LAND USE Initial Application Date: 7 - 4-1, Application # / ✓ 2 5 2 f 9
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COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillingtton, NC 27548 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.hamett.org(pemtits
LANDOWNER: :•t' .ci1C R..04- Mailing Address: ..S r
n jk Co PGA. L 4L1Cvjlc
City: .�f' 'A v�"4t').) . State:RC. Zip: 27.7ZContact # Pei* �j w kiM.r t:,...-1/4. u'
Email:
APPLICANT': One, rn n (Ad W W
� C 3 Mailing Address: SO 0 K `.t ' k er
City:) � Ar r:' v , \� State& Zip: Contact # 6 r i4/1 Email:
`Please All out applicant information if different than landowner ` (�
CONTACT NAME APPLYING IN OFFICE: 'r \<:.✓∎ . I h M Phone # 4/9 Z9/ 003S -
PROPERTY LOCATION: Subdivision:
� P✓ �Pf 7' K Map Baok8Page: � /� Subdivision: /Pn6W
J04.nr +-[: 1~l / Lot*: 7 Lot Size:
/
State Road # Z /y State Road Name: / / 0 Q 7L/
p p d�
Parcel: 03 !/7 77 0,22 L? PIN: 9 / z -go - °'i on /
Zoning: / 24 Flood Zone: Watershed: /� Geed Book&Page: 2 . /3/ 2 / 11 2 Power Company': tar
*New structures with Progress Energy as service provider need to supply premise number (, si from Progress ` Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: N n r -VA-. -VA-. ry.n 1 Jci r„\ c>• 2 o, y L k 4-0
' 1t R , • r \ V -r• h, C7 1 L -:
Alcavc.r RQ leC.- o-• bells v-, br r - 0 ,. 0 10 Cnrr -- Ave
,flair re_ n,., '2-.'Stn. ).
PROPOSED USE:
Monolithic
❑ SFD: (Size x ) # Bedrooms: # Baths: Basement(wM o bath): Garage: Deck: Crawl Space: Slab: Slab:
(Is the bonus room finished? ( ) yes Lino w/ a closet? ( ) yea ( )no (if yes add In with # bedrooms)
❑ Mod: (Size x )ii Bedrooms # Baths Basement (w/wo bath) Garage: Site Bulk Deck: On Frame Off Frame
(Is the second floor finished? (J yes Lino Any other site built additions? (i yes Lino
❑ Manufactured Home: _ SW _ DW _ TW (Size x ) # Bedrooms: _ Garage: (site built?_J Deck: (site built? )
❑ Duplex: (Size x ) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: # Rooms: Use: 3 Hours of Operation: #Employees:
p[ Addition/ so then: (Size /.. x I fa 3
) Use: SGm SG e S.. v. ,rooa. Closets in addition? ( ) yes no
Water Supply: County _ Existing Well _ dew Well (# ofdwellings using wee ) "MUST have operable water before final
Sewage Supply: _ New Septic Tank (Complete Checklist) X 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 Jag
Structures (existing or proposed): Single family dwellings: X Manufactured Homes: Other (specify):
Required Residential Prro r Line Setbacks:
/� !/
s: Comments:
Front Minimum ,7 7 Actual Gj
Rear y 2 4— /'l4
/
Closest Side ✓ "73
Sidestreet/corner 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.
I hereby state that foregoing statements are accurate and correct to the best of my knowledge. Permit subject to revocation if false information is provided.
7,Z C44/10
gnatur er or Owner's Agent Date
"This application expires 8 months from the Initial date If penults have not been issued"
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Y -21 -2009 08:03 FROM: 70:3231533 P.1 , -
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NAME: APPLICATION #: l 7 v tv 24 104
*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 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- 893 -7525 option I 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 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
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.
( Accepted (_) Innovative ( _) Conventional {_) 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 answer is "yes ", applicant must attach supporting documentation.
(_)YES {_) NO Does the site contain any Jurisdictional Wetlands?
(_)YES {_) NO Do you plan to have an irrisation system now or in the future?
{_)YES {_) NO Does or will the building contain any drains? Please explain.
1_(YES ( NO 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 {_) NO Is the site subject to approval by any other Public Agency?
