The URL can be used to link to this page

Home My WebLink AboutRBPR-07-2013-17639.TIF'A .G d 184 sni THIS IS NOTA PERMIT Case # RBPR-07-2013-17639 CATAWBA COUNTY HEALTH DEPARTMENT PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES Residential Building Plan Reviely - Building Nely AUTH_CONST Owner STEFAN GABOR, 4926 BROOKRIDGE DR NE, HICKORY NC 28601 IT 8288552345 03605213676 HOME:8288552345 NAME TO APPEAR ON PERMIT Stefan Gabor ❑E D SITE ADDRESS: 1425 ZION CHURCH RD, HICKORY NC 28602 PIN # 370118216405 NAME of SUBDIVISION`: Lot4 2 Section/Block PROPERTISIZE: Square Feet Acres 3.6 DIRECTIONS: 127 S TO ZION CHURCH RD LOTS ON RIGHT JUST PASSED MEADOW LARK LN (WATERFORD SUBDIVISION) PRIMARY CONTACT: Owner SEWER TYPE: GALLONS PER DAY: 360 WATER SUPPLY: DESCRIBE WORK: 65x75 3 bedroom, w attached garage/ no bonus rooms, no basement SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? Yes Property Easements Description' 45' Right of way APPLICATION FOR: STRUCTURE TYPE: FACILITY TYPE: Single Family Residence DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: New Structure PRIMARY RESIDENCE OTHER DESCRIPTION: # OF OCCUPANTS PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 65x75 # OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? Desired system types (Improvement Permit or Authorization to Construct) ACCEPTED: ALTERNATIVE: OTHER. INNOVATIVE Other described: Septic Tank Public Water 2 PLUMBING REQUIRED? Yes CONVENTIONAL' ANY: YES 10-ehapph,:aion 07/09/2013 12 51 Page 1 of `_y r, CATAWBA COUNTY Cases REIPR-07-2013-17639 IF'�:�. Public Health Department Subdivision ¢, au /Y Fnvtronmental Health Division PIN# 370118216405 PO Bov 389, ICU -A Southwest Blvd, Newton. NC 28658 18 41 NAME ON PERMIT: STEFAN GABOR, 4926 BROOKRIDGE DR NE, HICKORY NC 28601 Site Address: 1435 ZION CHURCH RD, HICKORY NC 28602 Property Size: Square Feet Acres 36 Directions: 127 S TO ZION CHURCH RD LOTS ON RIGHT JUST PASSED MEADOW LARK LN (WATERFORD SUBDIVISION) Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable, Improvement Permits and Well Permits are transferrable Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility 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 I beling of all property lines and corners and making the site accessie so th�6 a complete site evaluation can be performed Date: % Q 7 Z J 1 J Signature of Applicant or Agent T I, 2�1' 61r7 /An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 MINIMUM SETBACKS FRONT: 30 SIDE: 15 REAR: 30 MAX HEIGHT: FEENAME DATE FEE ANIOUNT Authorization to Construct Fee (New/Expansion) 07/09/2013 S150.00 Fee TOTAL FEES 5150.00 SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 1 l) - ehapph.ulion 07/00/2013 12 51 Page 2 of 4 CT WB ® THIS IS NOT A PERMIT \ COUNTY L ,� L` , CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services f -Fpr— nw?n Page 1 Improvement Permit 0 Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre -Approval Required) ❑ �" Application is for New Construction 0. Existing Facility E:1Property Address J /,. � C �wr �N l�� Subdivision y/mon/ 21_12 Lot Acres 1 Section/Block/Phase Driving Directions to Property 1 L7 S - -�C' oti CN ;z, T.,.