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DOCUMENTS R 7. Initial Application Data. U 4 IC o g 4 Application# K S`-"LCs+C1 -+ r IItoi IY r CU# Central Permitting f08 E.Frdiht Street,Lillington,NC 17546 Phone:(910)89S-7525 ext:2 Fax:(910)893-2793 www.hamettorg/pormits RECORDED SURVEY MAP,RECORDED DEED(OR OFFER TO PURCHASE)11,SITE PLAN ARE REQUIRED MIEN SUBMITTING A`LANDUSE APPLICATION" LANDOWNER: OOr.5 Co re" Mailing Address: City: /I �� 11 State:( Zip: Contact NNo: Email: APPLICANT': L&P nO-�,-t-C, OA)e&( Mailing Address: 7CPSV 5p(lrs< Or city: (Tale Acv:II e, state. SIC zlpr2Y3II Contact No: R/ 3 if)2s'.646 Email. omtallw.�G/U�-w-n�l.tabu, 'Please fill opplicant information if different than landowner CONTACT NAME APPLYING IN OFFICE: (2; yn( // //�� 0“0, Phone# qq PROPERTY LOCATION:Subdivision: 2VCY yIJ!U 1J(. Nl .NL Lot#: .<53 Lot Size: '7. G�oa State Road# State Road Name: �l✓'t/ V3(t&f f Di, N Map Book r8 Pager-2n IR./ / 2S SPe�r O %-aa}. baba 000 f 011& -37 "3 J2 .b0 PIN: YXD C sciLD O zSO PW- f ci.c. b�(.0 DLS? a` ZoninggiA.A Flood Zone: Watershed: Deed Book&Page:\a€13O Power Company': 'News#uctures with Progress Energy as service provider need to supply premise number Tl from Progress Energy. PROPOSED USE: Monolithic C'( SFD:(Size x L O )#Bedrooms:r#Baths:3 Basement(w/wo bath): Garage: Deck:_Crawl Space:_Slab: .7 Slab'._ (Is the bonus room finished?( )yes (V)no cal a closet?(_)yes (L)no(if yes add in with#bedrooms) ❑ Mod:(Size x )if Bedrooms #Baths Basement(w/wo bath)—Garage:_Site Built Deck:_ On Frame_Off Frame Os the second floor finished?(_)yes ( )no My other site built additions?( )yes ( )no ❑ Manufactured Home:_SW_DW TW(Size x )It 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: V CountyC 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 L)yes ( )no Structures(existing propos1 ed)' ingle family dwellings: I Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments:S/1 1J_�cJVY\ 1Q1 �('" 1..�\.��,�,,II C(Ll1 'tt4�' Front Minimum Actual 2$LO. LTYCA CY\D�� ("I�V. n-xis �� c --- Rear (l� 1 L Csr'LS. Closest Side Sidestreeucorner lot Nearest Building on same lot Residential Land Use Application Page I of 2 03/11 APPLICATION CONTINUES ON BACK • SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: /'1 r 1'J vgcJ. -E1 Salk ryvtjr-ars_ it Art.- \ 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 and correct to the best of my k • _,•e. Permit subject to revocation if false information is provided. 7, it — ina. reo • ner or • nese-nt Dave **St is the ownerlapplicants 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 SOUTHEASTERN SOIL&ENVIRONMENTAL ASSOC.,INC. PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET SUBDIVISION:kt/C l-' ei 4cfvg LOT —" INITIAL SYSTEM:APPROVED 25%RECUCTION REPAIR/y P�i w v£D 2S`X+ 4..44:42-kw DISTRIBUTION:5.2..rz-r ..4 k'reDISTRIBUTION:S.2..rz-rA& DISTRIBUTION C7-/f-.x BENCHMARK: 100.0 LOCATION — NO.BEDROOMS: S LIAR 0. 3 yyd/i'fZ LINE FLAG COLOR ELEVATION LENGTH 1 3 99.58- s� U 5 `n,o2 ISD (o20 '4, ., P /00,00 /0‘.. Tp u O /bO.cc ,4 0. I 6 JOU.ov /a0 IO __ w 49,Y3 /UO I i P 4 .1 5 1✓_ pp (coo BY 4. ('. /Laa1A)JA DATE 071 02.11.°IV TYPICAL PROFILE _ THERE SHALL BE NO GRADING 1.7—L S/co. n-i_ 12T gran CUTTING,LOGGING OR OTHER SOIL (y- 36; S : c 104M. — (jn& S 6k DISTURBANCE IN SEPTIC AREA SAP > Cc% 2< ,`‘ | ; 1 / . _ \ \ ( / mI . \ / [ , ! \ ! ! -- / , , © \ [ | % Z / « ƒ� r ` � § ., - ` , ' � & 2 ®® 4 , , w - 02 ~ \ \ . . ‘,/, I { ; )! < S• 1 . • ;: g {Am . ` r ` • .. ittuir • >� \ \ j - - & y2 0 . , . !w /\ ': - . w\} 2 - • j 7 ? \\ ; K = | 4 ; M , %[ ; § a / « A42 ) ( - . gym ! W � ` ; } , /; . 1 ) \ ) � €w . g - - \ \ ! | R] rit ) §` = I \. } ( ! Wil ..1 20 } § §; . { § ! / I _ — : _d4 ) \ ! | 0 z : \ ° i Ill/ 1 I ) -< s 16 T. » `\ 8 ! 1! : § , \ U � , . � \ \ \.^... E 4 I |• \! f \ , 76 » , / k° \ : . i if vs (!. il � / } z -- — . » (� . -101.1.1151‘5 . � o�g d` gocn ., x/ .