LAND USE Initial Application Date: 7/1 Application # 7 y r
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
LANDOWNER: J & S Development Co. Mailing Address: 1172 Vic Keith Rd
City: Sanford State: NC zi 27332 contact # 910 987 0692 Email:
APPLICANT': Same Mailing Address:
City: State:_ Zip: Contact # Email:
`Please fill out applicant information if different than landowner
CONTACT NAME APPLYING IN OFFICE: Jerome Crumbley Phone # 910 987 0692
PROPERTY LOCATION: Subdivision: Carolina Lakes Lot #: 438 Lot Size: less .5 //
State Road* LL State Road Name: � Wateredge Ln ' Map Book &Page: (G v l 57 -6+
Parcel: 07 //�� I / g c i8 04 3/1 PIN: ,C 95 G/p 7 - - 9,i4; , 0 g
Zoning: !1 / 2 f food Zone: Watershed: Wit Deed Book&Page: 77467 ✓ l �/J I 7 ! Power Company':
`New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON: Carolina Lakes; left onto Carolina Way; corner of Carolina Way and
Wateredge
PROPOSED USE:
Monolithic
SAD: (Size 50 x 50 ) 0 Bedrooms: 4 # Baths: , Basement(w/wo bath):_ Garage:_ Deck: ✓ Crawl Space: ✓ Slab:_ Slab:_
(Is the bonus room finished? (J) yes (__)no wi a closet? ( j) yes ( )no (if yes add in with it bedrooms)
❑ Mod: (Size x ) 0 Bedrooms _*Baths _ Basement (wtwo bath)_ Garage:_ Site Built Deck:_ On Frame_ Off Frame_
(Is the second floor finished? (__) yes ( )no Any other site built additions? L yes ( )no
❑ Manufactured Horne: _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 Lino
Water Supply: ✓ County — 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 (l )no
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments:
Front Minimum 35 Actual a(s
Rears_
Closest Side A 1
SidestreeUcomer lot 2 S 3 3
_
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.
7/19/10
°nature Owner or Owner's Agent Date
**This application expires 8 months from the Initial date if permits have not been issued"
A RECORDED SURVEY MAP, RECORDED DEED IOR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LANG USE APPLICATION
Residential Land Use Application Page 1 of 1 07/10
LEGEND: NOTE:
t IPF IRON PIPE FOUND - COMMUNITY WATER SYSTEM
08 DEED BOOK COMMUNITY SANITARY SEWER SYSTEM
° ° PG PAGE
3°�� SITE N/F NOW OR FORMERLY OWNED BY
MEAS. MEASURED 'T
0
PIN PROPERTY IDENRFICARON NUMBER
4 6; SPK SET "PK' NAIL .
y� ,F D i ` 'b S.F. SQUARE FEET a t
S et c ,1P O PROPERTY CORNER
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VICINITY MAP
NOT TO SCALE
LOT439 /
BLOCK "R'
CAROLINA LAKES
I PHASE 5110
I Plat Cabinet fO. Slide 57C LOT 4JB _
BLOCK 'R'
PHASE 40 Slide 570
5110
- 14N75'74 "57'34'W OS'14 "W 75.89' 75.39 (Plat) (Field) 1" Iron Plat Cabinet CARHJNA LAKES
P ra Pipe Found
Pipe Iran
I
I
(Field) (Plat) I \ \
L =147.27' 1 1=147.35'
- - _ rvh ,_ R =516.52' R =516.52' Z
Chord o
. 523'01'06 "W 9].•5' LOT 438 i LOT437 \
146.77' i 19,084.08 eq.. t%$
I 1
BLOCK 'R'
t a I ft
0.436 acres CAROLINA LAKES
rl
3 r^ Plat Cabinet p. Slide 57C
0
I 33.22' 1.52 m -
N 9. 0.
P L
I I P House d R (Field) (Plat) L =120.82' L= 120.81'
R =205.09' R =205.09'
Chord
m ' a — S71 •02'43t
1' Iron 118.89'
Pipe Fountl.
511'51'57 "E I 1 Iron
29.47' (Field) 1" Iron 36 +2' Pipe Found
S11'22'2PE Pipe Found .
29.66' (Plat) \ - $q1
N . Set 5/8" 07e6./ ./get .. Set
4.99' '1 Meld) Rebar _ - _% 4„, M81 PK Nail
4.99' (Field) - -� _i
5 .00' ( 24"E
5.00' (Plat) WATEREDOE LANE
^ 50' Right —of —Way / /
PLOT PLAN o 0 H CA R O
PROPERTY OF: J88 DEVELOPMENT c� EB • S io • y , 1.
