ENVH REFUNDHarnett
COUNTY
NORTH CAROLINA
Account Number:
Project Number:
Vendor Name:
Vendor Number:
Remittance Address:
Date 8-15-12
COUNTY OF HARNETT
CHECK REQUEST FORM
110-0000-345.18-00
D R Horton, Inc.
2000 Aerial Center Pkwy., Suite 110
Morrisville, NC 27560
Mail to payee
Check to be picked up by:
(Requires approval of Finance Officer)
Approved: Disapproved:
Description
Amount
Environmental Health Soil Evaluation Fee
$ 725.00
Application number 12-5-29519 for
D R Horton, Inc. Stone Cross S/D Lt 100
Total Amount Due
$ 725.00
Reason for check request: Original Improvement Permit was issued on 7-21-11 for Stone Cross, LLC for the lot
listed above, application number #11-5-26919R. On 7-31-12 D R Horton, Inc revised the
application, was issued a new app. number 12-5-29519 and charged a fee of $750.00 for
soil eval. Error from Central Permitting's office - fee should have been only $25.00,
which is amount of a revision charge due to the previous permit being issued on this lot.
Refunding the difference between what was charged and what was actually owed.
This check request has been examined by me and is hereby approved for payment.
Department Head or Authorized Designee
Graham H. Byrd, R.E.H.S.
~s in to ment has been
preaudited in the manner required
by the Local Government Budget
and Fiscal Control Act
Date
Harnett County Finance Director
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Initial Apptlon Oah I t 2 ~1 " Application S I --T I kA
Coeval Pemdtdnp tot! E. Front COUNTY OF HARNmy REWZNTIAL LAND USE APPLICATION CU#
Stmt, LM441110n, NC 27616 Ptwne: (01O) tlfl3.7b26 01:t Fax(010)893-270
3 www
"ARf3GORDED SfJRVET WP. REt~RDED GEED (OR OFFER To P1t2Ctt . i SnE t+UW ARE ttEputeeo itM#JI
9JMMTWGA LAND USEAtbtr
mr. 16..
APPLICAPtT''• + ~ 1
Cftr- Mad app NCNktflpplatlpnlfdMl wt-w-M mn Okww .1Bot Nw Em"..
•
CONTACT wairAPPLyme IN 6FF=;
PROMTYLOCATWN: Sub*As oe;,`
Loth --.LotSme 3
Stall Road 0. ~r.~ stn, Road Nam.: a pop: -24
zo0'+~ZOm;'y Warbrg.l•. Deed Books
%&wawa wMPrgrmEn W....rwto.P
torn Proprm EneOy.
PROPOSED USE:
III' SFD: (ste # Bedroornia a • r,_•._ oafape
M aw borxrs room fir#hed7 cra'H sp'ce WAb, _1
no wh olaet7 t..._ ORN _
t- -)Y" as add In with # bedroom.) )
O Mod: (titre x t # Bedrooms * BattaL,_; Baaern.rrt (wMro bqh~,___~~• .
Oa the aeoond floor Ihttslted9 C._) Ya U no Any other alts bunk boot Deck; On F'nme,,,,,,_ OA' Framk _
• addttlora7 U !'+aa C....f no
G MarNdadutad Fforrte:..`SW _,,,p1N?W (Stz~ r ~ * '
Gatape+ je buRt?,,,~ p.~atfe bulltT~
0 MOMMU-N-) NO. BuHdktp L - No. Bedrooms Par UrtIC•
a Home Oommafion: # Room Use;
• Hours of OPeratton•
O AddWoNltoos*aoryllpfher. (She x t UN: *En~loYcts
Closets In addition? !es U no
Water Supply Edttinp Wei New WeL (lr of da
&fAV w.".r.bbwata•bsf,,.Rna
Sewspe Supply NewSWUc Tank (Corrtul fe Ct*Wst) E*MV Septic Tank (Corr:pl.b cyan ✓..Cot~ntY~;ewer"'
Doesomwafthl: tray omens, own land that contains nmmhcwrad home wittrtn fW kmdr#d otraa listed above? U ye,
Doer the property contain any asemeob whether un4er0rotnb~ or ovyfb~ U Y*i ra
StruGures (exltft or pros oo4: Shpb family dwefgrpa:
~Ma"ura~„ndt~orr`ea' --_otnercap,wryr.----~
Regotred ReddeatW Property Lne Setbacks: CemmeM.•
Front Mlnbwm Actual=_~
Rear i . C1
Ck"d Side
Sk*street/corrff lot`,
Nearest Bupdkv r
on same lot
Residential Land Use Application Pape 1 of 2
APPLICATION CONTINUES ON BACK t'om' OVit
HTE#
)r t'ZR
Harnett county
Department of Public Health
a-
Imp
rovement Permit 2 6 5 9 9
O 91 0 ry A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: O yE<z~»L~s ~D
ISSUED TO: C SUBDIVISION SToNr, C.a bss LOT # 10CJ
NEW, REPAIR ❑ 50' NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~5 7- Q>Q s K !S- (911
Proposed Wastewater System Type: Kv E U P4 v, L..
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well C•bC~ feet Permit valid for. Five years
Permit conditions: - ❑ No expiration
Authorized State Agent:: 1'1!2 Date: -1 11~.~ 1 l SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit holder respo Bible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improve ent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout. 2 11U{l K D
ISSUED TO: "s o K E PROPERTY LOCATION: O v ti1~~LS C~9
50' SUBDIVISION S-sotrE Cci.ASs LOT # TO
Facility Type: CZ )V xso"~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" C 0r -4-f Es'r cf N ?~'L (Initial) Wastewater Flow: GPD
(See note below, if applicable
PUM4 7Q C-0 r-10N~'.1-- (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size lCO 0 gallons Exact length of each trench Z4 0 feet Trench Spacing: c) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 -1';~, inches
Maximum Trench Depth of. I% inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM Qc inches below pipe
Aggregate Depth: a inches above pipe
(onditions: PEQA-~ ~a Q'roSi;"G. Vans \XPP 2„)11A111~3 LS-5 ~ inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speciled is different from the type speciled on the application. / accept the speciTcationf of this permit.
Owner/Legal Representative Ign Date:
This Construction Authorization is subject to revocation if the Ian, pla the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorisation is su ompliance with t visa Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1 1"a..
~d11~ 1a Construction thorization Expiration Date: ri 16
I Q`5"-a9571f
HTE# ti -5- a6`A ~ ~ a-R, Permit # ab~q `7
Harnett County Department of Public Health
Site Sketch
V -Q- )A C CLr d"
ISSUED T0:
Authorized State Agent:
PROPERTY LOCATON: O~t~t~Nlz-~ V
_ SUBDIVISION S a~ E CA?-o a5 LOT # t o c1
„OLiyfit- 70LY•5t~of~> Date; -7 Y INN
I
I PQ-GA
fl ~
50'
I I
~ C
1'A'-7 '