LAND USE Initial Application Date: 1I - 3 -1 0 Application 10. 5 - Z S
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -27933n cQ
www.hamett.org /permits
LANDOWNER: Re yg fti- Con31(tktty% Mailing Address: (.4Ji I b)f/k F
City: Fug .9 11 Vetr1✓la StateNL Zip0xolrt #' ll )/ 0 ) SS 7Ln b7 Email:
APPLICANT*: W t 111g n- eryQn* Mailing Address: (fill CAP livr h
City: Ttbltkx V4 A State.: NC zip0 # 669. 30-/ Email: <r hr ,:t T? ec(i141. 1e• neT
*Please fill out applicant information f different than landowner n
CONTACT NAME APPLYING IN OFFICE: [4_ 1111 4 r. N C 1C4 Phone it J 669 C 1
PROPERTY LOCATION: Subdivision: 1 (� Lot #: # 1. r Lot Size: 1 . 3 QCc_rf
State Road Q # 4 , I . Sa State Road Name: 1 w , 1 `CYJ ( Map Book&Page:aDy / 3n'S
Parcel: w °ca11 000'1 Dt PIN: 0(041= 11
Zoning: 00 3l0 Flood Zone: >< Watershed: 1 Deed Book &Page: 1 / 30 / /Co Power Company *: C P L
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
L10 1 - 3 M (C S No r -4 ► ' f ) F HS(.. e+t Co , t1 kas e n r■ j e4 4—
orrto Lk) 1 huwh Ala / en 1 / Milee, /pru n1-• le c+
PROPOSED USE:
�J fa zes+ Monolithic
id SFD: (Size,SA O x, ) # Bedrooms: 7 # Baths: 2 Basemenl(w /wo bath):_ Garage: ✓Deck: ✓ Crawl Space: Slab: Slab:_
(Is the bonus room finished? ( ) yes (lelito w/ a closet? U yes (ono Of yes add in with # bedrooms)
❑ Mod: (Size x) # Bedrooms # Baths Basement (w/wo bath) Garage: Site Built Deck: On Frame Off Frame
(Is the second floor finished? ( yes ( Any other site built additions? ( ) yes ( ')no
❑ Manufactured Horne: _ SW _ DW _ TW (Size x ) # Bedrooms: Garage: (site built? ) Deck: (site built ?J
❑ Duplex: (Size x) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: # Rooms: Use: Hours of Operation: #Employees:
❑ Addition /Accessory/Other: (Size _ x _ ) Use: Closets in addition? ( ) yes 1 )no
Wafer Supply: County Existing Well New Well (# of dwellings using well ) *MUST have operable water before final
Sewage Supply: / New Septic Tank (Complete Checklist) . Existing Septic Tank (Complete Checklist) County Sewer
Does owner of this tract of land, own land that contains a manufactured home within five hundred feet (500') of tract listed above? ( ) yes (loco
Structures (existing or proposed): Single family dwellings: 1/ Pao$ Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3C' Actual
Rear (72. _D v
Closest Side ID e:) r )
Sidestreet/corner lot o) 0 /VA
Nearest Building b N /A
on same lot
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statements are accurate and co - ct to the best of my knowledge. Permit subject to revocation if false information is provided.
/d —e
Signature o • net or Owner's Agent Date
* *This application expires 6 months from the initial date if permits have not been issued **
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Residential Lano Use Application Page 1 of 1 07/10
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NAME: (A11 (t 1 GZ ttn 6(1 to Y APPLICATION #: I ` - 500 2'5 530
*This application to be filled out when applying for a septic system inspection.*
County Health Department Application for Improvement Permit and/or Authorization to Construct
IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED, CHANGED, OR THE SITE IS ALTERED, THEN THE IMPROVEMENT
PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
depending upon documentation submitted. (Complete site plan = 60 months; Complete plat = without expiration) j d ri
910 893 - 7525 option I CONFIRMATION # 1
-K Environmental Health New Septic SvstemCode 800 G / C
• All property irons must be made visible. Place "pink property flags" on eadWcorner iron of lot. All property
lines must be clearly flagged approximately every 50 feet between corners.
• Place "orange house corner flags" at each corner of the proposed structure. Also flag driveways, garages, decks,
out buildings, swimming pools, etc. Place flags per site plan developed at/for Central Permitting.
• Place orange Environmental Health card in location that is easily viewed from road to assist in locating property.
• If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property.
• All lots to be addressed within 10 business days after confirmation. $25.00 return trip fee may be incurred
for failure to uncover outlet lid, mark house corners and property lines, etc. once lot confirmed ready.
