DOCUMENTS Initial Application Date'. SI5I1'I Application# 1t) a' I •s
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION CU#_
Central Permitting 108 E.Front Street,Ellington,NC 27546 Phone.(910)8934525 exr2 Fax.(910)893-2793 www.harnett.org/permits
"A RECORDED SURVEY MAP.RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER'. WILLI AM GLI Ff ITil Mailing Address. Sav,.e CCC be ID�
p t.
City' State. Zip: " Contact No:_ .• Email. J Oan r.or ri s 1457 0 t1a119D•
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APPLICANT': CAkeri(3F(LCsmn) 140"•KMailingAddress. P. O . 1304'4 -727
City: DUN AI stateNC z1P2833Sconta0+No91D SI2 '43ttSEmair
if
Please fill out applicant information n different than landowner let ,-
1 't-
CONTACT NAME APPLYING IN OFFICE: M I Clettl„LOR— -3-Th1C1•1 Phone# Cj 10 • 8g2. • 434 }
PROPERTY LOCATION:Subdivision'. I' f� Lot* I Lot Size. • 1
State Road* 14 oci State Road Name'. r-I OAkR4DfE I)k 0 CA-Igd RD Map Book&Page'. 201(0, 178
Hartel'. 05 (045- yoZ.DZ 01 PIN: L (ze 3q5— I(0 • 2468 .00C
Zoning. 24' )OFlood Zone: '` Watershea: NIA Deed Book&Page. 34 I I i 1I00333 Power Company': DIA KE
'New structures with Progress Energy as service provider need to supply premise number Dolie from Progress Energy.
POSED USE:
�" 3/. /Monolithic
SEE(Size lee IQ x '10 )#Bedrooms.h #Baths:. fbt menewlwo bath)' Garage:V Deck. Crawl Space Slab /Monolithic
(Is the bonus room finished?(SnO yes ( )no wl a closet?( 1 yes (ono(if yes add in with*bedrooms)
❑ Mod'(Size x )r Bedrooms *Baths__ Basement rwlwn bafh) Garage- Site Built Duck: On Rape ON Ernie
(Is the second floor finished?( 1 yes ( )no Any other site built additions?( )yes ( 1 no
❑ Manufactured Home:_5W_DW TW(Size_x la Bedrooms._Garage. (site built? )Deck. (site built? )
U Duplex:(Size_x )No. Buildings. No.Bedrooms Per Unit-
LI
nif❑ Home Occupation:#Rooms- Use: Hours of Operation- #Employees.
❑ Addition/Accessory/Other:(Size )Use' Closets in addition?(_J yes ( 1 no
Water 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 ( l no
Does the property contain any easements whether underground or overhead( 1 yes (✓)no
Structures(existing or proposed):Single family dwellings: ✓ I Manufactured Homes- Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 3C Actual (0 0
Rear 2S 19114a
Closest side
I0 311 1 n "
Sibestreeticomer lot 2 0 N I Ar
Nearest Building N IA NIA •
on same lot
Residendol Land Use Applica:cn
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: 171/4 jL a W I s 0 it I AAI LIOW
RD 'Tit 12-N FoLcO.,J -ro oaeeRAO o-c CNA elettnl --L (LnJ ,c)
Lo—r IS oN Si
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. d correct th-best of my knowledge. Permit sub) ct to revocation if false information is provided.
at�ae.rf 5 5-Ci'7
ianature of Owner or Owners Agent Da
"'It Is the owner/applicants responsibility to provide the county with any applicable information about the subject property,including but not limited
to: boundary information,house location,underground or overhead easements,etc.The county or its employees are not responsible for any
incorrect or missing information that Is contained within then applications.***
**This application expires 6 months from the initial date if permits have not been issued"
Residennai 1and Use Appiical,on _ago 2 OT 2 .
S 1° 39' L0010" W 133'-3 1/4"
EXSIST ING
WELL
0
100' SETBACK
TO SEPTIC SYSTEM
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OAKRIDGE DUNCAN ROAD
CUMBERLAND HOMES, INC.
THE CAMERON WITH 3RD CAR GARAGE
1515 OAKRIDGE DUNCAN ROAD
SCALE: 1"a40' •
NAME: e/LIAAA 3(,AL I.hA10 IlsetvES APPLICATION Of:
*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)
910-893-7525 option I CONFIRMATION F
Environmental Health New Septic System Code 8 00
• All property irons must be made v isible. Place"pink p roperty flags" o n ea oh corner 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 En vironmental 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.
U Environmental Health Existing Tank Inspections Cod e 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over over outlet end as diagram indicates, and lift lid straight up(if
possible) and then close back down. (Unless inspection is for a septic tank in a mobile home park)
• After uncovering outlet end call the voice permitting system at 910-B93-7525 option 1 8 select notification permit if
multiple permits, then u se code 800 for Environmental Health ins pection. 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.
