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Initial Application Da Ili _, ! ✓ D Application # / ATE
7- 2 — 10 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:
fAt c 0 4 r/ A 41. c L Mailing Address: S 11 E, MAIM SC
City: h 7r-r�
S Fo State: ^/c Zip: Home #: 111
770 CBOO Contact #:
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APPLICANT': CWOO C //0 -o H O44Xi S 6" al W4* allingPddress: 5 ZO 5 4/2/94 ecvo
e WO /t 9/e 3 9.7s
city: 4/ &'I$ 7731
�,g pfi c e 111 L Lr£ State: A�G Zip:Z 8 3 3 N #: Contact #:
'Please fill out applicant Information if different than landowner /� I
fox RCA J SicT,oN $ Lot 2 1 Lot Size: • q .
PROPERTY LOCATION: Subdivision: /) _ /� nO h
�'y r� 7 � 7 v , ✓7 -91- / 7 - i J !/
Parcel: � � � y � /�v 22 PIN:
Zoning: RA Z 0R Flood Plain: )C Panel: 7f Watershed: P40 Deed BookaPage: 411)41' Map Book &Page:T 7 /s /L
SPECIFIC DIR CTIONS TO THE PROPERLY FROM LILLINGTON. 2.7 gj A R 4 $ ox i 2 Mr` .cI -7-A. • w! QOC" /?0
6he fl /(r f 2 / M/cE T/R ed f�RA/k /E 4,06C rre2 Soo TAROS 113 to i 0
c1:ter ■
Circle:
PROPOSED USE:
U SFD (Size _x ) # Bedrooms_ # Baths_ Basement (w ath) Garage Deck Crawl Space / Slab
Ced Modular ✓On frame Off frame (Size32 xSt ) # Bedrooms # Baths? Garage _(site built? ) Deck (site built? 1
U Multi - Family Dwelling No, Units No. Bedrooms /Unit
U Manufactured Home: SW _oW 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
U Addition to Existiri5Building (Size x____) Use
Closets in addition(Jyes (ono
Water Supply: (� County i (J Well (No. dwellings ) MUST have operable water before final
9 P
Sewage Supply: U New Septic Tank (Must fill out New Tank Checklist) (_" ha ) Existin Septic Tank ( ) County Sewer Other
Property owner of this tract of land own land that contains a manufactured home *fin five hundred feet (5001 of tract listed above? (_AYES (_)NO
red Homes )
_ Ot er (spe3
Structures on this tract of land: Single family dwellings Manufa 'r+ / t` - c i
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual 9 S
Rear 25 1 7 0•
Side 10 /0r
Sidestreet/corner 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 ' ed on t is (oJ t
A ` iii / � / �
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
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SITE PLAN APPBC z., _
I i Z usE j 3z , Ar DISTP.ICT • �/
*BEDROOM- A
Date
Date Zoning Administrator
NAME: C o c t,I 1J nCt o.1 6 hcro cMn &Aft APPLICATION It: f 0 j o-o 2 6
*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 1S ALTERED, THEN THE IMPROVEMENT
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.
• 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 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 recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
❑ Environmental Health Existino 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
given at end of recording for proof of reaueet.
• 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 1_} 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 answ 's "yes ", applicant must attach supporting documentation.
(_)YES Does the site contain any Jurisdictional Wetlands?
{_IYES Do you plan to have an irrieation system now or in the future?
(_)YES {_IDo es or will the building contain any drAlna? Please explain.
1_I 1 I' 2--- Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
{_ I YES (_ NNO /Is any wastewater going to be generated on the site other than domestic sewage?
(_)YES (� N Is the site subject to approval by any other Public Agency?
{_}YES 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 tvple ite Evalua on Can Be Performed.
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PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUIRED) DATE
5/08
08/18/2010 FRI 12:14 FAX . CENTER RT /AIR ®001
Jun 18 10 01:14p Unenes Lem ° w^ �w r
OFFER TO PURCHASE REAL, ESTATE
•
BE IT KNOWN, the undersigned
ni gvli� of . l
�Yrf , N C, (Buyer) offer to purchase from
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—�-- — o f LGOI✓ T • A J�?S C,4„ NC, (Owner) , real estate
. . !snow as, '6 euit
—__,.._-- oaf ea/ North Caroline,
Count of r _, as recorded in Deed Book
the r ti County Registry, and containing _ page No. of
the amount of '�jp n g acres of land for
SELLER a(rrees to .0 : r/e
SAJD property is to be sold free and clear of all encumbrances, by
good and marketable title, with full possession, of said property
THE parties agree to execute a standard purchase and sales agreement
on the terms contained within 60 days.
athi. •- k.. j day of J/1/C.,. 2009. d n s
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Witness
Owner
Acknowledged befor,: me this 144 day of 020/0
expires +,,: '� $ My commission
(SEAL). ? o , ! �
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Book 1398
'��Q Pages 0455 -0456
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1 Tar Lo No. Parcel Identifier N t . � �
03 0507 0087
Verifi County on the day of , 19
by
!fail after ?tr.iia.t. L wR Attorney et Law, P 0 Box 1689, Lil.L ngton, RC 37546
This instrubolt /e imat
Brief Oaeaireder utbs vsio Lute 23 -36 and Lot 38, roe Run
subdivision, -12 tso2-3 IIS
NORTH CA L A. EWERA ARANTY DEED
TEI8 DEED made this 1 • by and between
GRIDTOR ORISTDS
IMPERIAL LIHD DRVffiA➢l9IDT, , PALMS PIRARCR, LLC
Post Office Box 484 P 0 fax 454
Sanford, RC 27330
/'� --ford, 50 27330 .
rotas to appropriate black fat tax pttty, .,. .M. •ppcaystata, tlan to of entity, et. oorpx.tis ar
partnership.
The designation Grantor and Grants- s u - -' herein a• 1 include said parties, their heirs,
sudoeeee:8, and assigns, and shall no eingu : • ural, masculine, feninine or neuter
as required by context. .
wITSBSSETR, that the Grantor, for a valuable - ns Lo paid by the Grantee, the receipt
of which is hereby acknowledged, has and'•- to does grant, bargain, sell and
convey unto the Grantee in fee simple, all hat 1. cc parcel of land situated in the
City of R/a, Barbecue Township, B' • Carolina and more particularly
described as follows! .
Ruing all of Lots 9 through 12, Lot 22 -6, and Lot 38 of Fax Run
Subdivision, Section III, es shwa on • ., . as Map 599 -313, Harnett
C[ountt Registry, reference to which is . ,• a •• greater certainty of
d t iption.
This is made subject to Protect , u- recorded in Book f yl 9�,
Page o�.r Harnett Chanty Registry.
Ts88a d OOM 98YRD TOONE= B8RNWITH A I0* -lCG•- egress
• ingress and
and utility easement over the 50 foot wide right . ss Prairie Late on
the cops recorded in Plat Cabinet 1, Slide 631-0, t1bl F, glide 817-A and
Map 499 -313, Harnett County Registry.
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