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LAND USE Initial Application Date: / -/ 4 -/P Application # / 5 24‘0 o CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org/permits 9n / ( 4 �y�/11on y Leie, Mailing Address: 23TO 4,,' /Pe 'cite SOS City: ow state: ,I f Zip: e`175o 9/f A - "me Email: —— , - Mailing Address:_ City: State: Zip: Contact # Email: 'Please NI out applicant information if afferent than landowner CONTACT NAME APPLYING IN OFFICE: 14 •are e Phone #' - 0107'7 PROPERTY LOCATION: Subdivision: �1fxeyn( rut rr77 /y at S Lot #: Lot Size: O / 3 5 State Road # /1 / C State Road Name: fSGQia/ A. F' 0. Map Book&Page:P / f&ico2. Parcel: / 5 OW-4 N3 A PIN: 9 7 / / � ^g2/I COO I Etter Zoning: // t7 /.d Zone: Watershed: /I Deed BookBPage:G �' �G ( ) /� Power Company*: l ¢elm GW(.FI r'( , *New structures with Progress Energy as service provider need to supply premise number /DJ f f��Q�I / / 4 • // // from Progress Energgy N. SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: r2 -) buss r 40 l Yd/x4 •4& got /4 /t Y J4 rxi V m. le PROP D USE: L /w9I Ir SFD: (Size 7i i x V- ) # Bedrooms: 3 # Baths: r n — Basement (w /wo bath): ( Garage: t7 Deck: = Crawl Space: =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 ?) Cl Duplex: (Size x) No. Buildings: No. Bedrooms Per Unit: ❑ Home Occupation: # Rooms: Use: Hours of Operation: #Employees:_ ❑ Addition /Accessory er: (Size _x_) Use: Closets in addition? ( ) yes (_)no zioth Water Supply: fr 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: Comments: [� Front Minimum ✓ 2 ✓ Actual 34. Rear z 5 7Z.40,. Closest Side /D 020 Sldestreet/comer lot Nearest Building on same lot 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. -1 hereby state that foregoing state / r ts area to d correct to the best of my knowledge. Permit subject to r vocation if false information is provided. Signature of 0 ner or or Ow "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 1 of 1 03/10 __ _ _ S08 °12'53'E _ 100.67 N I © 13 • O c p 37.00 I 0 O (4) of •� �In • I °� ri I N N m 6 z I o o I(4 20.00 37.00 43.67 1 ta m b 0 `\`\` R \u , ..ii1 ? c ; S08°12/53t 100.67 . a 1, �` r, <.''% CAMERON PINES DRIVE • kL - 50' PUBLIC R/W o rl n> I Mn " tr° gra.: f &,d L - L i y vin .: m m (191 Charlie T. Carpenter, P.L.S. PRELIMINARY SITE PLAN FORT C I / Professional Land Surveyor WYNN C❑NSTRUCTI ❑N T 1940 Juniper Church Road PIN 9587 - 9211.000 � I i_- Fo ur Oaks, NC 27524 PARCEL ID 039586 0024 43 LOT 5 CAMERON PINES S/➢ C (919) 963 - 2909 PB2007 PG1002 I40 CAMERON PINES DRIVE / 1 (919) 320 -5281 6/9/1 0 SANFORD, NC 27330 Nov 30 09 10:11a michael eaker 9108224540 P• SOUTHEAS'1'L:N SOIL & LNVIRON EN'EAL ASSOC, INC. PROI'OSLI) SIJ BSI iItI!ACL WASTE DISPOSAL SYSTEM 1D.4:'I'A1L StI)LL'C SII1tl1VISION 4. - - €44.c _es:-. (I._4 l.(Y(' r INI'I'IA1.. SYS'IIe:M 34 ?i'4`', /e,Lb..'I`w REPAIR A1rw. ai 2 i , �i,.:4...M1, 1)IS'l'ItlllhPFION c',. /. •`i' DIST121111)TION 5,7,...,4? JIENCIJIVIAl21C IC el • • LOCATION , ec,. c...,_. - `fir f-. NO. 11J:UKOO.VIS d, /1t /2--y oice:: Z 7747 G „� -f LINE 14LAG C.0I.O12 EISVAT1ON ACTIIAI. L..LNCTII r i Icy /0 z.. re y: ” 1 . 1 2_ - c.. ic2 49 - tan- , • 6 a ice. G• 1 y 8 ,c.. b ? w' j i.. , . /° C • (' 4 4. ' ) (1 /cc. 'Y to IJY "CI At C411 DATE d / / . o_Zc Cf(1.f -2.1 i,1 -h -_ i�. 3Y ?� z *A4c(r,.A >d - r&' t4 %.- &- —: - - 1 c ` .4 7 ye?"' r 0 c 1 het One o! Two / I ' ! i 5 or ogtinua ion / f \ j t / r ; c ., i I ' V ! l ` �f] Fred M. W illiams / h j Shed flank 1938, PnAe ?in h •^y cn " .. / \ / / ; ; / II 1. .... i? ' Na ke tta i , 150 00 ' l i - CP �,- i e. 81'47'0 " B qq/ 12. 12 ' 'n , Cp JJ I f \ � ' t^ • �' ` ` 1 ? Relfusl Haljri kr. - �. .i I t e i e_ �� I v m PyMon of Deed Book 31 Page % EZ yy Ca La I 0 a u O '--1 m 0.3. b. 1 e q I V l m v , / I 1 i '.+t • } / i • 1) ti Q Ct ' Y • i..' 1 �4Tp7 "E 'i fl 0 b N 0150.00' . 10, 08' a nta Cp l co urt;' r 1 m F .� . / a a rn. 1 Crl is EV 1 Of / Jo seph' A. Thomas • '1 \ 05 l i 1 C r ' `-- 1 \} �a, 313, Page 83 1 1 , ;' 1Y111 Bati 9I E � Page 30 0 • '20 w C� N PorTlo o! Deed Bu Pk gm • • r I 1 • b Z 0 o 0 ,.�, � , 0.3 • t i I p I t 1 IT I i1 ..--.-"' t20 Per E ✓ i 07 I 1 W O N 01 0.0 0 %.----e_ .,' —'Di 0.69' East • Ai rr • W 150.0 m /kid 'i. ° K 'T Drainage Essam , u a/ • prapert ! B V, Q t. • C %%\ q W () ' i � I� • G t u ;I C y'I 1t % 0 ® a \ aNCg •^ ' 0.441 • AC. e ` a V _1 0.4 25 Ac. 1rs+ w n • • P• Ptz I z U� �, o w q • ' N 8 • E v ° Z N 00 C_ 19. 