✓r r �z blv.,F <i (a� n J'� rr Jam- s -�-. MP 4 NAME TO APPEAR ON PERMIT? [29 -Owner ❑ Applicant ❑ Contractor Applicant Contact Information I Name Address Phone Owner Contact Information NameS y c�-rl-,ci % - 6A-,3,eiL Address Phone Contractor Contact Information Name Address Phone Cell Phone Cell Phone 34.o - S ) �,, -7,,- I 6 I Cell Phone WHO WILL BE THE PRIMARY CONTACT? N Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site # of Bedrooms *•r Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No 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 E�No Does the site contain any jurisdictional wetlands? ❑ Yes 127No Does the site contain any existing wastewater systems? ❑ Yes E No Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes R No Is the site subject to approval by any other public agency? ❑ Yes U No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi -Public Well ❑ County/City/Township Water Line Is a public Nvater supply available? ** ❑ Yes ❑ No 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) 0 Accepted ❑ Alternative P Conventional 0 Innovative 0 Other ❑ Any C /a T A A t� THIS IS NOT A PERMIT n coon CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Proposed Facility Type Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *i 3 Project Description Structure Dimensions -71 # of Occupants 2 Basement ❑ Yes [S- No Basement Fixtures ❑ Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *'I if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi -Family Residence # Units #Bedrooms per Unit*j' Total # Bedrooms *j' Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No if Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Page 2 Proposed Well Type ❑ Individual Well ❑ Semi -Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial .r Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *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 house plans as a bedroom at the tune of building permit issuance. This may prevent the need for septic system size increase in the future. I If structure is plumbed but no bedrooms, calculated design Flow is required. ** If No, a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized count), and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that 1 am solely responsible for the proper identification and labeling of all property lines and comers and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent '' o (' G� Date (� f I Printed Name of Owner or Agent Al: R, CATAWBA COUNT)' L< ,v Public Health Dcpall. mDi vimon PO Bos 339. I00-;\ Sou;hs+•est Bh•Ll. Newton. NC 2861; C tc ; IMPV-07-2013-039682 Suhdivtston PIN�i 370118216405 LOTk 1 NAME ON PERMIT: STEFAN GABOR, 4926 BROOKRIDGE DR NE, HICKORY INC 28601 Site Address: ZION CHURCH RD, HICKORY NC 28602 Property Size: Square t:c,.t 57,237.84 Acres 1.314 Directions: 1 72 GTO ZION CHURCH RD LOTS ON RIGHT JUST PASSED MEADOW LARK LN (WATERFORD SUBDIVISION) Improvement Permit Facility: Primary Residence - House Permit Category: New Septic Bedrooms 3 WATER SUPPLYPublic Water Basements No Basement Plumbing? No INITIAL SYSTE11vt SPECIFICiMONS Permit Valid: Expires In Five Years: _X_ No Expiration' Projected Daily Flow 350 g p,d Proposed Wastewater System: 25% REDUCTION Type: IIID - OTI IER NON -CONY TRENCH SYSTEMS Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 2510 REDUCTION Type: I11G - OTHER NON-CONV'1RENCH SYSTEMS Landscaping or otner site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drairage 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 su5pensten1cevocatton of exlslin'j permits, Th: tsauance Uritis permit by the I Iealtli Deparur.c•ni does not guni;uttee the i,suance of other permits. It is the responsibiln� of the opphcandproper1N oss'r.ci to insure that ;:II Ctmvihi County Planum 7omng and Building Inspections tegmremcnts are nut 1-105 Improvement Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. ['lie Improvement Permit is nut affected by a chonge in ownership of the proper tv. 