DOCUMENTS Initial Appflcetion Date: l. r , Application/'
CU*
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillinglon,NC 27546 Phone:(910)893-7525 ext2 Fax:(910)893-2793 www.hamett.otg/penn8s
"A RECORDED SURVEY MAP,RECORDED DEED-(OR OFFERF�ITO PURCHASE)&SITE PUN ARE
�REQUIRED
\MIEN WOMITTMEI A LAIRD USE APPLICATION"
LANDOVNIER�OhU t lOkti i , 1l 1Yndui.l i Mailing Address: 1 R D0 11X✓tt❑ L4 '37 6 I
City: COO—AS l StateNci Zpp:"rl l Contact NO4I LU Q c10 114—IEmail: 'I-1 y Nihil 13I h,G{Ytr kr,
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APPLICANT•:6 Jl LII' tt,�ll, iCta Mailing Address: 5-L e'
City: State:_Zp: Contact No: Email:
'Peaty flit out spier inbrmadon if different than landowner
CONTACT NAME APPLYING IN OFFICE: _ V I a— I Lr4J '( Phone `4o '/I1a `[ -)-I D 4
It PROPERTY LOCATION:Subdivision: r\nr iyldelilli\din Pn:rav hi f Minn frvi hes Lot N: P Lot/� Simi i 0 QCA0.
State Road S n State Road Name: ,`I (] �/ rn IciMap Book S Pagedfl LQ/ 3#14
Parrot �C)riI57CI °DUI(1 0cg, t,I PIN: �SL0- D 're � •ciao
Zoning:M 4b Flood Zone: X Watershed: I x'° Deed Book a Page' 7t]4 3 / l C/1 Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PRQPOBED USE:
PR /S- n�1 Monolithic
SFD'.(Size(fib x1 DI a Bedroorm M Baths:g Basement(wMe bath):_Garage:_4 Deck:a/ Crawl Space: /lab: Slab:_
(Is the bonus room finished?L. yes (A no w/a closet?( 1 yes (J no(H yes add in with a bedrooms)
❑ Mod:(Size_x le Bedrooms_a Baths_Basement(wMo bath)_Garage:_Site Built Deck:_ On Frame_Off Frame_
(Is the second floor finished?LJ yes (J no Any other site built additions?( 1 yrs U no
❑ Manufactured Home:_SW OW TW(Size x 1 e Bedrooms:_Garage: (she built? )Deck:_(sda bulk?
❑ Duper.(Size_x )No.Buildings: No.Bedrooms Per Unit:
U /Home Occupation:a Rooms: `1 l I Us.: ,(� 4 Hours of Operation: #Employees:_
M/ Addition/Accesso y/Omer(Size34 x .�.T)Use: \1P ("f1_s"CQ Ate-- Closets In addition?(J yes (J no
Water Supply County _Existing Well New Well(e of dwellings using well )'Must Daae operable water before Final
Sewage Supply: ✓ New Septic Tank(Complete Checklist) _Existing Septic Tank(Complete Cheddlsf _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?( I yes •-
Does the properly contain any easements whether underground or overhead LJ yes UO no
Structures(existing or proposed):Single family dwellings: Manufactured Honor: Other(specify):
Required Residential Property Line Setbacks:, Comments:
Front Minimum Actual [ C)
Rear
Clceat Side 711 S
SidestreeUcomer lot
Nearest Building
on Mme lot 03111
Residential Land Use Application Page 1 of 2
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM ULLINOTON:
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 stale that fo�eppoing statements are occurs nd ccoorrrrQect tope best of my knowledge.wPermit subject to revocation If false Information h provided.
, J
Ay.Signaarfriti Wn of or owner's Agent (iCLY.I Ic'�� 1�
"'it h 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 essement..etc.The county or Its employees stew*responsible for any
Incorrect or missing Information that Is contained within these applications."'
"This application expires I months from the Initial dab It permits have not been Issued"
Residential Land Ilse Application Page 2 of 2 03/11
I
SITE-p>_AN APPR
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NAME:CA Lift i L4Pd lA ( APPLICATION*: Li 25
*This application to be filled out when applying for a septic system Inspection.*
County Health Department ADDUcation 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) rr�1 ' 1 (�—7^ J '
910-893-7525 option I CONFIRMATION I (3o( � l t d--'4L�
0 Envlronmental Health New Sonic Svatefgcode 800 11O//9j(7
• All orocerty Irons must be made vlslbls. Place "pink property flags' on each corner iron of lot. All roperty
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 properly.
