DOCUMENTS I
Initial Application Date:1A
1 d Application# lJCl J • l 1
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COUNTY OF 7 RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E.Front Street Lillington,NCC 2754627546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.hamett.org/permits
(A RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WHEN SUBMITTING A LAND USE APPLICATION"
LANDOWNER:George and Kim West Mailing Address:238 Doug West Lane
City: Spring Lake Stete:NC Zip.28390 Contact o: 910 797 2187 Email: GWEST2104@gmail.com
APPLICANT*: Mailing Address:
City: State: Zip: Contact No: Email:
*Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Phone#
PROPERTY LOCATION:Subdivision: Lot#: A Lot Size:12'95
2048 Bethel Baptist Church Road )�//� ��
State Road# {., C�Sttatte Road Name: Map Book 8 Pag
Parcel'r�tD�y b i 0 ✓3'1 bbO PIN:eJD b�I5_3y - 3S - b4go
two
Zoning j3 .*.Flood Zone: x Watershed: Deed Book 8 Pagai CAD / 30 Power Company': South River
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
PROPOSED USE:
Monolithic
❑ SFD:(Size )#Bedrooms:_#Baths:_Basement(w/wo bath):_Garage: Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished?(_)yes (_)no wl a closet?( )yes ( )no(if yes add in with#bedrooms)
rl
• Mod:(Size 76 x28 )#Bedrooms #Baths Basement(w/wo bath)_Garage: nnS Site Built Deck: ✓ On Frame_Off Frame 1"
(Is the second floor finished?( )yes (✓)no Any other site built additions?(_)yes (i)no
❑ Manufactured Home: SW_DW_TW(Size x )#Bedrooms:_Garage: (site built?_)Deck: (site built?_)
U Duplex:(Size x )No.Buildings: No.Bedrooms Per Unit:
❑ Home Occupation:#Rooms: Use: Hours of Operation: #Employees:
O Addition/Accessory/Other(Size x )Use: Closets in addition?( )yes ( )no
Water Supply: ✓ County Existing Well New Well(#ofdwellings 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 (1')no
Does the property contain any easements whether underground or overhead(✓)yes (_)no
Structures(existing or proposed).Single family dwellingsiY \L)C1 I• Manufactured Homes: Other(specify):
Required Residential Property Line Setbacks:e(t`��� � s,11 Comments: x�
Front Minimum 35
Actual C101.(4
Rear 25 (Ola
Closest Side 10 1sq.
Sidestreettcorner 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: Take Highway 210 South approx 17 miles.Turn left onto State Road
2048(Bethel Baptist Church Road) for approx 2 miles. Turn right onto Doug West Lane.
If permits are granted I agree to conform to all ordinancessand laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that forego' g statements are/accurate an correct to the best of my knowledge. Permit subject to revocation if false information is provided,
(441IK )a 7-6-18
4 gn�e f 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,underground 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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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
31 May 2018
Mr. Doug West
Mrs. Judy West
209 Doug West Lane
Spring Lake,NC 28390-7310
Reference: Preliminary Soil Investigation
Minor Subdivision Plat for Douglas H &Judy West
Dear Mr. West,
A soil investigation has been conducted at the above referenced property, located on an
easement road south of Bethel Baptist Road (SR 2048) in the Anderson Creek Township of
Harnett County, North Carolina. The purpose of the investigation was to determine the existence
of a subsurface sewage waste disposal system on each lot and to make surface observations
relative to their apparent operation. All soil ratings and determinations were made in accordance
with "Laws and Rules for Sewage Treatment and Disposal Systems, 15A NCAC 18A .1900". It
is our understanding that individual septic systems and public water supplies will be utilized at
this site.
Lot B has an existing residence with an existing septic system that appeared to be
functioning properly on the day of the investigation. This existing septic system appeared to be
located within any setback requirements for this property. A soil investigation was conducted
and it appears that an adequate amount of suitable soil exists on this lot to 100 % repair the
system if it should fail.
Lot C has an existing residence with an existing septic system that appeared to be -
functioning properly on the day of the investigation. This existing septic system appeared to be
located within any setback requirements for this property. A soil investigation was conducted
and it appears that an adequate amount of suitable soil exists on this lot to 100 % repair the
system if it should fail.
Lot D has two existing mobile homes, each with an existing septic system that appeared
to be functioning properly on the day of the investigation. Each existing septic system appeared
to be located within any setback requirements for this property. A soil investigation was
conducted and it appears that an adequate amount of suitable soil exists on this lot to 100 %
repair each system if it should fail.
Soil Science Investigations • Wetland Delineations,Permitting,and Consulting
HAL OWEN & ASSOCIATES, INC.
An additional investigation was conducted on Lot A at the proposed site of a home to be
built in the future and the soils were found to be suitable for septic systems. There appears to be
many options for you septic disposal needs associated with the new home. The soils throughout
this property on the uplands are wind-blown sediments with loamy sand surfaces that extended to
greater than three feet in many places. Below these light colored soils are bright colored sandy
loam layers that demonstrate the well to excessively drained nature of these soils. These soils, in
my opinion, are the best soils for subsurface sewage waste disposal that you can find. Fifty feet
of conventional drainline per bedroom in the home should be adequate for decades.
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.
501! ee Sincerely,
cc xxPs. OWEN -Pt
11,`f I Hal Owen
M, , Ja CP .ttZiEt-: = III Licensed Soil Scientist
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OFNORrkkO
Soil Science Investigations • Wetland Delineations,Permitting,and Consulting
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NAME:�l
GPI4,f\ 1 ) M (✓ 2S1-- APPLICATION#:
V *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 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 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 after confirmation.$25.00 return trip fee may be incurred
for failure to uncover outlet lid,mark house corners and property fines.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 Existina 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 UDS 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 desiredresystem type(s): can be ranked in order of preference,must choose one.
{_1 Accepted ( ) Innovative { Y 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:
{_IVES {J,-1/'r50 Does the site contain any Jurisdictional Wetlands?
{_)YES {__jf'NO Do you plan to have an irri a ion system now or in the future?
{_)YES 'yZNO Does or will the building contain any drains?Please explain.
I—IYFS Ii/1 NO Are there any existing wells,springs,waterlines or Wastewater Systems on this property?
(_)YES s--/-5(0 Is any wastewater going to be generated on the site other than domestic sewage?
{_)YES 11---1'IrO Is the site subject to approval by any other Public Agency?
{ YES (_FNO Are there any Easements or Right of Ways on this property?
y)
{_/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 S' Evaluation Can Be Performed.
PRO&TY O NERS O OWNERS LEGAL REPRESENTATIVE SIGNATURE(REQUIRED) UAE,
10/10
HARNETT COUNTY CASH RECEIPTS
mmm CUSTOMER RECEIPT ***
Goer: JBROCK Type: CP Drawer: 1
Date: 7/89/18 52 Receipt no: 18368
Year Number Amount
2618 5204444A
91749 TECH 2
LILLINGTON, NC 27546
64 BP - ENV HEALTH FEES
$752.28
NEW TANK
KIM WEST
fender detail
CP CREDIT CARD $750.80
Total tenderec $750.08
Total payment $750.841
Trans date: 7/09/16 Time: 5:27:12
*4 THANK YOU FOR YOUR PAYMENT **