'I his permit was issued in compliance with the provisiuns of the North Carolina 'Earn+ and Roles for Sewage 7)eouncnf and Disna.vul SrHeens' (15A NCAC INA .1900). Neither Catawba Count• nor the Environmental Health Specialist ++nrrants that the septic tank system will continue to funetiun satisfactorily for ant' given period of time. Robbie Phelps 07/08/2013 AK HORIZED STATE ACEN r APPROVAL DAI I. Permit Expiration Date 07/05/2018 NO gnrding or Consu ecnon uclivirp u' n/lurved Dr areas fkm-J1wv /jar svrrt of un r(rrpuu' n uhour +y,/n m.'u( ojlhe Health Deprrrnnanl. 1 9 - dq,C, m,k 07P W201 4 16 13 Pa -e l of CATAWB.A COUNTY i G Public Health Department w' Environmental Health Division PO Box 389, IOOA Southwest Blvd, Nekton NC 28658 1$ 2 sM (829) 465 8270 Fz\ (828) 465-8276 TDD (S2R) 465-82(K) SITE PLAN Permitu 141PV-7-13-039682 Name Stefan Gabor Address Zion Church lot I PIN# ScaleI • 0 0 '32 i zw BEDROOM 02 0'O x ww MASTER BEDROOFI Wx w• xne xne L�� I I gA741 _ L I �/ 2�o x'Gre I O 0 cd f 'eM 5A' T mw STUDY re x uw` DIN[ GREAT r - I Hare �J O k T,-+ya-LJ� I f� —r' KI N erc A I LAUNDRY y I I I e 64 I J ® O � O W� GARDE a'e x a1w nr re eoaam v ro mww.r+xevt I I�i chi ______JJ M Lnda pg, er. 4 iJ Ty NC OSR -✓ �� 4 �� 4�q M voo Qo M°j OP? 064.51, / coM 'n °54.54' f1 for (J8.98) {Ht28} qQ t Total {r7 for i `� {i� - '^•...1 S fN°ta --'. •wz t J43 Ja wos°1no Ned: s Oil. 2.I20 Acre N Db, T3017,NPQ �Tt8t85 $ i1 W _ 41611. Y ?�3N N88'S007E ,/Z-f°}b°` 183.85 O��' A N68 50 07"£ (e', 100.00 (publioi 132,64! tte'A 40.34'2 Apra (e) �� N6850'07 E 289.59 TeMel]] H t f Obu178fi' etzer Pb • 68. P 9" 525 4 64 56fi 25 p0"'N G\'�'Or�o Norman tot 1 �al' f Linda 98fi ntscahel 300F\\ Pb' 69, pg, 173,5 � 35 2O9 J� s°t1� I To?elTroM 2 Ob u i7g P' 8ef�zerr Pb. 68"p9%54 terrellrOCt ) u t16 JgP' Setz� er Af �g1N CA mi i pt- L� 25j 2S Sui.oeyor C 11 on 0° tufts SU, M$Iter, eIfiCB{e % rh 6' that th sOe --°aa' draw, Book 32$ °de Under nh's map w ear 8$ urderie, Po 0 4a tl`1 oksu�eeYed bye. A 8o ks'on {deed dyeUndeIllatm CaUp�$ oy fro ore �— °riled m 30 os omen 10 0+; POge -� tepNy indi`'^ Page .,.,..�, in h. Ca y` �9+no/dsignature ae4ist was thatthe e ratio �r°wn._....fr'o infonnoUon r Por precr % of eT_ + °� °n number en ,Chord 10, °s e` d once with C.S. A.1), 2013 seal this 'd 5urveYor Af �g1N CA mi i pt- L� 25j h S 1 g20t 2 ez1.205 Acres cIu�e$ r/11 r pb. g8 'pg4, 625 oG >t I Lie Tn,ertli'ze$te of T,_ Porges rs mid ctPolitY ftr Type of � p to I've hos on °fd oncehfhot rre4ulatasf ° Sury eyor vent o mi vent Wo ea �rv8 s SE I s�Q I a u \tea.\ ca lti to Norman o. Coo Hentechel o eS I s 9 undo sae (earls ) I (Ba 03') ( (JB.98') (81.19) + \1/2(')eEar 1{Pf)ear I \' \ I/2'nbar (Area computation by the coordinate method) I SSC'fpaoI P 555J`E f/2(aWr 1/2(1) 1/2(')lwii Tm. ry Pru Hl 664 54' Total 'n 06 3011. P9 1685 Lot 2 m:w 0e 5" h _•• 1; 2.120 Acres eyuN t030 ci njro *oi E 'i2(' le b� a4 60r'D Do R� re 1 0o zj0 ? 11, Hbg'S10k �, N00Lot 1 1 1.314 Acres (1.205 Acres excluding r/w) 1 a./'N g ITinct -2 Te ... 