LAND USE Initial Application Date: ill' // Application # 1 / b 2 .'2 2
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 / y
Fax: (910) 893-2793 www.hamett.org /permits
LANDOWNER: i e / a Ct?? STGN' �(//A `6J' 1 / C Mailing Address: 1 52' A 7044 -I- . /- L
City: 0 / % I , I ' ate: fL Zipe 0/1294 IA- Email: /�/ 1 / Co- p efric, v is «,•-
APPLICANT': 644(i Mailing Address:
City: State: Zip: Contact# Email:
`Please fill out applicant Information a different than landowner
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CONTACT NAME APPLYING IN OFFICE: ( e) 17I X 2)0 ' / /4 Phone # 6/ i6 2 -
PROPERTY LOC TION• Subdivision: R £6. I L C4 E1- / ` & % r!a J Lot #: 7r Lot Size; 2-• -5 / /�C
State Road # Y / State Road Name: / 2 ✓✓ 2 Map Book &Page: 24/a? do r
Parcel: 1/- 0(p 3,5 0 /h PIN: 9(O- n /
Zoning: £� ) � Flood Zone: Watershed: Deed Book &Page: 2y l 3 / 1 Power Company': pow a6 ✓Ts 64/44/
*New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
Ito SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: O / /IV Ten-me ?)C lee a / '/ 4//7112/44
TL pia- ( i i i f Ti4- 0 /defect/ Ti 4 /1i v,4t , Tit d n/AiG/94
C 46-s T Lai r rr ti Lt. r
PROPOSED USE: f7 it 3 Y /
/ y L /�/ . / I/ Alonolithic
M" SFD: (Sizep Z ' . 4 ! ( N Bedrooms..# Baths:2- taseme t� bath):" Garage:6G Deck:j Crawl Space:_ Slab:_ Slab:_
(Is the bonus room finished? (_) yes )no w/ a closet? (_) yes (_)no (if yes add in with # bedrooms)
❑ Mod: (Size x) # Bedrooms_ # Baths_ Basement (w /wo bath)_ Garage:_ Site Built Deck:_ On Frame_ Off Frame_
(Is the second floor finished? ( ) yes (_)no Any 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: _ ....-- 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
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: n Comments: `
Front Minimum 3 v
Actual / Z
Rear 2 c 72_12_
Closest Side /0 /v
Sidestreeticomer lot
Nearest Building
on same lot
If permits are granted I agre -. • con' to all ordinances aws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoi , state nts arsa cur 4 a ect to the best of my knowledge. Permit subject to revocation if false information is provided.
/ Y ///
` Signature of Owner Owner's Agent Date
**This application expires 6 months from the Initial date if permits have not been issued**
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Residential Land Use Application Page 1 of 1 10/10
Course Bearing Distance
L1 N 37 °41'39' W 15.47'
�kE L2 N 35 °19'21' W 15.09'
' q D L9 N 53 ° 04'08' W 101.04'
Curve Radius Length Chord Chord Bear.
`� C1 50.00' 37.37' 38.51'.. N 89 °10'00' E
SI p
L � k 1 ■ \ C2 25.00' 18.89' 18.28' N 89°10 E
OR g ■
RIVER RD
N is•
As' CLARA B. LANGLEY
VICINITY MAP (NM) 9h, 0.8.1165, PC.63]
( ' co)
M.8.96, PG.461
LEGEND � "`S6'
DP SCALE TO S WA L \ V 47 <
EI E%ISTINC IRON PIPE 4 \
PP TER POLE
W/M WATER METER 01 L3
TB TELEPHONE BOX
PS IRON PIPE SET V O
CPDL TRANSFORMER MI N
CAN CABLE CABLE T BOX (n �'
L POLE LIGHT AD POLE et \
011.1 OVERHEAD SECTION \
F.E.S. FLARED END CN PIPE (PWE)
RCP REINFORCED CONC. PIPE
B.O.C. BACK OF CURB O
FN. FIRE HYDRANT C \0 SEWER CLEAN OUT 4- \
n5 E %IS'ING IRON STAKE Q (n 1
MN. MANHOLE
ECM EXISTING CONCRETE MONUMENT
P.N. PARKER NALON WVL J r O y 1
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HOUSE
SEE INSET
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PORCH 12 I
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REGAL CR . DRIVE I
INSET (NTS) — 00' PUB= R/W) 1
/
NOTE: SHOWN IS LOT 5 OF - - _ /
REGAL CREST S/D 290 _
REF: M.B.2008 PG.884 B O 0 . . 80 __ 160 : :rr
• - -- " AREA = 2.499/ACRES
247 REGAL CREST DRIVE GRAPHIC SCALE - PRELIMINARY PLOT PLAN FOR: THAT TIE KW WIS NS 6 TO
PPEPARED FROM ACTUAL SURVEY OF TIE N.C. CUSTOM HOMES
PREMISES, MADE WEER NY S WERWI. MW
1HAT THERE ME NOT ANY DaCROACH►ENIS,
EXCEPT AS NOTED 10 THE BEST OF MY 1oaaDSE TMfSP., WIRNETT CO., N.C.
