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DOCUMENTS Initial Application Date: 10 •13 I LI Application# I 3 '7444 CU# COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION Central Permitting 108 E.Front Street, Lillington,NC 27546 Phone:(910)893-7525 ext:2 Fax:(910)893-2793 www.harnett.org/permits **A RECORDED SURVEY MAP,RECORDED DEED(CR OFFER TO PURCHASE)&SITE PLAN ARE REQUIRED WFENN SIRMLT,7ING A LAND USE APPUCA11ON"' LANDOWNER::WELLS D SIUN �U D Mailing Address: 4601 IR�ts E WAY l L ] / City: RIgrr.t41611 State:NC zip:27�3 Contact No: 919-422.5266 Email: MWGISCX)WelISde;Itnbwlt{.COM APPLICANT*: Mailing Address: City: State: Zip: Contact No: Email: *Please fill out applicant information if different than landowner Yt� q �1 CONTACT NAME APPLYING IN OFFICE: MICI44 L W CLLS Phone# (I CI"422'S`•e0 PROPERTY LOCATION: Subdivision: D KMREIELD Lot#: '17 Lot Size: 0.54( State Road# —i0 State Road Name: ' ALVIS COURT /� �j Map Book&Pag�y� D i Parcel: d bLDS3 X30 Li 1 PIN: blip 5 3 _� D - SL c oy✓ Zonin Flood Zone; S Watershed: ti V Deed Book&PageZDSI i01L t Power Company*: PRo R + t6Y *New structures with Progress Energy as service provider need to supply premise number 3 6664431 from Progress Energy. PROPOSED USE: d,,• - Monolithic SFD:(Siz5t9� x S/W) Bedrooms:3 #Baths: Lam' Basement(w/wo bath): 0 Garage: f Deck: Crawl Space: /Slab:_Slab:_ (Is the bonus room finished?(_)yes (X)no w/a closet?(_)yes (_)no(if yes add in with#bedrooms) I Mod:(Size x )4*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 (_J 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: X County Existing Well New Well(#of dwellings using well )"Must have operable water before final Sewage Supply: X 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 Does the property co • easements whether underground or overhead()L.)yes (_)no Structures(existing o proposed): ngle family dwellings: Manufactured Homes: Other(specify): Required Residential Property Line Setbacks: Comments: Front Minimum 3o Actual 66�1 Rear 2.5 _ a J I Closest Side lb' 21.51 Sidestreet/corner lot Nearest Building _ on same lot Residential Land Use Application Page 1 of 2 03/11 APPLICATION CONTINUES ON BACK SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: i-1161-vAY 401 N L c A1-\ 3 . RE) R b0q'E1;1tL.1b bR(V R 13RENbArnooRC Cl' R Al-MS ca 1.0aNLFY If permits are granted I agree to conform to all .rdinances and laws of t•= - e of North Carolina regulating such work and the specifications of plans submitted. I hereby state that foregoing s = ements ar: .ccura a•.si.r ='' to e •• of my knowledge. Permit subject to revocation if false information is provided. °Cr 13 201 Signature of Owner or Owner's Agent Date "'It is the owner/applicants responsibility to provide the county with any applicable Information about the subject property,including but not limited to:boundary information,house location,underground or overhead easements,etc.The county or Its employees are not responsible for any Incorrect or missing Information that is contained within these applications."' "This application expires 6 months from the Initial date If permits have not been issued" Residential Land Use Application Page 2 of 2 03/11 100.00 N _ Housc • v Q Dw 0 0 0 o_ —24.53 53.60 optic& 100.00 SITE PLAN APPROVAL nIsTRIcr • —USE Sr YBEDROOMS_-- _ -- Plot Plan Adm *Mot 1 eptic Easement Line 0 0 z q) ca o 43 • E: t\ 4 U7 � m J -J Q ,ement Line 52 29 m ca c s N � o) U • c Z Off Site Septic ° i not Plan 3 � ui :::49. :::: :::i 1 e ! 4. E 04 0 ... • + M.. MAO N a 1 o — 4: ♦ • (� t�L�r � r Q i O C'• UT ! O "1 co ;? ik. 3 < Mal . I AliS0sOSo$0 N■6 0 ili : ''''.. . ‘ILC"Ct."1L-'-'P'''-- --' 8 0 t � 52 I C o• - I I •Q n r. - O ..... ,,,,, I�. EJr'1 "' N-. -;.t. 8 ';.' i'l Io r"'� Iv z -n I „60. £oON ma* I i? to. g t•J 00 t z g eg r ' I 6 4 Mr o \ 8 :6: I fi) ',I m .b. P 8 0 E • ? w ; 4• Fri 1�N 1 M„ I tQ2 BON -< 10 1 t$s`9SZ 4 cii 8 ) C4 t I• = N O 1 O ri R _._ + OH + M.t t4S �� N �` y 1 U r_' 1 / 1 VP .0�•z 1 p_affli, taOo 1N�3H13Sv►3 N11l A v 400 Z / 100X, i j r 41 . - . .