% ! r § , , ` ! %| j + 9 ` $ (i ) a91 ] @ a ° . ; \ , 33 / | /R - f § § & ° § G . ler \ -77 . ' MI ii 1 70 Ul Z. r j / ? / ` ) R ie �_ . ; | ) §q \ \ co BPI !; � B. B ` \ HTE# 19)-5-43467 Harnett County Department of Public Health 30067 Improvement Permit A building permit snot be issued with only an Improvement Permit 5 2 I q--qS\ PROPERTY LOUDON: '/n�iter (211,.. c),- , :J ((11;con-4. 124.) ISSUEDT6 r(11�'Y S'\ 0 t eCce:tk SUBDIVISION (Z- vec Q It)c� r' S, �t LOT # S NEW REPAIR 0 EXPANSION 0 Site Improvements required prior to Connection Authorization Issuance Type of Snucmre: .en;/2.- Cr�l'x L.r,' S,�� Proposed Wastewater Spleen Type: -r:.Cr7r. (-c‘\, y lei(s'. 5 ,> C Projected Daily Flow Lr ( D GPD '- Y_14-005 4' ?r'CEGetdt l.-1 M6 'illc tc Barber 01 XNumberal Occupantss O mate .cA BBasementt ❑1H o air LR Esti� .1t C`�ik Pump Aequhed: m 0 Na 0 May be required b ,ml louden and elevations o1 hdBtiu Type of Water Supply: ❑ Camnuniry 0 Public ell Distance from well ICY-) het N "a Permit olid br C-0'r'm yes Piz,oration 5 C3cc\c cc i, I loot!(<k (1a c'. 1,,- ,: . _ 0 No eapindon _ a e ... i Stent 1A\ �j(aEt.S its ,r. perk . Authorized S�e Agme —1��.,--w-;--__ pale: C D(e ��[,l�J SEE ATFAOIED SDE SHIM Ik ism of hie yem'a by tb .Pepsi'in ne.µgnwn the isms d oder peke The pent kldr it result hr Nett SI aleepria gore Sit in nH b iv la Sim to meats a a r e ps ix m at St*use tang..me anlrmw.m,rima as.l be SKIS by. in m.w I the kit Ws 'ar ria. tai n: ratµ. 10pmma ti wn9tee with Mpn.md the tan and kis Or Sewage linnet rich Disposal and m Mika of NO pvnA. Construction Authorization (Required for Building Permit) the canon.,and cin to*Sem of lyre.nSO..1951.1951.IAS..I9SA.I1S1.19Sa and MN art Ytwlwad by re(em.e nm this pet arid+nal be met Spam stall be Saki in sedate with the tma.e nam laput ISSUED TO: PROPERTY LOCATION: SUBDIVISION LOT# Facility Type: 0 New 0 Expansion 0 Repair Basement! 0 Yes 0 No Basement Fixtures? 0 Yes 0 No Type of Wastewater System" (Initial)Wastewater flow: GPD (See note below. if applicable 0) (Repair) Instogatim Regwements/Condid.n Number of trenches Septic Tank Size gallons Exact length of each vend, feet Trends Spacing Feet on Center Pump Tank Size gallons Trenches shag be installed on contour at a Sod (over. inches Maximum Trench Depth oF. inches (Maximum sod cover shall not exceed (Trench bottoms shill be level to +/.lit 76'above the trench bottom) in all direaons) Pump Requirement[ ft.TDH rs._GPM inches blow pipe Aggregate Depth: inches above pipe (Ogden!: inches total WATER EINES(INCLUDING IRRIGATION)MUST BE 10FT.FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. -If unlink/undo,n&the system type specked Ai#Nenat hum the type 4oeaied ea the apperceive. /accept the speoftationr o/dau perm& Owner/Legal Representative Signature: Date: Et Cowastia kd.tn a syn w retsina if de sit per plan or to imnaa m ch aka The Gssd.,Auha'mm.SI net k netted An dm'n a des in unship it the it kit camarm kthortun is manta w*Sri with the pi*el al bin at Ida kr Sege le ssr ad Disposal atm s skin d Si pun SEE ATTACHED SITE SKETCH Authorized State Agent Date: Construction Authorization Expiration Date: , 4 Rn/Aat +rix t s-e- EDOzE atn.ot.a_ ke— ((a it ‘tiefic- Application :IS-5-43959 Applicant Name:Lammoth O'Neal Subdivision: River Bluff Rd.N Lot p: 2&.3 Well Construction Sketch ; Punp to (A& I j seri t 1 epoT Se A.n.e� Go i X (--o' San- s- ;, I I 171.;:a \ 24.51 I 4J'x VGJ 1wE« L =_n J . I '91a.at` rztvaa_ (31-0 IC-i-= Cra-. t-. . -1g c.-DS:.a cc-,f M» R(Lo Rr4Y Sar-e< -rte tiICc-.. Well Completion Sketch HARNETT COUNTY CASH RECEIPTS *** CUSTOMER RECEIPT *** Seer: JBROCN Type: CP Drawer: Date: 7/09i18 52 Receipt no: 18775 Year Numner Amount 2016 50043959 35125 *UNASSIGNED DUNN. NC 26334 B4 EF - ENV HEALTH FEES $100.08 REVISION 2012 50043959 95125 *UNASSIGNED DUNN. NC 26334 01 BP - PERMIT `EES 448.80 SITE PLAN CHANGE ONSITE HOMES lender detail $1p0.B0 CP CREDIT CARD $140.00 Total tendered Total payment $140.00 Trans date: 7/B9/18 Time: 13:29:58 ** THANK YOU FOR YOUR PAYMENT **