MW THE RATIO OF TU I : 10 HEC CREEK *S NOVEMBER .. E. 2010
u1DIIO A M D DEPARTURES
1146 WP M S PRBYJED FOR FOR OOIiMW USE TION MAULDIN - P.A. OR
MID 6 NOT MIMED FOR E SURVEYOR WRITTEN A111110RI --��' P .O. BOX 444 / 1301 W. BROAD SF.
OF THE AND OFFER APPROPRIGE Off4� L PRELIMINARY PLAT PJQUAY WOK NORIH � � 27528
• -3 45510►9'L I/JR 9lIEYEYDR NOT FOR RECOROATFON (919) 552 -9328 3350 -5
L -3247
NAME: Di? v Do 2 " / 6.„-\ 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
dependiinn8888 upon documentation submitted. (complete site plan = 60 months; complete plat = without expiration)
910- 893 -7525 option 1 CONFIRMATION #
Environmental Health New Septic System Code 8 00
• All property irons must be made v isible. Place "pink p roperty flags" o n each corner i ron 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 retum trlp fee may be incurred
for failure to uncover outlet lid, 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 En vironmental Health inspection. Please note
confirmation number qiven at end of recordina for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
❑ Environmental Health Existing Tank Inspections Cod e 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over over outlet end as diagram indicates, and lift lid straight up (if
possible) and then close back down. (Unless inspection is for a septic tank in a mobile home park)
• After uncovering outlet end call the voice permitting system at 910 -893 -7525 option 1 & select notification permit if
multiple permits, then u se code 800 for Environmental Health ins pection. 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.
{_} Accepted {_} Innovative {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.
{_ }YES {_" } NO Does the site contain any Jurisdictional Wetlands?
{_ }YES { erNO Do you plan to have an sys[� now or in the future? r..y�'"�
(24 {_} NO Does or will the building contain any drains? Please explain. 9UH
t_(YES ( .) (o Are there any existing wells, springs, waterlines or Wastewater Systems an this property?
{_ }YES 1./71C Is any wastewater going to be generated on the site other than domestic sewage?
(_ }YES (O Is the site subject to approval by any other Public Agency?
{ }YES (t 41 Are there any Easements or Right of Ways on this property?
(_ ES {_} 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.
1 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.
1 Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Sit • 'Ile So That Complete Site Evaluation Can Be Performed.
i s r/
PROPERTY OWNERS OR • NERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
E- Health Checklist
1 of 3 10110
t
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b., Central Carolina son Consulting, PLLC
329 south White street
Wake Forest, NC 27587
919-5894704
November 8, 2010
Project # 934
NC Custom Homes, LLC.
David Dozier
1508 Mycenae Place
Fuquay- Varina, NC 27526
RE: Soil/site evaluation and septic system layout on lot 5 in Regal Crest Subdivision, Harnett
County.
Dear Mr. Dozier.
Central Carolina Soil Consulting completed a soils evaluation and septic system layout per your
request on lot 5 in Regal Crest subdivision to determine soil suitability for a 5-bedroom septic
system and repair area. The soil site evaluation was performed using hand auger borings, under
moist soil conditions, based on the criteria found in the State Subsurface Rules, sils A N t 5 in the
.1900 "Laws and Rules for Sewage Treatment and Disposal ystems
back yard between the proposed house location and roughly 30.40' from the woods line are
provisionally suitable for modified conventional type septic system and repair area for the
proposed 5- bedroom home utilizing Accepted Status Product with a 25% area reduction. Please
note that CCSC did layout enough proposed septic line to utilize a conventional stone drainfield
if desired. The proposed primary system is a gravity system (Lines 2 -4) requiring an 20" trench
bottom on contour. The soils in this area had a sandy loam surface over a sandy clay loam
subsoil suitable to at least 33 -40 "+ over the proposed drainfield area with a site LTAR of 0.35
gallday /ft2. The repair area shall be a gravity septic system as well (lines 5-7) requiring a 20"
trench bottom on contour. The soils were similar in the repair area to the soils in the proposed
primary septic field location with a site LTAR of 0.35 gal/day /ft2. The specific septic
ent. area
and loading rate for this lot will be permitted by the Harnett County Health Da,i» a� shall not be
for the proposed septic fields shall not be impacted by home sites, pools, garages
mechanically altered from the natural lay of the land during construction of house and should
be fenced off to prevent compaction of the soil. The proposed pool a to meet e a
required 15' minimum setback but the house & pool locations should be clearly staked prior
site evaluation by the Harnett County Health Department.
