS FORD NC 28673
Property Size: Square Feet Acres 0.66
Directions: NC 150,Right onto Point Norman Dr,Property on Left
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
Existing Tank Check Fee 07/20/2023 $80.00
TOTAL FEES S80.00
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)
ehapplication 07/20/2023 1117 Page 2 of 3
a.. catawbacounty
public health
Application for Environmental Health Services
THIS!KNOT A PERMIT
Application is for: New Construction ❑Existing Facility
0 Improvement Permit ❑Authorization to Construct
[New Septic ❑Septic Repair/Malfunction ❑Septic Relocation ❑ Septic Expansion
[HExisting System Inspection or Reconnection
_❑New Well ❑Replacement Well ❑ Well Abandonment ❑ Well Repair
Property Address Uln+j° Morrnan h.e.i:rtlis R r
Acres Subdivision Lot#
Driving Directions to Property ("\L \ T)L -) I e \} Cr\ �r'V(i`�C-r\ >-!. . f} G
Describe work
vir_
Applicant Name P-e -.&WA narstrilatiOn
Applicant Address Po"briacCILO ¶Qnvaif NO., Mni
Phone flt0 Email ofEteQ 14110.0ul H-constr1. Q[1.C'
Owner Name
err �
Owner Address LL 4 1hl)Nict_ma n
Phone _ I Email
Contractor Name ( to_-pju44 '' � ,Dn
Contractor Address
Phone Email
Name to Appear on Permit? ❑Owner [Applicant [Contractor
Who will be the Primary Contact? El Owner 'Applicant El Contractor
Proposed New Construction-Residential
Primary Residence ❑ New Residence Pf Addition to Residence #of New Bedrooms*t #of Occupants
Project Description
Structure Dimensions,also specify dimensions of decks&porches
(Choose One) El Basement ❑Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑ Yes ❑ No
Retaining Wall>2' ❑ Yes ❑ No
Accessory Dwelling #of New Bedrooms*t #of Occupants Structure Dimensions
(Choose One) 0 Basement ❑Crawl Space El Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes El No
Retaining Wall>2' ❑ Yes ❑ No
Accessory Structure(s)Describe l C,( Structure(s)Dimensions 3nt t< U.e
Plumbing ❑Yes Q No Describe Plumbing Needed
(Choose One) ❑Basement 0 Crawl Space ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑ Yes El No
Retaining Wall>2' ❑ Yes VI 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 ❑ Slab If Basement,Will There Be Water Using Fixtures In Basement ❑Yes ❑ No
Retaining Wall>2' 0 Yes ❑ No
Well Construction/Abandonment/Repair
Proposed Well Type 0 Individual Well 0 Semi-Public Well 0 Community Well
Abandonment Type 0 Drilled 0 Bored ❑ Dug 0 Unknown
Well Repair Requested 0 Yes 0 No Describe
Will Certified Well Contractor Install Water Line or Electrical Line from Well Head to Pressure Tank?❑Yes 0 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 1\ e Structure Dimensions 4:-K7 y g
#of Bedrooms* #of Occupants _ I
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 ❑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 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.
Oyes 1]"No Does the site contain any jurisdictional wetlands?
12 Yes l No Does the site contain any existing wastewater systems?
Oyes DrNo Is any wastewater going to be generated on the site other than domestic sewage?
es la'No Is the site subject to approval by any other public agency?
❑Yes alto 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.
**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,angering,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 Agent0,.$0J-9 Date 1 56
Printed Name of Owner or Legal Agent PIEQ ►4I 12eA1Q-Diu t(- ebriotr Let et'
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Parcel: 460719616374, 4248 POINTE NORMAN DR SHERRILLS FORD, 28673
Owners: LAWRENCE GERALDINE GILES,
Owner Address: 5723 GREENVIEW DR
Values - Building(s): $619,200, Land: $204,900, Total: $824,100
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
07/07/2023
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Parcel: 460719616374, 4248 POINTE NORMAN DR SHERRILLS FORD, 28673
Owners: LAWRENCE GERALDINE GILES,
Owner Address: 5723 GREENVIEW DR
Values - Building(s): $619,200, Land: $204,900, Total: $824,100
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
07/07/2023
1
LAKE NORMAN
-SE E
SEPTIC '
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OWJNErL
PO box 889 Denver, NC 28037 Office:704-483-5125 Fax: 704-483-5933
info@LakeNormanSeptic.com www.LakeNormanSeptic.corn
•
CATAWBA COUNTY hhEALTH DEPARTMENT
Telephone: (704) 465-8270 TDD: (704) 465-8200
Improve. Permit Authorization to Construct Repair Permit V Oper. Permit System Type
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g i . o,, �— `.i t� L I' S I 3.7 0•- q�Cyv
Owner/Agent ent u !n CS Phone
Address rtti Lt. N' nKdvK 1 1 Subdivision_,j,vl' Aidr•!1c,,,
5,1,uv C , ac(v7-3 Section/Block/Phaase Lot# Q -S
Lot Size/��p ,Q 73'- Direc/ctions: l(� -S - -04-1. /S'L'"-g-��`"011 12 ,4,1- i
/eel) V'1 U vl'Yu3vh 6t", /D 94 o2 3 an. ( Lt.(�_ ._-Tlh vim)