{ } Accepted { } Innovative Lv}Conventional { } Any
{_ Alternative {_) 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.
OYES f��/} 'rr' _ t NO Does the site contain any Jurisdictional Wetlands?
{_}YES { V/)NO Do you plan to have an [ now or in the future?
{_YES _•�'}NO Does or will the building contain any drains?Please explain.
{ /
IVES I s�t N0 Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
{ )YES {vO Is any wastewater going to be generated on the site other than domestic sewage?
{ }YES { NO Is the site subject to approval by any other Public Agency?
{_}YES { )NO Are there any Easements or Right of Ways on this property?
{_}YES { 1410 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 CompleteSite Ent on Can Be Performed.
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) A E
E-Health Cho.kits*
tr:n
Adams Soil Consulting
1676 Mitchell Road
Angier, NC 27501
919-414-6761 •
June 11, 2016
Project # 391
Lester Stanch & Associates,
Professional Land Surveyors, P.A.
98 E. Depot Street
Angier, NC 27501
Re: Preliminary Soil Evaluation Lot#1  1515 Oakridge-Duncan Road—William B. Griffith
and wife Cherie L. Griffith
Mr. Stancil:
Adams Soil Consulting(ASC) completed a soils evaluation per your request for the above
referenced minor subdivision in Harnett County. The soil/site evaluation was perfonned using
hand auger borings, under moist soil conditions, based on the criteria found in the State
Subsurface Rules, I 5ANCAC ISA .1900 "Laws and Rules for Sewage Treatment and Disposal
Systems".
Lot #I contains sufficient suitable soils for conventional or LPP type septic systems for
potential future single family 3 or 4 bedroom dwelling with a house footprint of at least 50' x
50'. The parcel contains suitable soils that consist of sandy loam, sandy clay, or clay subsoils
that can support a daily loading rate of 0.3-0.4 gallons/day/ft2.
Lot #2 contained a single family residence with an occupied dwelling. The home was serviced by
a septic system and there were no signs of system failure at the time of evaluation. The existing
system was located to the west of the existing home and will not be impacted by the new
proposed property lines. There is adequate suitable soil located on the lot for a repair field for the
existing home should a repair be needed in the future.
The specific septic systems and loading rates for the lot will be assigned by the Hamett County
Health Department The area for the proposed septic field shall not be impacted by home sites,
pools, or garages and shall not be mechanically altered from the natural lay of the land.
The lot will require a detailed soils evaluation by the Harnett County Health Department prior to
issuance of any permits. Depending on the location and size of the proposed home, well, garage,
pool area etc. a septic system layout may be required before a permit can be issued on the above
referenced lots demonstrating available space for a septic system and repair area. Due to the
subjective nature of the permitting process and the variability of naturally occurring soils, ASC
cannot guarantee that areas delineated as suitable for on-site wastewater disposal systems will be
permitted by the governing agency. Only a portion of the property was evaluated per the client's
request. It should be noted that a more detailed soils evaluation is needed to access the potential
toil constraints that may limit future land subdivision.
II
'Preliminary Soils Evaluation PreliminarySoil Evaluation.µq
'Sal boundary was sketched onto a preliminary map of Lot #1 it'G
the property supplied by the clients surveyor.
'NM asarvte 1515 Oakridge-Duncan Road
'Septic system setbacks listed below for new lots.
,) 1Ufrom properly'fromnes
Harnett County NC
2) 100'from wells for primary systems.
3) 50'from surface waters(streams,ponds,lakes).
'Any mechanical disturbances such as grading,cuffing and filling
of the suitable soil areas can render areas unsuitable far future sepbc systems
'See accompanying report for additional information_
'Due to Soil Variabinty.Adams soil consulting cannot guarantee that the areas
shown as suitable will be permitted by the local Health Department_
5 552555T g463' fatal
gala
N E N \\�� Et� NE
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NE NE
O
x838 Ac. Original
- 1 000 Ac, Lot L / // /
&95O Am Residual tdaala - O.198 As. Read RAT
6.M0 Ac. Net NE „„,,,,-/-,,,,,,,,,„
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NE NE � . 1.000 Ret��i
~ UN 0.PON Ac. Msr / ` l.:
.ILA' NE UN /� /
x 5'A'5ranazi(m61/ .. i ' !`
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CO
106
ww°
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e« r abbe.nwt.na and tr..lrn..um
w°.wwu..l.,monad s«wmam.. u.
on
MMb hinasstal.r.
ow24.0-WY.M6rdM x t°
OP septic systems.