150. c A - .117.7W if. 11 (Total) 0.354 'F c -le— \ p O q T , 0.354 Ac. \ ; o C �I n i W x S•d OfrS4228016 -,a4ea Taeyarw e0T 0[ 60 OE AoN 2009/03/19 13:19:11 Harnett County Page:2 /2 NAME: APPLICATION #: "This application te he filled out when applying for a septic system inspection.' County Health Department Application for Improvement Permit and/or Authorization to Construct IF THE INFORMATlQN 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 -R93 -7525 option I CONFIRMATION # ❑ Environmental Health New Sentic System Code 800 • Place "pink property flags" on each corner iron of lot. All property lines must be clearly flagged approximately every 50 feet between comers. • 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. • Call No Cuts to locate utility fines prior to scheduling inspection. 800-632-4949 (This is a free service) • Atter 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 recordina for Drool of request. • Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits. 0 Environmental Health Existing Tank Inspections Code 800 • Follow above instructions for placing flags and card on property. • 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 -7525 option 1 & select notification permit if multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number piven at end of recordlna 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 s - m 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 deportment upon submittal of this application if any of the following apply to the property in question. If the answ ` "yes", applicant must attach supporting documentation. i_ { JYES / $� _I Does the site contain any Jurisdictional Wetlands? I_) YE {_)) NO Du you plan to have an irrigation. vslem now or in the future? nn I_ / YES {_J NO Does ur will the building contain any _drains? Please explain. .!< P O S; t 1a "^ I I•'I NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property? f _J YES I_) y0 Ls any wastewater going to be generated un the site other than domestic sewage? I_i YES {_ _ Ls the site subject to approval by any uther Public Agency? (_) YES 1_1 Are there any easements or Right of Ways on this property? I_ J YES { NO Does the Nile contain any existing water, cable, phone ur underground electric lines? II' yes please call No Cuts at 80X) -632 -4949 to locate the lines. This is a free service. • 1 Have Read This Application And Certify That The Information Provided Herein is True, Complete And Correct. Authorized County And State Officials Are Granted Right Of Entn' To Conduct Necessary inspections To Determine Compliance With Applirvhle Laws And Rules. !Understand That 1 Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making The Site Acre 'Rile Shat A Complete Site Evaluation Can Be Performed. PROPERTY 0 HERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) tT!' 5/1)5 0 ..._.. ,,,,,,,,,.....,„.. 0 814 1111" FOR N] g e 6 N WN ar DEEDS ETT COUNTY AX i 2 8 MbY 88 12: i.89 PM •. •, -rya - 0 8X 2 P8:516 -518 FEE :$I7 ee ��nn N C R EY S7RMP:$588 88 l � — s , NW 1 ' X41614 air IP Revenue: $5: •.00 0 Tax # Prepared Hy. N - .: • . se. n, a licensed North Carolina attorney. Delinquent taxes, if any to be paid by the c • • , • the tax collector upon disbursement of closing proceeds. Mall To: Grantee STATE OF NORTH CAR GENERAL WARRANTY DEED COUNTY OF HARNETT Je THIS DEED, made thi- 7"`Oay t 1 : • by and between JAMES MATTHEWS CUSTOM HOMES, LLC (he 1 . : ; r " t • r ") and WYNN CONSTRUCTION, INC. (hereinafter "Grantee ") with a mai a of 7 1696 H yes road, Creedmoor, NC 27522. ITNES:' THAT Grantor in consideration of T• Dol 0.11) and other valuable consideration to it paid by Grantee, the receipt of which - he • w -• : ed, has and by these presents does grant, bargain, sell and convey, unto t : nt= , s sue ;: sors, heirs and assigns, all of its interest in those certain tracts or panels of nd l i . amen County and described as Being all of Lots 1, 2, 3, 5, 7, 8, 10,11, 12 and non ' nes Subdivision, as shown on that pint consisting of two sheets recorded in : , orl s 8007, Pages 1002 and 1003, Harnett County Registry. �f TO HAVE AND TO HOLD the said land, to: , ' 1. all ri ileges and appurtenances as thereunto belonging unto the said Grantee hi fee simpl 0 0 le r