{_ }YES (_) 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 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 Complete Site Evaluation Can Be Performed. —
� I-se" ,. - / �lJ
PROPERTY OWNERS OR OWNERS LEGAL TATIVE SI NATURE (REQUIRED) ATE
5/08
How to Properly Mark Property for Soil Evaluation
(MUST MATCH SITE PLAN)
ink flag
iron
pink flag orange flag
1 i 4— ink flag
Legend House
tos irotl"
ea
flag
ge flag
pink flag
iron v • iron
ROAD
i i
I
1
DIAGRAM OF A TYPICAL SEPTIC TANK I
t
• OUTLET LID
o
POSSIBLE POSSIBLE
HOUSE HOUSE
CONNECTION _ CONNECTION
I
7 1
POSSIBLE
HOUSE
CONNECTION
I
POSSIBLE LID SHAPES I
SQUARE (SHOWN ON DIAGRAM)
•
RECTANGLE (OLDER TANKS) 0 ROUND
11 0 11. litri f pile i iii ['Milani
110 ►DR pK» _ r 6 1gA6 Sa
r Cc�.P Y�p� of o¢F�
ci U!IAI04 to PA
' BK:1 14 828. 08 FEE•$}1,0A
0 — � 72 7 ..���q. -- -- NC REV STAIP:Z413.00
A r t VIM/ I Hit' ' :49
'er .. -----
1 ` W . • ' OLINA GENERAL WARRANTY DEED
Excise Tax: $ 413.00 C/�.
Parcel Identifier No. ' :40- y'. • ;•i by' County on the day of , 20
By: NEW
MailBox to: The Barfield Law Firm, • • c :.44 • • venue, Ste 200, Fayetteville, NC 28303
Thi iastwmot was pmpand b The Ba to ilt�, F' 9 ewood Avenue, Ste 200, Fayetteville, NC 28303
Brief description for the Index: LT 7, PERS i ' 1 iIL
THIS DEED made this 26th day of May , 20 09, by
GRANTOR GRANTEE
Cumberland Homes, Inc Riordan 14119
108 Commerce Drive a .. a Avenue
Dunn, NC 28334fo NC 7332
a
The designation Grantor and Omntee as used herein shall include aidpetties, - and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context
WITNESSETH, thatthe Grantor, for a valuable consideration paidbytheGtaotee, 1 . :' hereby acknowledged, has
and by these presents does gr ant, bargain, sell and convey unto the Grantee in fee Gimp . parcel off land situated '
in the City of Sanford Barbcquc Township, i. . ,NorthCamlinaaod
more particularly described as follows:
BEING all of Lot No. 7 of Persimmon Hill Subdivision as shown on plat map recorded in ` a • ' .er 20'., ' : ge 894, Harnett
County Registry.
The property herei above described was acquired by Grantor by instrument recorded in Book 2305
A nap showing the above described property is recorded in Plat Book 2006 page 894
NC Bar Association Form No. L-3 0 1974, Revised 01977, 2002
Printed by Agreement with the NC Bar Association —1981 SoftPro Corporation, 333 E. Six Forks Rd., ' :; ' C u
Driving Directions from Lillington, North Carolina to 55 Old Corral Ave Sanford, North ... Page 1 of 2
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Start ing Location Ending L
Lillington, NC 2 55 Old Cor Ave
Sanford, NC 27332 -8612
Total Travel Estim 26 minutes ! 18.57 miles Fue Cost: Calculate
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Lillington, NC 27 Edit
There are 0.5 miles between your starting location an the beg of your driving
directions. Use local maps to ge t from your starting location to the beg of your route.
Start out going NORTH on DONALD
1 RAY LN toward MCDOUGALD RD. 0.3 mi
2. Turn RIGHT o nto MCDOUGALD 0.4 mi
`'`
3 Turn SLIGHT RIGHT onto OLD US 0 6 mi
RD.
` 421.
http://www.mapquest.com/maps c =L it I ington& i s =T�f C& 1 z= 27546&1Y--- 8c 11= 35.3905... 7/26/2010
Driving Directions from Lillington, North Carolina to 55 Old Corral Ave Sanford. North ... Page 2 of' 2
4
RD.
Turn SLIGHT RIGHT onto W OLD 0.5 mi
W /NC -27.
5 Turn SHARP RIGHT onto NC -27 15.4 mi
N
4109 6. Turn RIGHT onto HOOVER RD. 1.2 mi
7. Turn LEFT onto WELLSTONE DR. 0.0 mi
8. Turn RIGHT onto OLD CORRAL 0.2 mi
AVE.
9 55 OLD CORRAL AVE is on the
RIGHT.
55 Old Corral AveEdit
Sanford, NC 27332 -8612
•
Total Travel Estimate: 26 minutes / 18.57 miles Fuel Cost: Calculate
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