*Not a Survey
},
= r-'"'"w`"""°`°"°"°"'"""° ..p ^°'�• (sketched from preliminary proposal)
NEha.. not "elated
UN Unsuitable r.,.
GRAPHIC SCALE
1 " = 100' ___. .__ .
Adams
100 0 100 200 Soil Consulting
4 J 919-414-6761
— _. Project#391
'Each section below to be filled out Application #
by whomever performing work. Harnett County Central Permitting
Must be owner or licensed PO Box 65 Lillington,NC 27506
contractor. Address,company 910-093.7525 Fax 910-893.2793 wwwharnetl ore/permits
name 8 phone must match
�
Application�ofor Residential Building and Trades Permit
Owner's Name:J/' MM T9� ( . KjD 4.4o AL s r t)Jc_ Date: SIS II-]
Site Address: 1515 DA it RI Obi: puelrRAJ (2D. Phone:gib 'R92 • (1W5
Directions to job site from Lillington: lkItE Hw`1 40 I *-1-D 4-77-05 Pu (1K fry
t u P- Sc.) oW'T7) oft IST7*kJ 0I&lfi tD F4 .1 gtnl ti) O.4KRIp4C
Our,+ cq-N tP Y14,J (0 Or fS aU
Subdivision:
Lot: I
Description of Proposed Work: N. S . . #of Bedrooms: 4
Heated SF:2-$D4 Unheated SF: Finished Bonus Room? •YES Crawl Space:_Slab: V
General Contractor Information
Gu.61SCkc.itu1 1-4o.4,cs '�Nc _ 9lo • 892 ' Y3Ys
Building Contractor's Company Name Telephone
p . o . "6054_ 72-7 T>la 'sic 2-k 33S-
- ilDrr3- 1157€ Yq.700• c°41Address Mail Address
51 43
License#
Electrical Contractor Information
Description of Work iI t 3-•F Service Size:tor) Amps T-Pole: I/es No
(JCSTF*_ # PikcC rLcaeic 919 • L119 . 6.395
Electrical Contractor's Company Name Telephone
3-4 (. L—ESLu 2k. SA-NJF0121> uL IJl A
Address 2t330 Email Address
12-001 -
License#
•Mechanical/HVAC Contractor Information
Description of Work N . 5 . F
57E9hEuso,JS LFEfr;lu (r et ktlL --NL 911 . 324 . 068(0
Mechanical Contractor's Company Name Telephone
313 5HlPwksd• PQ6731-02-X-1612- uc u � A
Address 207c29 Email Address
113 44
License#
, tt Plumbing Contractor Information
Description of Work Iv • S S. F # Baths 3 'h-
ist-Dv t.rfi-
h-ist,a(cL Ca nsAcr Pu.uwoluc- 919. 8(0 Q• 043-9
Plumbing Contractor's Company Name Telephone
304 @u.Atc EfoLtau Wk ( SA-rd FOQD, wc p/A
Address 27332 Email Address
a 3 I !, O
License#
Insulation Contractor Information
N SKS Mn rs 6- -T-Psi C- 5902 Emelritu.E fl 919 . 772 -9 coo
Insulation Contractor's Company Name &Address 4Ltg, .4f u L Telephone
'NOTE: General Contractor must fill out and sign the second page of this application.
Homeowners Applying to Build Their Own Home
I Please answer the following questions then see a Permit Technician to determine it you qualify for permit under Owners Exemption.
Cuestionnaire per G.S. 87-14 Regulations as to Issue of Building Permits (Memo available upon request)
1. Do you own the land on which this building will be constructed?
__ Yes _ Na
2. Have you hired or intend to hire an individual to superintend and
manage construction of the project?
Yes _ No
3. Do you intend to directly control & supervise construction activities?
_ Yes No
4. Do you intend to schedule, contract, or directly pay for all phases of
construction work to be done?
Yes - No
5. Do you intend to personally occupy the building for at least 12 consecutive
months following completion of construction and do you understand that if
you do not do so, it creates the presumption under law that you fraudulently
secured the permit?
Yes _-_ No
I hereby certify that I have the authority to make necessary application, that the application is correct
and that the construction will conform to the regulations in the Building, Electrical. Plumbing and
Mechanical codes, and the Harnett County Zoning Ordinance. I stare the information on the above
contractors is correct as known to me and that I affirm that I have obtained all listed contractors
permission to obtain these permits and if any changes occur including listed contractors, site plan,
number of bedrooms, building and trade plans, Environmental Health permit changes or proposed use
changes, I certify it is my responsibility to notify the Harnett County Central Permitting Department of
any and all changes.
EXPIRED P RMIT FEES - 6 Months to 2 years permit re-issue fee is $150.00. After 2 years re-issue fee
is as per rr nt fee sch ule.
