LAND USE Initial Application Date: 2/ — itg Application # /'- ��� 1 )��
COUNTY OF HARNETT LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org
LANDOWNER: FALL C O 4 'inn A fr c t Mailing Address: S/ I E. MAa.I sC
Cit g /9N / Fa a. I' State: A/ Zip: Home* 1 770 C900 Contact #:
APPLICANT': CH0 C /Aro r,o/La S6o[r4 W $ ", ailing !{ddress: ' Z O e GG gc t
9/ 0 86 878 9/ o /8 77 3i
cit �l9rii�£J17 -�-i state: elk zip:283 3 w W „„ e #: contact
'please fill out applicant Information if different than landowner n
PROPERTY LOCATION: Subdivision: f oX K tsc ^4i SF ry o N / Lot #: 2 9 Lot Size: • C I 0 '
Parcel:
03 95 oa47 27 PIN: 0 I D 9 7 — 05 / 3 1 7 7 , 9 0 , c
/
1
Zoning: RAZE r R Flood Plain: X Panel: 7 Watershed: 14 1%a $ )41A A� foa A�Ro)c 12 M.. -.£t -1- o4 Qoc't go
Deed Book&Page: Map BookBPage:99 J.t
27
SPECIFIC DIR CTIONS TO THE PROPERTY FROM LILLINGTON:
Olf lll(r fog / M /CE TAR ad PaA•k•€ cI.rf IO2 Soo yARes ?b to i o"
�e
Circle:
PROPOSED USE:
U SFD (Size x_) #Bedrooms_ #Baths_ Basement (wlwo bath) _ Garage Deck Crawl Space / Slab
fir Modular Von frame _Of frame (Size x64 ) # Bedrooms 4 # Baths? Garage (site built? 1 Deck (site built? )
Li Multi- Family Dwelling No. Units No. Bedrooms /Unit
CJ Manufactured Horne: SW __DW TW (Size x ) # Bedrooms _ Garage _(site built? ) Deck (site built? )
U Business Sq. Ft. Retail Space Type
# Employees: Hours of Operation:
U Industry Sq. Ft. Type # Employees: Hours of Operation:
U Church Seating Capacity # Bathrooms Kitchen
U Home Occupation (Size_x )
# Rooms Use Hours of Operation:
U Accessory/Other (Size _x ) Use Closets in additionLiyes Lino
U Addition to ExistiniBuilding (Size _x ) Use
Water Supply: (County (_J Well (No. dwellings ) MUST have operable water before final
Sewage Supply: Li New Septic Tank (Must fill out New Tank Checklist) (_"1 Existing Septic Tank ( ) County Sewer (,.J Other
Property owner of this tract of land own land that contains a manufactured home wlin five hundred feet (500') of tract listed above? (_.1YES 1)NO
Structures on this tract of land: Single family dwellings
Manufactured Homes Other (specify)
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 9 S
Rear 25 17o'
Side 10 / 0
Sidestreeucorner lot 20
Nearest Building 6
on same lot
If permits are granted I agree to conform to all ordinances and the laws of the State of North Carolina regulating such work and the specifications of plans
submitted. I hereby state that the foregoing statements are accurate and correct to the best of my knowledge. This permit is subject to revocation if false
information is pr. 'sect on t Is ff
i
Signature of Owner or Owner's Agent Date
"This application expires 6 months from the initial date if no permits have been Issued"
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Please use Blue or Black Ink ONLY
3/07
N
PRAIRIE
/o 279 &Al2/E LAAIt
r Lot - 425
Fox RUr,I
9 SEC „o,J
O. 10 AcRf
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0 16
to
SU 3 7-.x
199
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i 7
SITE PLAN APPBO v'' -
ZO USE 2/- -'"_.
DISTP.ICT � 3t
*BEDROO
Date 2/- iQ Ar
Zoning Administrator
Date
NAME: Coca �J Linen (G ll t n ' ,c �i ° Ito it ) APPLICATION #: I 0 S �`� 2 r 6 J�'
• *This application \ to be fine 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 i
PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
d pendi g upon documentation submitted. (complete site plan = 60 months; complete plat = without expiration)
910 -893 -7525 option 1 CONFIRMATION #
Environmental Health New Septic 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 corners. ',
I • 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 lines prior to scheduling inspection. 800- 632 -4949 (This is a free service]
• After preparing proposed site call the voice perritting 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 «Ivan at end of recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
❑ 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
alven at end of recordina 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.
