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IPAC R with land use changes attached with permitHTE# Harnett County Department of Public Health 2864 Improvement Permit A building permit cannot be issued with only an Improvement Permit �r N's, PROPERTY LOCATION: e) o N S a a 6 C)g b ISSUED TO: M� t� E l ,c3 `N f. SUBDIVISION C')acv�arct -e� LOT # % i NEW 4, REPAIR ❑ Cl{'ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5qro Proposed Wastewater System Type: '0�dVCXOJ NJ 5y5 . Projected Daily Flow: GPD Number of bedrooms: %'s1 Number of Occupants: max Basement []Yes No Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community/Public ❑ Well Distance from well L OC% Feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: v t b SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the ism fv er permits. The permit ho der is pamible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site pian, plat, or the intended use changes. The Improvemen m shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Pump Requirements: ft. TON vs. GPM Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total **If applicable: / understand the lXtem type rpedled it different from the type spedled on the app/icadow. / accept the fpeciAcadvinr of this permit use Date: not construction Authorisation is�s ed to mm�haecees tth.1D-Wyisiom of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this Authorized State Agent: Date: Authorization SEE ATTACHED SITE SKETCH Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance with the attached system layouty ISSUED TO: Thcy_� ,AOrr*6 QQ INC' PROPERTY LOCATION: flaL+g(' SUBDIVISION ©y.xr.ot if LOT # Facility Type: SAO (C% s"�2-1 New ❑ Expansion ❑ Repair Basement? ❑ Yes "R No Basement Fixtures? ❑ Yes _D�No Type of Wastewater System** W91ts RC--ZvC.,<�Cf ,i s,+STC>Sn (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) ZLS�Z� �£.p vGS ) 0,Y.9 s -1J` (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size i 00 Q gallons Exact length of each trench 30 feet Trench Spacing: I Feet on (enter Pump Tank Size gallons Trenches shall be installed on cotour at a Soil (over. inches Maximum Trench Depth of: 1q inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TON vs. GPM Aggregate Depth: Conditions: WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total **If applicable: / understand the lXtem type rpedled it different from the type spedled on the app/icadow. / accept the fpeciAcadvinr of this permit use Date: not construction Authorisation is�s ed to mm�haecees tth.1D-Wyisiom of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this Authorized State Agent: Date: Authorization SEE ATTACHED SITE SKETCH HTE# )�? S-3��C1��. Permit # a'zxL1 Harnett County Department of Public Health Site Sketch PROPERTY LOEATON: L - ISSUED T0: ��k `Ao SUBDIVISION Orxt,-,0 i LOT # tib_ Authorized State Agent O\ 1N56LiN (Z-ToLt5VOQ5)) Date: 1 ,I i i�2I l d H I Ii0v5G 36 W cu)N otz z Md j c- Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: LA (39Qrn Design Flow (.1949): 1-1110 `f Location of Site: Property Recorded: Water Supply:Public❑ Individual C1 Well Evaluation Metho�Au er Bor'ng ❑ Pit ❑ Cut Type of Wastewater: �Ta4ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class &LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1956 Sapro Class .1944 Restr Horiz I L> 1 -1 o C. S L \\ �Cfi.NSI�P —.ems y 6 C� C30 Sgk34- SPIL to/- P� Description Initial Repair System Other Factors (.1946): S st Site Classification (.1948)? Available Space(. 1945) Evaluated By: ell System Type(s) a r. Others Present: Site LTAR •+a •�� Initial Applkgeon Date: Application # COUNTY OF HARNEO7 RESIDEN7UIL LAND USE APPLICATIONCU# Central Permitting 108 E. From Street, Lillington, NC 27548 Phone: (910) 893-7525 ext2 Fax: (910) 893-2793 www.hamett.org/pemlRs "A RECORDED SURVEY NAP, RECORDED DEED (OR OFFER TO PURCMASE) & SITE PLAN ARE REOIICTED WHEN SUBMITTING A LAND USE APPLICATION" LANDOWNER: McKee Homes, LLC Mel101 He Street Melling Address- y Qty, Fayetteville State: FIC Zip: 28301 ContactNo:(910) 475-7100 sxt 728 Email: wbynum0mckeehomesnc.com APPLICANT': McKee Homes, LLC 101 Hay Street Melling Address: _ Cly, Fayetteville State: NC Lp: 28301 Contact No: (910) 475-7100 ext 728 'Please fill out appacard Information If ditrent than landowner wbynum® mckeehomesnc.com CONTACT NAME APPLYING IN OFFICE: William Bynum Phone # (910) 475-7100 ext 728 PROPERTY