LAND USE RRInitial Application Date: U-}[Cl Application # V/ 0 rr)7
COUNTY OF HARNETT LAND USE APPLICATION Rg 61-a S(.) 14 a U 5
Central Permitting 102 E. Front Street, Lillington, NC 27546 Phone: (910) 893-4759 Fax: (910) 893-2793 www.hamett.org
LANDOWNER: 4JCri~'.Sg ~0.d1a 4-acx, 6eX4th Mailing Address: 2C95 rinn,5 CNtcY l2W
City: AKQi'c,r State: A) - . Zip: Z Dl Phone#: 919-63q- 3Sdd
APPLICANT: Ai .icItle v c. ►-130 r Mailing Address: 2f~ S lC~` n k •'s C µ r ~ /c ✓Ld
city: A,,b- t- State: Zip: 2'7S0 (Phone 71? - KP37-Sl3fs7
PROPERTY LOCATION: SR _4~ SR Name: N UbJ ~Zd
Address: 141/ o b b Y a cw A
Parcel: O (p 2 00 b Z PIN: 0 (o 2-6 - '35 - 7Y/q, OUO
Zoning: U Subdivision: Lot M Lot Size:
fO
Flood Plain: Panel:- Watershed:- Deed Book/Page: oa ~~5 Plat Book/Page: C~b
DIRECTIONS TO THE PROPERTY FROM LILLIINGTON: L~O 1 f c, Ck h - 5 t k L RGq C(, G ~ ~J 1,. k F ~'2J
0 L r ~C 1, t.6 /LL- IL A - L oiL Ae,5 e 1 r 4ole- ::>,,L 14c, J
I'lidT -I ~ L A. (
L& 'k- o wt L e- p+ - _ 1 0~ 6,~S m_ 0+1_ Tic
PROPOSED USE:
~FD (Size-.7q x-&5-) # Bedrooms
❑ Multi-Family Dwelling No. Units
No. Bedrooms/Unit
❑ Manufactured Home (Size x of Bedrooms
Number of persons per household
O Business Sq. Ft Retail Space
❑ Industry
❑ Church
Sq. Ft
Seating Capacity Kitchen
Garage
Type
Type
O Home Occupation (Size x____j # Rooms Use
Additional Information:
Garage ~ Deck v Crawl Space Slab
Deck
~4c cessory Building (Size 20x_30) Use
Addition to Existing Building (Size x_) Use
O Other
Additional Information:
Water Supply: ()L) County U Well (No. dwellings U Other Environmental Health Site Visit Date:
Sewage Supply: ()kj New Septic Tank Lj Existing Septi/Inknk iJ County Sewer U Other
Erosion & Sedimentation Control Plan Required? YES (~!N
Property owner of this tract of land own land that containsi manufactur FrBm ,flue hundred feet (500') of tract listed above? YES
Structures on this tract of land: Single family dwellings u d Other (specify)
Required Residential Property Line Setbacks: Minimum Actual
Front 35 1~~ S 'cXTi_
Rear 25 9-S~
Side 10 _ 4/ C)
Comer 20 "CT
Nearest Building 10 Q 15
If permits are granted 1 agree to conform to all ordinances and the laws of the State of North Carolina regulating such work and the specifications or
plans submitted. I hereby swear that the foregoing statements are accurate and correct to the best of my knowledge.
W44 311p1n LA
Signature of Ow 4r or Owner's Agent Date
# Baths
a~wMro bath)
A --L
"This application expires 6 months from the Initial date if no permits have been issued"
A RECORDED SURVEY PLAT AND RECORDED DEED ARE REQUIRED WHEN APPLYING FOR A LAND USE APPLICATION
`\EIS
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TONY L. SULLIVAN
P.C. F, SL. 679-C
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o EIS Jr. RALPH C. SMITH
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'4s°';~8,~~,~8 , ~S7q39'~2w JOHN M. MORGAN
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/ CONTROL CORNER CONTROL CORNER ,
i
stak e
:4 line
i ium un-' >Lcnc
to property line
is 117"
Application Number: _556~2b W,
Harnett County Planning Department
PO Box 65, Lillington, NC 27546
910-893-7527
nvironmentaI Health New Se tic Test
P nvironmental Health Code 800
• Place "property flags' in each ot. All property lines must be clearly flagged.
• Place "house corner flags" at each corner of where the house/manufactured home will sit. Use additional flagging to
outline driveways, garages, decks, out buildings, swimming pools, etc.
• Place flags at locations as developed on site plan by Customer Service Technician and you.
• Place Environmental Health "orange" card in location that is easily viewed from road.
• No grading of property should be done. Undergrowth should be cleaned out to allow soil evaluation to be performed.
Inspectors should be able to walk freely.