Facility: House ✓ Mobile Home Business . Other: Tax Map # /c4 F - /-- ,,,2 3
Multi-family Other . Zoning Approval # 2 9 - O 3 3c S
# Bedrooms 3en -f # Seats # Employees . Application Rate . It GPD Flow 3(, '1'.
Hot Tub or Spa yes/no Special Fixtures . 100% Repair Area /no
Basement yes j Basement Plumbing yesr,
Water Supply: Private Well Public
Type of System: Trench V Bed Pump. Pump/Panel Panel LPP Other Sct'►.tc( /r'/lec/
Tank Size: Septic Tank Size E, S1414,%5 Pump Tank Size
tt may,, sUf�l
Nitrification Field: Total Square Feet 900 Depth of Stone ice- Bed Size
_ 4
Trench Width ,� Total Length of All Trenches 36 O Number of Trenches
Individual Trench Length 7 - / 7' / 7 / 7S / Feet on Center Maximum Trench Depth
Distance of Nearest Well a.t�6-C.% *DO NOT INSTALL WHEN WET* - 5c) r V.0 &u< .{
Topo % Slope st J1012)
Texture -Pi5 C-CvvI
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Structure. �' ( Act rn b-e,P s
Clay Min. ,.
Soil Wetness .%
Soil Depth ' X 7 ,r
Restric. Hoz. at ' ,
Available space yes/no f1 r • -- -.it.. ., , /
Overall Class S PS U x l5 0'a1 r
Comments: N" s /� ��� I+
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**NO GUARANTEE OR WARRANTY IS 1PIE'L1E15 OR GIVEN AS TO THE 1�'PF'URMANCE UK LNO'1'H O1 Tic E '1'HIS6y�,�/, ..,,f�`p�
SYSTEM WILL FUNCTION** Q
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*Improvement Permit has no expiration date and is transferable, but may be revoked if site
plans or intended use changes for the proposed facility. An Authorization to Construct is
valid for (5) five years from date issue3. and is not transferable.
Permit Date 7— /;)` q(/ "iti, /,
�/ / r
Owner/Agent f Sanitarian I1/,((�t -
Installed By3 (; rile,l;�,U1,1D Date g---C ' �G Sanitarian �allAi.. S,Vv,, .---
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White-Office Yellow-Owner/Agent
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***Op. Permit and/or Cert. Op. Required (Must be completed prier to final) N° 0 3 0
CATAWBA COUNTY HEALTH DEPARTMENT
/ (704) 465-8270
Lot Eval. C
rove. Permit - pair Permit C rtr. f Comp. Permit`—Oper. Permit
Owner/Agent rr) ivi S fh � Phone 9O - 3S-- 98VZ)
r-� (Jc1j �t
Address ij a() (P /i/7 7 AJOQMAA/ pit, Subdivision $ i,IJT NOtt i!
Sheri!(S fo,d. N(C..., .?g,.7 3 Section/Block/Phase Lot# "`�
Lot Size a Directions:
No A /47- Ter-A--
Facility: House Mobile Home Business . Other: Tax Map # A3 0 3
Multi-family Other . Zoning Approval # 5-6
Bedrooms 3 Seats Employees . Application Rate GPD Flow 3 Q
Hot Tub or Spa yes/4Dpecial Fixtures . 100e Repair Area a no REPAIR NOTICE:
Basement yes, , Basement Plumbing yes( ). REPAIRS MUST BE W IN 30 DAYS OR
Water Supply: Private Public L - . DAYS FROM DATE OF PERMIT.
