DOCUMENTS Initial Application Date: y la4 I � O Application# I sZ SLJC44 3 bi✓`J
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street,Lillington,NC 27548 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hameborg/permits
"A RECORDED SURVEY MAP,, RECORDED DEED
DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE AAPPLICATION**/ATION
LANDOWNER: T0^UR45K' '`re # Mailing Address:
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City: ext 1S7-7-2.71
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APPLICANT*: (i #/6 U 4/ Mailing Address:
City: State:_Zip: Contact No: Email:
*Please fill out applicant Information If different than landowner
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CONTACT NAME APPLYING IN OFFICE,: rGe'F ix 61 w 47 Phone# Y/a -4%' -V�b 6.
PROPERTY LOCATION:Subdivision: VC/9 5 J' 9 1e �/ q Lot#: 63 Lot
Size: Y1-,4tbI2
State Road# (': los State Road Name: I A rLg:7Pl(re- R/r 1 _ , 1 Map Book 8 Page:V Cli$ c7 S
Parcel: 0Aq 9 S ,/bast° b I PIN: G Wt�.-y"I S�W SP. 000
Zoning.SA Zone. LL Watershed':_Deed Book 8 Page.3�/l SIP Ce Power Company:
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PRO OSED USE:
''pp 0 / Monolithic
SFD:(Size r7a x 50)#Bedrooms:1#Baths,/Basement(w/wo bath): Garage: v Deck:"Crawl Space: Slab_Slab:_
(Is the bonus room finished?( yes ( )no wl a closet?( )yes (4[Ino(if yes add in with#bedrooms)
❑ Mad:(Size x )ft Bedrooms_ft Baths_Basement(wlwo bath)—Garage:_Site Built Deck:_ On Frame OR Frame_
(Is the second floor finished?( )yes (—)no My other site built additions?( )yes ( )no
❑ Manufactured Home: SW DW TW(Size x )#Bedrooms:_Garage: (site built?_)Deck: (site built? )
❑ 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 (—)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 ( )no
Does the property contain any easements whether underground or overhead( )yes (_)no
Structures(existing or•rope =• Single family dwellings: 'Fa Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks: Comments:
l �
Front Minimum SS Actual a
Rear a5 1064-
Closest Side /a 1 S
Sidestreeucorner 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 ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing stateyients are accurate and correct to the best of my knowledge. Permit subject to revocation' false information is provided.
nt
Signature of Owner or Owner's Agent Date
•
...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,undergrbund or ovetted easements,etc.The county or its employees are not respbnsible for any
Incorrect or missing inforniatio n that is contained within these applications."'
**This application expires 6 months from the initial date H permits have not been issued"
Residential Land Use Application Page 2 of 2 03/11
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HAL OWEN & ASSOCIATES, INC.
Soil Investigation and Septic System Design
Lot 64 Yorkshire Plantation; NC PIN 9564-45-6899 �O SOT 1/4
Lot 63 Yorkshire Plantation;NC PIN 9564-55-1682 X25 p4 0 fi4.,
21 March 2018 "' ' N
Figure ]. Soil Map showing Septic Suitability / 9 i,
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Soil Map Legend Scale 1 in= 100 ft N
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ttl Provisionally Suitable Soils 40
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` Provisionally Suitable Soils and approximate
'. ' - For Innovative or Experimental Systems
Soil Science Investigations • Wetland Delineations, Permitting, and Consulting
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.com
21 March 2018
Mr. Ted Brown
2927 Hillmon Grove Rd
Cameron,NC 28326
Reference: Soil Investigation and Septic System Design
Lot 64 Yorkshire Plantation; NC PIN 9564-45-6899
Lot 63 Yorkshire Plantation; NC PIN 9564-55-1682
Dear Mr. Brown,
A site investigation was conducted for the above referenced properties, which are located
on the southeastern side of Yorkshire Drive in Harnett County, North Carolina. The purpose of
the investigation was to determine the ability of these lots, when combined to form one lot, to
support a subsurface sewage waste disposal system and 100% repair area for a typical four-
bedroom home. Public water supplies will be utilized for this lot.