Sigture of Owner/Contra or/Ofticer(s) of Corporation Date S/S/�
Affidavit for Worker's Compensation N.C.G.S. 87-14
Theun rsigned applicant being the:
General Contractor Owner Officer/Agent of the Contractor or Owner
Do hereby confirm under penalties of perjury that the person(s), 1irm(s) or corporation(s) pedorming the work
set forth in the permit:
Has three (3) or more employees aria has obtained workers compensation insurance to cover them.
Has one (1) or more subcontractors(s) and has obtained workers' compensation insurance to cover
them.
/
I/ Has one (1) or more subcontractors(s) who has their own policy of workers' compensation insurance
covering themselves.
Has no more than two (2) employees and no subcontractors.
While working on the project for which this permit is sought iit is understood that the Central Permitting
Department issuing the permit may require certificates of coverage of worker's compensation insurance prior
to issuance of the permit and at any time during the permitted work from any person, firm or corporation
carrying out the work /r '' �
Company or Name: CA/ .ISO-L r , J 0 Hoa.(-t--
5 1T-0C—
Sign Willie: U� --Q � / c"""`-� / 1 Date: S • I 1
HARNETT COUNTY CENTRAL PERMITTING
P.O. BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Application Number 17-50041308 Date 6/15/17
Property Address 94578 *UNASSIGNED
PARCEL NUMBER 05-0645- - -0202- -07-
Application type description CP NEW RESIDENTIAL (SFD)
Subdivision Name P G TUTOR
Property Zoning RES/AGRI DIST - RA-20M
Owner Contractor
GRIFFITH WILLIAM B & CHERRIE L CUMBERLAND HOMES INC
1515 OAKRIDGE DUNCAN RD PO BOX 727
FUQUAY-VARINA NC 27526 DUNN NC 28335
(910) 892-4345
Applicant
CUMBERLAND HOMES INC #1
PO BOX 727
DUNN NC 28335
(910) 892-4345
--- Structure Information 000 000 60 . 10X70 4BDR SLAB W/ GARAGE
Flood Zone FLOOD ZONE X
Other struct info # BEDROOMS 4000000 . 00
PROPOSED USE SFD
SEPTIC - EXISTING? NEW TANK
WATER SUPPLY COUNTY
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1194604
Issue Date . 6/15/17 Valuation . . . . 0
Expiration Date . 6/15/18
Special Notes and Comments
T/S : 05/05/2017 09 : 54 AM JBROCK ----
TAKE HWY 401 TO CHRISTIAN LIGHT RD
TURN L FOLLOW TO OAKRIDGE DUNCAN TURN L
LOT IS ON L
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PERMIT INCLUDES BLDG, ELEC,MECH, PLUMB
INSULATION AND LAND USE.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Work must conform and comply with the
STATE BUILDING CODE and all other State
and local laws, ordinances & regulations
HARNETT COUNTY CENTRAL PERMITTING
P.O . BOX 65
LILLINGTON, NC 27546
For Inspections Call : (910) 893-7525 Fax: (910) 893-2793
Bldg Insp scheduled before 2pm available next business day.
Page 2
Application Number 17-50041308 Date 6/15/17
Property Address 94578 *UNASSIGNED
PARCEL NUMBER 05-0645- - -0202- -07-
Application description . . CP NEW RESIDENTIAL (SFD)
Subdivision Name P G TUTOR
Property Zoning RES/AGRI DIST - RA-20M
Permit BLDG,MECH, ELEC, PLB, INSU PERMIT
Additional desc .
Phone Access Code 1194604
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-30 814 A814 ADDRESS CONFIRMATION / /_
10 101 B101 R*BLDG FOOTING / TEMP SVC POLE / /_
20 103 B103 R*BLDG FOUND & TEMP SVC POLE _/_/_
30-999 111 B111 R*BLDG SLAB INSP/TEMP SVC POLE / /_
30-999 309 P309 R*PLUMB UNDER SLAB / /_
40-50 129 I129 R*INSULATION INSPECTION _/ /
40-60 425 R425 FOUR TRADE ROUGH IN _/_/_
40-60 125 R125 ONE TRADE ROUGH IN _/_/_
40-60 325 R325 THREE TRADE ROUGH IN _/_/_
40-60 225 R225 TWO TRADE ROUGH IN / /_
50-60 429 R429 FOUR TRADE FINAL / /_
50-60 131 R131 ONE TRADE FINAL / /
50-60 329 R329 THREE TRADE FINAL / /_
50-60 229 R229 TWO TRADE FINAL / /_
50-60 209 E209 R*ELEC TEMP POWER CERT / /_
999 H824 ENVIR. OPERATIONS PERMIT / /_