DOCUMENTS Initial Application Date: J I W 3/i O Application#if.ST.:)_4- C 3)
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Sheet Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamettorg/perrnits
^A RECORDED SURVEY MAP,,RECORDED DEED(ORTTOFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION^
LANDOWNER:CI ARRAS 1- file (155.6_ I/LIiiiot"� Mailing Address: / 5 /SA' .tut��Ak-
City: prtr\S Lec _Sate:h,C np:�e 34O Con�ot Ne: `1(97�( 6�Y7- Email: Mel ;5543-06 ns'"' ^J0 XiC)/(7,q
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APPLICANT': �A inn C Mailing Address: C
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City: Stale: Zip: Contact No: Email: /t
'Please fill out applicant information if different than landowner
CONTACT
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CONTACT NAME APPLYING IN OFFICE:
,^, 'L r��,1,_^$0 'ten C Phone#
PROPERTY LOCATION:�• Subdivision' 1--e. 1Ye"'^ CV1 Lot#': I Lot Sizeo •t'49
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State Road#,tee a1`J State Road Name: A.)L 'a l w Map Book&Page 4EI 0 / 4 1
Parcel:_V; v5 A $' bf57 63PIN. (3S e7.%�tD�[ 9'-PSa•e 0
Zonin _Flood Zone�4'.f% Watershed:A-..k Deed Book&Page 4 P /SW Power Company':
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SKY)Size )#Bedrooms: #Baths: Basement(wtwo bath}_Garage:_Deck:_Crawl Space:_Slab:_Slab:
x
(Is the bonus room finished?(_)yes (—)no w/a closet?(_)yes ( )no(if yes add in withh#bedrooms tp:
La—
d Mod:(Size 7Y x,k )#Bedroomsi#Baths Basement(w//coo bath)N`} Garage:WA Site Built Deck:N On Frame gff9rame ✓
(Is the second floor finished?(_)yes (_)no Any other site built additions?(_)yes ( 0"I'llo A d 'ay
cretr
TW(Size x #Bedrooms:_Garage: (site built? )Deck: (site built?_) ,AIIW..,/Ci'
❑ Manufactured Home:_SW_DW )_
❑ Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
❑ Addition/AccesserylOther.(Size x )Use: Closets in addition?(_)yes (_)no
Water Supply: L/County Existing Well New Well(#of dwellings using well )'Must have operable water before final
Sewage Supply: ✓ew 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 hundredrefeet(500')of tract listed above?(_)yes (✓)/no
Does the property contain any easements whether underground or overhead(_)yes (A]no
Structures(existing or proposed):Single family dwellings: Y)inn e Manufactured Homes: ;tevxC Other(specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum Actual :1 r1-0
Rear 2S1Inn
Closest Side ) I I 1p
•
Sidesheeticomer lot
Nearest Building
on same lot
Residential Land Use Application Page 1 of 2 03/11
APPLICATION CONTINUES ON BACK
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
If permits are granted I agree to conform to all ordinan •-• I. to of North Carolina regulating such
3 fwok nd the specifications of plans submitted.
I hereby state that foregoing statements ,ie_tut of my knowledge. Permit subject revo tion if(else information is provided.
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Signator ner or Owner's Agent Date
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"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,bndergrodnd or overhead easements,etc.The county or its employees are not responsible for any
incorrect or missing information that is contained within these applications."'
"This application expires 6 months from the initial date If permits have not been issued"
Residential Land Use Application Page 2 of 2 03/11
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NAME: Lc-Ian, TT Lin5,>,-. APPLICATION it:
*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#
Environmental Health New Septic SvstemCode 800 '
• All property irons must be made visible. Place "pink property flags" on each corner iron of lot. All properly
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.efc.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 properly.
• 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 8 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.
f-1 Accepted (_) Innovative { vi Conventional f_) Any
{ ) Alternative {_1 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 ( NO Does the site contain any Jurisdictional Wetlands?
1—)YES (k1.110 Do you plan to have an ipjvation system now or in the future?
I—IVES {J2410 Does or will the building contain any drains?Please explain.
1 }YES I_410 Are there any existing wells,springs, waterlines or Wastewater Systems on this property?
I—)YES {,,i/NO Is any wastewater going to be generated on the site other than domestic sewage?
444
I_}YES { 0 Is the site subject to approval by any other Public Agency?
{ ES { Are there any Easements or Right of Ways on this property?
1_)YES ( 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 Rales.
I Understand That I Am Solelyjtespnnsible For The . s*'r Identification And Labeling Of All Property Lines And Corners And Making
The Site Accessible ' ' ';( , evaluatOwCan Be Performed.
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PROPERTY OWNERS O' OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
HAL OWEN & ASSOCIATES, INC.
SOIL& ENVIRONMENTAL SCIENTISTS
P.O. Box 400,Lillington NC 27546-0400
Phone(910) 893-8743/Fax (910)893-3594
www.halowensoil.corn
7 February 2018
Mr. Leland Johnson
1815 Kenwood Avenue
Spring Lake,NC 28390
Reference:Preliminary Soil Investigation
Minor Subdivision for Leland Johnson and Melissa Johnson—Lots 1 and 2
Dear Mr.Johnson,
A soil investigation has been conducted at the above referenced property, located on the
southern side of NC 27 W in the Upper Little River Township of Harnett County, North
Carolina. The purpose of the investigation was to determine the ability of each lot to support a
subsurface sewage waste disposal system and repair area for a typical four-bedroom home. All
soil ratings and determinations were made in accordance with "Laws and Rules for Sewage
Treatment and Disposal Systems, 15A NCAC I8A .1900". It is our understanding that
individual septic systems and public water supplies will be utilized at this site. The maximum
house footprint used for this evaluation was 50 X 60 feet.
Each lot is dominated by provisionally suitable soils for subsurface sewage waste
disposal. These provisionally suitable soils were observed to be friable sandy clay barns to
greater than 36 inches and appear adequate to support long term acceptance rates of 0.4 to 0.6
gal/day/sqft. It appears that the soils on each lot are adequate to support a conventional septic
system and repair area for at least one residence.
This soil investigation report and map, when provided to the Harnett County Health
Department, should allow them to sign the maps for recordation. I appreciate the opportunity to
provide this service and hope to be allowed to assist you again in the future. If you have any
questions or need additional information,please contact me at your convenience.
ti) SOIL ,s.c. Sincerely,
Lir �P� wet aN "g104/ —
tl:I ICA I Hal Owen
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Licensed Soil Scientist
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Soil Science Investigations • Wetland Delineations,Permitting,and Consulting
HAL OWEN & ASSOCIATES, INC.
Preliminary Soil Investigation
Minor Subdivision for Leland Johnson and Melissa Johnson—Lots I and 2
7 February 2018
Soil Map
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Soil Map Legend
� . i t if Provisionally Suitable Soils
to Phi aE °/>`� "r\
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Soil Science Investigations• Wetland Delineations,Permitting,and Consulting
NAµ%+TCUS COUNTY
RECEIPTL*µ*Ta
Oper: SBRUEN Type: CP Drawer: 1
Date: 3/23/18 52 Receipt no: 297666
Year Number Amount
2018 50043330
94842 aUNASSIONED
LILLINOTON, NC 27544
P4 DP - ENV HEALTH FEES
4'150.90
NEW TANN.
LELAND JOHNSON
Tender detail
CA CASH PAYMENT 8000.00
total tendered $800.00
Total payment 4550.00
Change
Trans date: 3/23/18 Time: t4:31:20
as THANK YOU FOR YOUR PAYMENT as