All ratings and determinations were made in accordance with "Laws and Rules for
Sewage Treatment and Disposal Systems, 15A NCAC 18A .1900". This report represents my
professional opinion but does not guarantee or represent permit approval for any lot by the local
Health Department. The permit you receive from the Health Department may contain some
modifications or amendments to our submitted design. Please carefully review,your permit and
adhere to all prescribed requirements.
SOIL INVESTIGATION
The soils were evaluated under moist soil conditions through the advancing of auger
borings. A portion of this lot was observed to be underlain by soils rated as provisionally suitable
for modified or alternative subsurface sewage waste disposal (Figure 1). These soils were
observed to be firm sandy clay loams to greater than 30 inches and will support long term
acceptance rates of 0.4 gal/day/sgft.
A significant area of provisionally suitable soils for innovative or experimental systems
was observed. These marginal soils are so rated due to limited usable soil depth to unsuitable
layers. These soils are adequate to support subsurface drip systems installed with trench bottom
depths at six inches below surface.
Soil Science Investigations • Wetland Delineations,Permitting, and Consulting
HAL OWEN &ASSOCIATES, INC.
SEPTIC SYSTEM DESIGN
An initial septic system has been designed for a design flow of 480 gallons per day
(Figure 2) utilizing a long term application rate of 0.4 gal/day/ft2. Effluent will gravity flow to
405 feet of conventional drainline. Serial distribution will be used to distribute effluent to three
variable length drainlines, with step-downs or drop boxes installed at the connections between
the lines. The top two drainlines should be installed on contour with trench bottom depths at 18
inches below surface, and the bottom line should be installed on contour with trench bottom
depths at 12 inches.
A curtain drain should be installed above the drainfield to divert water away from the
system. The curtain drain will be about 155 feet long and should be installed at least 2.5 feet
below surface.
Potential septic system drainlines have been demonstrated with various colored pin flags
that are located on the lot. It is important that you do not disturb the septic system area. It is
recommended that a staked line or protective fence be placed around the system prior to
construction to eliminate any potential damage to the soil or the layout of the system.
The repair septic system is proposed as a subsurface drip system. The drainlines should
be installed on contour with trench bottom depths at 6 inches below surface.
This report and the attached septic system design information will need to be submitted to
the Harnett County Health Department for review and the permitting process. 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.
Sincerely,
O 501! Ci A` �
+441-04;
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Licensed lSoil Scientist
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NAME: �`-' di \,(m-9N, APPLICATION#:
*This application to be mled 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 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 Ild,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 ltd 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 desir system type(s): can be ranked in order of preference,must choose one.
{ 1 Accepted { 1 Innovative { } Conventional 1_1 Any
11 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:
(_)YES {e--41O Does the site contain any Jurisdictional Wetlands?
{ }YES {-/NO Do you plan to have an dram now or in the future?
1 }YES 1`A O Does or will the building contain any drains'?Please explain.
I )YES I O Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
{ )YES { NO Is any wastewater going to be generated on the site other than domestic sewage?
{_)YES 1 ZfNO Is the site subject to approval by any other Public Agency?
1_1YES ( ANO Are there any Easements or Right of Ways on this property?
{_)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 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 Complete Site Evaluation Can Be Performed. r 'c.7
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) DATE
10/10
HARNETT COUNTY CASH RECEIPTS
*** CUSTOMER RECEIPT ram
Oper: SBROCK Type: CP Drawer: i
Date: 4/24/10 52 Receipt no: 331312
Year Number Amount
2018 50043863
31749 TECH 2
LILLINGTON, NC 27546
B4 BP - ENV HEALTH FEES
$750.80
HEW TANK
TED BROWN
Tender detail
CK CHECK PAYER 3739 $750.00
Total tendered 4750.00
Total payment 4750.00
Trans date: 4/24/18 Time: 12:20:21
** THANK YOU FOR YOUR PAYMENT **