This lot will require a detailed soils evaluation by the Hamett County Health De Department prior to
issuance of any permits. Due to the subjective nature of the permitting process and
as suitable
variability of naturally occurring soils, CCSC cannot guarantee that areas
for on -site wastewater disposal systems
will be permitted by the governing agency.
Please give me a call if you have any questions.
Sincerely,
9 LV
Hall
NC Licensed Soil Scientist 1248
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NC Custom Homes
Regal Crest Subdivision, Lot 5
5- Bedroom House 600 gaVday)
LINE # COLOR f lit a ELEVATION LINE LENGTH pesien Leneth
TBM 0.0 100.0 in field i°siattatj .
INST. 1 100.0
1 Orange 5.1 94.9 227 Not Used
2 glue 5.7 94.3 235 150
3 Yellow 6.3 93.7 251 150
4 Red 6.8 93.2 250 150
5 pink 7.4 926 251 150
6 Orange 8.0 92.0 250 150
7 Blue 8.4 91.6 250 150
Total 1714 900
Satan HMS
Lines 2-4 Lines 5 -7
System Type Accepted Status Product Accepted Status Product
EZ -Flow EZ -Flow
Suggested Soil LTAR 0.35 0.35
(gal/day/f 2)
System Installation LTAR 0.33 0.33
Total Line Length 450 450
Square Footage 1350 1350
Proposed Trench Bottom 20" 20"
Distribution Method Gravity to D -Box Gravity to D -Box
Notes:
Regal Crest Subdivision z o ll'
Lot # 5 e 1.0 °—o \ � C`��
NC Custom Horses -� f 2),9
5- Bedroom Septic System Layout -___ vp
November 2010
AREA = 2.499 ACRES /
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System: Gravity to D -Box
\ � Lines 2 - 4, (450')
\ Accepted Status System
∎N 0.35 Soil LTAR
20' Trench Bottom
Runes flapped longer In the field than lenaahs Indicated Repair; Gravity to D - Box
on site plan a Install at lengths Indicated bh site plan. / elB Lines' 5 -7 (450')
■House sID need to be staked by NC lc[e rierveym••
sales located via CBS, Cf0 XT gps recel Accepted Status System
.ate pan provkMa by Mauldin & vatkns Sure / 20' Trench Bottom
° o 0.35 Soil LTAR
GRAPHIC SCALE
1" = 60' \ <r /
l° Central Carolina
Solt Consulting
120 919 - 569 - 670 4
60 — J 6 - \ i Protect It 934
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FOR RKISETR r a L OP 0EE06
NETT COUNTY TAX ID# �1� 63 02:x:41�
8K:2034 11:932 -334 I�: p.. 1
+, , ; - 00 3 --• NC REV ENC:$115.00
S a 115TRI Ni 1 2911tt1 2
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STATE OF ► "'LIMA GENERAL
COUNTY OF i iio,I'' r WARRANTY DEED
Excise Tax: 5115.00 0
Parcel ID Number: 050633 001
Prepared by Wallace Meroogliano, ° =.6. Bo 820, uquay - Varina, NC 27526
Mail to: Grantee
THIS DEED made this 3` day of Febru , d between
GRANTOR GRANTEE
J Blanchard Farms, LLC NC m omes, LLC
385 A C Morrison Road 50: y• : c Place
Lillington, NC 27546 Fu• - : :na,NC27526
0
The designation Grantor and Grantee as used herein shall include sa' . p: ies, r ei heirs, successors, and assigns,
and shall include singular, plural, masculine, feminine or neuter as :.ui . • t e.
WITNESSETH:
THAT the Grantor, for a valuable consideration paid by the Grantee, the : eipt . • i ' ereby acknowledged,
has and by these presents does grant, bargain, sell and convey unto the Gran -.'n fe - ; e, I that certain lot or
parcel of land situated in Buckhorn Township of Harnett County, North Carol! [ 41. are .a , lady described
as follows:
Being all of Lot 5 of Regal Crest Subdivision as shown in Map Book 2008, Pag • , • .17 . C • unty
Registry. The metes and bounds description shown thereon is incorporated here! • ren
The above described lot is conveyed subject to all easements, rights-of-way and - 'et - owr:en
said plat or listed on the public record and to the 2010 ad valorem taxes.
See Deed Book 2215, Page 937, Harnett County Registry.
All or a portion of the property herein conveyed does not include the primary residence of a ra •
. . II,