• If property is thickly wooded, Environmental Health requires that you clean out the underarowth 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 alter confirmation. 525.00 return trio roe may be incurred
for failure to uncover outlet llig mark house corners and property lines.etc. once lot confined 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 reauest
• Use Click2Gov or IVA to verily results. Once approved, proceed to Central Permitting for permits.
❑ gpvlronmental Health Existlna Tank Inamct/ono 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 Ild 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 recordino for Droop of reauest.
• Use Click2Gov or IVA to hear results.Once approved,proceed to Central Permitting for remaining permits.
SECLIC
If applying for authorization to construct please indicate desired system type(s): can be ranked in order of preference,must choose one.
1-1 Accepted (_) Innovative 1—) Conventional 1_1 Any
1-1 Alternative 1_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:
f_IYES 1/1 NO Does the site contain any Jurisdictional Wetlands?
1_IYES It) NO Do you plan to have an jmgatioalynem now or in the future?
1_LLI YES t,Z/l NO Does or will the building contain any ?Please explain.
LGIYFS I l 1 NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
I_)YES UZI NO Is any wastewater going to be generated on the site other than domestic sewage?
1_IYES (71 NO Is the site subject to approval by any other Public Agency?
(—IVES (21 NO Are there any Easements or Right of Ways on this property?
(—LYES I✓I NO 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 Cornen And Matlng
The Site Accessible So That A Cplete Site Ev#Won Can Be Performed.
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PROPERTY OWNERS OR OWNERS LEGALRESENTATIVE SIGNATURE(REQUIRED) DATE
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B8/30/2012 02:07 9108929733 .JOVI•ER PIEDMONT SORV PAGE 02
•
Adams Soil Consulting
7676 Mitchell Road
Angler,NC 67601
616.41441761
June 12,2012
Project# 133
Joyner Piedmont eying
Attention: Andy 1• -
i 05 East Cum• - • Street
P.O.Box 115
Dunn,NC 2E335
RE: SoiL/Site ant - • for lots N I and 02 of the manor subdivision for the Mann Property Owmen,LLC
located adjacent toe Valley Farm Road in Hamlet Comty,NC.
Mr.Joyner.
Adams Soil Con • • completed a soils evaluation per your request for the minor subdivision of lots M 1
and#2 for the Mann ' • • - Owners,LLC in Harnett Count The sal Waite evaluation was performed
using hand augur • • under moist soil conditions,based on the criteria found in the State Subsurface
Rules, I SANCAC 1 .1900"Laws and Rules for Sewage Treatment and Disposal Systems". The soils
on lot It 1 and#2 am unable for a conventional type septic systems and repair areas for at last one 4-
bedroom home on - h lot.Lot in and #2 each contain greater than 30,000 fl of suitable soils that
consist of a sandy • Iand sandy clay subsoil that can supped a daily loading rate of 03-0.4
gallons/day/02. : • . lots should supped a house footprint of at least 50' X 50'depending on other site
considerations such house location,driveways,swimming pool,or additional strunalrea.The specific
septic systems and • •ing rates for each lot will be permitted by the Harnett County Health Department.
The area for the • • . • septic fields shall not be impacted by home sites,pools,garages and shall not
be mechanically • from the natural lay oldie land.
The lots will require detailed soils evaluation by the Harnett County Health Department prior to
issuance of any • ter. Depending on the location and elm of the proposed home,garage,pool area etc.
a septic system • may be required before a permit can be issued on the above referenced lot
denonstating avai •le space for a septic system and repair area. Due to the subjective nature of the
permitting process d the variability of naturally oocuring soils,Adams Soil Consulting cannot
guarantee that arms -lineated as suitable for on-site wastewater disposal systems will be permitted by
the governing .The accompanying soil map is preliminary in nature,no further assumptions or
subdivision should • - made without a more detailed evaluation.
Please give mea cal if you have any questions.
it;;;_4, ED 60/f
ses
Alex Adams
NC Licensed Soil emV
isr#1247 ,r",�� � •4
Erich Soils Map ��T
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KIMBERLY S. HARGROVE
REGISTER OF DEEDS, HARNETT
305 W CORNELIUS HARNETT BLVD
SUITE 200
LILLINGTON, NC 27546
MMNMpwwYIYMppMpNMpwppMwwwwM.wntw. MMwMwMpMMY�MryMMpw
Fled For Registration: W116f201211:26:16AM
Book: PLAT 2012 Pap: 360440
Document No.: 20120005W
MAP 2 POS $21.00
Recorder MARY ANNE WOOD
State of North Caroline,County of Haman
KNURLY S.HARGROVE,REGISTER OP DEEDS
DO NOT DISCARD
2012009508