• After preparing proposed site call the voice permitting system at 910-893-7527 and give code 800 for Environmental
Health confirmation. Please note confirmation number given at end of recording for proof of request.
• To hear results, call IVR in approx.7-10 working days. Once approved, proceed to Central Permitting for permits.
Environmental Health Existing Tank Inspections
Environmental Health Code 800
• Place Environmental Health "orange" card in location that is easily viewed from road.
• Prepare for inspection by removing soil over door as diagram indicates. Loosen trap door cover. (Unless inspection is
for a septic tank in a mobile home park)
• After preparing trapdoor call the voice permitting system at 910-893-7527 and give code 800 for Environmental Health
confirmation. Please note confirmation number given at end of recording for proof of request.
• To hear results, call IVR in approx. 7-10 working days. Once approved, proceed to Central Permitting for permits.
Health and Sanitation Inspections
Health and Sanitation Plan Review 826
• After submitting plans for food and lodging, call the voice permitting system at 910-893-7527 and give code 826 for
Health and Sanitation confirmation. Please note confirmation number given at end of recording for proof of request.
• To hear results, call IVR in approx. 7-10 working days. Once approved, proceed to Central Permitting for permits.
Fire Marshal Inspections
Fire Marshall Plan Review Code 804
• Call the voice permitting system at 910-893-7527 and give code 804 for plan review. Please note confirmation number
given at end of recording for proof of request.
• To hear results, call IVR in approx 7-10 working days. Once approved, proceed to Central Permitting for permits.
• Pick up Fire Marshal's letter and place on job site until work is completed.
Public Utilities
• Place stake with "orange" tape/name thirty feet (30) from the center of the road at the location you wish to have water
tap installed.
• Allow four to six weeks after application for water/sewer taps. Call Utilities at 893-7575 for technical assistance.
Building Inspections
• Call the voice permitting system at 910-893-7527 to schedule inspections. Please note confirmation number given at
end of recording for proof of request.
• For new housing/set up permits must meet E 911 / Addressing guidelines prior to calling for final inspection.
• To hear results of inspections, call IVR after scheduled inspection is done.
E911 Addressing
Addressing Confirmation Code 814
• Address numbers shall be mounted on the house, 3 inches high (5" for commercial).
• Numbers must be a contrasting color from house, must be clearly visible night and day at entrance of driveway if home
is 100 ft or more from road, or if mailbox is on opposite side of road.
• Once you purchase permits and footing inspection has been approved call the voice permitting system at 910-893-7527
and give code 814 for address confirmation. This must be called in even if you have contacted E911 for verbal
confirmation.
Customers can view all inspection results online at www.hamett.org.
Applicant Signature: ' L( Date: /6)(0
03/05
COUNTY TAX iDO
f -
Mail To:
Prepared By:
NO
innm
Fdl ! taan BISS a< ow s
IK:2136 P6;816-8i1 fa:117m
tAW 1 milli
Lot 1.3. Rolllos [Hill Road Subdividon
Parcel Identification No.: 050623 0300 02
at Law
TAX ADVICE GIVEN
WARRANTY DEED
This WARRANTY MYPZr
RICHARD RAYMOND ITMi
Antoimm M. Vadak and
LAUREL VADALA, party(ies
DENISE VADAIA BARBO
27501, party) of the second part,
WHEREAS Grantor(s) for and in g$
other good and valuable consideration, nl
granted, bargained, sold and conveyed, and b
convey nato the Grantee in fee simple. Said
of land situated, lying and being in Buckhom
particularly described as follows:
this 13d, day of September. 2005 by and between
nap" (As Administrator of the Estate of
WCFJAM ANTHONY VADALA AND WIFE,
paK bereinaf ez tefetted to as the Grantot(s); sad
hose address is 205 Kinnis Creek Rd; Angier, NC
referred " the Grantee(s).
BEING all of Lots 1-3 of Rollins Mill
Cabinet F, Slide 587-B, Harnett County
#9&196, Hamett County Registry.
Subject to all easements, rights-of-way, co,
shown on the public record or as would be
and inspection of the land.
See Deed Book 2054, Page 566.
Sum of Ten Dollars (#10.00) and
hereby acknowledged, have given,
do hereby give, grant, bargain, sell and
f that certain piece, parcel or tract
,pct unty, North Carolina, and more
as shown in Plat
asombined in Map
TO HAVE AND TO HOLD the above described lands and 1
appurtenances thereunto belonging, or in anywise appertaining, unto th
their heirs, successors and assigns forever, but subject always, however,
above.
AND the said Grantors, pasties of the first part, covenant to and with am"
of the second part, their heirs, successors, administrators and assigns that they are
in fee simple of said lands and premises, and have fall right and power to cort q
Grantees in fee simple (but subject, however, to the litnitations set out above) an
0018 as
survey
with all
simple,
set out