11 H. Sears, Susan P Selzer / I DI 1785' Pg. 525 Pb 68, Pg, 84 / Tract 1 Terrell H Setzar Susan P Setter Db 1786. Pg 525 Ph 68, Pg. 64 Surveyors Certificate of Survey and Accuracy I, Donald S. Miller. codify that this mop was drawn under my supeMalon from an mutual ney made underrvmm ow eupeu n (deed de,sormAon arced In Dook 31B4 , Page 875Dao,= gage , that the bmundarles not surveyed by me are cleady Indicated drown from information found In Book �Page = , that the tunan mf crecleima vakulated a 1: to,,oji that We plat was prepared In accordance with G.S. 47-30 as amended. Witness my original algnature, registration number and seal this 21st day of June AD. 2013 profwulonal Land Surveyor ,cense L-1257 rd4.0 H 47[+'4rtetllJu `� �N/2Nu oil iI,HyY1rN l4 i� �1/�� yam, V\\ \P_ hN6 -s. h 'icate of Type of Survey ny c cotes a eabdlrinon of land wmmm mem mf a omdpallty that has an ordinance that regubtee f iand. y ,Y F 1VU1.Gb. S66 ` Lot Y%25 1 1 property owners. lti to Norman o. Coo Hentechel easements, right of ways, restrictions, and undo sae Hent.chel shown hereon. Db 29116, g69', Total surveyed area(including new R/W): 3.787 Acres (Area computation by the coordinate method) I SSC'fpaoI P Pg. 1135 g 1 Selzer 7JOOB�� not surveyed at this time. These broken lines Terrell Ht Susan P. Db. 1786, Satter Pg 525 I11 F �u / 1 Pb 68, Pg 64 septic system and wells ITinct -2 Te ... 11 H. Sears, Susan P Selzer / I DI 1785' Pg. 525 Pb 68, Pg, 84 / Tract 1 Terrell H Setzar Susan P Setter Db 1786. Pg 525 Ph 68, Pg. 64 Surveyors Certificate of Survey and Accuracy I, Donald S. Miller. codify that this mop was drawn under my supeMalon from an mutual ney made underrvmm ow eupeu n (deed de,sormAon arced In Dook 31B4 , Page 875Dao,= gage , that the bmundarles not surveyed by me are cleady Indicated drown from information found In Book �Page = , that the tunan mf crecleima vakulated a 1: to,,oji that We plat was prepared In accordance with G.S. 47-30 as amended. Witness my original algnature, registration number and seal this 21st day of June AD. 2013 profwulonal Land Surveyor ,cense L-1257 rd4.0 H 47[+'4rtetllJu `� �N/2Nu oil iI,HyY1rN l4 i� �1/�� yam, V\\ \P_ hN6 -s. h 'icate of Type of Survey ny c cotes a eabdlrinon of land wmmm mem mf a omdpallty that has an ordinance that regubtee f iand. y ,Y F 1VU1.Gb. f• Current tax records are used to Identify adjoining e property owners. The property shown hereon is subject to oil easements, right of ways, restrictions, and agreements that are valid and enforceable not shown hereon. Total surveyed area(including new R/W): 3.787 Acres (Area computation by the coordinate method) The surveyed property is zoned R-20. Broken lines represent property lines which are not surveyed at this time. These broken lines were taken from deeds, plats, and other sources. 1/2" rebor were set at all new property corners The surveyed property will be served by individual septic system and wells The surveyed property lies within the Mountain View Small Area Planning District. The surveyed property is not located in close proximity to an agricultural district. The surveyed property lies within 2000' of N.C. Grid Marker I JMS 8 , but the companion marker to tie to grid was not found. ' -W?- f OVAI Owners: Stefan. Gabor Aurelia Gabor 1002 NE 91st Avenue Vancouver, WA 98884 GRAPHIC SCALE nor o Ap 1m mo eaa I ( IN FEET ) 1 Inch = 100 It. Family Subdivision Plat for Stefan T. Gabor Aurelia Gabor Address Zion Church Road-- Hickory, NC 28602 Hickory Township Catawba County North Carolina Scale: I"=100' Drawn By: les File 613tlg Deed ReferenceBook 3184 Page 675 PIn Number 3701-1B-21-6405 Plat Reference: Plat Book 69 Page 11 Tax Map Number: 132H Block 02 Lot 05 Survey By: gg/gb Date of Survey: 06-14-13 Drawing Number: H38-4632 Miller Surveying, Inc. 328 Foudh Street SW Hickory, NC 286D2 Phone: (828) 322-4013