- E !Lie r t 1' r! ; y). (0 Tip! . 0 ..! .... . 6 Ea co i i, ► 8 a Oi u'I . •� �D i �: L�►io8a Ao� zsc , fsf6 l,s o90 S CA AWOL; R 0 O X :I cd 0 4 0 4 cl 4 le a Ius •00.0i.A v L i op ---- „aat uo 1 0 -^____ i"' 0 • us 466•B9 t • N w ega _ o Q 0 .66'691 •Asi. 4 i 0 4. ® g r 40 MI O C: ev 49119 I 2 i4„ :iig :4,,3 0120 4 -, o 2 G / _ _ _ _•__•___•_7 w A'r a-----maphtbree_N_ •98•s9r i 4" 14 0 A #1., ...,. ----/K4L-94----- "------...- di ' ;I .L6'69/ v 0 2 4 * tit (11 .� .�I a---'L-Maitrag-90 f EL6.681, b • et CS .L6•691 g- - -, t.. „L, 4,1, 0 Q a t�r> r ' M..oc.lt _ g h ! N 96'89 1 1 N 0 C .� . NAME: WELLS DE: IG N {!Y Ci)) L e APPLICATION#: 341 L( 3 *This application to befilled out when applying for a septic system inspection.* County Health Department Application for Improvement Permit and/or Authorization to Construct IF THE INFORMATION IN THISAPPLICATION IS FALSIFIED,CHANGED, OR THE SITE ISALTERED,THEN THE IMPROVEMENT PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. Thepermit isvàid for ether 60 monthsor without expiration depending upon documentation submitted. (Complete site plan=60 months; Complete plat=without expiration) 910-893-7525 option 1 CONFIRMATION# D Environmental Health New Septic System Code 800 I U All property irons must be made visible. Place "pink property flags" on each corner iron of lot. All property lines must be clearly flagged approximately every 50 feet between corners. G 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 return trip 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 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 Existing Tank Inspections Code 800 n Follow above instructions for placing flags and card on property. Prepare for inspection by removing soil over outlet end of tank as diagram indicates, and lift lid straight up (if possible) and then put lid back in place. (Unless inspection is for a septic tank in a mobile home park) DO NOT LEAVE LIDS OFF OF SEPTIC TANK After uncovering outlet end 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 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. {J Accepted {_J Innovative {._} Conventional {_} Any {_J Alternative {j Other The applicant shalI notify the local health department upon submittal of this application if any of thefollowing apply to the property in question. If the answer is"yes", applicant M UST ATTACH SUPPORTING DOCUM ENTATI ON: {_J YES {} NO Does the site contain any Jurisdictional Wetlands? {_J YES {X} NO Do you plan to have an i rri_gati.__on ste n now or in the f uture? {_}YES {:} NO Does or will the building contain any drains?Please explain. - { }YES {k} NO Are there any existing wel Is, springs,waterlines or Wastewater Systems on this property? {_1Y ES {)c) NO Is any waste eater going to be generated on the site other than domestic sewage? {_J YES {,} NO I s the site subject to approval by any other Public Agency? {AYES {X). NO 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. I Have Read ThisApplication And Certify That The!nformation Provided Herein IsTrue,CompleteAnd Correct. Authorized County And State Officials Are Granted Right Of Entry To Conduct Necessary Inspections To Deter mine Compliance With Applicable LawsAnd Rules I Understand That I Am Solely Responsible For The Proper Identification And Labeling Of All Property Lines And Corners And Making The9ite .ble at • S - - ationCanBePerformed. �,..: 1011V2011 PROPERTY OWNERS OR OWNERS LEGAL REPRESENTATIVE SIGNATURE (REQUI RED) DATE 10/10 I 9 FOR REGISTRATION • Kimberly S. Hargrove REGISTER OF DEEDS 20 4 0 Tt06 08t1d;N AM BK:3251 aaPG;261-262 EAcISEETAX. slog o0 INSTRUMENT #.20140i3475 HARNETT COUNTY TAX LD# SARTIS 0530(-,0145 ------ — 2014013475 Pri4 �E3Y . NORTH