Type of System: Trench t/fed Pump Pump/Panel Panel LPP Other
Tank Size: Septic Tank boy
_ Pump Tank
Nitrification Field: Total Square Feet QO'r Depth of Stone Bed Size
Trench Width 31
Total Length of All Trenches 3Qnr "-- Number of Trenches `u--
Individual Trench Length 2.3e-/ /7 c / Feet on Center 9 / Maximum Trench Depth . 1
Distance of Nearest Well -- ' Lot Evaluation: prov_: �, o (Void After 24 months)
Topo SG e Slope Sketch of lot Evaluation Si e - S em Design` Fina s
Texture c..cfylletrr DO NOT
INSTALL ..-
Structure i3LF,„-y WHEN WET
gi.)/f-
Clay Min. /,'J
Soil Wetness "
Soil Depth 9...2... _
Restric. Hoz. at - - .,}T �2ti
Available space MP no . -
Overall Class S v'S I D,uJ�S1S- J
Comments: 9J \— � '
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Septic Tank Contractors
MUST contact the I rA1.72- i2
Sanitarian BEFORE
changing permit. I Jos%AR.Pi-,
**NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THRO ti*�'{TrIS JH�I PERMIT**
Permit Date j i /995- (Improvement Permit void after 60 months)
X.Owner/Agent MOAA, L,� 0✓ 1 Sanitarian �- -g--, I
Installed By hnO('-.c..P,rn CcN; Date 7-.2Ct -`)s' Sanitarian y-- - . , , �_
(Note any changes/information in red or by sketch on back)
IF A PERMIT HAS TO BE REDESIGNED AND/OR,RETRIPS MADE TO THE PROPERTY, THERE IS AN
•
ADDITIONAL $25 CHARGE. ,Y
White-Office Blue-Building Inspection Completion Yellow-Owner/Agent Green-Building Inspection IP J
- CATAWBA COUNTY HE ' .IH DEPARTMENT
Telephone: (704) 465-8270 ): (704) 465-8200
Improve. Permit Authorization to Construct Repa Y Permite-�V er. Permit's System Type
Owner/Agent 7, ,K4-6 r J P Phone 5/),SS - 585 z
Address 442. yR' POJ4Jr / p- ,iJ .1)aL Subdivision
. C12:121 C.�5 r-04..1.? ,,,CAC. 4,3 Section/Block/Phase Lot#
Lot Size Directions: Jape i/U7-c] P1)/1V7 E" Arr1R.,„trOtfLl I-9
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Facility: House c— Mobile Home Business . O her: Tax •
Multi-family Otter / 'ng Approval
# Bedrooms ea s ,#:Employees . Appli "state PD Flow
Hot Tub or Spa.-}es/no Special...- tures . 100% a rea ye o --' -,
Basement3egrno 'Raement Pl. _ n es/no
Water Supply: Private Well " Public
Type of System: Trench Bed Pump Pump/Panel Panel LPP Other [/ .t •K
Tank Size: Septic Tank Size C-)L/Sr,,J(r Pump Tank Size
Nitrification Field: Total Square Feet y.s d Depth of Stone - Bed Size
Trench Width Total Length of All Trenches /, Number of Trenches c
Individual Trench Length 75 /77S/ / / Feet on Center 7 Maximum Trench Depth 11
Distance of Nearest Well '--� ' *DO NOT INSTAL WET*
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**NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PRF0 CE OR LENGTH OF TIME THIS
CYETBM WILL FUNCTION*
*Improvement Permit has no expiration date and is transferable, but may be revoked if site
plans or intended use changes for the proposed facility. An Authorization to Construct is
valid for (5) fi�ve, years from date issued and is not transferable.
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Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 460719616374 Owner: LAWRENCE GERALDINE GILES
Parcel Address: 4248 POINTE NORMAN DR Owner2:
City: SHERRILLS FORD, 28673 Address: 5723 GREENVIEW DR
LRK(REID): 800193 Address2:
Deed Book/Page: 3369/1062 City: GREENSBORO
Subdivision: POINTE NORMAN State/Zip: NC 27409-2207
Lots/Block: 23/ School Information:
Last Valid Sale: $499,000 on 2016-10-31 School District: COUNTY
Plat Book/Page: 35/148 Elementary School: SHERRILLS FORD
Legal: LOT 23 PL 35-148 Middle School: MILL CREEK
Calculated Acreage: .660 High School: BANDYS
Tax Map: 012FX 01023
Township: MOUNTAIN CREEK School Map
State Road #: 2768
TaxNalue Information: Tax Rates Zoning Information:
City Tax District: All in County Zoning District: COUNTY
County Fire District: SHERRILLS FORD Zoningl: R-30
Building(s) Value: $619,200 Zoning2:
Land Value: $204,900 Zoning3:
Assessed Total Value: $824,100 Zoning Overlay: CRC-O,WP-O,FPM-O
Year Built/Remodeled: 1995/ Small Area: SHERRILLS FORD
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 #: 3710460700J
If available, Building Permits for this parcel. Septic 2010 Census Block: 4001
links are not permits. 2010 Census Tract: 011504
Septic Final Permits prior to 08/2018, contact Agricultural District:
Environmental Health.
Building Details `_
WaterShed: WS-IV Critical Area Lbe 1 ANV) q PL-1
Voter Precinct: P41/Voting Map
Parcel Report Data Descriptions /(Z.w
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