LOCATION: Subdivalon: JoLvad Let ill /I/ Lot SiM:2y1/ State Road If ISS State Road Name: OF Map Book & Page: / Parcel:l%S050N1916V4 IP PIN: 0,549912- 9211L Zoning: Flood Zane: Watershed: Deed Book & Pago:JOJJ 194 PowerCompany': Cabal Electric 'New structures with Progress Energy as service provider need to supply premise number from Progress Energy PROPOSED USE: gf 7 h d� SFD: (S'¢e��) # Bedrooms: j # Batirl ff Bas ime`n�t(w/wo bath):_ Garage:_ Deck_ Crew/ SPace:_ Slab:_ Slab: YJc (Is the bonus room finished? (� yes `1= -r no w/ a closet? U yea (_) no (I yes add In with # bedrooms) % ❑ Mod: (S¢e _x_J # Bedrooms_ # Baths_ Bssemard (wlwo bath)_ Garage:_ Site Buil Deck:_ On Frame_ Off Frame_ (Is the second floor finished? (J yes (_) no Any other site built additions? (___) yes (J no ❑ Manufactured Home: _,SW _DW _TW (Slzeix_) Is Bedrooms: _ Garage:_(slte built?_) Dwk:_(site bullt7_) ❑ Duplex: (Size `x� No. Buildings: No. Bedrooms Per UNC ❑ Home Occupation: # Rooms: Use: Hour: of Operation:_ #Employees:_ ❑ Addition/Accassory/Other:(size_�_� Closets In addition? (-- 1 yea U no Water Supply: 4 lU County _ Existing Well _ New We" (# of daa#Ings using weU_ _) *Must haw operable water beforefinal Savage Supply: —New Septic Tank (Complete ChecRllsf) _ Existing Septic Tank (Complete CAecldist) —K County Sawer Does owner of this batt of land, own lend that Contains a manufactured home within five hundred fast (500') of tract listed above? L_)yes 1A no Does the property contain any easements whether underground or overhead U yes 4 no Stnictures (existing or proposed): Single family dwellings: ManufacturedHHomes:, Othm (specify): Required Residential Property Line Setbacks: Comments: From Minimum Aehral Rear Cloaast Side SidestreeVcomer lot Nearest Butidrng on same lot Resklentlal Land Use Appliaatlon Page 1 of 2 APPLICATION CONTINUES ON BACK 03?11 NAME: APPLICATION *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 1 CONFIRMATION # El Environmental Health New Septic SvstemCode 800 • All property Irons must be made visible. Place 'pink property flags" on each comer Iron of lot. All property lines must be clearly flagged approximately every 50 feet between corners. • Place "orange house comer flags" at each corner of the proposed structure. Also flag driveways, garages, decks, out buildings, swimming pools, etc. Place flags per site plan developed attfor 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. 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 • Use Click2Gov or IVR to verily results. Once approved, proceed to Central Permitting for permits. p Environmental Health Existing Tank inspWiona 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 Ib back In plate. (Unless inspection is for a septic tank in a mobile home park) • 00 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 atven at end of recording for proof of reouest. • 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, most choose one. {❑) Accepted (❑) Innovative I❑) Conventional (❑I Any 101 Alternative 1❑) Other The applicant shall notify the local health department upon submittal of this application if any of die following apply to the property in question. If the answer is "yes", applicant MUST ATTACH SUPPORTING DOCUMENTATION: {❑) YES (0- NO Does the site contain any Jurisdictional Wetlands? (❑)YES [ 90NO Do you plan to have an irri anon system now or in the future? ( ❑) YES IR NO Does or will the building contain any damns? please explain.. (-O)YES ( NO Are an there y existing wells, springs, waterlines or WastewaPr Systems on this property? [❑)YES { NO Is any wastewater going to be generated on the site other than domestic sewage? (❑)YES { NO Is the site subject to approval by any other Public Agency? (0)YES {{� NO Are there any Easements or Right of Ways on this property? (D)YES {yy1 NO 66 Does the site contain any existing water, cable, phone or underground electric lines? If yes please call No Cats 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 Correa. Authorised County And State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Determire Compliance With Applicable Laws And Rates. I Understand That I Am Solely Responsible For The Proper IdentiHution And Labeling Of An Property Lines And Corners And Making The SiteASfpslble So mat &Complete Site Evaluation Can He Performed, PROPERTY OWNERS OJIOWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) 10/t0