• After preparing proposed site call the voice permitting system at 910- 893 -7525 option 1 to schedule and use code
800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note
confirmation number given at end of recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
Environmental Health Existing Tank inspections Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if
possible) and then put lid back in;place. (Unless inspection is for a septic tank in a mobile home park)
• DO NOT LEAVE LIDS OFF OF SEPTIC TANK
• After uncovering outlet end call the voice permitting system at 910 - 893 -7525 option 1 & select notification permit
if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
given at end of recording for proof of request.
• Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference, must choose one.
{_ I Accepted {_[ Innovative {_) Conventional (X Any
{( Alternative {_I Other
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 is "yes ", applicant MUST ATTACH SUPPORTING DOCUMENTATION:
{_ }YES [ C-(610 Does the site contain any Jurisdictional Wetlands?
{ YI NN_ }YES [O Do you plan to have an irri on sy, tem now or in the future?
( _ )YES (I/NO Does or will the building contain any drains? Please explain.
I —(YES I � NONO rv0rv0 Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
( YES f�i Is any wastewater going to be generated on the site other than domestic sewage?
(_ IYES (VI iwU Is the site subject to approval by any other Public Agency?
( �/
_ (YES (j NO Are there any Easements or Right of Ways on this property?
(_ }YES [a N Does the site contain any existing water, cable, phone or underground electric lines?
If yes please call No Cuts at 800- 632 -4949 to locate the lines. This is a free service.
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 C lete Site Evaluation Can Re Performed.
/V4
PR PERT OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE. (REQUIRED) DATE
10 /10
Thomas J. Boyce
P.O. Box 81
Pittsboro, NC 27312
919 -868 -8135
NC Licensed Soil Scientist # 1241
NC Registered Sanitarian # 1353
Benton W. Dewar and Assoc.
Professional Land Surveyor
5920 Honeycutt Rd.
Holly Springs, NC 27540
Re: Proposed lot C7, William Earl Bryant, Wilburn Rd., Harnett Co.
Dear Mr. Dewar,
A soils evaluation was completed on the above referenced property on October 20, 2010. The
purpose of the evaluation was to determine the ability of the soils to support a subsurface waste
disposal system and repair area. All ratings and determinations were made in accordance with
"Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A.1900 ".
The above referenced tract was evaluated by auger borings and landscape position. Typical
usable soils are twelve or more inches of gravelly sandy loam over clay to thirty-six or more
inches. A loading rate of .3 .gpd/sgft can be assumed. Unsuitable soils were due to shallow soil
depths to soil wetness and topography. The lot contains adequate area for an initial system and a
repair for a three bedroom house (50' X 60'). Enclosed is a map of the property showing the
soils delineation. Systems may be conventional, accepted, alternative or innovative. Systems
may require pumps, fill, or additional cover.
This report does not guarantee or represent approval or issuance as needed by the local health
department. This report only represents my opinion as a licensed soil scientist. I trust this is the
information that you require at this time. If you have any questions, please call.
Sincerely,
£g r'
y .
Thomas J. Boyce '°
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Hoorn COUNTY. NC
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a o- s • RIVES, Attorney
3 • .; Portions of Tract C, Plat Cab. P, Slide 118 -D, Harnett County
Ns ' r• .: , r ■ I A GENERAL WARRANTY DEED
THIS D s, r' , -.,,' day of January, 1996, by and between
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GRANTO / � GRANTEE
CLETA W. ' BRYANT & SON CONSTRUCTION, INC.
GEORGE E..
P. O. Box 148
GWENDOLYN W. • 1: v I Kipling, NC 27543
husband, HANNIBAL
r • :. ,... ►T•:'1.t.' y .. : ..AL
The designation Grantor and• herein shall include said parties, their heirs,
.
successors, and assigns. and s •,., • gular, plural, masculine, feminine or neuter as
required by context.
WITNESSEIN, that the Grantor, for a valuab - —.• paid by the Oantee, the receipt
of which is hereby acknowledged, has and by grant, bargain, sell and convey
unto the Grantee in fee simple, all that • •: • •• land situated in Hectors Creek
Township, Harnett County, North Carol's:. • ularly described as follows:
TRACT r'1'
THE POI13T OF BEGINNING is a railroad spike -- • - of N.C.S.R. 1432 (Wilburn
Road), said spike being a common comer with • r .03 acres) being conveyed to
Christopher Todd Bryant and wife, Tonya • ,...• - -- r : from said point of
beginning with the line of Tract Cl S 56 49' 46' W • • - • pipe set in the line
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