(_I Accepted {_} Innovative Conventional {_) Any
l 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 answ 's "yes ", applicant must attach supporting documentation.
{_)YES ( Does the site contain any Jurisdictional Wetlands?
{_)YES Do you plan to have an irrigation system now or in the future?
(_) YES (_1/ N Does or will the building contain any dr; flg? Please explain.
LIVES l N Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_)YES {_ NO Is any wastewater going to be generated on the site other than domestic sewage?
(_)YES l N Is the site subject to approval by any other Public Agency?
(_)YES lG l Are there any easements or Right of Ways on this property?
{_)YES ( 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.
I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making
The Site Accessible So That a ite Evalua n Can Be Performed
t,6.—_ ‘— 2 /— /v
PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
5/08
06/18/2010 FRI 12:14 FAX 19197748884 CENTER HT /AIR (0001
Jun 18 10 01:14p Lhenes k ern r
OFFER TO PURCHASE REAL ESTATE
BE IT KNOWN, the undersigned 1
.4Y I e_ey of"
_
Es A N C ( Buyer) offer to
oY Purchase from
�_ — O� 44. NC, (Owner), real esta
. . .know as, , 'bX leiue
�/�
Count of N i w North Caro;ina,
, a s recorded in Deed Book
the i County Registry. and containing , Page s of No. of
g
the amount of so —e-�� acres of land for
SELLER actress to we de/p/
SAID property is to be sold free and clear of all encumbrances, by
good and marketable title, with full possessiot of said property
•
THE parties agree to execute a standard purchase and sales agreement
on the terms contained within 60 days.
athi.i ! 41 day of '//1/ 2 4 1 a
, 70A9.
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Wi tness - Oc.ne /V'rv"�i /i
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Acknowledged bafor.: me this /4 k4 -day of ih 02o /4.
My com.aiaaion
oxpirerir R ,
( E 49............:. p Expire:,
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(SEAL) NOTg9y \t* a
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410- 9.14- 1.104
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car 0717111 NC
Book 1398
Pages 0455 -0456
•01012 2 RID zel«m
1. MILSONS
leaiSt
IDES Sao 1,05 Sx
RIS1alt Nods
n 0! Merle
r� 17. peelt7 /Mft.
o ... / a.mrmM S . 50* eta San ,
Tea: Lo No. Parcel Identifier No. 03 0507 0067
Verifi County on the dayof , 19
by
Mail after or to L ll
Pelmet, Attorney at Law, P 0 fax 1669, Liingkou, AC 27546
This instrument L. Holt Pe let
Brief 08 1.- f- index Lots 9-12, Lots 22 -36 and Lot 38, Was Run
subdivision, Seation III
NORTH CA L A CSE NERAL WARRANTY DEEM
THIS DE made this 1 • by and between
GRANTOR GRANT=
IMflRIAL LA103 BRVffiAPHBBT, , PALGVS rxmaSCS, LLC
Post Office Box 454 P 0 Box 454
8anlord, RC 27330 O —ford, PC 27330
sotss in eppteprlate black for sash pr Qt . .. • rd, .prtowSata, cb.ttetr et entity, •.e., mtpmwttee at
pct mttp. .
The designation Grantor and Grant.- au. . heraln ... 1 include aid parties, their hairs,
aucce0a0rs, and assigns, and shall no. de aingu - • ural, masculine, feminine or neuter
as required by context. .
wITBBSSSTH, that the Grantor, for a valuable -nod, is paid by the Grantee, the receipt
of which Le hereby acknowledged, has and - •te dose grant, bargain, sell and
convey unto the Grantee in fee simple, all hat to or parcel of land situated in the
City of S/t, Barbecue Township, Barns o • Carolina and more particularly
described as follows.
Being all of Lots 9 through 12, • ' 22 -6, and Lot 38 of Fax Run
Subdivision, sestina III, as amnion • ... as Nap 699 -312, Barnett
Registry, reference to which is • i.gaQe ..• greater certainty of
Ibis peso. is made subject to Protect wren. ••.. recorded in Book i i 9
Page Harnett County Registry.
=BM C vBYW TCGBTBER M116RTfH A NOW-10.01, ' .1 ingress and egress
and utility easement over the 50 foot wide right .. as Prairie Lane on
the nape reoordsd in Plat Cabinet P, Slide 631-0, . • iii P, Slide 817 -A and
nap 699 -312. Barnett County Registry
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n.C. la Mem. Porn ae. 3 C 1577
•flatas by AF.etest with the N.C. net Ammo. tee]