ADDRESS: LOT 438, WATEREDGE LANE o. SEAL r E.
•r L 4182 ¢' -
CITY OF: NEAR LILLINGTON, NC "--,. 1.c•.' L.5� P •
COUNTY OF: HARNETT ° ••It a. /.ice a/ // , dtz
TOWNSHIP OF: BARBEOUE '�
�n , LfE Mc
nni f. DENVER LEE McCULLO GH, PLS . —41:2
DATE: 26 JULY 2010
SCALE: 1 " =40'
REFERENCE: PLAT CABINET fp, SLIDE 57C
CAROLINA LAKES PHASE SIX BLOCK "R"
* *NOTE ** THIS PLAT CAN NOT BE USED FOR RECORDATION OR ATTACHED TO A DEED TO BE RECORDED.
THIS MAP IS NOT A CERTIFIED SURVEY AND NO RELIANCE MAY BE PLACED IN ITS ACCURACY.
HOUSE PLAN: GENERIC
GRAPHIC SCALE DENVER McCULLOUGH & "C"
w o m 40 m ow 404 HOPE MILLS RD, SUITE 4A
FAYETTEVILLE, NC 28304
PHONE: (910)867 -6024
( IN FEET ) FAX: (910)429 -2500
1 inch = 40 It. WIANCI.ep
1
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FON pL• 4T Na ows
HARNETT COUNTY TAX ID# 2010 ' 2 P EEi2 00
pc REV CZ - • it - a! Sf 10101 1 3611 „
7-al`-) BY G'
Prepared By and Return To: Attorney Steve Bunce File #29687 -10
Revenue Stamps $80.00
Tax Pin Number: 9595 -47 -0008
NORTH CAROLINA
GENERAL WARRANTY DEED
HARNETT COUNTY
THIS DEED made and entered Into this 19 day of July, 2010, by and between
Phillip M. Churn also known as Philip M. Churn and wife Stephanie W. Chum ,
hereinafter called "Grantor," whose mailing address is /5 AAA+ LA 3, c tai, Re. 27JS1
and J & S Development Company a. North Carolina corporation, whose mailing address is
1172 Vic Keith Road, Sanford, NC 27332, hereinafter called "Grantee ".
The designation Grantor and Grantee as used herein shall include said parties, their
heirs, successors, and assigns, and shall include the singular, plural, masculine, feminine, or
neuter as required by context.
WITNESSETH:
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 (with the exceptions hereinafter stated, if any), all the certain tract or
parcel of land situated in the City of Sanford in Barbecue Township, Harnett County, North
Carolina, and more particularly described as follows:
Being all of Lot 438, Block R, in a Subdivision known as Carolina Lakes,
Phase Six, according to a plat of same being duly recorded In Plat Cabinet
D, Slide 57-C, Harnett County, and being the same property conveyed to
Philip M. Churn by Non - Warranty Deed recorded In Book
Page a aforesaid registry.
This property does not include the primary residence of the Grantor(s).
TO HAVE AND TO HOLD the aforesaid tract 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 except for the exceptions hereinafter stated, if any.
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Title to the property hereinabove described is subject to the following exceptions:
a. County and/or Municipal Zoning Ordinances, Rules and Regulations.
b. Restrictive Covenants, Easements and Rights of way of record.
c. 2010 Harnett County Ad Valorem Taxes.
IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals, the
day and year first above written.
4? rn cs ,.,- a PAte mt . c.Gu. -
a
Phillip M. Churn also known as Philip M. Chum ffy
Leslie A. Griffin as his attorney in fact
w Ci ' .v -4 IPaCx, a. 4 .,4* c s vwr Q ll° 'ti
Stephanie W. Churn by Leslie A. Griffin as her attorney in fact
STATE OF NORTH CAROLINA
COUNTY OF CUMBERLAND
I, Donald S. Bunco, a Notary Public of said County and State, do hereby certify that Leslie A.
Griffin, attorney in fact for Phillip M. Chum and Stephanie W. Chum personally appeared before me
this day, and being by me duly sworn, says that he executed the foregoing and annexed Instrument for
and in behalf of Phillip M. Churn and Stephanie W. Chum and that his authority to execute and
acknowledge said instrument Is contained in an instrument recorded in the Harnett County Register of
Deeds, and that this Instrument was executed under and by virtue of the authority given by said
Instrument granting him power of attorney; that the said Leslie A. Griffin acknowledged the due
execution of the foregoing and annexed instrument for the purposes therein expressed for and in
behalf of the said Phillip M. Chum and Stephanie W. Churn.
WITNESS, my hand and seal this the 20 day of J , 2010.
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S O' NOTARY
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