CAROLINA GENERAL WARRANTY DEED Excise Tax: $104,00 NO TITLE SEARCH NOR TAX ADVICE GIVEN Parcel Identifier No.0063830&0063834 Verified by County on the day of ,20 By: Mail/Box to: GRANTEE This instrument was prepared by:, Currie Tee Howell,Attorney,Adams.Howell&Sizemore,P.A. Brief description for the Index: Lots 43 &47.Dexterfield Subdivision THIS DEED made this 1g day of October,2014,by and between GRANTOR GRANTEE Atkins Place, LLC(a North Carolina Wells Design Build,LLC(a North limited liability company) Carolina limited liability company) 72 Overlook Court 4601 Irene Way Angier,NC 2'7501 Raleigh,NC 27603 Enter in appropriate block for each Grantor and Grantee: name,mailing address,and,if appropriate,character of entity,e.g. corporation or partnership. The designation Grantor and Grantee as used herein shall include said parties,their heirs, successors,and assigns,and shall include singular,plural,masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by these presents does grant,bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the City of , Hector's Creek Township, Harnett County, North Carolina and more particularly described as follows: BEING all of Lots 43&47,Dexterfield Subdivision,as depicted in Map#2006-144 through 145, Harnett County Registry. The property hereinabove described was acquired by Grantor by instrument recorded in Book 2044 page 564. All or a portion of the property herein conveyed includes or X does not include the primary residence of a Grantor. A map showing the above described property is recorded in Map#2906-144 through 145. NC Bar Association Fcrm No.3 0 1976,Revised©t/1/20t0 Printed by Agreement /with the NC Bar Association TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. And the Grantor covenants with the Grantee,that Grantor is seized of the premises in fee simple,has the right to convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever, other than the following exceptions: Subject to all easements, rights-of-way, covenants and other restrictions as shown on the public record or as would be disclosed by an accurate survey and inspection of the land. IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written. Atkins P ace.LLC(a North Carolina limited liability company) (SEAL) (Entity Na e) Print/Type Name: (SEAL), Print/Type Name&Title: R.Keith Bullock,Member/Manager Print/Type Name: By: (SEALI Print/Type Name&Title: Print/Type Name: By: (SEAL) Print/Type Name&Title: Print/Type Name: State of NC-, -County or City of 4-U..V yJ 1,the undersigned Notary Public of the County or City of (h..k. C Q_1 and State aforesaid,certify that R.Keith Bullock personally came before me this day and acknowledged that_he is the Member/Manager of Atkins Place,LLC,a North Carolina limited liability company,and that by authority duly given and as the act of such entity, he signe_ d thR foregoing instrument in its rame on its behalf as its act and deed. Witness my hand and Notarial stamp or seal,this ay of 's ,2014 My Commission 3xpires: "'l 1 is / �1��� io ,I1arays otary Public Notary's Printed or T :I Name (Affix Seal) v,t�rlf.t*;effr,��<Af<. "4::•-,. VI 0 TA p i t CO. I,SiIUy IA g 11!'= PUBLIC 0 ,�r✓fr/4,1�afuft yte%v�,r`,`w NC Bar Association F)nn No.3©1976,Revised©1/1/2010 Printed by Agreement with the NC Bar Association Date ) v "g '1`-{ Plan Box# Job Name • I � _ App# y 4 CD Valuation ) 3 9923 Heated SQ Feet 15 7 7 Garage 576 Inspections for SFD/SFA 1 3 Crawl Slab Mono Basement Footing Footing Plum Under Slab Footing Foundation Foundation Ele, Under Slab Foundation Address Address Address Waterproofing Open Floor Slab Mono Slab Plum Under slab Rough In Rough In Rough In Address Insulation Insulation Insulation Slab Final Final Final Open Floor Rough In Insulation Final Fo un d atio n Survey Envir. Health . Additions/ Other Footing Foundation Slab Mono Open Floor Rough In Insulation Final___